Parent Interview Form
_________________ :Date
___________________:Name Of Child:_________________________ Class
__________________:Campus:_________________ Session
:Father’s Information
______________________:Name:__________________________ Occupation
___________________Work Place:_____________________ Monthly Income
Father’s Appearance: Excellent Satisfactory Unsatisfactory
___________________________________________________________:Reason
_____
________________________________________________________________
______
Spoken Power: Excellent Satisfactory Unsatisfactory
___________________________________________________________:Reason
_____
________________________________________________________________
______
:Mother’s Information
Name:_____________________
__________________________:Occupation
Work Place:_____________________ Monthly
______________________:Income
Father’s Appearance: Excellent Satisfactory Unsatisfactory
___________________________________________________________:Reason
_____
________________________________________________________________
______
Spoken Power: Excellent Satisfactory Unsatisfactory
___________________________________________________________:Reason
_____
________________________________________________________________
______
?How much time do you spend as a family time during whole week
_________________
?Living in joint family system or separate
______________________________________
Number of family members in both the
___________________________________cases
?Your child’s interest
_______________________________________________________
?When your child shows the tantrum
__________________________________________
?Any specific thing you would like to mention regarding your child
__________________
?Any other issues you would like to mention
____________________________________
________________________________________________________________
________
:Remarks by the interviewer
______________________________________________________________
_______
________________________________________________________________
_____
________________________________________________________________
_____
Signature_____________________
_______________:Date
Principal’s
_______________________________________________________:Remark
_
________________________________________________________________
________
________________________________________________________________
________
Signature_____________________
_______________:Date