Family Interview
My child’s name is __________________________________.
The people in our family are _____________________________________________________________________________
Our email address is _____________________________________________________________________________
Our phone number is
________________________________________________________.
My child is interested in _____________________________________________________________________________
____________________________________________________________________________.
My child is great at
_____________________________________________________________________________
____________________________________________________________________________.
I would like to see my child improve at
_____________________________________________________________________________
____________________________________________________________________________.
My hopes for my child this year are
_____________________________________________________________________________
____________________________________________________________________________.
Our family likes to spend time
_____________________________________________________________________________
____________________________________________________________________________.
We have
_____________________________________________________________________________
____________________________________________________________________________.
My child has the following health concerns
_____________________________________________________________________________
____________________________________________________________________________.
We’d like Mrs. White to know
_____________________________________________________________________________
____________________________________________________________________________.
