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Arts Academy Parent Evaluation Online Form
Arts Academy Parent Evaluation Form
Students Name
*
First
Last
*
Last
Gender
*
Male
Female
Address
Address
Address
Address
City
City
State/Province
State/Province
Zip/Postal
Zip/Postal
School:
Age:
Year
Parent/Gardian Name(s):
*
Parent/Gardian Phone:
*
SECTION A
In relationship to the ‘typical’ child in your neighbourhood, please circle a number for each item which best describes your child:
1 Lacks this trait
2 Has this trait less than the typical child
3 Compares with the typical child
4 Has this trait more then the typical child
5 Has this trait to a high degree
1. Has advanced vocabulary, expresses himself/herself fluently and clearly.
*
1
2
3
4
5
2. Thinks quickly.
*
1
2
3
4
5
3. Recalls facts easily.
*
1
2
3
4
5
4. Wants to know how things work.
*
1
2
3
4
5
5. Is an avid reader.
*
1
2
3
4
5
6. Puts unrelated ideas together in new and different ways.
*
1
2
3
4
5
7. Asks reasons why – questions almost everything.
*
1
2
3
4
5
8. Likes “grown-up” things and to be with older people.
*
1
2
3
4
5
9. Has a great deal of curiosity.
*
1
2
3
4
5
10. Is adventurous.
*
1
2
3
4
5
11. Has a good sense of humour.
*
1
2
3
4
5
12. Is impulsive.
*
1
2
3
4
5
13. Tends to dominate others if given the chance.
*
1
2
3
4
5
14. Is persistent. Sticks to task.
*
1
2
3
4
5
15. Has good physical co-ordination and body control.
*
1
2
3
4
5
16. Is independent and self-sufficient.
*
1
2
3
4
5
17. Uses reasoning.
*
1
2
3
4
5
18. Has a wide range of interests.
*
1
2
3
4
5
19. Has a broad attention span which allows him/her to persevere in problem-solving.
*
1
2
3
4
5
20. Shows initiative.
*
1
2
3
4
5
21. Seeks his/her own answers and solutions to problems.
*
1
2
3
4
5
22. Has great interest in the future and/or world problems.
*
1
2
3
4
5
23. Follows complex directions.
*
1
2
3
4
5
24. Is prepared to take social risks.
*
1
2
3
4
5
25. Is a leader.
*
1
2
3
4
5
26. Enjoys complicated games.
*
1
2
3
4
5
27. Sets himself/herself high goals.
*
1
2
3
4
5
SECTION B
Does your display confidence when performing?
*
Yes
No
Does your child play a musical instrument(s)?
*
Yes
No
If yes, please specify:
In what extra-curricular activities does your child participate?
*
What are your child’s special hobbies or interests?
*
In what ways does your child express their creativity?
*
Please comment, where appropriate, on any of the following:
Your child’s:
Unusual accomplishments, present or past.
Special talents.
Special opportunities he/she has had.
Relationships with others.
Preferred activities when alone.
Expression of boredom.
Specific problems and needs.
*
What benefits do you think your child will gain from being in the Arts Academy Program?
*
If you are human, leave this field blank.
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