THE INSPIRATION MODEL SCHOOL

Pre-Nursery/ Nursery Assessment 2021 - 2022

Name: ______________________________Father’s Name: _______________________ Date of Birth:___________

❖ Tick the appropriate box . “1” being the lowest and “5” the highest.

S.No. Area to be assessed 1 2 3 4 5

1. Confidence
2. Non-Verbal Response

3. Oral Response

4. Concentration

5. Speech

6. Eye-Hand Coordination

7. Fine motor muscles

8. General Vocabulary

9. Listening / Following Instructions

10. General Behavior

11. Comprehension

❖ Check the oral response by asking the following questions:

▪ Child’s favourite food and drink: _____________________________________________________

▪ Child’s favourite Story: ____________________________________________________________

▪ Child’s favourite family member:_____________________________________________________

▪ Child’s favourite TV Program:_______________________________________________________

Comments: ________________________________________________________________________

_________________________________________________________________________________

_________________________________________________________________________________

Assessment:
Independent
With mother
In mother’s lap Signature: ________________

Date : ________________

Note: While asking questions, talk to the children normally, make questions interesting and don’t ask directly.
 THE INSPIRATION MODEL SCHOOL
PARENT INTERVIEW FORM 2021 - 2022
(To be filled by the Parent)

CHILD’S PROFILE:

❖ Name: ____________________________Father’s Name: ______________________ Date of Birth:___________

❖ Tick (✓) the appropriate box.

▪ How many children do you have? Boys _________ Girls _________

▪ Position among the siblings: First Middle Last

▪ General health of the child: Good Fair Weak

▪ Sleeping time: 8:00pm 9:00pm 10:00pm 11:00pm

▪ Afternoon nap: Yes sometimes No

▪ Why did you choose TIMS? Standard Close to the home Other:________

▪ Is your child toilet trained? Yes No

▪ Does he/she like to play: With siblings with toys Computer games

Outdoor games indoor games

▪ Does he/she like to listen to stories? Yes sometimes No

▪ Who tells stories to the child? __________________________________________

▪ What type of stories does he/she like? __________________________________________

▪ At what age did your child start: # sitting :________ # walking : ________ # talking : _______

Sibling at The
Name Class Inspiration/ Remarks (Only for Office Use)
Campus
1
2
3
To be filled by Office:

Child’s profile: ____________________________________________________________________

 (To be filled by the Principal)
MOTHER’S PROFILE:

▪ Mother’s outlook Purdah Hijab Other

▪ Education: Matric Inter Graduation Masters Other

▪ Occupation: House wife Govt./Pri. Teacher Office job

▪ Reading Habit : Newspaper _________________ Books ______________

▪ Reading Qur’an : Daily with/without meaning Sometimes with/without meaning

▪ Regularity of Salah: Yes No Maybe

▪ TV viewing: Dramas Films TV Shows News None

▪ Sleeping time: Early Late Very Late

▪ Interaction with children : ________________________________________________

▪ Spending Spare time : ________________________________________________
▪ Handling child’s tantrums : ________________________________________________
▪ What is your dream for your children? _______________________________________________
▪ Who is your ideal personality? _______________________________________________
▪ What type of education would you prefer for your child? __________________________________

Mother’s Profile: Excellent Good Average Unsatisfactory

FATHER’S PROFILE:

▪ Education: Matric Inter Graduation Other

▪ Occupation: Govt. Job Private job Business Shopkeeper

▪ Reading Habit : Newspaper ___________________ Books ________________

▪ Reading Qur’an : Daily with/without meaning Sometimes with/without meaning

▪ Regularity of Salah: Yes No Maybe

▪ TV viewing: Dramas Films TV Shows News None

▪ Interaction with children : ________________________________________________

▪ Spending Spare time: : ________________________________________________

▪ What is your husband’s routine? ____________________________________________________

▪ How often father takes the family for outing? ___________________________________________

Father’s Profile: Excellent Good Average Unsatisfactory

HOME PROFILE:

▪ Family: Joint Single

▪ Family member close to the child: Father Mother Elder Brother

Elder sister Grandmother Grandfather Other: ______________

▪ Sleeping habits of the family: Early Late Very Late

▪ How often the family visits relatives? Daily Weekly Monthly Rarely

▪ How often relatives visits the family? Daily Weekly Monthly Rarely

▪ Which member of the family is fond of reading books? ___________________________________

Comments : _______________________________________________________________________

_________________________________________________________________________________

_________________________________________________________________________________

Home Profile: Excellent Good Average Unsatisfactory

RECOMMENDATION

❖ Admission recommended : Yes No Maybe

❖ Reasons for recommendation:

▪ Child’s Assessment: Excellent Good Average Poor

▪ Home environment: Islamic oriented Educated Not suitable

▪ Quality of Parenthood : Above average Average Below Average

Comments: _____________________________________________________________________

_______________________________________________________________________________

_______________________________________________________________________________

Principal: ________________ Executive Director : ___________________ Date : ______________