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Parent Questionnaire
Please fill out completely as possible. All information will be used to best meet the needs of your child this year. Anything that will help me with their academic, social, or emotional well-being in the school setting should be included.
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Parent's Name
Your answer
What do you feel is your child's attitude about school?
Loves it and can't wait to get here each day!
No complaints!
Some days are hard, others are okay.
Not a fan and would rather spend his/her days doing anything else.
School is very difficult and each day is a struggle to make it here.
Other:
Clear selection
What do you feel are your child's academic strengths?
Your answer
What do you feel (if any) is/are your child's area(s) of weakness?
Your answer
How often does your child read at home (not related to school)?
I can't get books out of his/her hand.
between 20-40 minutes a night
20 minutes - Only what is required.
5-20 minutes
I have trouble getting him/her to even pick up a book.
Clear selection
What activities/hobbies does your child participate in (dance, sports, music, etc.)?
Your answer
Do you have a computer with Internet access at home that your child can use?
Yes
No
Only if I use a friend's or go to the library.
Clear selection
Is there any information you would like to share about your child, which would be helpful to me in making his/her school year the MOST successful?
Your answer
Does your child have any medical conditions? If so, please explain how it will affect them in the school setting.
Your answer
Is there anything else you would like me to know?
Your answer
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