Assessment

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Child Assessment Form

Parent & Child Details

Parent Name: Child Name: Child Age:

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Email: Mobile:

Child’s Strengths & Interests

Child’s Preferred Activities (Select all that apply):

Creative pursuits (drawing, painting, crafts) Music or dance Building or tinkering with objects Reading or storytelling Outdoor play and sports Puzzles, problem-solving games Interacting with others (playdates, group activities)

Natural Strengths (Select all that you believe apply):

Good listener / attentive Quick learner academically Strong imagination / creativity Cooperative and helpful with peers Physically active and energetic Empathetic and caring toward others

Section 2: Desired Outcomes

Development Goals for Your Child (Select up to three):

Greater self-confidence and ease in expressing thoughts Stronger academic skills (focus, memory, overall performance) Improved social skills (effective communication, teamwork) More discipline, responsibility, and positive habits Enhanced emotional balance, patience, and resilience

Section 3: Current Challenges

Main Concerns About Your Child’s Behavior or Habits (Select up to two):

Fine Motor skills (difficulty with writing or holding small objects) Short Attention Span (struggles to stay focused on activities) Emotional Outbursts (trouble managing anger, frustration or sadness) Social Skills (Low Confidence, challenges with sharing, communicating or making friends) Sticking to Routines (resisting to daily tasks like bedtime, mealtime) Overreliance on TV/mobile, difficulty transitioning to other activities

Frequency and Context of Challenges:

Daily A few times a week Occasionally

Section 4: Understanding Your Child’s Learning Style

How Your Child Best Engages With New Information (Select one):

Learns visually (responds to pictures, demonstrations) Learns by doing (hands-on activities, experiments) Learns best through listening (discussions, stories, explanations) Not sure yet

Section 5: Home Environment & Routine

Daily Structure: How predictable is your child’s daily routine (meals, homework, bedtime)?

Very structured Somewhat structured Not very structured

Shared Activities: How often do you engage in activities with your child (e.g., reading together, playing games)?

Daily Several times a week Rarely

Section 6: Parent Involvement & Confidence

Your Confidence Level: How confident are you in guiding your child’s improvement?

Very confident Somewhat confident Not sure how to start

Section 7: Resource Availability & Constraints

Time Investment: How much time per week can you realistically devote to guided learning or activities?

Under 1 hour 1–3 hours More than 3 hours

Material Preferences: Are you open to new tools/resources, or would you prefer ideas using things you already have at home?

Open to new tools/resources Prefer using what’s already available

Section 8: Long-Term vs. Short-Term Focus

Your Priority: Are you aiming for short-term improvements (e.g., reducing screen time this month) or long-term growth (e.g., developing leadership qualities over the next year)?

Short-term improvements Long-term growth Both equally

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At Exploralearn ,we believe that true learning happens when children engage with their environment, explore new horizons, and actively participate in hands-on experiences. Our mission is to provide a dynamic and stimulating learning platform that combines adventure, skill development, and educational content, all while helping kids break free from excessive screen time.

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