Capitol Hill - Division 6 - Grade 5 Intake Interview Parent Questionnaire

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* 1. Child's Name / Your Name / Relationship to the Child

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* 2. What are some of the strengths and weaknesses I should know about your child?

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* 3. What are the best ways that your child learns?

Visual-spatial (observing)

Aural (listening to verbal instructions or presentations)

Verbal (reading and/or writing)

Physical (hands-on)

Logical (solving problems)

Social (group work / discussions)

Solitary (self-study / work alone)

Additional Comments:

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* 4. What is your child's opinion about school?

Very positive

Positive

Neutral

Negative

Very negative

Additional Comments:

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* 5. How do you feel about your child's social relationships with their classmates / peers in the school?

Very positive

Positive

Neutral

Negative

Very negative

Additional Comments:

Capitol Hill - Division 6 - Grade 5 Intake Interview Parent Questionnaire

Question Title

* 1. Child's Name / Your Name / Relationship to the Child

Question Title

* 2. What are some of the strengths and weaknesses I should know about your child?

Question Title

* 3. What are the best ways that your child learns?

Question Title

* 4. What is your child's opinion about school?

Question Title

* 5. How do you feel about your child's social relationships with their classmates / peers in the school?

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* 6. What are some social and/or academic goals for your child this year?

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* 7. What are your fears and/or concerns about your child this year?

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* 8. Any unique skills or concerns that you would like to share about your child?

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* 9. What are some activities and interests your child takes part in outside of school?

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* 10. Anything else you would like to tell me that could make it a successful year for your child?