Information for School Closure (Parent Survey)
This confidential survey is for staff to thoughtfully plan for school closures due to COVID-19.

Our school is calmly planning for continuous learning for all students following guidelines set forth by KSDE. We want to ensure that we are equipped to transition to a continuous learning environment, and are responsive to the needs of all families.
Student Name(s) *
Please enter the names of all your children who are currently attending our schools. Please indicate the school they attend ie: (Sally Smith, Washington Middle School). The information in this survey will not be shared publicly.
Your answer
Does your child have access to a device at home that is capable of supporting online platforms like Google Classroom, Zoom, video player, etc. ? *
Does your child share that device with other family members? *
How would you describe your internet access at home? *
Do you have access to a printer? *
Would you like your child to access educational videos on YouTube (if links are provided by teachers)? *
Parent/caregiver involvement
During school closure, who will be supervising your child/(ren)? *
How does the person supervising your child feel about assisting with school work during school hours? *
Severely lacking confidence and/or time
Very confident and plenty of time
How does the main caregiver feel about assisting with technology? *
Very uncertain
Very confident
What method of communication works best for your family? *
What time of day will your student be able to work on devices and have internet available? *
Your answer
Educational resources
Which of the following resources would you have access to at home? *
If the school was to provide learning packs (e.g. books/worksheets), how easy would it be for someone to collect these from the school each week? *
Do you have the ability to access the provided meals resources at Hiawatha Elementary and in Robinson? *
In addition to Hiawatha Elementary and Robinson, what other public locations would be helpful for you to access meals resources? *
What suggestions do you have for us to consider during online/continuous education?
Your answer
Never submit passwords through Google Forms.
This form was created inside of Hiawatha Schools USD 415. Report Abuse