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Parent Survey
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* Indicates required question
Email
*
Your email
Date:
*
MM
/
DD
/
YYYY
Your Name:
*
Your answer
Child's Name:
*
Your answer
Best way to contact you:
*
Email
Phone
If you selected "Phone," please provide your phone number: (xxx-xxx-xxxx)
Your answer
Tell me about your child. What are their strengths? What do they struggle with? What motivates them? Is there anything you would like me to look out for?
*
Your answer
May your child be included in class photos?
*
Yes
No
(Optional) Is there anything else you would like to add?
Your answer
Send me a copy of my responses.
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