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Parent Survey 2020-2021
Please fill out this form about your child so that the information will help me teach your child better.
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* Indicates required question
Student's Full Name
*
Your answer
Student's Date of Birth
*
MM
/
DD
/
YYYY
Name of Parent's/Guardian's
*
Your answer
Best Emails to Reach Parents/Guardians
Your answer
Best Phone Number to Contact Parents/Guardians
*
Your answer
Preferred Way to Reach Parent/Guardian
*
Email
Phone
Main Language Spoken at Home
*
Your answer
Do you have any special concerns about your child? (Academically, Socially, Medically, Etc.)
Your answer
Please list any ALLERGY your child may have.
*
Your answer
Do you have any concerns about your child with Distance Learning? (for example: needs help with technology, works better in small groups, etc.)
Your answer
Does your child need glasses to see the board in class or to do work?
*
Yes
No
Please list 2 goals that you would like to set for your child.
*
Your answer
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!
Your answer
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