Preschool Parent Survey

This survey is for placement and informational purposes only.

Required

Child's Namerequired

First Name

Last Name

Date of Birthrequired

Must contain a date in MM/DD/YYYY format

Entering Grade in 2026-2027required

Preschool 2

Preschool 3

Prekindergarten 4

Kindergarten

Parent(s)/Guardian(s) Name(s)required

Contact Email Addressrequired

Does your child have any daycare experience or has he/she been cared for at home?required

With whom does the child live? Please include any siblings and ages.required

How would you describe your child's personality?required

Does your child have any developmental delays (e.g. speech, motor skills, social interaction) or medical conditions? If yes, does he/she receive any therapies (OT, PT, ST, ABA, etc.) or treatment?required

Does your child have any allergies?required

Should we be aware of any behavioral concerns?required

How would you describe your parenting style?required

Please complete the security verification below.