Survey of Parents/Students
Thank you for taking the time to complete this survey so we can ensure all students have the support they need during a potential school closure.
Email address *
What is your first and last name? *
Your answer
What is your current phone number? *
Your answer
What is your current email address? *
Your answer
Would individuals in your home (who are under the age of 18) be interested in participating in free breakfast and lunches? *
How many people under the age of 18 reside in your home? *
Your answer
Do you have access to any of these electronic devices at home (mark all that apply)? *
Do you have access to reliable wi-fi at your home that is sufficient to participate in online learning? *
Never submit passwords through Google Forms.
This form was created inside of Leona Group. Report Abuse