Family Questionnaire for Back to School

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Thank you for taking the time to fill out this information about your child and family. I believe in building strong relationships with my students and their families. This will also help me find out the best way to communicate with you throughout the school year.

What is your child's first and last name? *

Does your child go by a nickname? *

When is your child's birthday? *

YYYY

Please list all family members who live in the child's primary household, their relationship to the child, and ages (if siblings). I don't need parent ages! LOL! *

Please list each parent/guardian(s) names and the best email address to send important classroom information. *

Please list each parent/guardian(s) names and the best phone number to reach you at. *

What is the best way to communicate with you? *

Phone

Schoology Messaging System

Other:

When and if we go back to school, I would like to take pictures and post them onto Schoology, so you can see what your child is doing in school. Do you give permission to me to post pictures of your student on Schoology? (Only students and parents from our class will see these pictures) *

Yes

Are there any other languages spoken at home? *

Other:

What are 3 things your child enjoys doing outside of school? *

List 3 or more strengths of your child. *

Does your child struggle with anything in school? If so, please explain. *

How does your child feel about school? *

Does your child make friends easily? *

Yes

Other:

Please List 2-3 goals you have for your child this year. *

How does your child learn best? What motivates your child? *

Does your child have any food allergies or medical conditions? *

What other information should I know about your child? *

Submit

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