Request edit access
Parent Survey 2020-2021
Please fill out this form about your child so that the information will help me teach your child better.  
Sign in to Google to save your progress. Learn more
Student's Full Name *
Student's Date of Birth *
MM
/
DD
/
YYYY
Name of Parent's/Guardian's *
Best Emails to Reach Parents/Guardians
Best Phone Number to Contact Parents/Guardians *
Preferred Way to Reach Parent/Guardian *
Main Language Spoken at Home *
Do you have any special concerns about your child? (Academically, Socially, Medically, Etc.)  
Please list any ALLERGY your child may have. *
Do you have any concerns about your child with Distance Learning? (for example: needs help with technology, works better in small groups, etc.)
Does your child need glasses to see the board in class or to do work? *
Please list 2 goals that you would like to set for your child. *
Please tell me, in 1 million words or less, if there is anything else that I should know about your child. Feel free to brag!
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Twin Rivers Unified School District.

Does this form look suspicious? Report