Family Well-Being Survey
Please complete the form below to help us assess the needs of the students and families of Chicago Heights School District 170 following the COVID-19 closure. These are anonymous, and may be completed only once per individual.
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Which school(s) does your child(ren) currently attend? *
Required
Has anyone in your child's family had COVID-19?
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Was your family affected by financial stress as a result of the pandemic (job loss, food insecurity, etc.)?
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Has your child expressed worry about returning to school or going out into the community? *
Have you noticed any behavior changes in your child since the start of social distancing?
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How do you feel your child adapted emotionally to remote learning? *
Learning remotely was very difficult and stressful for my child.
My child enjoyed learning remotely
How worried are you about your child's health and well-being should we return to in-person learning in August? *
Not at all worried
Very worried
Do you know how to access helpful resources in the community for your family? *
What, if any, additional supports do you think your child may need when returning?
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This form was created inside of Chicago Heights School District 170.