JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
ACISD Safe School Parent Survey
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Email
*
Your email
Grade level of students for the 2020-21 school year in your home (Check all that apply.)
*
PreK
K
1
2
3
4
5
6
7
8
9
10
11
12
Required
Name of Parent/Guardian Completing Survey
*
Your answer
If public health officials believe it is safe to allow in-person instruction, would you be comfortable having your student(s) return to school this fall?
*
Yes
No
If you are NOT comfortable with your children attending, please share your specific concerns:
*
Your answer
Ideally, ACISD would like for all students to return to the classroom in the fall. However, if restrictions from public health officials do not allow all students to return at one time, which method of instruction do you prefer?
*
100% remote instruction
A model that combines in-person and Internet-based instruction
100% in-person instruction at school
What precautionary measures do you recommend ACISD take to insure the safety of our students and staff?
*
Your answer
What level of device accessibility does your child have available at home for remote instruction?
*
My household has adequate devices to support online learning
My household does NOT have adequate devices to support online learning
My household has adequate Internet access for online instruction.
*
Yes
No
What other thoughts or concerns do you have at this time?
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Archer City Independent School District.
Report Abuse
Forms
