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Family Survey
This survey is private and for teacher/school use only. Please help me get to know your child and family by answering the questions that follow. Please provide the best phone number and email address for reaching you.
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BASIC INFORMATION
1. Student Name (first & last name, please!)
*
Your answer
2. Goes by/Nickname
Your answer
Primary Contact #1 (first & last name)
*
Your answer
Relationship to Child
*
Your answer
Best Daytime Phone Number
*
Your answer
Email Address
*
Your answer
Which form(s) of communication do you prefer?
*
Email
Phone Call
Note
App - Class Tag
Required
Contact #1 Interested in/would like to be contacted about:
Helping with class parties or events
Green Thumb Volunteer (School Garden)
Reading Buddy
Primary Contact #2 (first & last name)
Your answer
Relationship to Child
Your answer
Best Daytime Phone Number
Your answer
Email Address
Your answer
ABOUT YOUR CHILD
What are your child's hobbies or interests?
*
Your answer
What words best describe your child?
*
Your answer
Any health concerns?
*
Your answer
Allergies? (If YES, please list)
*
Your answer
Do you have any questions or concerns about this school year?
Your answer
Any other special information I should know? (new baby, just moved, new job, child's previous school experiences, etc.)
Your answer
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