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Programs
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Parent
Contacts
Book Tour
Toddler Questionnaire
Please fill out this questionnaire to help us provide your child with a smooth transition and a successful childcare experience. Thank you!
Name
Email
Phone
Child’s Name
Date of Birth
PHYSICAL DEVELOPMENT
Does your child:
sit with support
sit unassisted
crawl forward/backward
stand
walk with assistance
walk unassisted
run
go up steps
go down steps
SLEEPING HABITS
My child usually naps:
My child sleeps at Night:
Does your child have any sleep disturbances?
Does your child sleep with any special object?
Does your child sleep in her/his crib at night?
EATING HABITS
Breastfed
Is your child breastfed?
Bottle-fed
Is your child bottlefed?
Weaned
Has your child been weaned from breastfeeding?
Solid food
Is your child eating solid food?
Yes
No
Favorite food
Does your child have a favorite food?
Type of formula
What type of formula is in use?
Eats table food
Does your child eat food from the family table?
Drinks from a bottle
Does your child drink from a regular bottle?
Yes
No
Holds own bottle
Does your child have their own bottle?
Yes
No
Drinks from a cup
Does your child drink from a cup?
Yes
No
Uses a pacifier
Does your child use a pacifier?
Yes
No
Can feed self
Does your child feed themselves?
Yes
No
POTTYING
Wears diapers all day
Does your child wear diapers all day?
Yes
No
Sleeping habits with underpants
Does your child sleep only in underwear?
Yes
No
Can your child ask to go to the bathroom?
Yes
No
What phrases/words do you use for urinating?
What phrases/words do you use for bowel movements?
If toilet training is in process, please describe routines/methods you use.
PLAY & SOCIAL INTERACTION
Has your child ever attended or been enrolled in a child care center at what age?
Has your child ever attended or been enrolled in a family day care home at what age?
Has your child ever attended or been enrolled in a babysitter’s home at what age?
Has your child ever attended or been enrolled in your home with a babysitter at what age?
Has your child ever attended or been enrolled in your home with a parent/child playgroup at what age?
How does your child adjust to new situations and activities?
Who is your child’s current caretaker during the day?
What is one thing that brings a smile to your child's face?
What are your expectations for your child in entering an early childhood educational program such as Little Wonder Learning Center?
Send
We treat your data with respect and confidentiality.
