New Student Questionnaire

NEW STUDENT QUESTIONNAIRE

Child's Name

First Name

Last Name

Date of Birth

YYYY

Who lives in your household? (sibling/ages, grandparents, nanny, pets)

Please share the names and email addresses of anyone who might like to get the weekly school newsletter.

What languages are spoken at home? Do you consider one of the languages primary?

Is there a holiday or custom specific to your religion, culture, or nationality that you would like to share with the classroom community? If so, please indicate what you would like to share and the date or time of year that it occurs.

What alternative caregivers (nanny, grandparents) are involved in your child's life and their schedule (regular or sporadic)?

What are your child's previous social experiences (playgroups, daycare, and preschool)?

Please list activities your child enjoys.

How does your child react to separation? Frustration? How do you approach this?

What methods of guiding your child's behavior have been most helpful?

Does your child dress him/herself?

Does your child sleep in his/her own bed?

Does your child sleep in his/her own room?

Describe the bedtime routine for your child (what time, etc.):

Does your child suck his/her thumb, use a pacifier or other comfort item?

Is your child comfortable using the toilet independently? What approaches to toileting have you used or tried in this process?

Does your child feed him/herself using utensils and a normal glass? Does your child have any food restrictions? Is he/she a picky eater? Please share mealtime routines.

Does your child help with any household chores, duties or other family responsibilities?

Do you have "family rules" at home? What are they?

Describe your child's screentime use.

Are there any developmental or medical issues that we should be aware of? Please state any special services (i.e., speech therapy, occupational therapy, etc.) that your child has received or is still receiving. This information is held in strict confidence and is intended to assist the staff in working with your child.

Give one aspect of the Montessori philosophy you are most drawn to. How do you implement it in your daily life with your child?

Check five (5) topics you would like to learn more about:

Montessori in the Home

Four Planes of Development

The Normalized Child

Sensitive Periods

Freedom & Discipline

Montessori Materials

Positive Discipline

Developing Independence

What other topics related to child development would be of interest to you as a part of the AMH Parent Partnership program?

What is your plan for your child after completing Kindergarten after AMH?

Is there any additional information you would like to share about your family and/or your child?

Is there a Custody Court Order Agreement? If yes, please provide a copy to AMH.