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COVID-19 Family Survey
Upper Adams Middle School Families
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* Indicates required question
Email
*
Your email
Please enter your first and last name.
Your answer
Please enter your email address.
Your answer
Please enter the first and last name of your child or children.
Your answer
How are you and your family doing? Check all that apply.
*
We are doing well.
We are doing ok. Thankful we are not sick.
We have sick family members, but we are doing ok.
We are not doing well at all, either physically or emotionally, and would love some
Please call us. We would like to talk.
Required
We need support with...
*
Technology
Completing Assignments from School
Organization/balance
Household necessities (i.e., food, paper products, personal hygiene items, etc..)
Communicating with teachers and staff
Childcare
Nothing at this time
Required
I wish the school would...
Your answer
Please have someone contact me. (Tell us the best way and/or time to reach you and your contact information.)
Your answer
Submit
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