‘Dit ben ik’  

Naam van het kind ………………………………………………………………….. Geboortedatum ………………………………………………………………….. Datum invullen ………………………………………………………………….. Ingevuld door ………………………………………………………………….. Telefoon thuis ………………………………………………………………….. Eventueel oppas, werk ………………………………………………………………….. Huisarts ………………………………………………………………….. Telefoon huisarts ……………………………………………………………………

  Levensgeschiedenis Hoe was het kind als baby. Relatie broers en/of zusjes. Bijzondere gebeurtenissen (geboorte, ziekenhuisopname, scheiding, verhuizing, sterfgeval) Gegevens over eventueel vorige peuterspeelzaal/ kinderdagverblijf. Bijzonderheden i.v.m. eten, drinken, medicijnen. ……………………………………………………………………………………………………………………………………………………………...................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................  

Ontwikkelingsgegevens Zelfstandigheid en zelfredzaamheid Zelf aan en uit kleden, zindelijkheid, naar toilet gaan, buitenspelen, fietsen, steppen. Gewend aan uitstapjes met andere (naar park bijvoorbeeld) …………………………………………………………………………………………………………………………………………………………….........................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................

Sociale vaardigheden Omgang met andere kinderen en volwassenen in de buurt, familie, kennissen, dagverblijf of vorige speelzaal. Verwachting over aansluiting bij andere kinderen in de groep. ……………………………………………………………………………………………………………………………………………………………......................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................... Emotionele stabiliteit Wat maakt het kind onrustig, angstig of teruggetrokken. Hoe gaan ouders/ verzorgers daar mee om. Zijn er geruststellende bezigheden of speelgoed voor het kind. ……………………………………………………………………………………………………………………………………………………………......................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................... Spelontwikkeling Favoriete spelactiviteiten binnen en buiten. Voorkeur voor speelgoed of speelkameraadjes. ……………………………………………………………………………………………………………………………………………………………......................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................... Taalontwikkeling Welke taal wordt thuis gesproken. Is het kind in staat zich duidelijk te maken, bijvoorbeeld; ik moet plassen, ik ga spelen. Heeft het interesse in tekenen, boekjes bekijken/ (voor)lezen. …………………………………………………………………………………………………………………………………………………………….....................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................................