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Parent's Pre-Survey
This survey is meant to help us understand your role in your child’s education.
CONFIDENTIALITY NOTICE: Responses to this survey are considered confidential and therefore individual responses will not be released, shared, or published. The survey results will be reported/analyzed in aggregate data sets.
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Please write the your full name. (Optional)
Your answer
Which of your children is currently participating in the Teens Act program? Please write their full name. (Optional)
Your answer
What is your relationship to the Teens Act student?
Choose
Biological Father
Biological Mother
Adoptive Father
Adoptive Mother
Step-Father
Step-Mother
Foster Father
Foster Mother
Grandmother
Grandfather
Other Male Guardian
Other Female Guardian
How much of the time does your student live with you?
All of the time
More than half of the time
Half of the time
Less than half of the time
None of the time
Clear selection
In your opinion, does your student have a learning, physical, or emotional disability?
Yes
No
Clear selection
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