Home Survey
Please fill out this form. Be assured that the information you include in this survey will be kept confidential. Thank you for your time helping me get to know you and your child better!
Child's Name/Parent's Names *
Your answer
Which homeroom is your child in? *
Required
Best way to contact you between 8am - 4pm: *
Your answer
Share any special talents or strengths your child has.
Your answer
Does your child have special needs for which the school needs to make special provisions? (allergies, hearing, vision, etc.)
Your answer
Please share any behavioral or academic goals you are currently working on with your child.
Your answer
Does your child have a homework routine? If so, please explain:
Your answer
Does your child participate in after school activities? If yes, please list:
Your answer
How would you describe your child's attitude toward school?
Your answer
What is your child's average bedtime during the week? (During the school year)
Your answer
Please share what your expectations are for me, as your child's teacher. Please be honest!
Your answer
Feel free to provide any other information that would give me insight into your child's educational needs.
Your answer
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