2023-2024 PRE-KINDERGARTEN SCREENING and QUESTIONNAIRE

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This year Oktaha School's four year old pre-kindergarten enrollment and educational screening for children age three, four, and five will be conducted through an online process rather than in person. We are asking that you complete the following questionnaire to help us assure the developmental readiness of your child, as well as identify any areas of need your child may have before school starts. If you suspect that your child is experiencing one or more delays in his or her development, please contact Terri Dragoo at 918-682-5665 to discus this further.

Email *

Parent's first and last name/phone number

Your child's first and last name

Child's birthdate

YYYY

Can your child take care of all toileting needs?

Yes

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Can your child dress/undress independently?

Yes

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Can your child manipulate a zipper?

Yes

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Can your child wash his/her hands independently?

Yes

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Can your child ask for adult help when needed?

Yes

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Has your child had a vision screening?

Yes

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Are there any concerns with your child's vision? If yes, please explain.

Has your child had a hearing screening?

Yes

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Are there any concerns with your child's hearing? If yes, please explain.

Does your child take medication?

Yes

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If your child takes medication, please explain.

Does your child have any medical issues or concerns?

yes

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If your child has medical issues or you have concerns, please explain.

Is your child generally understood by people outside the family?

Yes

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Does your child speak in at least 3-4 word sentences?

Yes

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Does your child follow simple directions? For example, "Go to your room and get your shoes."

Yes

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Can your child state his/her first and last name?

Yes

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Can your child tell how old he/she is?

Yes

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Does your child answer simple who, what and where questions?

Yes

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Is your child currently receiving speech therapy?

Yes

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Do you have concerns with your child's speech or language development?

Yes

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If you have concerns about your child's speech and language development, please explain.

Does your child hold a crayon and color/draw with it?

Yes

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Can your child snip with scissors?

Yes

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Can your child copy a horizontal line, vertical line and a circle?

Yes

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Can your child throw and catch a ball?

Yes

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Can your child go up and down stairs independently?

Yes

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Can your child hop on one foot?

Yes

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Does your child currently receive physical therapy or occupational therapy?

Yes

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If your child attends physical or occupational therapy, please explain.

Can your child stick to one activity for at least five minutes? (not counting tv or computer)

Yes

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Has your child had opportunities to interact with other children?

Yes

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Has your child ever attended daycare, a learning center, head start, etc....

Yes

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If you answered yes to the question above, please list where they attended.

Is your child able to take turns with other children?

Yes

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Does your child separate from you easily?

Yes

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Is your child able to engage in imaginative play?

Yes

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Does your child become easily overwhelmed in new situations?

Yes

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Please provide any additional information regarding your child's overall health, development or special needs that we should be aware of:

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