Name of child:
What are your family dynamics? Check and specify where appropriate.
What is your and your spouse’s occupation?
Spouse, if applicable:
How many siblings does your child have in the family?
How is the relationship between you and your child?
How is the relationship(s) between your child and his/her sibling(s)?
How well does your child respond to discipline from you in your household?
How updated are you regarding your child’s school life?
How often do you communicate with your child regarding his/her school life?
How often do you keep track of your child’s academic progress at school?
How often do you supervise your child’s schoolwork?
How often does your child come to you for help with his/her schoolwork?
Does your child receive tuition outside of school?
Do you supplement your child’s learning with outside material?