pathways parent questionnaire

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Questions and Ideas What do you want us to know about ? Is there anything Pathways: A Child and Family Journey © A Conversation: Examples of Ideas to Think About Questions and Ideas What do you want us to know about ? Is there anything you’ve been told about your child that you’d like to share? Is there a match between what you’ve been told and what you know about your child’s development? Are there questions you would like to have addressed? addressed? Who is ? Think about everything you want us to know about your child. Think about such things as personality the role your child plays in the family (sister about such things as personality, the role your child plays in the family (sister, brother/peacemaker/comedian…), describe characteristics or qualities that come to mind. F il S t /R Wh th ti l i lif h f il b Place your child’s picture Family Supports/Resources. Who are the supportive people in your life, such as: family members, friends, organizations, child care, therapists, teachers, doctors…? Wh f il lik d D ib hi f il d f f Th i h i ld l here What our family likes to do. Describe things your family does for fun. These might include places you go or activities you like to do. What does well. Think of all the things your child does well: move, play independently and/or with others, solve problems, persevere, dance, sing… Let’s talk about these qualities. What likes/dislikes. Describe activities, food, people, sounds, touch, and other things that your child likes or dislikes. Just a few short years ago your family started on a life-journey with . As a team, we would like to join you on that journey through our shared interest and growing knowledge of Pathways provides us with an interactive process to share What works? What doesn’t work? When are the times/situations when things go smoothly? Share examples of what helps the day go well in terms of behavior, communicating, eating, etc. Some knowledge of . Pathways provides us with an interactive process to share information that will be helpful to all of us involved in living and working with your child. We trust that as the key decision maker in your family, you know your child better than anyone else. Therefore we look to you to provide the most valuable information examples of what works might include “showering her with praise,” “clearly backing off,” “talking him through a situation,” “cuddling,” “resting or sleep.” What doesn’t work may include things like “forcing the issue,” “quick transitions or changes,” “not knowing what to expect.” Are there examples Therefore, we look to you to provide the most valuable information. Pathways: A Child’s Journey was developed to: id f ili t h t t ff t d l th f il h t i it ith from other people who interact with your child that you would like to mention? What is hard or frustrating? Share how reacts to foods, change, communicating, •guide families, teachers, support staff team, and anyone else the family chooses to invite, with a way of sharing valuable information. individualize the planning process for each childs journey in the context of their family, culture, and being with other children, certain times of the day, or separation. Are there consistant issues that are difficult for you or your child or family? individualize the planning process for each child s journey in the context of their family, culture, and community. •explore ways to use a child’s and family’s strengths to promote growth and development. ’s style of learning. Does your child like to watch and observe before becoming involved? Does he/she seem to learn a lot by listening, doing, jumping right in? How would you describe how he/she learns new things. Is there a preference or method that seems to support •utilize practical, everyday activities and routines to enhance each child’s development at home, in school, and within the community. new learning? Growth and Changes Provide examples of recent growth and changes you have observed How does •create an ongoing process for recording the growth and development of the child. Before we get together, use the following pages to jot down some notes about your child and family that you would like to share There are some suggestions of ideas to think about on the back page Growth and Changes. Provide examples of recent growth and changes you have observed. How does this help us know where to go next? that you would like to share. There are some suggestions of ideas to think about on the back page. Child Learning Center – SLHS, University of Colorado at Boulder. Permission is given to reproduce this document with acknowledgement of the Child Learning Center at the University of Colorado at Boulder

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Pathways Parent Questionnaire

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Page 1: Pathways Parent Questionnaire

Questions and Ideas – What do you want us to know about ? Is there anything

Pathways: A Child and Family Journey ©A Conversation: Examples of Ideas to Think About

Questions and Ideas – What do you want us to know about ? Is there anything you’ve been told about your child that you’d like to share? Is there a match between what you’ve been told and what you know about your child’s development? Are there questions you would like to have addressed?addressed?

