Parent Questionnaire

We do our best to ensure that Green Cove Day Camp will be a great fit for your child. To that end, please be as open and honest as possible as you answer these questions. We recognize you may not be able to complete this in one sitting, and you are able to save and return to the form by clicking the “Save & Resume Later” link at the bottom. Please don’t hesitate to reach out with any questions!

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Name

First

Last

1. Session Interest

First Session
Second Session
Both Sessions
Unsure

2. Has your child ever attended camp? What was that experience like for them?

3. What are your child's favorite activities at home, at school and in the community?

4. How would you describe your child's interactions with their peers? How do peers respond to them?

5. What situations (socially or otherwise) are particularly challenging for them to navigate?

home, regroup need

6. Green Cove Day Camp does not offer consistent 1:1 support from a staff member. How confident are you that your child can be successful without this assistance?

7. What type of adult support does your child need to regroup and rejoin after a difficult moment, and how long does it typically take for them to move forward?

8. How frequently is this type of support, intervention or redirection necessary?

9. How does your child respond to requests from parents/guardians or teachers? (ie. How well do they follow rules and expectations?)

10. Does your child have a history of verbal or physical aggression, destructive or self-injurious behavior? If so, please describe the circumstances, frequency and how long it's been since you have seen this behavior. What have been the most effective interventions?

11. What special services, if any, does your child receive at school (e.g. special education classroom, academic support, one-to-one aide, speech/language, social/emotional support)?

12. Does your child have any special health, hygiene, or dietary needs (including allergies)?

13. Is there anything else you'd like us to know about your child?

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