Parent Questionnaire – Grades 4 & 5

Thank you for completing this questionnaire about your child. As part of the enrollment process, this will help us to get to know your child. We know that children develop in individual ways so please help us to know what your child is able to do now so that we can predict how they will adjust to being in school. (Please note that we will be using “they” and “their” as a singular or plural pronoun.)

Give some examples of the kinds of things that your child can do independently.

Tell us about your child getting dressed in the morning.

Tell us about your child when they are playing.

Please write the examples in the language that your child is speaking at home. If the language is other than English or Spanish, please provide a translation.

A. Give us 3 examples of directions that you gave your child today and that they were able to understand and follow the request.

B. List 20 words that your child used today.

C. Give us 3 examples that your child said today.

Before answering these questions, you might want to do one of the following:

1. Give your child a pair of scissors, paper and magazines. Ask: “Cut out pictures that you like to make a collage of your favorite things.”
2. Give your child some small legos or beads/string. Ask: “What can you make with these? Show me how you can make it by yourself.”

Please choose as many of these fine motor skills as you would like by circling one descriptor. (Choose at least 1)

Before answering these questions, you might want to do one of the following:

1. Ask: “Let me hear you sing the alphabet song in English.” “Let me hear you sing the alphabet song in Spanish.”
2. Gather a stack of your child’s favorite books. Ask: “Which book would you like to read to me?” (Let your child read a book to you.)
3. After your child reads a book to you. Ask: “Tell me what happened in the story.” -or- “What did you learn from this book?”

Please choose as many of these literacy skills as you would like by circling one descriptor. (Choose at least 2)

Before answering these questions, you might want to do one of the following:

1. Write several math problems on a piece of paper with 3-digit and 4-digit addition and subtraction (For example: 2635 + 927 = 1746 – 319 = 648 ፥ 26= 29 x 12 = ) Ask: “Read each problem to me and work it out.” Then ask: “Tell me how you figured it out.” Then ask: “Can you write a story problem that would show how these problems would be used in real life?”
2. Write 3-digit and 4-digit numerals and numerals with decimals on cards. (For example: 659, 290, 1207, 4801, 67.25, 301.001) Ask: “What is the name of this number?”
3. Gather a set of multiplication flashcards or make some on small pieces of paper from 2’s to 12’s. Ask: “Let’s see how many of your multiplication tables you know by memory.”
4. Write these fractions on a piece of paper ⅓, ⅝, ⅔, ⅕, ¾,. Ask: “Can you put these in order from smallest to largest? Show me a visual model that helps me to see how you figured it out.”

Please choose as many of these mathematics skills as you would like by circling one descriptor. (Choose at least 2)