Navigating Change 2020: Family Survey
As we plan for the 2020-2021 school year, we would like to better understand your willingness and concerns surrounding your child(ren)’s return to school. We value your opinion and we understand that families may be in different places with their comfort level at this time.
Please know that we will continue to consider and plan accordingly for health and safety, as additional guidelines and guidance are provided to us.
This will include, but is not limited to, social distancing, the possibility of the use of masks by students and staff and health screenings by nurse or office personnel. We will provide you with updates on these considerations as more information becomes available to us from national, state, and local health and education officials and organizations.
Please complete a separate form for each child in your family because your comfort level for one situation/setting might be different than another.
Email address *
Student's Name
Student's School
Phone Number
Should we receive guidance from local health authorities that it is safe to return to school with cautionary measures in place, will your child be returning for in person/face-to-face instruction for the 2020-2021 school year?
How comfortable do you feel about your child returning to school on a regular basis?
Which of the following would make you feel more comfortable with your child returning to school or work? Check all that apply.
How comfortable are you with your child participating in a daily symptom check for school safety?
Clear selection
Which of the following learning options, if available, would be your preference for your child?
If remote learning is still required, please share your experience with remote learning during the spring semester of 2020. Check all that apply.
Which of the following best describes your household situation regarding wireless internet?
Clear selection
It is possible that students may be able to attend daily on a staggered schedule.
Please select which time slot works best for you, if students are staggered.
It is possible that we may need to institute an alternative schedule to reduce the number of students in the classroom or on campus. Please select which days your child would need to be at school.
Can you provide your own transportation to school if we are not able to provide bus service due to social distance and/or health guidelines?
Clear selection
Never submit passwords through Google Forms.
This form was created inside of USD 243 Lebo-Waverly. Report Abuse