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3-2-1 Family Survey
No one knows your student better than you! As a family, your perception of your student is an invaluable resource. The more I know and understand about your student, the more effective I can be as a teacher. I look forward to reading your responses and being a part of your team! (All information will be kept confidential.)
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* Indicates required question
Student's Name (please indicate if they prefer to be called a different name in class):
*
Your answer
What 3 words would you use to describe your student?
Your answer
What are 2 things I should know about your student (strengths, challenges, interests, recent changes, etc.)?
Your answer
What is 1 hope you have for your student this school year (academic, social, emotional, behavioral)?
Your answer
Any allergies and/or health concerns that I need to be aware of (please put n/a if none):
Your answer
Is there any other information that you would like me to know about your student?
Your answer
Select any volunteer opportunities that you are interested in:
Class Parties & Activities
Field Trips
In the Classroom
Home
None
Parent/Guardian E-Signature:
Your answer
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