Parents' Feedback Form for SY 2022-2023

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Please fill out this form per child (ex: If you have 3 children in MDM, fill out this form thrice.)

Thank you for your feedback!

1. Parent/Guardian's Complete Name *

2. Child's Complete Name *

3. Your Relationship to MDM student (ex. mother, guardian, uncle, etc.) *

4. MDM Student’s grade level this incoming school year 2022-2023: *

Junior Casa

Senior Casa

Preparatory

Grade 1

Grade 2

Grade 3

Grade 4

Grade 5

Grade 6

Grade 7

Grade 8

Grade 9

Grade 10

Grade 11

Grade 12

5. By August 2022, my child: *

will be fully vaccinated (regardless of booster).

will not yet be vaccinated, but I plan on doing so.

I am unsure of having my child vaccinated.

I do not intend to have my child vaccinated.

6. If your child will attend I-LEAP, how will he/she travel to and from the campus? *

He/She will ride our family car.

He/She will carpool with other students.

He/She will take public transportation either alone or with a companion.

He/She will walk to campus.

My child will not attend I-LEAP.

7. By August 2022, which will apply to your household? *

Everyone in our household (including household help, drivers, etc.) will be fully vaccinated.

Half or more of my household will be fully vaccinated.

Less than half of my household will be fully vaccinated.

I am unsure of having my household vaccinated.

I do not intend to have my household vaccinated.

8. Based on MDM’s learning set-up this school year 2022-2023 and initial plans, I most likely will: (Note: Attendance in the I-LEAP is flexible. A student may start attending it once sessions begin, or much later if he is still unsure. If a student misses an I-LEAP session, he will not be considered absent; however he cannot make up for the missed session anymore.) *

allow my child to attend I-LEAP.

not allow my child to attend I-LEAP.

still think about letting my child attend I-LEAP.

still think about enrolling in MDM. I will let you know my final decision before March 30, 2022.

transfer my child to another school.

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