PARENT/GUARDIAN SURVEY 2019/2020
JACKSON COUNTY HIGH SCHOOL
YOUTH SERVICES CENTER
Order to better serve our students, we need your input. Please take a few minutes, fill out this survey. If you have any questions or wish to discuss student’s needs, please contact Julia M. Sparks at 287-7155, extension 2117.
Number of people living in household
Number of JCHS students living in your household?
Your relationship to the student:
Type of insurance your student has:
Private Health Insurance
Does your child have access to a computer and Internet at home
Choose top three health issues that interfere with learning and health for your student:
Nutritional (such as Diabetes, Obesity)
Poor Physical Activity
Choose top social/emotional issues you think students have:
Bullying (any type)
Fitting in (social status)
Does your student need assistance with any of the following? (check all that apply)
Stepfmaily?Extended Family Counseling
Family Violence Counseling
Would your student be interested in any of the following? (Check all that apply)
College/Career Tour Access
Physical Activity/Fitness Programs
Summer Part-time job development
Please list any other concerns you have or areas your student needs assistance:
Would anyone in your household like more information on any of the following
Help with Parenting Skills
Participating in Parent/Student meetings
What is the best way to contact you about school events and opportunities?
One Call now from school
Letter in the mail
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