Date
Name
Address
Phone e-mail
mark on preliminary test
How old are the kids in your care?
Boys Girls
What is their relationship to you?
children
step children
grandchildren
nieces, nephews, other family members
day care
other
Tell me about what math was like for you in school?
How do you feel about math now?
Where do you use math in your daily life?
Do you and your kids do math together? If so, How and where?
For each child:
Name Age Grade
What does s/he like to play or play with?
What does s/he have the most trouble with in math?
What is the easiest part of math for him/her?
What are his/her grades like?
What do you and the teacher talk about in relation to this child’s math?
How does this child feel about math?