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This is a picture of me and my family
My name is ………………………………………………..
All about me
My address …………………………………………………
………………………………………………………………..
Tel No. ………………………………………………………
My Birthday is on ..…………………………………………
I am …………… months and ………………… years old.
My Mum is called …………………………………………………… I
call her ………………………………………………………………
My Dad is called ………………………………………………………
I call him ………………………………………………………………
I have a pet ……………………………………………………………
Named …………………………………………………………………
I have .…… brothers and …… sisters, their names and ages are
………..………………………………………………………………..
My friends names are .………………………………………………
Draw a picture in here
What Makes Me Special
I’m Special
Ways I show others I care:-
Things I can do really well:-
What people like about me:-
Things I LikeToys/Games Outside – Park/Trips
Reading/Crafts Food/Drink
Things I DislikeFood/Drink Noises
Allergies Anything Else
My School
My School
My Teachers
My Favourite Subject
Good Things About School
Snapshot ObservationsAn initial snapshot observation should be completed within two weeks of a child coming to you. You then have a baseline with which to compare future developments.
Name: Date:
Date of Birth: Age: Starting Date:
DescribeHome language
Other language
Place in family
Physical description
Physical skills
Advanced in areas of development
Social skills
Toilet trained
Language skills
Delays in areas of development
Observation Report
Observed By:………………………………………
Child’s Name: ………………………………………
Date: / /
D.O.B. / /
Description of Activity:
What did the child do and learn:
Plans for further development:
PhotographsMy early development learning goals through photographsPlease discuss photo with child and add child’s comments
Date / / I am years and months old
What am I doing in the photograph – children’s thoughts please
What is my next development goal? – children’s words. What would I like to do next?
ArtworkAn example of my artwork
Attach art work in this box (fold to fit)
Description:- Using child’s own words or ask child themselves to write a description.
Date: / / Name of Child: ……………………………………… Age: ……….
Progress Report (birth – 18mths)PERSONAL, SOCIAL & LEARNING SKILLS
Effort Behaviour Ability to dress themselvesAlways tries hard Always behaves appropriately Can put coat on / offUsually tries hard Usually behaves appropriately Can put shoes on / offTries sometimes Requires reminders Can put hat on / off
Attitude to others Attitude to Learning Always gets on well with others Always enthusiastic Usually gets on well with others Usually keen to learn Sometimes gets on well with others Sometimes keen to learnShows little regard for others Shows little interest in learning
COMMUNICATION SKILLS
Listening TalkingReacts to loud noises BabblesReacts to music Says small words (ta, hi, mum, dad etc) Turns to look when I speak Knows larger words (ball, book, doll etc)
CO-ORDINATION & MOVEMENT SKILLS
Fine Manipulative Skills Gross Motor SkillsCan hold rattles for a few moments Can hold head up for few momentsGrabs at things with hands open Rests weight on handsCan hold onto things they have grabbed Moves arms purposefullyCan pick items up Kicks legs alternatively, will take weight on legs when heldPlays with hands and feet Lifts head and chest up higher whilst resting weight on handsLeans forward to easily pick up a toy Attempting to walk whilst holding child’s handPasses objects from one hand to another Pull themselves upAble to point to things Sit unaided for long periodsCan pick up small objects Side stepping around furniture etcCan press buttons on pop up toys Can sit down on low back seatsCan scribble Can manoeuvre large toys
OTHER SKILLS
FoodUsing bottle Using spoonSolids Using cupLumpy solids Feeding themselvesFinger Foods
OTHER SKILLS CONT
Physical LanguageSmiling Speaks to adults / other children
Rolling over Listens to adults / other children Crawling Responds to adults / other children Sitting Follows instructionsWalkingCruising
ADDITIONAL COMMENTS AS REQUIRED
Parents Signature: ……………………………………………….. Date: / /
Date: / / Name of Child: ……………………………………… Age: ……….
Progress Report (18 months plus)PERSONAL, SOCIAL & LEARNING SKILLS
Effort Behaviour Self AwarenessAlways tries hard Always behaves appropriately Very aware of needs & strengthsUsually tries hard Usually behaves appropriately Usually aware of needs & strengthsTries sometimes Requires reminders Needs help identifying needs & strengths
Attitude to self Attitude to others Attitude to Learning Always confident Always gets on well with others Always enthusiastic Usually confident Usually gets on well with others Usually keen to learn Often needs encouraged Sometimes gets on well with others Sometimes keen to learnLacks confidence Shows little regard for others Shows little interest in learning
Self Organisation Responsibility Attitude to Healthy LivingWell organised Always responsible Very aware of needs for healthy livingUsually organised Usually responsible Aware of needs for healthy livingOften needs help from others Takes some responsibility Some awareness of needs of healthy livingAlways needs help from others Takes little responsibility Little awareness of needs of healthy living
COMMUNICATION SKILLS
Listening TalkingAlways listens effectively Expresses self very wellMostly attentive Expresses self wellOften requires prompts Has some difficulty expressing selfInattentive Has great difficulty
Reading WritingHas very good understanding Writes very wellShows good understanding Writes wellShows some understanding Has some difficultyShows little understanding Has great difficulty
CO-ORDINATION & MOVEMENT SKILLS
Controlling Small movement Controlling large movementsHas very good hand eye control Well co-ordinatedHas good hand eye control Co-ordinatedHas some difficulty Has some difficultyHas poor co-ordination Has poor co-ordination
OTHER SKILLS
Colours Shapes NumbersKnows all basic colours very well Knows basic shapes very well Can count very well (up to ) Knows some basic colours well Knows some basic shapes well Can count well (up to _)Knows one or two colours well Knows one or two shapes well Requires help to count (up to )Needs help on colours Needs help on shapes Cannot count yet
OTHER SKILLS CONTPhysical LanguageCan run Speaks to adults / other children Can hop Listens to adults / other children Can skip Responds to adults / other children Can throw / catch a ball Follows instructions
ADDITIONAL COMMENTS AS REQUIRED
Parents Signature: ……………………………………………….. Date: / /
CHILDREN’S EVALUATION QUESTIONNAIRELikes Dislikes
Drawing/Painting
Arts & Crafts
Stories/Puppets
Singing/Dancing
Jigsaws/Games
Small world/Construction
Outdoor Play
Role Play/Dressing Up
Parks/Beach/Outings/Visits
Happy Healthy Snacks
Child’s Name:
Date of Birth:
Any Comments:
Date:
Parents Evaluation FormName of parent/guardian:
Name of Child:
I hope that you feel you can approach me at anytime to make suggestions on how I can improve or adapt the care I provide your child. However, I think its important that on an annual basis I provide you with an opportunity to give me written feedback. This will help me to reflect on the service I provide, evaluate it and make changes if necessary. I very much appreciate the time you will take to complete this short questionnaire.
1. Are you happy with the format we use to communicate with each other or would you prefer an alternative method?
2. Are you happy with the current routines and activities that we do or would you like any new ones introduced? (Please provide details)
3. Are you happy with the meals/snacks that I provide? Would you like me to introduce any new foods? (Please provide details)
4. Do you have any concerns with your child’s development?
5. Are you happy with the methods I use to manage your child’s behaviour?
6. Are there any other areas that you like/dislike or think I should improve on? (Please provide details)
7. What grade would you give my service? (please circle)
Excellent Very Good Good Adequate Weak Unsatisfactory
Signature of Parent: Date:
Signature of Childminder: Date:
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