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Chemistry Parent Survey
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* Indicates required question
Student Name
*
Your answer
Parent/Guardian Name (1)
*
Your answer
Parent/Guardian Email (1)
*
Your answer
Parent/Guardian Phone Number (1)
*
Your answer
Parent/Guardian Name (2)
Your answer
Parent/Guardian Email (2)
Your answer
Parent Guardian Phone Number (2)
Your answer
What is the primary language spoken at home?
*
Your answer
Do you have internet access at home?
*
Yes
No
Does your child have the technology they need to be successful in class? (laptop/tablet/chromebook)
*
Yes
No
Would you like to receive weekly emails from Google Classroom showing your child's progress in class each week?
*
Yes
No
Is there anything that I need/you would like me to know about your child?
Your answer
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