School Questionnaire

Care and Contact Evaluation

Confidentiality notice: This questionnaire forms part of a care evaluation. The information you provide will be treated as confidential and will be used solely for the purpose of this evaluation. It may, however, be included in a report submitted to court. Please answer all questions as fully and honestly as possible. Where a question is not applicable, indicate “N/A”. If you require additional space, please continue in the same field or attach a separate document to the confirmation email you receive.
Your progress is saved automatically.  You may close this page and return using the same link at any time.

1. Identifying particulars of the child

2. School information

3. Respondent information (person completing this form)

4. Attendance

5. General care and physical presentation

6. School adjustment and social functioning

7. Academic progress

8. Emotional wellbeing

9. Behaviour and discipline

10. Professional intervention

11. Home circumstances

Please note: These questions relate to information that may have come to your attention through observations, disclosures by the child, or communication with the parent(s) or caregiver(s). Please answer only on the basis of what you have personally observed or been told, and indicate the source of the information.

12. Parental involvement and communication

13. Residence and contact arrangements

14. Additional information

Declaration

I, the undersigned, confirm that:

  • The information provided in this questionnaire is true and correct to the best of my knowledge.
  • I have not intentionally omitted any information that may be relevant to this evaluation.
  • I understand that this information may be included in a report submitted to the court.
Draft saved locally