PARENT/GUARDIAN SURVEY 2019/2020
JACKSON COUNTY HIGH SCHOOL
YOUTH SERVICES CENTER

Dear Parent/Guardian:
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
Your answer
Number of JCHS students living in your household?
Your answer
Your relationship to the student:
Type of insurance your student has:
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:
Choose top social/emotional issues you think students have:
Does your student need assistance with any of the following? (check all that apply)
Would your student be interested in any of the following? (Check all that apply)
Please list any other concerns you have or areas your student needs assistance:
Your answer
Would anyone in your household like more information on any of the following
What is the best way to contact you about school events and opportunities?
Submit
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