Older Children's Information & Assessments

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Younger Children's Assessments

Older or Intellectually-Advanced Children's Information & Assessments
(Simple assessments for younger children HERE)

* Indicates required field

Child's Name *

First

Last

Parent's Name *

First

Last

Age & Grade *

Tell Us A Little About Your Child's Coaching Needs *

CHILD'S COMMUNICATION ASSESSMENT
(Check only one for each question - choose the one that fits you best)

*As much as possible parents should let their children answer the questions themselves, without input, even if you don't agree with your child's answers, only offer clarification of questions as needed.

1.) I PREFER LESSONS WHERE I CAN:

Choose The One That Fits You Best *

See Pictures Or Words To Learn From Hear About Or LIsten To What I Am Leaning Try Out Or Watch Someone Else Do What I Am Learning Get Lots Of Facts About What I Am Learning

2.) WHEN MY MOM OR TEACHER TELLS ME TO DO SOMETHING WHAT I NOTICE MOST IS:

Choose The One That Fits You Best *

Talk About Things Look At Or Draw Things Move Around & Try Things Out Discuss Or Study Interesting Facts Or Data

Choose The One That Fits You Best *

The Sound Of Their Voice What They Look Like If They Make Sense & I Understand Them Their Mood Or What They Are Feeling

3.) THE BEST WAY TO TELL WHAT'S GOING ON WITH ME IS BY:

Choose The One That Fits You Best *

The Way I Dress The Feelings I Express The Words I Choose To Express Myself The Way My Voice Sounds

4.) IT IS EASY FOR ME TO:

Choose The One That Fits You Best *

Sing Songs Or Make Music Understand & Make Sense Of Things Draw Pictures Or Find Hidden Items Know What I Or Others Are Feeling

5.) WHAT I NOTICE FIRST OR AM VERY AWARE OF IS:

Choose The One That Fits You Best *

The Sounds Around Me If Things Are Organized Or Out Of Order How Clothes Feel Against My Skin What Things Look Like Or Their Color

6.) I LIKE TO:

Choose The One That Fits You Best *

Sing Or Hum Doodle Or Draw Fiddle With Things Study Facts & Learn About Interesting Things

7.) I FIND THAT IN CLASS I AM MOST INTERESTED IN WHAT:

Choose The One That Fits You Best *

I Can Hear I Can See I Can Understand Or Fit In With Other Things I Know I Can Do Or Participate In

8.) WHEN MY MOM OR TEACHER ARE TEACHING ME:

Choose The One That Fits You Best *

I Take Notes Or Draw Pictures To Help Me Remember I Can Usually Remember What They Say & Doing Other Things While Listening Distracts Me I Fidget, Scribble Or Make Some Notes Or Pictures But Don't Look Them After I Usually Understand The Point Of The Lesson With Or Without Notes

9.) WHEN READING A BOOK I FIRST OR MOSTLY:

Choose The One That Fits You Best *

Notice How It Makes Me Feel Or How The Characters Are Feeling Notice The Parts Of The Book With Conversations Between Characters Or When They Describe Sounds Or Music Notice If The Book Is Written Well Or Has A Good Plot Or Moral To Teach Notice Pictures; Scenery, Clothing & Colors

10.) I GET IN TROUBLE IN CLASS FOR:

Choose The One That Fits You Best *

Talking Doodling Fidgeting Asking Too Many Questions Or Arguing

11.) AT A PARTY:

Choose The One That Fits You Best *

I Like To Listen To Music I Like To Have Interesting Discussions Or Help With Organizing The Party I Like To Look At The Decorations, Colors & Lighting Or At What People Are Wearing I Like Games & Dancing

12.) WHEN I REMEMBER THINGS:

Choose The One That Fits You Best *

I See Pictures In My Mind I Remember The Order Or Logic Of Things I Hear Sounds & Words In My Mind I Relive Feelings & Actions

SENSITIVITIES & COMFORT ZONE ASSESSMENT
(For questions 1 & 2 check all that apply - for questions 3 & 4 check only one)

1.) I AM MOST HAPPY WHEN I AM (check all that apply) *

In My Home Out In Nature With Other People Alone Relaxing Doing Something Physical; Exercise, Sports, Play Working Creating or Building Something Learning

3.) I FEEL MOST ENERGETIC IN (choose only one) *

The Morning The Afternoon The Evening Very Late At Night

2.) THESE THINGS BOTHER ME (check all that apply) *

Noises Lights Smells Scratchy or Itchy Things Having To Stay Still Other Things None Of These Things

4.) AFTER A LONG HARD DAY I WANT TO (choose only one) *

Spend quality time with my friends or family Take a break, rest, or nap by myself

MULTIPLE INTELLIGENCES ASSESSMENT
(Check all that apply)

1.) *

I Love To Listen To Music I Play A Musical Instrument I Make Up My Own Songs or Music I Like To Sing I Can Remember New Songs Easily I Like To Go To Musical Concerts

2.) *

I Can Entertain Myself I Enjoy Alone Time I Like Quiet Time To Think Or Write I Understand My Feelings Well I Can Have Fun Even When I'm Alone I Like To Set Goals & Think About How To Reach Them

3.) *

I Enjoy Being Outside In All Kinds Of Weather I Like To Take Care Of Animals I Like Going To Zoos, Aquariums & Parks I Like To Collect & Organize Things I Like Learning About The Earth & Nature I Like Things Like Camping & Hiking

4.) *

I Like To Draw I Enjoy Looking At Art & Photography I Can Picture Things In My Head Easily I Enjoy Putting Puzzles Together I Like Doing Craft Projects I Like To Build Things With Blocks or Legos

5.) *

I Like To Solve Hard Math Problems I Enjoy Solving Mysteries I Can Picture Things In My Head Easily I Like Playing Games With Numbers & Logic I Can Solve Math Problems In My Head I Like Doing Science Experiments

6.) *

I Like To Do Cross Word Puzzles & Word Games I Learn & Remember New Words Easily I Like To Read I Like To Write Stories I Enjoy Poetry & Rhyming I Am Good At Spelling

7.) *

I Get Along With Many Different Kinds Of People I Like Working In Groups I Am Good At Understanding How Others Are Feeling I Like To Help People I Love Being With My Friends I Would Rather Be With People Than Be Alone

8.) *

I Like Dancing I Like To Play Sports I Like Doing Activities That Involve Moving I Like To Move When I Am Thinking About Things I Like To Do Projects Where I Get To Use My Hands It's Easy For Me To Learn A New Dance

~ PLEASE CLICK ON THE "SUBMIT ALL" BUTTON BELOW - AND LOOK FOR THE "SUBMISSION RECEIVED" BEFORE EXITING THIS PAGE - OR YOUR INFORMATION WILL BE LOST ~

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After you have submitted the above child's information, and your personal information, coaching agreement, and assessments - you will receive a follow up email either confirming your scheduled coaching session or to schedule your session at that time. Thank you for your submissions!

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About
Homeschool Tutoring & Classes
Parenting Articles
Emotional Coaching Tools & Toys
Life & Love (Relationship) Articles
Coaching & Mentoring Programs
More On Gifted Children
Contact Us
Proactive Parenting FB Blog
Client Information, Coaching Agreement & Assessments
Coaching All Adult Assessments Only
Coaching Adult Assessments Only
Booklet's & eBooks - Anna Is Gifted
Younger Children's Assessments