Reception SEND questionnaire 2019

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1. Please tell us the name of the school

Arnhem Wharf Primary School
Bangabandhu Primary School
Ben Jonson Primary School
Bigland Green Primary School
Blue Gate Fields Infants' School
Bonner Primary School
Bygrove Primary School
Canary Wharf College 2
Canary Wharf College Free Primary School
Canon Barnett Primary School
Cayley Primary School
Chisenhale Primary School
Christchurch CofE School
Columbia Primary School
Cubitt Town Infants' School
Culloden Primary School
Cyril Jackson Primary School
Date Palm Primary
Elizabeth Selby Infants' School
English Martyrs Roman Catholic Primary School
Faraday School
Globe Primary School
Guardian Angels Roman Catholic Primary School
Hague Primary School
Halley Primary School
Harbinger Primary School
Harry Gosling Primary School
Hermitage Primary School
John Scurr Primary School
Kobi Nazrul Primary School
Lansbury Lawrence Primary School
Malmesbury Primary School
Manorfield Primary School
Marion Richardson Primary School
Marner Primary School
Mayflower Primary School
Mowlem Primary School
Old Ford Primary School
Old Palace Primary School
Olga Primary School
Osmani Primary School
Our Lady and St Joseph's Primary School
Phoenix School
Redlands Primary School
Seven Mills Primary School
Shapla Primary School
Sir William Burrough Primary School
Smithy Street School
Solebay Primary - A Paradigm Academy
St Agnes RC Primary School
St Anne's Catholic Primary School
St Edmund Roman Catholic School
St Elizabeth Catholic Primary School
St John's Church of England Primary School
St Luke's Church of England Primary School
St Mary and St Michael Primary School
St Matthias Church of England Primary School
St Paul with St Luke CofE Primary School
St Paul's Way Trust School
St Paul's Whitechapel Church of England Primary School
St Peter's London Docks CofE Primary School
St Saviour's Church of England Primary School
Stebon Primary School
Stephen Hawking School
Stewart Headlam Primary School
The Clara Grant Primary School
The Stepney Greencoat Church of England Primary School
Thomas Buxton Primary School
Virginia Primary School
Wellington Primary School
William Davis Primary School
Woolmore Primary School

2. Please tell us the name of the practioner

First name
Surname

3. Enter details of the child arriving in reception class where you were not aware of the child’s significant needs

First name
Surname

4. Date of birth of the child

	DD/MM/YYYY

5. Names of parent or carer

First name of Parent/Carer 1
Surname of Parent/Carer 1
First name of Parent/Carer 2
Surname of Parent/Carer 2

6. Address of the family

Address Line 1
Address Line 2
Town/City
Postcode

7. NHS number, if known

8. Briefly describe the child’s needs

9. Do you arrange home visits for new children coming into reception?

Yes
No
In nursery

10. What information were you able to gain from the parent about any services involved?

11. Did the parents access Children’s Centre Services?

12. Did the parents access childcare or a child minder?

13. Is the family a recent arrival to Tower Hamlets (less than a year)?

14. If yes, please tell us the date the family arrived to the borough (if known).
MM/YYYY

15. Did the child have a:

2 year integrated review at a Children’s Centre
2 year integrated review in another location (e.g. GP surgery, Health Centre or at home) with a Health Visitor
Neither of these
Unaware

16. What information were you able to gain from the parent about whether the child attend a childcare provision?

previous setting information
health information
EHCP
None

17. If the child attended a childcare provision did they contact you to arrange transition planning?

Yes
No
Don't know

Reception SEND questionnaire 2019

1. Please tell us the name of the school

2. Please tell us the name of the practioner

3. Enter details of the child arriving in reception class where you were not aware of the child’s significant needs

4. Date of birth of the child

5. Names of parent or carer

6. Address of the family

7. NHS number, if known

8. Briefly describe the child’s needs

9. Do you arrange home visits for new children coming into reception?

10. What information were you able to gain from the parent about any services involved?

11. Did the parents access Children’s Centre Services?

12. Did the parents access childcare or a child minder?

13. Is the family a recent arrival to Tower Hamlets (less than a year)?

14. If yes, please tell us the date the family arrived to the borough (if known).
MM/YYYY

15. Did the child have a:

16. What information were you able to gain from the parent about whether the child attend a childcare provision?

17. If the child attended a childcare provision did they contact you to arrange transition planning?

18. Did you receive a summary of the child’s learning progress form from the previous setting?

19. Would you like a copy of the case study template so that you can record your experiences?

20. Any other comments

Reception SEND questionnaire 2019

1. Please tell us the name of the school

2. Please tell us the name of the practioner

3. Enter details of the child arriving in reception class where you were not aware of the child’s significant needs

4. Date of birth of the child

5. Names of parent or carer

6. Address of the family

7. NHS number, if known

8. Briefly describe the child’s needs

9. Do you arrange home visits for new children coming into reception?

10. What information were you able to gain from the parent about any services involved?

11. Did the parents access Children’s Centre Services?

12. Did the parents access childcare or a child minder?

13. Is the family a recent arrival to Tower Hamlets (less than a year)?

14. If yes, please tell us the date the family arrived to the borough (if known).MM/YYYY

15. Did the child have a:

16. What information were you able to gain from the parent about whether the child attend a childcare provision?

17. If the child attended a childcare provision did they contact you to arrange transition planning?

18. Did you receive a summary of the child’s learning progress form from the previous setting?

19. Would you like a copy of the case study template so that you can record your experiences?

20. Any other comments

14. If yes, please tell us the date the family arrived to the borough (if known).
MM/YYYY