Open House Questionnaire!
Please fill out the following questionnaire for this school year!  Mrs. Hesker and Mr. Veath would like to know a little more about our 5th Graders.  We love to have parent collaboration from Day One, and this survey will allow us to see your child from your perspective. We need parents' help, now more than ever, to form relationships with our students.  We will keep all information confidential, using it only for instructional purposes.
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Email *
Student Name (First and Last please) *
Student's Assigned Homeroom Teacher *
1 point
Parent Name(s) *
Preferred Phone Number(s) *
What is your preferred method of contact? *
If you selected email above, please list all email addresses that you would like us to use.
1 point
What time(s) are best to contact you via phone Monday - Friday?
Does your child have medical/social emotional concerns that we need to know about? *
How would you rate your student's ATTITUDE towards school last school year? *
They did not enjoy it one bit.
They absolutely loved it and had a great time!
How would you rate your student's SUCCESS with learning last year? *
They were not very successful at all during last school year.
They were very successful and were able to shine!
What are your goals for your child for this school year? *
If there is anything that we need to know regarding classroom instruction as it relates to your child, please let us know!
For certain special activities, including Homework Hurray, we select movies to show that are rated PG.  Do you give consent for your child to watch such movies (ex. A Wrinkle in Time, Akeelah and the Bee, etc.)? *
Throughout the year, we will go on small local field trips to the Berger-Kiel House, Mascoutah Public Library, MMS, etc. Do you give your consent for your child to go on these local small field trips. (We will always make you aware of when we are going.) 

*We will still send out permission slips for the larger, out-of-town field trips.
 *
1 point
I have read the school/classroom handbook and will work with Mrs. Hesker and Mr. Veath to be sure this is the absolute best school year ever! *
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