Get Parent / Guardian Questionnaire (3 - 4 Year Old)

Completing the Parent / Guardian Questionnaire is an essential step in providing critical information about your child's development and health. This guide will help you navigate through the form online, ensuring that all required fields are filled accurately and completely.

Follow the steps to fill out the Parent / Guardian Questionnaire online.

1. Click ‘Get Form’ button to obtain the questionnaire and access it in your preferred online editor.
2. Begin by filling in the child's name, date of birth, and the date you are completing the questionnaire. This information is crucial for identification and record-keeping.
3. Provide your name and your relation to the child. This section helps establish who is completing the form and their connection to the child.
4. Move to the Daily Activity and Routine section. Carefully review each statement regarding nutrition and bowel habits, checking or filling in details as appropriate for your child.
5. In the Social History section, indicate any changes or challenges your family has experienced in the past year by selecting the relevant options.
6. Proceed to the Family History section. Here, mark any new medical problems that you or your child's relatives have developed since the last visit. This information can be vital for medical professionals.
7. Fill out the Mood, Behavior, & Personality section by checking all applicable boxes that describe your child’s mood and behavior.
8. Complete the Lead Risk Assessment and Tuberculosis Assessment by circling the appropriate responses to each question to ensure comprehensive health screening.
9. If you have any additional questions or concerns, record them in the provided section.
10. Once all sections are completed, review your entries for accuracy, then save your changes. You will have the option to download, print, or share the completed form.

Fill out your Parent / Guardian Questionnaire online today to support your child's health and development.