Particulars for All AgesSection 1: Particulars of ChildrenFirst NameLast NameDate of BirthFirst LanguageSecond LanguageName of Current School (If Any)Name of Enrichment Programme (Current and Past)Top 3 Goals to achieve in the coming 3 - 6 months:Section 2: Particulars of ParentsFirst NameLast NameRelationship with ChildHome AddressEmail AddressMobile NumberHow did you get to know about English Champ?Is this a Repeat Assessment? Yes NoWhen was the last time you did this assessment?PreviousNextThe Benefits of This Assessment These questions are meant to help you understand your child better. Please allocate about 30 minutes of your quiet time (perhaps early in the morning or late at night when your child is asleep) to do a reflection about your child. This exercise will help you see your child as he/she is at present, remove judgements about your child and yourself, and remove expectations on your child. The information from this exercise will allow you to assess your child’s present developmental needs and at the same time, assist us to be able to guide and support you in your journey in becoming a better parent. A better parent is a parent who is aware on the difference between a child’s needs versus wants, and be mindful on how he/she responds to the child’s needs. This information will also equip you with better parenting skills which will help your child to grow and be a happy individual.Moving Forward You and your spouse/ partner may do the assessment separately. Thereafter, arrange a time to look through your answers together to see if your observations and preferences about your child are aligned with your spouse/ partner. Take this as an opportunity to align your parenting styles and objectives.How can we support? Contact us to set a non-obligatory and complimentary 30-minute assessment where we will discuss your observations about your child and help you to understand your child’s developmental needs. Should you wish to extend the session longer, and/or expand on the discussion with regard to your child’s developmental needs and provide you with steps and suggestions on how to address certain challenges that you are facing, a consultation fee of RM100 per hour shall be charged for our consultation services.Pointers Do this with an open mind and heart. Remember that as a parent, you are doing the best you can based on your available resources. You are now moving forward and nearer to you achieving your goal as a better parent!PreviousNextA. Please answer as close as possibleHow often do you read to your child? Every day About 3 - 4 times in a week About once weekly Rarely NeverHow often do you sit down with your child to encourage him/her to scribble/draw/write? Every day About 3 - 4 times in a week About once weekly Rarely NeverHow often does your child go to the playground? Every day About 3 - 4 times in a week About once weekly Rarely NeverHow often does your child go for playdates? Every day About 3 - 4 times in a week About once weekly Rarely NeverMy child’s vocabulary range is between 1 to 50 words 51 to 100 words 101 to 200 words More than 200 words ZeroMy child actively participates in conversations. Yes NoMy child loves music. Yes NoMy child loves arts and crafts. Yes NoB. Use this guide as answers to the following section:A. Very confident, works independently and has fully mastered the skills/ conceptsB. Confident, moderately independent, needs assurance from time to time, knows when to ask for help in completing tasks, mastering the skills/ conceptsC. In the process of developing confidence, learning to work independently but requires minimal guidance to complete tasks, beginning to grasp the skills/ conceptsD. Needs to work on confidence, requires guidance in completing most of the given tasks, still trying to grasp the skills/ conceptsE. Skills/ concepts are not relevant at this point of timeMy child understands simple mathematical concepts such as patterning/ same and different/ addition and subtraction. A B C D EMy child possesses logical thinking skills. A B C D EPlease provide an example of a more recent situation.My child’s senses are developed. A B C D EMy child can swing on the monkey bar and move forward without assistance. A B C D EMy child helps with house work. A B C D EMy child enjoys watching other children playing nearby and sometimes play together. A B C D EMy child is able to defend self. A B C D EMy child accepts and responds to adults/ authority. A B C D EMy child respects the rights and feelings of others. A B C D EMy child plays and shares with others. A B C D EMy child cares for things around him / her. A B C D EMy child demonstrates appropriate control over own feelings. A B C D EMy child displays confidence. A B C D EMy child is alert and attentive. A B C D EMy child completes work within a reasonable time. A B C D EMy child shows persistence in approaching tasks. A B C D EMy child cleans up after himself/ herself such as clean up the toys after play. A B C D EMy child obeys rules. A B C D EC. Tell us more in your own wordsMy child learns through ...The top three activities I enjoy MOST with my child are …The top three activities I enjoy LEAST with my child are …I wish my child could …PreviousSubmit
