Family Questionnaire

StudentsName____________________________________________
Mychildlikestobecalled____________________________________
DearFamilies,
Weallhavethesamegoalforyourchild:anenrichingyearthatbuildssolidacademicskills,as
wellasselfconfidenceandaloveoflearningandexploration.Toaccomplishthesegoals,please
helpusgettoknowyourchildbetter.Anyinsightsyoucansharewillhelpustailorour
instructiontobetterserveyourlearner.Pleaseusethisinformalsurveytotellusaboutyour
child.Answeronlythosequestionsforwhichyouarecomfortablesharinginformation.Usethe
backofthepageifnecessary.Thissurveywillnotbecomepartofyourchildspermanentrecord
file,butwillonlybeusedbyustolearnsomeofwhatyoualreadyknowaboutyouremerging
scholar!
1. Howdoyoudescribeyourchildspersonality?

2. Tellmeaboutanyspecialinterests,hobbies,ortalentsyourchildhas.

3. Howmuchofyourchildstimeisstructuredorplanned?

4. Whatareyourchildsfavoritetoysorrecreationactivities?

5. Howmuchtimedoesyourchildspendoutside?Whatarehis/herfavoriteoutsideactivities?

6. Whatareyourchildsfavoriteandleastfavoritesubjectsinschool?

7. Isyourchildafraidofanything?

8. Aretheresiblings?Howold?Dotheygetalong?Dotheyattendthisschool?

9. Aretherebehavioral,healthorallergyissuesyoudlikemetoknowabout?

10. Arethereotherimportantthingsyouwantmetoknowaboutyourchild?

11. Howdoesyourchildgethomefromschool?

12. Doesyourchildhaveinternetaccessathome?

13. Whatisthebestwaytoreachyouduringschoolhours?Afterschoolhours?

Remember,youareyourchildsfirst,best,andmostimportantteacher.Letyourchildknow
thatyouareinterestedinwhatsgoingonatschool.Yourattitude,yourexpectationofsuccess,
andyoursupportwilldetermineyourchildsapproachtoschool.Welookforwardtogettingto
knowyourchildandformingaproductivepartnershipwithyouandyourlearnerthroughout
theyear!
Sincerely,
The4
th
GradeTeam