Request edit access
JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Brooklyn North High School Family Survey
We want to know how you are doing and the best way to support you and your child(ren) during this time. Please take some time to fill out this quick survey. Thank you in advance for your help with this.
Sign in to Google
to save your progress.
Learn more
* Required
Email
*
Your email
Name of Person Completing the Survey
*
Your answer
Relationship to the student
*
Parent
Guardian
Other:
Phone Number Contact
Your answer
What is the best way to reach you and your family?
By E-mail
By Phone
Either way works
Other:
What school(s) do the students in your household attend? Please select one.
*
13K350
13K412
13K419
13K430
13K449
13K595
13K605
13K670
14K449
14K454
14K474
14K477
14K478
14K488
14K558
14K561
14K610
15K29
15K462
15K463
15K464
15K519
15K667
15K684
16K455
16K498
16K765
19K404
19K409
19K422
19K502
19K504
19K507
19K583
19K615
19K639
19K659
19K660
19K683
23K493
23K697
32K403
32K545
32K549
32K552
32K554
32K556
How are you and your family doing? Check all that apply.
*
We are doing well.
We are doing okay. Thankful we are not sick.
We have sick family members, but we are doing okay.
We are not doing well at all physically, and would love some help.
We are not doing well at all emotionally, and would love some help.
Please call us. We would like to talk.
Required
We are struggling with....Check all that apply.
*
Technology
Completing work from school
Communicating with teachers and school staff
Household necessities (i.e., food, paper products, personal hygiene items, etc.)
Staying organized
Childcare
We are going stir crazy! We need ideas on how to keep the kids occupied!
Other:
Required
I wish the school would...
*
Your answer
Anything else that you would like us to know about?
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of NYC Department of Education.
Report Abuse
Forms
