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Parent Survey
Please fill out one survey for each of your students who attend Richmond R-XVI School District. Thank you!
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* Indicates required question
Student Last Name
*
Your answer
Student First Name
*
Your answer
Grade
*
Choose
Kindergarten
First
Second
Third
Fourth
Fifth
Sixth
Seventh
Eighth
Freshmen
Sophomore
Junior
Senior
Preschool
What type of current instruction your student is receiving? (Choose 1)
*
Virtual/Launch
In-person
Both
Do you have internet access at your residence? (Choose 1)
*
Choose
Yes, internet access is available at the residence.
No, internet access is not available.
No, internet access is not affordable.
No, other
What type of internet access to you have at home? (Choose 1)
*
Residential broadband (DSL, cable, or fiber)
Cellular network (hotspot)
School provided hotspot
Other:
Required
Please check all that apply. If paper learning packets were an option, would you prefer your student's work to be:
*
Mailed home
Picked up
Picked up at a bus stop (if this is an option)
Required
Please check all of the activities that your student can be pictured.
*
Honors and awards received
Yearbook
Photographs of regular school activities
Participation in officially recognized activities and sports, including audio-visuals or photographic records of the openly visible activities ( e.g. artistic performances, sport contests, assemblies, award ceremonies, service projects, etc.)
Required
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