Entry Form – Brainbow Kids

Help us understand your child better.

Name

Date Of Birth

What is your intention in bringing your child for today’s trial class? Choose the ONE that is closest to your reason

We are interested in learning more about the Brainbow for our child(ren). We’re comparing different centres to determine the best option for our child's learning. We are interested in Brainbow’s approach in building our child(ren)’s emotional intelligence. J⁠ust visiting Brainbow for fun and exploration for our child(ren)

Family Background

Who lives at home with your child? If your child attends daycare, please state.

Does your child have any siblings? If so, what are their ages?

What languages does your child speak at home?

Routine

My Child is able to follow basic daily routine (wake up, drink water/milk, brush teeth, bathe). If you need to nag, scold, do it for your child please answer No.

How much time does your child spend on screens (TV, tablets, computers, smartphones) daily?

What types of content do they usually engage with?

Social Skills

How does your child respond when meeting new people?

Does your child enjoy playing with others or prefer playing alone?

Are there specific situations where your child excels socially or struggles more?

EATING HABITS

What is your child's favorite food?

Will you describe your child as a picky eater?

Please describe their meal routine, self eat/feed, sitting at the table, screen time.

BEHAVIORAL PATTERNS

Does your child exhibit any challenging behaviors (e.g., long meltdown, tantrums, aggression)?

How do you usually manage these behaviors?

ADDITIONAL INFORMATION

Are there any particular concerns or observations you have about your child’s development or behavior?

Is there any additional information we should know to better understand and support your child?