Parent Form: Social-Emotional Learning Survey
Thank you for your time in helping your child's teacher better understand the social-emotional needs of your child. In order to focus on learning, we first need to make sure student's social, emotional, and behavioral needs are met - and YOU know your child best. This form will help your child's teacher to better understand how they can support your child in the classroom.

Directions:
Please read the descriptions listed under each of the five sections below. Rate your child based on the way you see them acting at home. While all questions are optional, we highly encourage you answer each. Thank you again!
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Your Child's Homeroom Teacher *
Student's Name *
Self-Awareness Skills (section 1 of 5)
The following components will describe how well your child understands their emotions, personal goals, and values.
Please rate your child's ability in each row on a scale of 1 to 5 or select "unsure".
1 (major weakness/area to focus on)
2
3
4
5 (major strength/area to praise)
unsure
accurately assessing one's own strengths and limitations
having positive mindsets
possessing a well-grounded sense of self-assurance (belief in own ability)
having a well-grounded sense of optimism
recognizing how thoughts, feelings, and actions are interconnected (advanced skill)
Clear selection
Optional: Please use this space to share any additional information or explanation regarding self-awareness skills.
Next
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