Student Inventory | Penfield Village Nursery School & Kindergarten

Child's Name*

Date of Birth*

My Child Is*

Left Handed

Right Handed

Unsure

My Child's Previous School / Daycare Experience*

Please check the box that best describes how often you see that behavior in your child (in group situations or at home).

Can play cooperatively with other children*

Never

Rarely

Sometimes

Often

Always

Can sit and listen to a story*

Never

Rarely

Sometimes

Often

Always

Follows instructions from adults*

Never

Rarely

Sometimes

Often

Always

Is constantly in motion*

Never

Rarely

Sometimes

Often

Always

Can dress themselves*

Never

Rarely

Sometimes

Often

Always

Make friends easily*

Never

Rarely

Sometimes

Often

Always

Waits their turn*

Never

Rarely

Sometimes

Often

Always

Adjusts well to new situations/environments*

Never

Rarely

Sometimes

Often

Always

Is able to separate from parent without extreme distress*

Never

Rarely

Sometimes

Often

Always

Asks for help when needed*

Never

Rarely

Sometimes

Often

Always

Follows rules*

Never

Rarely

Sometimes

Often

Always

Participates in clean-up*

Never

Rarely

Sometimes

Often

Always

Responds to redirection*

Never

Rarely

Sometimes

Often

Always

Understands questions/conversations*

Never

Rarely

Sometimes

Often

Always

Takes turns with toys and activities*

Never

Rarely

Sometimes

Often

Always

Is easily frustrated*

Never

Rarely

Sometimes

Often

Always

Participates in discussions*

Never

Rarely

Sometimes

Often

Always

Uses physical means instead of words*

Never

Rarely

Sometimes

Often

Always

Shows self-control*

Never

Rarely

Sometimes

Often

Always

Is easily distracted*

Never

Rarely

Sometimes

Often

Always