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Return to School - Family Survey
District Survey - Please complete a survey for each child
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Name of School Child Attends
AES
CES
AMS
AHS
AIHS
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Student's grade level
Pre-K
K
1
2
3
4
5
6
7
8
9
10
11
12
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Is this child currently attending in-person hybrid learning?
Yes
No
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If your child is participating in hybrid learning, does he/she ride the bus?
Yes
No
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Questions Regarding Possible Next Steps
Please indicate your intentions regarding your child for the remainder of the school year:
I intend to keep my child remote for the remainder of the school year
I hope to transition my child to in-person learning before the end of the school year
I intend to keep my child in-person for the remainder of the school year
Other:
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What factors, if any, would make you comfortable sending your child to school before the end of this school year?
Your answer
What is the minimum distance between desks with which you would be comfortable to send your child in-person to school?
3'
4'
5'
6' (current distance)
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Would you send your child to school on the bus under the revised busing guidelines from DESE (no capacity limit)?
Yes
No
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