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CoVo Family Survey
To better support your child and your family this school year, please complete the information below
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* Indicates required question
Email
*
Your email
Your child's FIRST name
*
Your answer
Your child's LAST name
*
Your answer
Your child's grade level for the upcoming 2020-2021 school year.
*
Grade 6
Grade 7
Grade 8
Does this child currently receive special services? Check all that apply:
Special Education
ENL (English as a New Language)
In order for us to support students and families with their social-emotional needs when school begins, what hardships, if any, have you or your family endured during the COVID pandemic that may affect your child as they return to learning?
*
Loss of a job
Loss of a loved one
Lack of food to offer three meals per day
Health concerns, serious illness for a family member of loved one
Depression, anxiety or mental health struggles
Housing challenges-relocation, adding family member, eviction, downsizing, need to quarantine, etc.
Lack of support for child with special needs
Learning loss and lack of structure
None of the above
Required
What form(s) of technology does your child have access to?
*
Macbook (Air, Pro, etc.)
PC (Lenovo, HP, etc.)
iPad
Android Tablet
Smartphone
Other
My child does not have access to technology
Required
Do you have access to the internet?
*
Yes
No
Required
Please list any trainings that you or your child may need us to provide this school year.
*
Your answer
Please share any questions or concerns that you have for the upcoming school year.
*
Your answer
Parent/Guardian Name
*
Your answer
Parent/Guardian Phone Number
*
Your answer
Parent/Guardian Phone Email
*
Your answer
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