Year 5 Children's Well-being Questionnaire - March 2021
We know that the partnership between home and school is really important to ensure a smooth transition. Therefore, we are asking you for any information which you feel may impact on the wellbeing of your child, as we develop new routines and help them through this unsettling time of change and returning to school.

The information that you provide will help us to support your child as much as we can as they return to school on 8th March 2021.
Sign in to Google to save your progress. Learn more
1. Name of child
2. Has your child been in school for all, some or none of the time during the UK lockdown?
Clear selection
3. Has there been any significant changes to your family circumstances since school closed in January? e.g. changes in family living arrangements, or bereavement.
4. Has your child expressed any specific anxieties or worries? If so, please provide details.
5. Has your child displayed any behavioural changes? e.g. exhibited different behaviours to usual such as more withdrawn. If so, please provide details.
6. If your child has been accessing remote learning, has your child had an established routine at home?
No routine at all
Full routine
Clear selection
7. How my child feels about returning to school
Anxious
Excited
Clear selection
8. Is there any other relevant information you would like to add?
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Barnton Community Primary School. Report Abuse
Google Forms