Chapter XVII: Appendix: I

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CHART FOR THE STUDY OF THE INDIVIDUAL CHILD

Copies of this Chart (pages 409-422) will be supplied, in convenient form, by the publishers, Frederick A. Stokes Company, 443-449. Fourth Avenue, New York, at 20 cents for the set. Diary pads are 10 cents additional.

__________________SCHOOL DATA_______________________

_School Year 191_..............................

_Hours of Sessions_............................

_Vacations_....................................

_Subjects Taught_..............................

....................................................

_Meals_........................................

_Teaching Staff_...............................

....................................................

_Address of School_............................

_Rooms_........................................

_Consultations with Parents and Public_........

....................................................

________________DATA ON THE CHILD___________________

_Family Name_.........._Names_............

_Date of Birth_................................

_Date of Entrance_.............................

_Age of Parents: Father_....._Mother_.....

_Occupations of Parents:_

_Father_.........................

_Mother_.........................

_Home Address_.................................

_Personal History of the Child_................

....................................................

_Personal Appearance of the Child_.............

_Notes on Child's Family_......................

....................................................

_____________SCHOOL YEAR 191.. 191..________________

_Name_.............._Date of Birth_.......

....................................................

_Date of Entering School_................

---------------+-------+-------------+-----+--------------------------+
| |Cephalic | | NOTES ON CHILD'S PHYSICAL
| |Index |.....| DEVELOPMENT
| +-------------+-----+
| |Transversal | | ..........................
| HEAD |Diameter |.....|
| (mm.) +-------------+-----+ ..........................
| |Antero-post. | |
| |diameter |.....| ..........................
| +-------------+-----+
| |Circumference|.....| ..........................
+-------+-------------+-----+
| Index | | ..........................
| of Weight |.....|
+---------------------+-----+ ..........................
| Index of | |
ANTHROPOLOGICAL| Stature |.....| ..........................
NOTES +---------------------+-----+
| Stature | | ..........................
| (sitting) |.....|
| (m.) | | ..........................
+---------------------+-----+
| Thoracic | | ..........................
| circum. |.....|
| (m.) | | ..........................
+---------------------+-----+
| Weight | | ..........................
| (Kg.) |.....|
+---------------------+-----+ ..........................
| Stature | |
| (standing) |.....| ..........................
| (m.) | |

_______________SCHOOL YEAR 191..-191..______________

_Name_........_Date of birth_.............

....................................................
------------+--------------------+-----------
| STATURE IN METERS | NOTES
MONTH +----------+---------+
| Standing | Sitting |
------------+----------+---------+
_September_ |..........|..........| ...........
+----------+---------+
_October_ |..........|..........|............
+----------+---------+
_November_ |..........|..........|............
+----------+---------+
_December_ |..........|..........|............
+----------+---------+
_January_ |..........|..........|............
+----------+---------+
_February_ |..........|..........|............
+----------+---------+
_March_ |..........|..........|............
+----------+---------+
_April_ |..........|..........|............
+----------+---------+
_May_ |..........|..........|............
+----------+---------+
_June_ |..........|..........|............
+----------+---------+
_July_ |..........|..........|............
+----------+---------+
_August_ |..........|..........|............

SCHOOL YEAR 191..-191..

_Name_.........................................

_Date of Birth_................................

------------+--------------------------------------------
MONTH | WEIGHT IN KILOGRAMS
------------+----------+----------+----------+-----------
| 1st week | 2nd week | 3rd week | 4th week
| | | |
_September_ |..........|..........|..........|..........
| | | |
_October_ |..........|..........|..........|..........
| | | |
_November_ |..........|..........|..........|..........
| | | |
_December_ |..........|..........|..........|..........
| | | |
_January_ |..........|..........|..........|..........
| | | |
_February_ |..........|..........|..........|..........
| | | |
_March_ |..........|..........|..........|..........
| | | |
_April_ |..........|..........|..........|..........
| | | |
_May_ |..........|..........|..........|..........
| | | |
_June_ |..........|..........|..........|..........
| | | |
_July_ |..........|..........|..........|..........
| | | |
_August_ |..........|..........|..........|..........

