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Parent Questionnaire
Dear Parents and Guardians,
Please fill out this Form to help me get to know your child. Thank you!
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* Indicates required question
Child's 5th grade teacher's name
*
Choose
Ms. Abuyo
Mrs. Elsmore
Maestra Flores
Mrs. Greenzwieg
Mrs. Mena
Mr. Morales
Child's Name (please also list if they prefer to go by a nickname)
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Your answer
Name of Parent(s)/Guardian(s)
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Your answer
Primary Phone
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Your answer
Email Address
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Your answer
Siblings (names and ages or type "none")
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Your answer
How comfortable are you with distance learning? (5 being the most)
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1
2
3
4
5
How comfortable is your child with distance learning? (5 being the most)
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1
2
3
4
5
Is there an adult able to help with your child's at-home learning? If so, who? What time(s) of day will your child receive help?
*
Your answer
Teachers will be recording live lessons for students who are absent or if others need to review a skill taught, solely for educational purposes. Please indicate (only) if you WOULD NOT like your child's video "on" during these recordings.
I WOULD NOT like my child's video on during live recordings
Clear selection
How would you describe your child's personality? What does your child like to do outside of school?
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Your answer
How would you describe your child's attitude toward school?
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Your answer
What are your child's strengths?
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Your answer
What areas of improvement do you hope to see in your child?
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Your answer
What motivates your child? (at home or school)
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Your answer
Please tell me anything else I might need to know. (For example, holidays not celebrated, upcoming military moves, recent deployment, sensitivities, living situation/home life, recent loss or COVID related trauma)
*
Your answer
Do you have any questions for me at this time?
*
Your answer
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