JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
Questionnaire Summer 2020
This form is to determine the needs of our families.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Name
*
Your answer
email
*
Your answer
Phone Number
*
Your answer
Names and grades of your children
*
Your answer
Are you concerned that your child may not be prepared for the coming school year?
*
Yes
No
If there was no cost to you, would you be interested in an online summer enrichment?(We do not know what that may look like yet. But possibly, a daily or weekly zoom meeting with a certified teacher and access to online resources.)
*
Yes
No
What subjects does your child need help with?
*
Reading
Math
Science
Social Studies
Writing
Nothing
Other:
Required
Does your child still have a school issued Chromebook?
*
Yes
No
If no, does your child have reliable access to a tablet, laptop, or computer?
*
Yes
No
My child does have a school issued Chromebook
Do you have internet access?
*
Yes
No
Do you intend to register your child for after school care in the fall?
*
Yes
No
Maybe
Does your family have other needs that we could help you with?
*
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Fairhope-Point Clear Rotary Youth Programs, Inc..
Report Abuse
Forms
