Skip to main content
2020 -2021 All About Me - Reception
Page
1
There was an error on your page. Please correct any required fields and submit again.
Go to the first error
1.
Question 1.
What is your name? (child's first name and initial of last name e.g. Charlie P)
2.
Question 2.
Who lives in the house with you?
3.
Question 3.
Are there any special people or objects that are important to you?
4.
Question 4.
Tell us about any pets that you have.
5.
Question 5.
Tell us about the things you can do all by yourself and what you might need help doing.
6.
Question 6.
Can you dress yourself on your own?
Yes
No
Sometimes
With a little help
7.
Question 7.
Do you have access to an electronic device at home?
Yes
No
*
Tell us how you use your device and how often you use it. (For example - I have a tablet and I use it every day)
Required
This is required
8.
Question 8.
Can you access the computer/phone or other device to play simple games?
Confidently
With grown up help
Not at all
9.
Question 9.
What are some of things that you love?
10.
Question 10.
What are some of the things that you don't like?
11.
Question 11.
If you have done something exciting, can you retell this information to a grown up later?
Yes
No
Sometimes
With support
12.
Question 12.
Can you use a knife and fork to eat independently?
Yes
No
With some help I can
Sometimes
13.
Question 13.
Can you recognise and write your own name? (Please tick two boxes)
Yes I do recognise my name
No I do not recognise my name yet
Yes I can write my own name
No I can't write my own name yet.
14.
Question 14.
Can you use the toilet on your own?
Yes I use the toilet on my own
No
I need some help with this
15.
Question 15.
Is there anything else that you would like your new teachers to know about you?
Powered by
SmartSurvey
Use our survey software to
make a survey
.