Questionnaire "*" indicates required fields Child’s Name* First Last Nickname* How many siblings does the child have?*012345678910List three words or phrases that describe your child’s personality* Sibling's name First Last AgePlease enter a number less than or equal to 100.Sibling's name First Last AgePlease enter a number less than or equal to 100.Sibling's name First Last AgePlease enter a number less than or equal to 100.Sibling's name First Last AgePlease enter a number less than or equal to 100.Sibling's name First Last AgePlease enter a number less than or equal to 100.Sibling's name First Last AgePlease enter a number less than or equal to 100.Sibling's name First Last AgePlease enter a number less than or equal to 100.Sibling's name First Last AgePlease enter a number less than or equal to 100.Sibling's name First Last AgePlease enter a number less than or equal to 100.Sibling's name First Last AgePlease enter a number less than or equal to 100.Does he/she like books?* Yes No Favorite book Do you have a pet?* Yes No Type and name What activities does your child enjoy?*What is his/her favorite toy?* What TV programs or movies does your child watch?* Does your family travel?* Yes No What are your favorite or most frequent destinations? What special things does your family do together?* Does your child regularly attend Sunday School?* Yes No Church Are there any other things that we should know about your child?*What do you hope your child will gain from his/her preschool experience?*
