Parent Questionnaire for Use with EI and CPSE Evaluations and Assessments
$4.00
Extremely thorough 6 page parent questionnaire template. It can be used to gather information during or prior to preschool or early intervention developmental assessment. It contains all the areas pertinent to assessment, including background information and the five main areas of development. Questionnaire can be sent to parents prior to testing or attained by assessor during assessment session.
Can be printed out and filled out by hand or completed electronically. The document is fully editable in Word. For telehealth evaluations, I have been emailing the parent questionnaire to fill out ahead of time.
Add your own header and phone number where applicable.
With this questionnaire you will be able to
Gather information related to
Reason for referral
Family history
Cognitive skills
Communication skills
Social Emotional development
Adaptive development
Motor skills
Sensory development
Parent concerns and priorities/goals
Quantity
