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Kindergarten Parent/Guardian Survey
The staff in the Germantown School District understands that you know your child best! To help us get to know your child better and prepare for a smooth transition to kindergarten, we request that you complete the following information as soon and completely as possible. By providing this information it will help the staff to assign your child to the classroom that best meets his/her needs. All information is considered to be confidential and will only be shared with kindergarten teachers. Thank you!
Email *
Elementary school your child will be attending *
Required
Name of child *
Gender *
Name preferred on a name tag *
Date of birth *
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/
DD
/
YYYY
The person completing this survey
Name *
Relationship *
Who lives in your child's home? *
What languages are spoken in your household and with your extended family? *
Did your child attend daycare or 4K? If so, where and how many years? *
Did your child attend preschool? If so, where and how many years? *
What are some qualities/traits/strengths of your child that you and your child are proud of? *
What are some areas you feel your child needs to improve in? *
Does your child have any special needs (i.e., dietary, medical, allergies, medications, etc.)? *
Do you have any special concerns about your child (i. e., anxiety, fears, separation anxiety, interaction with other children) *
Please let us know if there are any children attending kindergarten with your child who you wish they be separated from in class. *
How does your child react to frustration? How does your child relax or soothe him or herself? *
Please share anything else that will help us work with your child.
Kindergarten Readiness Checklist
Student Name *
Can tie shoes? *
Required
Knows how to zip and button? *
Required
Can dress self independently (including boots, snowpants, etc.)? *
Required
Takes care of toileting and self-care needs? *
Required
Shows curiosity and interest about school? *
Required
Can be separated from parents for up to six hours without anxiety? *
Required
Demonstrates cooperative play skills? *
Required
Can sit quietly in a group without being disruptive? *
Required
Can recognize first name? *
Required
Can write first name? *
Required
Puts together simple puzzles? *
Required
Can hold writing implement properly? *
Required
Can use scissors properly? *
Required
Can follow a two-step simple direction? *
Required
Pays attention to short stories and can answer simple questions? *
Required
Volunteers comments while in a group? *
Required
Speech is easily understood? *
Required
Enjoys being read to? *
Required
Is able to cope with redirection? *
Required
Knows basic colors and shapes? *
Required
Names most of the upper and lower case letters? *
Required
A copy of your responses will be emailed to the address you provided.
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