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Getting to Know You Survey
Please complete this form so that I can get to know your child.
* Indicates required question
Email
*
Your email
Child's Name (first and last)
*
Your answer
What is your child's birthday?
*
MM
/
DD
/
YYYY
Does your child have a nickname they prefer to be called?
*
Your answer
Your name and relationship to the student
*
Your answer
What is the primary address of the student?
*
Your answer
What is the primary language spoken in your home?
*
Arabic
English
Spanish
Other:
How can I best reach you or another caregiver for the student? Phone, email, Dojo, etc. Please put your contact information here or any important contact information for other caregivers.
*
Your answer
Please list adults that live with your child
*
Your answer
Please list children that live with your child. It is helpful if you let me know their age, gender, and whether or not they attend Melvindale schools. For example, John, age 10, male, fifth grader at Allendale.
*
Your answer
Does the student have a secondary home that he/she splits time with? If so, please list the family members. Please share the days of the week your child stays at this home.
*
Your answer
What is the best time of day for a conference or to reach you?
Morning
Afternoon
Evening
Clear selection
Do you need a translator?
No
Yes, Arabic
Yes, Spanish
Other:
Clear selection
Does your child speak another language?
No
Yes, Arabic
Yes, Spanish
Other:
Clear selection
Does your child have problems with speech or language?
No
Yes
Clear selection
Is your child right or left handed?
Right
Left
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Does your child have any health concerns that I need to know about? Please describe
Your answer
Do you have internet access at home?
Yes
No
Other:
Clear selection
Are there any recent family events or changes (e.g. death, divorce, new sibling, moving) that I should know about?
Your answer
How does your child feel about school?
Your answer
What are some other things you would like for me to know about your child? (hobbies, likes, dislikes, your concerns, strengths, weaknesses, etc.)
Your answer
Have you connected to our class on Class Dojo?
Yes
No
Other:
Clear selection
Have you subscribed to Google Classroom?
Yes
No
Other:
Clear selection
What questions or concerns do you have for the upcoming school year?
Your answer
Send me a copy of my responses.
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