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(801) 224-4449
orem@mykidsconnection.org
Orem, UT
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Toddler Questionnaire
13 - 23 Months
Email
(Required)
1. Child’s full name:
(Required)
Child’s Birthday
(Required)
Month
1
2
3
4
5
6
7
8
9
10
11
12
Day
1
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31
Year
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
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1937
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1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
2. Does your child go by any other names?
3. Any Allergies?
4. What kind of foods does your child like to eat?
5. Does your child use a binkie?
Yes
No
6. How many naps does your child take each day?
7. Do you have any specific routine for getting them to sleep?
8. Does your child have any habits, likes or dislikes we should know about?
9. Is their something you are working on with your child that we can help you with?
10. Do you have any special techniques for calming down your child when they are upset?
11. Would you be interested in exchanging work in a specific area of expertise for childcare credit (e.g., plumbing, carpentry, landscaping, etc.)? If so, please specify.
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Home
Programs
Infants
Toddlers
Preschool
Before and After School Program
Summer Camp
About
About Us
Tuition Support
Careers
Parent Reviews
Why Choose Us
Our Rate Information
Virtual Tour
Location
Parent Corner
Contact Us