Who is ? Think about everything you want us to know about your child. Think about such things as personality the role your child plays in the family (sister about such things as personality, the role your child plays in the family (sister, brother/peacemaker/comedian…), describe characteristics or qualities that come to mind.

F il S t /R Wh th ti l i lif h f il b

Place your

child’s pictureFamily Supports/Resources. Who are the supportive people in your life, such as: family members, friends, organizations, child care, therapists, teachers, doctors…?

Wh f il lik d D ib hi f il d f f Th i h i l d l

here

What our family likes to do. Describe things your family does for fun. These might include places you go or activities you like to do.

What does well. Think of all the things your child does well: move, play independently and/or with others, solve problems, persevere, dance, sing… Let’s talk about these qualities.

What likes/dislikes. Describe activities, food, people, sounds, touch, and other things that your child likes or dislikes.

Just a few short years ago your family started on a life-journey with . As a team, we would like to join you on that journey through our shared interest and growing knowledge of Pathways provides us with an interactive process to share

What works? What doesn’t work? When are the times/situations when things go smoothly? Share examples of what helps the day go well in terms of behavior, communicating, eating, etc. Some

knowledge of . Pathways provides us with an interactive process to share information that will be helpful to all of us involved in living and working with your child. We trust that as the key decision maker in your family, you know your child better than anyone else. Therefore we look to you to provide the most valuable informationexamples of what works might include “showering her with praise,” “clearly backing off,” “talking him

through a situation,” “cuddling,” “resting or sleep.” What doesn’t work may include things like “forcing the issue,” “quick transitions or changes,” “not knowing what to expect.” Are there examples

Therefore, we look to you to provide the most valuable information.

Pathways: A Child’s Journey was developed to:

id f ili t h t t ff t d l th f il h t i it ith from other people who interact with your child that you would like to mention?

What is hard or frustrating? Share how reacts to foods, change, communicating,

•guide families, teachers, support staff team, and anyone else the family chooses to invite, with a way of sharing valuable information.

•individualize the planning process for each child’s journey in the context of their family, culture, and being with other children, certain times of the day, or separation. Are there consistant issues that are difficult for you or your child or family?

individualize the planning process for each child s journey in the context of their family, culture, and community.

•explore ways to use a child’s and family’s strengths to promote growth and development. ’s style of learning. Does your child like to watch and observe before

becoming involved? Does he/she seem to learn a lot by listening, doing, jumping right in? How would you describe how he/she learns new things. Is there a preference or method that seems to support

•utilize practical, everyday activities and routines to enhance each child’s development at home, in school, and within the community.

new learning?

Growth and Changes Provide examples of recent growth and changes you have observed How does

•create an ongoing process for recording the growth and development of the child.

Before we get together, use the following pages to jot down some notes about your child and family that you would like to share There are some suggestions of ideas to think about on the back pageGrowth and Changes. Provide examples of recent growth and changes you have observed. How does

this help us know where to go next?that you would like to share. There are some suggestions of ideas to think about on the back page.

Child Learning Center – SLHS, University of Colorado at Boulder. Permission is given to reproduce this document with acknowledgement of the Child Learning Center at the University of Colorado at Boulder

Page 2: Pathways Parent Questionnaire

PATHWAYS: A CHILD AND FAMILY JOURNEY©

ib f il ’ i

Date

What does well…Questions And Ideas For Your Teacher: Describe your family’s routines…

•Morning:g

•Meal times:

F il G l F Y Child

Likes and dislikes…

•Bedtime:Family Goals For Your Child:

What is hard/frustrating…

Who Is ?How does your child respond to changes in the routine…

Who Is ______________?What strategies work to help your child through frustrationsthrough frustrations…

G h & h i h Growth & change in the past year…

Does your child have any fears…What our family likes to do…

F il t /Siblings, extended family, favorite people & pet names…

Family supports/resources…