parentC Preschool History

Maryborough Psychology & Health Clinic

Melinda Metaxas & Associates Pty Ltd

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Parent Form

Section C: Preschool History

Did your child attend childcare or kindergarten? Please list kindergarten/s and years attended:

Has you child repeated a year at kindergarten? If yes, what year and why?

Were there any additional supports during kindergarten?

Kindergarten Inclusion SupportPreschool Field OfficerEarly Intervention ServicesSpeech therapyOccupational Therapy

Further details:

Did your child have difficulties at kindergarten with any of the following?

Following instructionsRecalling informationConcentratingSpeechPre-readingNumeracyFine motor skillsGross motor skillsSocial skillsSelf-care skillsEmotional/Behaviour issues

Other:

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