Genesis 2nd Semester Parent Survey - January 3, 2020
Thank you for filling out the survey.  Genesis will continue to seek the most up to date information about our families and scholars in order to develop the best plans possible for the remainder of the 2020-2021 school year.
THANK YOU!!!
Sign in to Google to save your progress. Learn more
Email *
BASIC INFORMATION
We are asking many of the same questions that were asked on the prior survey to determine if anything has changed for you and your family.
What is YOUR Name? *
What is YOUR E-MAIL Address? *
What is the best PHONE NUMBER to reach you?
SCHOLAR LAST NAME? (Enter the oldest Genesis sibling if you have multiple scholars.) *
SCHOLAR FIRST NAME? (Enter the oldest Genesis sibling if you have multiple scholars.) *
Do you have children in the following groups? *
Yes
No
Pre-K
Grades K-2
Grades 3-5
Grades 6-12
How does your scholar(s) access the internet at home? (Choose "most likely" option). *
What type of device does your scholar(s) use to attend virtual/Zoom classes?
LEARNING ENVIRONMENT PREFERENCES
Please give us a better understanding of your hopes and expectations for your scholar's learning environment.
What educational environment would you prefer for your scholar for THIS SEMESTER? *
How will you provide supervision for your scholar(s) while Genesis is virtual? *
Required
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Genesis Innovation Academy. Report Abuse
Google Forms