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Parent Needs Assessment 2020-2021
Hi everyone! We at CMS are very excited to get to know you and your student(s) this year! Please fill out this form and let us know more about your family. We greatly appreciate any information you can give us about your student(s) and any needs/concerns you may have.
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* Indicates required question
Your Name:
*
First and Last
Your answer
Your Student(s) Name:
*
List all students living in your household
Your answer
Your relation to the student(s):
*
i.e. "Mom, Grandfather, uncle" etc.
Your answer
Would you be interested in virtual parent workshops on specific topics?
*
Such as how to navigate schoology, how to read test scores, etc.
Yes
No
If yes, please list the topics you may be interested in learning more about.
Your answer
Areas of concern or growth for your student:
*
Click on all that apply.
goal setting
organization
time management
making friends
test anxiety
depression
anxiety
self-harm
Other:
Required
Any basic needs your family may need at this time:
i.e. "Toiletries, food, water" etc. These are not guaranteed to be fulfilled, but we will assist as best we can.
Your answer
Anything you feel we should know about your student or family situation?
Please list as much information as you feel necessary.
Your answer
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