JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
My Child as a Learner
As parents you are your child's closest and first teacher. It would be greatly appreciated and helpful if you could take the time to complete the questionnaire below about your child and their learning ability. This questionnaire will be strictly confidential and secure. Thank you again for your time and help in making your child's year successful!!
* (Make sure to scroll down the form and click SUBMIT when finished.)
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Child's Name
*
Include first and last name.
Your answer
Mother's Name
*
Your answer
Mother's Best Contact Number
*
Your answer
Mother's Best Email Address
*
Your answer
Father's Name
*
Your answer
Father's Best Contact Number
Your answer
Father's Best Email Address
*
Your answer
May we share your contact information (email) with the room parents?
*
Yes
No
How do you see your role as a parent in your child's education this year?
*
Your answer
How does your child feel about school?
*
Your answer
What are your child's strengths in school?
*
Your answer
What areas do you find your child needs extra help in at school?
*
Your answer
What are your thoughts regarding your child having access to technology to enhance their educational experience? (YouTube, Twitter, Blogs, etc.)
*
Your answer
Does your child enjoy math? How do they approach math? Any areas of struggle? Do they enjoy challenges?
*
Your answer
How often does your child read?
*
Your answer
What type of reading does your child find interest in? (books, magazines, newspaper, comics...)
*
Your answer
Does your child enjoy writing? Where do you find their strengths and struggles?
*
Your answer
Outside of school, what are some activities that your child and/or your family participate in?
*
Your answer
What are some other things that I should know about your child, to make this year a successful one?
*
Your answer
Does your child have any special health concerns or allergies that might affect their academics while in school? (ex: eye glasses, peanut allergies, etc.)
*
Your answer
Thank you again for taking the time to fill out this questionnaire, it will certainly help me with your child and their needs.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Del Mar Union School District.
Report Abuse
Forms
