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Tell me about your child
Name_______________________________
I love ___________________________
I don’t like_________________________________
Please tell me about your child’s favorite activities, books games etc.:
1.______________________________________
2._____________________________________
3._____________________________________
4._____________________________________
How does your child get along with other children? ________________________________
Does your child have any nervous habits? ______________________________________
Does your child have any fears? _______________________________________________
Does your child have any allergies? ___________________________________________
Do you have any concerns about your child’s development?________________________
____________________________________________________________________________
Is your child on an IEP? ___________________________________________________
Is there anything you would like me to know about your child_________________________
_____________________________________________________________________________