Parental Needs Questionnaire
Please provide feedback on your current needs to assist H.J. Russell in knowing where to start to help. 
Email *
What is your name and your student's name? *
Does your family have access to a computer or laptop to help with schoolwork?
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Does your family have access to internet or hotspot?
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Is transportation often a reason that you do not access resources such as food banks, community events, and health appointments?
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How often do you need to eat less or not eat at all due to lack of food? *
Are you behind in paying for your rent/mortgage and/or utilities?
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How far behind are you in your rent/mortgage and/or utilities? *
Required
Do you have comfortable housing? (Enough beds, rooms, space)
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Does your child have insurance?
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What are your top three places to seek information with supporting your child(ren)?
What is the number one need for your family at this time?
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