Parent Interview Script Template
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ScribdTranslationsParent Interview Script Template
Translated by
ScribdTranslationsSCRIPT FOR FIRST INTERVIEW WITH PARENTS:
Date:
Interview attendees:
Interview conducted at the request of:
PERSONAL DATA STUDENT:
First and Last Name
Date of birth..........................
Group........................
Contact phones:………………………………………………………………………………….
1. FAMILY DATA:
Father's name:
Live Edad: Profession:
Studies:
Working Hours:
Nombre de la madre:
Live Age: Profession:
Studies:
Working Hours:
1.3. Hijos (completa los datos, señalando si alguno no vive en casa)
Name Age Studies
1.4. Other people living in the house
Nombre Edad Kinship
1
1.5. Family situation
Has there been any event that may have influenced, especially, and
the life of your son/daughter? (illnesses, death of a relative, absence of the
father, economic difficulties, separation or divorce of the parents...
1.6. Family relationships
Regarding the education of your child, are both of you, father and mother, in agreement?
Mother, what do we have to do?
What educational guidelines are followed regarding good and bad?
conductas: premios, castigos, elogios, diálogo, comentarios, etc.?
What attitude does the family have towards their son/daughter? (overprotection,
["demand","resignation","frustration","anxiety","indifference","understanding"]
acceptance or rejection, etc.)
2. MEDICAL OBSERVATIONS:
Any relevant physical or psychological illness:
Do you often have absences from the center because of this?
Treatment:
3. STUDENT PERSONALITY
Happy Sad Shy Sociable Obedient
Affectionate Aggressive Calm Safe Disobedient
2
Dependent Independent Nervous Organizado Desorganizado
Perseverant Inconstant Resigned It isolates Communicative
Does he usually talk to you about what interests or concerns him? YES NO
Other observations made by the parents:
4. STUDY HABITS
Do you have a personal place for studying? YES NO
Do you have a fixed study schedule? YES NO
If you have a fixed schedule, do you comply with it? YES NO
How many hours a week do you dedicate to studying?
From 0 to 5 hours From 5 to 10 hours From 10 to 15 hours More than 15 hours
Do you supervise their work? YES NO
5. LEISURE AND FREE TIME
What does your son do during free time?
How do you spend your time as a family? (television, common hobby,
excursions, games, chatting, etc.)
6. EVALUATION OF YOUR SON/DAUGHTER'S BEHAVIOR
SCHOOL ENVIRONMENT
["Excellent","Good","Normal","Regular"] Bad
Regarding your colleagues
Regarding the teaching staff
Regarding the facilities and
classroom materials
Regarding the rules of
class coexistence
Regarding the execution of the
school tasks
FAMILY ENVIRONMENT
3
In relation to your father
Regarding your mother
Regarding your siblings
Regarding compliance with
the responsibilities that I have
assigned
Regarding the regulations of
established coexistence
4
REGISTRATION FORM
ALUMNO/A:_ DATE:
REQUESTED BY:
MOTIVE:
PEOPLE WHO ATTEND:
PROPOSED TOPICS:
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-
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DEVELOPMENT:
AGREEMENTS:
COMMITMENTS