Parent Conversation Form

Today's Date*

Email*

Child's Name*

First Middle Last

DOB*

Parent/Guardian 1*

Parent/Guardian 2*

Location*

Washington, DC
Falls Church, VA

1. Since you were your child's first teacher, please tell us a little bit about him or her.

a. Briefly describe your child's personality and temperament:*

b. What situations or activities present a challenge for your child?*

c. What does your child enjoy? Tell us about favorite toys, activities, songs, books, etc.*

Help us get to know your family!

2a. Please tell us a little bit about your family -- where you're from, what you do, etc.*

2b. Please briefly describe your parenting approach and what works best for your child.*

2c. What kind of school experience is your family looking for?*

3. What is your child's previous experience in a structured environment away from home?

My child has attended preschool or daycare
My child has been cared for by a caregiver other than parents
My child has attended group classes (music, movement, language, etc.)

What school, and for how long?

What kinds of classes?

4. Please let us know where your child is in the toilet-training process (being toilet-trained is not a requirement for our students)*

My child is fully-toilet trained
My child is almost toilet-trained but needs help/reminders
My child is in the process
My child has not yet begun the toilet-training process

5. Does your child have any allergies or medical issues / history that you would like for us to know about?

6. Because we value your perspective on your child's development, we would appreciate your input/observations about the following areas.

Physical Development: Coordination*

Typical
Some past/present concerns

Please let us know a little bit more.

Physical Development: Gross Motor*

Typical
Some past/present concerns

Please let us know a little bit more

Physical Development: Fine Motor*

Typical
Some past/present concerns

Please let us know a little bit more

Has your child ever received any intervention for physical development support?*

No
Yes

Please specify

OT
PT

Communication Developement: Expressing Language*

Typical
Some past/present concerns

Please let us know a little bit more

Communication Developement: Understanding Language*

Typical
Some past/present concerns

Please let us know a little bit more

Has your child ever received any intervention for communication development support?*

No
Yes

Please let us know a little bit more

Has your child received any other/additional early intervention?*

No
Yes

Please let us know a little bit more

Is there anything else you’d like to discuss? Please include your email and phone number below if you’d like to schedule an in-person Parent Conversation.

Bilingual Preschool, Classes & Camps

Parent Conversation Form

1. Since you were your child's first teacher, please tell us a little bit about him or her.

Help us get to know your family!

6. Because we value your perspective on your child's development, we would appreciate your input/observations about the following areas.

Locations

Programs

Parents' Corner

Information