EARLY YEARS QUESTIONNAIRE

EARLY YEARS QUESTIONNAIRE

EARLY YEARS QUESTIONNAIRE

LANGUAGE

Does your child speak a second language? *
How does your child communicate in English? *

BEHAVIOUR

Does your child follow your instructions? *
Does your child listen to others in a small group? *
Has your child learnt how to share? *
Is your child able to play in a friendly manner alongside other children? *

PREVIOUS EXPERIENCES

Has your child interacted with other children who are not family members? *
Has your child been to any previous settings? ie. toddler group, children’s centre, playgroup, etc. *
Have you left your child in the care of others before? ie. nursery, child minder, crèche, with a family member etc. *

ROUTINES

We expect all nursery children to be out of nappies and pull ups before they come to nursery in September. Please see your health visitor for assistance with this if you need help.
Does your child follow a set routine with regards to eating and sleeping? *
Does your child sleep in the afternoon? *

FAMILY CIRCUMSTANCES

Do you have any family circumstances that you would like to share with us? ie.For example, family separations, access restriction, social care involvement, poor accommodation, income support, health issues. (confidential) *

SPECIAL EDUCATIONAL NEEDS

Does your child have a disability or special need which may require special attention? For example, a hearing or visual impairment, developmental delay etc. *
Has your child been referred to any agencies? For example, a Speech and Language Therapist, Child Development team etc. *
Does your child have an EHCP - Education Healthcare Plan (SEN)? *
Has a request for a Statutory Assessment of SEN been agreed? *

CONCERNS

ADDITINAL INFORMATION

In this space you could include information about your child’s interests, talents and strengths. For example, you could let us know if your child is able to show original ideas, think quickly and show curiosity, work independently, is fond of playing with something in particular or likes to talk about a particular topic in depth.
Thank you very much for taking the time to fill in this questionnaire. This information will be kept confidently to ensure your child’s needs are catered for in the best possible way.
Translate »