LEAP Parent Survey Question Title * 1. Date: Question Title * 2. Parent Name: Question Title * 3. Name of Child: Question Title * 4. Age of Child: Question Title * 5. Can your child write his/her name? Yes No Question Title * 6. Has your child had any experience with the following materials? Pencil Playdough Scissors Paintbrush Question Title * 7. What are your expectations of this program? Question Title * 8. Is there anything you would like the teacher to know about your child? Question Title * 9. Any other questions or comments are welcome: Done