Sunflower Preschool Family Questionnaire

Child Information

Child’s Name: ________________________________

Date of Birth: ________________________________

Parent/Guardian Name(s): ________________________________

Best Contact Phone: ________________________________

Email Address: ________________________________

Family & Home Information

Who lives in the home with your child?

________________________________

Are there any significant family changes (move, new baby, etc.)?

________________________________

What language(s) are spoken at home?

________________________________

Child’s Interests & Personality

Favorite activities/toys: ________________________________

Personality (shy, outgoing, etc.): ________________________________

What makes your child happy? ________________________________

Learning & Development

Skills your child is working on: ________________________________

Previous preschool/daycare? Yes / No

Any learning concerns: ________________________________

Health & Safety

Allergies: ________________________________

Medications: ________________________________

Medical/developmental concerns: ________________________________

Social & Emotional Needs

Separation from caregiver: ________________________________

Comfort strategies: ________________________________

Interaction with peers: ________________________________

Daily Routines

Bedtime: ________________________________

Naps: Yes / No

Important routines: ________________________________

Cultural & Family Values

Cultural traditions to share: ________________________________

Food restrictions: ________________________________

Communication Preferences

Preferred contact: Phone / Email / Text / App

Best time to contact: ________________________________

Additional information: ________________________________