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Tell Me About Your Fourth Grader
I am eager to get to know your child so that I can be the best teacher for him or her that I can. It helps for me to know your child from your eyes. The more I know, the better I can tailor my instruction and motivational efforts to fit his or her needs. Please complete this survey yourself or with your fourth grader. Thank you! This is a SECURE web form, and you can be sure the information will remain confidential.
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Student's name
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Your answer
Name of person completing this survey
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Your answer
What is your relationship to the student?
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(mother, father, grandparent, aunt, uncle, guardian, etc.)
Your answer
When is your fourth grader's birthday? (Please include year.)
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I have this information, but I appreciate you confirming it.
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YYYY
Names and ages of brothers and sisters (if any)
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Your answer
Are there any other people who live with your family?
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Your answer
Does your family have any pets? What are their names, and what kind of pet are they?
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Your answer
Are you expecting any big changes to your child's home life this year?
For example, births or baby brothers or sisters, changes to who is living at home, new pets, senior pets, etc.
Your answer
What hobbies or interests does your fouth grader have?
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Your answer
What special skills or talents does your fouth grader have?
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Your answer
How would you describe your fourth grader, academically?
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Your answer
How would you describe your fourth grader's personality?
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Your answer
What kind of books or stories does your fourth grader enjoy?
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Your answer
What motivates your child?
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Your answer
What stresses, frustrates, or otherwise upsets your child?
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Your answer
What goals do you have for your fourth grader?
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Your answer
Please describe what an IDEAL fourth grade experience would look like (in your eyes) for your fouth grader.
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(I realize that this is similar to the previous question, but it helps me to best understand your goals.)
Your answer
Is there anything else (anything at all!) that you would like me to know about your fourth grader?
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Your answer
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