Answer these questions to create a “snapshot” of your child.

 

1.  Who is ___________________ ?  (Describe your child, including information such as place in family, personality, likes and dislikes.)

 

2.  What are __________________’s strengths?  (Highlight all areas in which your child does well, including educational and social environments.)

 

3.  What are ____________________’s successes?  (List all successes, no matter how small.)

 

4.  What are ____________________’s greatest challenges?  (List the areas in which your child has the greatest difficulties.)

 

5.  What supports are needed for ____________________?  (List supports that will help your child achieve his/her potential.)

 

6.  What are our dreams for ____________________?  (Describe your vision for your child’s future, including both short-term and long-term goals.)

 

7.  Other helpful information.  (List any pertinent information, including health care needs, that has not been detailed elsewhere in these quesions.