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Open House Parent Survey
Welcome back to school! Please complete the following survey to help kick off a wonderful year.
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* Indicates required question
Child's LAST Name
*
Your answer
Child's FIRST Name
*
Your answer
Child's birthday
*
Your answer
Parent/Guardian Names
*
Your answer
Best phone numbers to reach you at:
*
Your answer
Email addresses to send you important information:
*
Your answer
Does your child have any new medical needs that may not be listed on his/her IEP?
no
yes
Other:
Clear selection
Please provide an emergency contact number.
Your answer
How would you prefer to receive important information regarding class?
*
Traditional paper newsletter
Email
Social Media (Facebook, Twitter, etc.)
Other:
Does your child have internet access at home on a regular basis?
*
Yes
No
Depends
If your child does not receive special transportation, how will your child be getting to school?
*
Car Rider
Walker
Bus
Other:
When does your child usually arrive to school in the morning?
Rides the bus
Close to 7:40
Close to 7:55
Near the first bell at 8:10
Other:
Clear selection
Does your child eat breakfast at school?
Choose
Yes, my child eats breakfast at school.
No, my child does not eat breakfast at school.
If your child is a bus rider, what bus will they take?
Your answer
What are your goals for your child this school year?
*
Your answer
What are some of your child's strengths and/or interests?
*
Your answer
Is there anything else you would like us to know to help make this a successful school year for your child?
Your answer
Have you noticed specific social/academic triggers that might get in the way of your child's learning at school?
Your answer
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