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WELCOME BACK TO SCHOOL Parent Questionnaire
please respond and submit
* Indicates required question
Email
*
Your email
What is your child's first and last name?
*
Your answer
What are the names of the parents/guardians that your child lives with at home?
*
Your answer
Please list all parent/guardian phone numbers, along with the names associated with each number.
*
Your answer
Please list any e-mail addresses that I may use to contact you:
*
Your answer
How will your child go home on the FIRST DAY of school?
*
Walker
Extended Day
Car
Bus
Daycare
Other:
How will your child go home for the rest of the year?
*
Walker
Extended Day
Car
Bus
Daycare
Other:
What is your preferred method of contact? Select all that apply.
*
Phone call
E-mail
Text
Other:
Required
Do you have reliable access to internet and technology at home for your child to complete school work?
*
Yes, internet and technology
Yes, technology but without reliable internet
Yes, internet but no reliable technology
Neither
If you said "Yes" to technology above, please specify the types of technology you have at home. Select all that apply.
Smart phone
Laptop
Desktop computer
Tablet
Other:
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