Getting Acquainted Record Phone My name is * Number of Siblings * My favorite activity is * My favorite food is * My least favorite food is * My favorite thing to do is * I am afraid of * My favorite color is * Why are you looking for a new childcare arrangement? * Has your child had previous childcare experience? * Please list prior caregivers and/or childcare centers * Please describe your childcare experience(s) so far * What type of discipline is used at home? * Does your child eat unaided? * Does s/he enjoy eating? * Does your child have a special diet? * Is your child potty trained? * Does your child have any food allergies or religious dietary restrictions? * How does your child go to sleep? * What is your child's average time of day and length of naps they take each day? * How long does s/he sleep each night? * Please list any personal habits such as thumb sucking, nail biting, etc. * What are your main expectations of this program? *