Parent Survey
Dear Families,

I am so excited to be your child's teacher this year. To get us started, I would love to gather some information so that I can learn more about how to support your child throughout this school year. Please fill out the following form, and if you have any questions, do not hesitate to contact me.

This information is confidential and will only be viewed by the teacher.
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What is your child's name? (What he or she will go by at school) *
Birthday *
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DD
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YYYY
What is your name? *
Parent Contact Information *
Communication is Important! Please type your phone #. Expect an invitation to REMIND, a messaging app I use to communicate with parents.
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Who does your child live with? *
List 3 words that describe your child's personality. *
What are your child's interests, likes or hobbies? *
What kind of things upset or scare your child? *
Does your child have any allergies or health concerns? *
Transportation *
Who will be picking up your child? Will your child ride the bus? 🚘 REMINDER: Your child will be released from the teacher when the dismissal bell rings. Please make sure they know WHO is picking them up and WHERE to meet them (by the gate, the office, the bench, front of school, etc.)
What are your child's strengths? This could be academic-based or learning skills focused. *
What does your child seem to struggle with? This could be academic-based or learning skills focused. *
What are some goals that you have for your child this year? These could be academic-based or learning skills focused. *
What does your child need in order to be successful? *
Holidays *
If there is a holiday your child does not celebrate, please elaborate below.
What else would you like me to know about your child or family that will help me support your child this year? *
Thank you so much for taking the time to fill out this parent survey and helping me learn more about your child!
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