2020 Fall Parent Survey

Request edit access

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

2020 Fall Parent Survey_English

We hope that each family will provide feedback on the questions listed below. Because many people in our communities are struggling due to the COVID-19 pandemic, please remember that assistance is available by calling the United Way 2-1-1 or by visiting www.eoawc.org to find out what utility and rental assistance might be available.

Center your child(ren) attends

Ellen Smith Head Start Center (ESC)

Ivory M. Conley Center (IMC)

North Street Center

Old Farmington Road Center (OFR)

West Washington County Center (Lincoln)

Springdale Head Start Center (Airport)

Oak Avenue Head Start Center

Pat Walker Center for Children (PWCC)

If your child's center was required to close temporarily due to the COVID-19 pandemic, would that impact your employment?

Yes

Maybe

Clear selection

How has the COVID-19 pandemic affected your family?

Which of the following health-related topics would be most interesting and beneficial for your family?

Mental Health and Wellness

Recipes for Kid-Friendly Meals

Benefits of Reducing Sodium Intake

Tips and Games for Increasing Movement at Home

Other:

What would you like your family to accomplish during the remainder of this school year?

Is there any other information you would like to share?

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of EOA of Washington County, Inc. Children's Services.

Does this form look suspicious? Report

Forms