Curriculum – Children’s Information Questionnaire

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List all names of children in the room
Room Leader/Educators to complete the following questionnaire with parents, including parents of all new children.
All educators must read the answers and initial/date beside child’s name, including new educators who join the team.

Child’s Name: _____________________________________________________

Parent’s Names: ____________________________________________________

Who lives in the child’s house?

_____________________________________________________________________________________________________________________________________

Who type of dwelling do the children live in?

_____________________________________________________________________________________________________________________________________

What does the child eat for breakfast?

_____________________________________________________________________________________________________________________________________

How do they get to the service?

_____________________________________________________________________________________________________________________________________

Who belongs to the child’s extended family?

_____________________________________________________________________________________________________________________________________

Who else is authorised to collect your child?

_____________________________________________________________________________________________________________________________________

What parks does your child play at?

_____________________________________________________________________________________________________________________________________

What restaurants and coffee shops do the children go to?

_____________________________________________________________________________________________________________________________________

What shops do they shop at?

_____________________________________________________________________________________________________________________________________

What after school activity does your child go to?

_____________________________________________________________________________________________________________________________________

What do they do at home?

_____________________________________________________________________________________________________________________________________

What toys do they have?

_____________________________________________________________________________________________________________________________________

What books do they read?

_____________________________________________________________________________________________________________________________________

What songs do they sing at home?

_____________________________________________________________________________________________________________________________________

What TV shows/movies do they watch?

_____________________________________________________________________________________________________________________________________

What time do they go to bed?

_____________________________________________________________________________________________________________________________________

What are mum and dad’s jobs?

_____________________________________________________________________________________________________________________________________

Who are mum and dad’s best friends?

_____________________________________________________________________________________________________________________________________
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