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Mrs. Dimas Parent Input Form
Please provide any insight which will help me connect, understand, and help your child this year. Thanks in advance for taking time to complete this form! -Mrs. Dimas
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* Indicates required question
Email
*
Your email
Child's First Name
*
Your answer
Child's Last Name
*
Your answer
Who is completing this form?
*
Guardian
Mother
Father
Step-mother
Step-father
Other:
Does your child have internet access at home?
*
Yes
No
What is your child's greatest area of academic strength (subject and/or skills)?
Your answer
What is your child's greatest academic area needing growth (subject and/or skills)?
Your answer
On average, how many books does your child read per year?
*
Your answer
Is your child involved in extra-curricular activities? Check as many that apply.
theatre arts
band
orchestra
choir
community service
scouts
sports
Other:
Any other activities not listed above?
Your answer
If you only had one word to describe your child, what would it be?
Your answer
What is your favorite thing about your child?
Your answer
What kind of grades do you expect your child to earn?
*
All As
As and Bs
Cs get degrees!
Passing is fine by me
Do you offer incentives or rewards for doing well in school?
*
Yes
No
What motivates your child the most?
Your answer
Complete the statement...At the end of this school year, I hope my child_______________.
Your answer
If there is anything else you would like me to know about your child, please share below:
Your answer
Send me a copy of my responses.
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