(_Family Name_) (_Names_)

NAME IN FULL..............................................

SCHOOL YEAR 191..-191..

PSYCHOLOGICAL DIARY

----------------------------------------------------------

----------------------------------------------------------

GUIDE FOR PSYCHOLOGICAL OBSERVATION

WORK.

NOTE:

When a child begins to show constant application to a
piece of work.

What this work is and how long he remains at it (speed
or slowness he shows in completing it, the number of
times he repeats the same exercise).

Individual peculiarities in application to particular
tasks.

To what tasks the child successively applies himself
on the same day and with how much persistency to each.

Whether he has periods of spontaneous activity at work
and on how many days.

How the child's need of progress is manifested by him.

What tasks he chooses and the order in which he
chooses them; the persistency he shows in each.

His power of application in spite of distractions
about him that might tend to divert him from his work.

Whether after a compulsory distraction he takes up
again the task that has been interrupted.

CONDUCT.

NOTE:

Orderliness or disorderliness in the actions of the
child.

The nature of his disorderliness.

Whether there are any changes in conduct as his
working ability develops.

Whether, as his activities become more orderly, the
child gives evidence of: accesses of joy; periods of
placidity; expressions of affection.

The part the children take and the interest they show
in the progress of their schoolmates.

OBEDIENCE.

NOTE:

Whether the child answers readily when he is called.

Whether and at what times the child begins to show
interest in what others are doing and to make
intelligent effort to join in their work.

The progress of his obedience to _calls_.

The progress of his obedience to _commands_.

What eagerness and enthusiasm the child shows in his
obedience.

The relation between the various phenomena of
obedience and (a) the development of his working
capacity; (b) changes in conduct,

----------------------------------------------------------

School Year 191..-191..

PERSONAL HISTORY OF THE CHILD

----------------------------------------------------------

SCHOOL YEAR 191..--191..

BIOLOGICAL HISTORY

PARENTS:

_Age of parents at marriage_........................

_Are the parents related to each other?_............

_Sickness and diseases of the parents?_.............

....................................................

CHILD:

_Were pregnancy and parturition normal?_............

....................................................

_Was the nursing done by the mother, or artificially?_.....

_The child's health during the first year:_..........

....................................................

_Subsequent sicknesses of the child:_...............

....................................................

_Date of teething, learning to walk, and learning to speak:_.....

....................................................

SCHOOL YEAR 191..-191..

SOCIAL HISTORY

FATHER:

_Age, education and occupation:_....................

....................................................
MOTHER:

_Age, education and occupation:_....................

....................................................

----------------------------------------------------

_Are accounts kept in the family?_..................

....................................................

_Family habits (amusements, home life)_.............

_Number of persons in the family (how many adults, how many
children)_............................................

....................................................

_Does the family employ servants?_..................

_How many wage earners in the family?_..............

_Does the family have income from property?_........

_Does the family keep roomers or boarders?_.........

_Is the housekeeping satisfactory?_.................

SCHOOL YEAR 191..-191..

ETHICAL EXAMINATION

QUESTIONNAIRE FOR MORAL HISTORY

CRITERIA OF PRAISE AND PRIDE IN THE FAMILY

NOTE:

What is commended in the family, e.g., devoutness,
patriotism, or their opposites, affectionateness,
honesty, modest, neatness, generosity, kindness,
independence, etc. The social relationships between
husband and wife (rights, privileges, or equality).
Special distinctions of family members (public honors,
acts of courage, etc.).

CRITERIA OF BLAME AND EXCUSE IN THE FAMILY

NOTE:

What complaints are made in the home against members of the
family, e.g., drinking, lack of affectionateness, gambling, irreligion,
disorderliness, lawlessness, extravagance, laziness, etc.

EDUCATIONAL CRITERIA IN THE FAMILY

NOTE:

What concept do the parents have of education? e.g., severity
gentleness, rewards, punishments, understanding of children, the
freedom accorded the children, etc.

MOTHER'S OPINION OF HER CHILDREN

NOTE:

What care is taken of the child and what rights are recognized by
the family as belonging to him.

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The Montessori Elementary MaterialChapter XVII: Appendix: I

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