PORTSMOUTH SCHOOL DEPARTMENT
KINDERGARTEN PARENT INTERVIEW FORM

Child’s Name: ____________________________________ Date: ________________

Please answer the following questions to the best of your ability and as completely as possible. These questions are being asked so that your child’s teachers will best be able to serve your child’s educational needs.

What was your child’s weight at birth? ______________

What was the length of the pregnancy? _________weeks

Was there anything unusual about the pregnancy or delivery of this child (i.e. C-section)? ________________________

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At approximately what age did your child begin walking? __________________________________________________

At approximately what age did your child begin talking? ___________________________________________________

What is your child’s favorite thing to do at home? ________________________________________________________

Does your child have any favorite game or toy? __________________________________________________________

Does your child prefer to play alone or with others? _______________________________________________________

Does your child have any special fears (dogs, darkness, loud noises, etc.)? _____________________________________

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Is your child able to maintain eye contact when he/she is being spoken to directly?

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Is your child able to sit quietly and attentively for a period of approximately 15 minutes?

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Is your child read to (check one):

… daily

… a few times each week

… once a week

… occasionally

… rarely.

What kinds of stories does your child like? ______________________________________________________________

__________________________________________________________________________________________________Please describe briefly your child’s strengths. ____________________________________________________________

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Does your child display any special talents in areas such as music, performing for others, leading peers, engaging in physical activities? If yes, please explain. _______________________________________________________________

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Are you concerned about your child’s readiness for school? If yes, please explain. _______________________________

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Is there any other information that will help us understand your child? _________________________________________

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You may use the reverse side of this form, if you require additional space for completing your answers.

Form completed by: ______________________________________