Tell Me About Your Fourth Grader

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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.

Student's name *

Name of person completing this survey *

What is your relationship to the student? *

(mother, father, grandparent, aunt, uncle, guardian, etc.)

When is your fourth grader's birthday? (Please include year.) *

I have this information, but I appreciate you confirming it.

YYYY

Names and ages of brothers and sisters (if any) *

Are there any other people who live with your family? *

Does your family have any pets? What are their names, and what kind of pet are they? *

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.

What hobbies or interests does your fouth grader have? *

What special skills or talents does your fouth grader have? *

How would you describe your fourth grader, academically? *

How would you describe your fourth grader's personality? *

What kind of books or stories does your fourth grader enjoy? *

What motivates your child? *

What stresses, frustrates, or otherwise upsets your child? *

What goals do you have for your fourth grader? *

Please describe what an IDEAL fourth grade experience would look like (in your eyes) for your fouth grader. *

(I realize that this is similar to the previous question, but it helps me to best understand your goals.)

Is there anything else (anything at all!) that you would like me to know about your fourth grader? *

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This form was created inside of Avon Public Schools.