Parent Questionnaire

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Email *

Welcome to SVMS! The past year and a half has been challenging for all of us. We hope that this year will bring some normalcy back into our school routine, but regardless of what happens this year, you can be sure that the Fifth Grade Team of Teachers will work hard to provide the most positive experience possible for your child. The best thing you can do as a parent is to communicate any concerns that arise with your child's teacher. The sooner problems are addressed, the better the outcome will be for everyone. Any concerns that you share on this form will be shared with any of the teachers who need to be aware of the concern.

Your Child's Last Name *

Your Child's First Name *

Your Name *

Relationship to Child *

What is your relationship to the student? Check all that apply.

Mother

Father

Legal Guardian

Step Parent

Grandparent

Other:

Required

What is the phone number you would like me to use if I need to reach you during the day? *

What is the phone number you would like me to use if I need to reach you in the evening? *

How do you prefer to be contacted? (We will make an effort to contact you in the way requested; however email is sometimes the most convenient for us. Phone calls are difficult for us to make during the school day.) *

Home Phone

Cell Phone

Work Phone

Reading Ability *

How confident of a reader is your child?

Not confident

Very Confident

Reading Frequency *

How often does your child read independently? (Be honest - we know not everyone likes to read.)

Only reads if forced

Frequently reads independently

Math Ability *

How comfortable is your child with math?

My child struggles with math

My child really likes math and is very confident about his/her math skills

How comfortable is your child with technology? *

My child struggles with technology

My child is very comfortable with technology

How comfortable are you with technology? *

I struggle with technology.

I am very knowledgeable about technology.

How did your child receive the majority of his/her instruction last year? *

Most instruction took place through in-person instruction in the classroom.

About half and half. Half of the instruction was in the classroom and half was virtually.

Little or no instruction took place in the classroom. My child received all instruction virtually.

My child did not attend Schuylkill Valley last year.

Required

Fifth grade students will have some homework this year. This may be an adjustment for your child. Fifth grade homework is designed to be completed independently; however, given that students have not had much homework, this may be a struggle at first. Who (if anyone) will be able to assist your child with homework when necessary? *

Parent

Sibling

Grandparent

Babysitter or Childcare

Child will be doing this independently

Other

Required

Concerns - Please share anything you think we should know at this time. Your concerns will be shared with any of your child's major subject teachers who may benefit from the information. *

Send me a copy of my responses.

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