Part 1

Our next set of questions will focus on the daily care of your child. Please bear in mind that these questions are written to encompass all age groups, and may not apply to your child.

Eating habits

• Large or small appetite?

• Likes or dislikes?

• Slow or fast eater?

• What are usual meal hours?

• Feeds self or needs help? Handles knife, fork and spoon well? Cup or glass?

• Are there any feeding difficulties, table problems?

• Any food allergies or special diet?

• Is the child a picky eater?

• Eating habits changed?


Sleeping Habits

• Usual bedtime and rising hour?

• Naps? What time? How long?

• Goes to bed readily or stalls at bedtime? Is bedtime regular or are exceptions made for special occasions? (Please specify how frequently)

• Is there a certain bedtime routine- such as bath first, bedtime story, particular toy or object taken to bed? Prayer at bedtime?

• Sleeps in bed alone- in room alone- used to being with others? (If so, please specify whether this is child/children/adult.

• Any fears of the dark?

• Quiet, restless, light sleeper, heavy sleeper?

• Wants light on in room or hallway?

• Sleeps with door open or closed?

• Window open or closed?

• Shade up or down?

• Gets up for drink or toilet during the night?

• Any bedwetting or soiling? If so, how frequently?

• Nightmares? Sleepwalk?

• Music or other sound at night? If so, what kind?

Toilet Habits (Include any special routine the child has developed)

• Goes to bathroom alone, or needs help?

• Bowel movements: how frequently, what hour of the day? Any problems with constipation or diarrhea? If so, how is this handled? Any daytime soiling?

• Any problems with urination, such as frequency when excited or daytime accidents? Able to “hold it”?

Dressing

• Does child dress self or attempt to do so? Need help with shoelaces, etc.?

• Any preferences regarding color or type of clothing?

• Used to picking out own outfit for the day?

• Any sensitivities to fabrics or tags?

• Is child hot or cold when other family members aren’t?

• What size clothing does child wear?

Bathing

• Bathes self or has help?

• How frequently does child have a full bath? Time of day?

• Any special routine, like toy in tub, bubble bath, etc.?

• Likes or dislikes bath?

• Any special soap used? Does rash or very dry skin develop if certain soaps
• used? (If so, please specify brands)

Shampoo and Hair care

• How frequently is shampoo used? Is this done at bath time or in the sink?

• Likes or dislikes shampoo? Afraid of soap in eyes? Wants towel to hold over eyes, or shampoo goggles?

• Is hair cut at home, at barber or at hairdresser? Reaction to getting hair cut?

• If child is a girl, is she used to hair dryers and rollers? Does she like having her hair “done”?

Still more questions to come.

Part 3

Part 4

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