Narrative or Informational Strategy
4
Parent/Guardian Interview
Student's Name: Age: Grade: Birth Date:
Person Being Interviewed: Relationship to Student:
Person Conducting Interview: Date of Interview:
Can you tell me three positive things about your child?
1.
2.
3.
Home Environment
Members of Family Present in the Home:
Name
Relationship to Student
Age
Birthplace
Occupation
or
Grade Level
Family Members not Living in Home:
Name
Relationship to Student
Age
Birthplace
Occupation
Please describe any reading or learning problems experienced by family members.
What reading activities, including reading to or with your child, are done at home?
Please describe your child's TV viewing.
What are your child's responsibilities at home?
What are the attitudes of family members toward reading?
Does your family have a computer?
If yes, how often does your child use the computer?
What kinds of things does your child do on the computer?
School Environment
Please describe your child's preschool and kindergarten experiences.
At what age did your child enter first grade?
Please describe your child's reading experiences in first grade.
Has your child repeated any grade?
If so, why?
Please describe your child's current school and classes, including any special placements, such as special education or bilingual instruction.
What kind of homework does your child usually have?
How does your child do in other areas, such as math, spelling, handwriting, social studies, and science?
Does your child have access to computers at school?
If yes, are the computers in the classroom(s) or in a computer lab?
How often does your child get to use the computer at school?
What kinds of things does your child do on the computer at school?
Has your child's school attendance been regular?
Please describe any extended absences from school.
Please describe your child's reading instruction, including grouping within the class, if any.
Does your child receive any special help in school? If so, please describe…
Please describe any testing your child has experienced.
Please describe any help your child has received outside of school, such as summer school or tutoring.
When did you first become concerned about your child's reading?
Can you think of anything that might have contributed to your child's reading problem?
Social and Cultural Environment
What are your child's interests and leisure activities?
Please describe your child's friends and social group.
Information about the Individual
Physical Information
How would you compare your child's physical development with that of other children of the same age?
Please describe any specific illnesses, allergies, or accidents.
Does your child seem to have any difficulty maintaining attention?
When was the last time your child's hearing was tested?
Who tested his/her hearing, and what were the recommendations?
Has your child ever experienced hearing loss?
When was the last time your child's vision was tested?
Who tested his/her vision, and what were the results?
E motional Information
Does your child seem to be happy?
Does your child exhibit any signs of emotional tension or lack of self-confidence?
If so, please describe.
What is your child's attitude toward reading?
What is your child’s attitude toward reading?
Language Development
What languages are spoken in your home?
What languages does your child speak?
How did your child's early language development compare to that of others?
Has your child received any bilingual or ESL services?
Has your child received any speech or language therapy?
Comments and Suggestions
Is there anything else we should know about in working with your child?
Does he/she have any special needs?