This form needs to be filled by the childcare provider and provide adequate information about the child.
Type of caretaker
Parent/Guardian's Phone Number
Childs interaction with others.
How interested is the child in what he/she is doing
How much energy does the child use while doing activities?
What is the child's approach to material and activities?
How does the child feel about what he/she is doing
How does the child get along with other children
What is the child’s relationship to you?
What is the child’s relationship with his parents?
Any other observation (please specify).