4 Year Questionnaire
Second Edition
By Diane Bricker and Jane Squires
with assistance from Linda Mounts, LaWanda Potter, Robert Nickel, Elizabeth Twombly, and Jane Farrell
Copyright © 1999 by Paul H. Brookes Publishing Co.
On the following pages are questions about activities children do. Your child may have already done some of the activities described here, and there may be some your child has not begun doing yet. For each item, please check the box that tells whether your child is doing the activity regularly, sometimes, or not yet.
Please provide the following information.
Be sure to try each activity with your child.
2. Does your child answer the following questions:
"What do you do when you are hungry?" (Acceptable answers include: "Get food," "Eat," "Ask for something to eat," and "Have a snack.")
"What do you do when you are tired?" (Acceptable answers include:
''Take a nap," "Rest," "Go to sleep," "Go to bed," "Lie down," and "Sit down.")
Be sure to try each activity with your child.
Be sure to try each activity with your child.
Be sure to try each activity with your child.
Be sure to try each activity with your child.
Parents and providers may use the space at the bottom of this page for additional comments.
Your information will be encrypted.