Room 5 Parent Survey
Please take the time to fill out this survey so I can learn more about your child. Be on the lookout for a sign-up genius for individual assessment times and family check-in meetings so we can get to know each other better. I am looking forward to a wonderful year together!
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Student Name: *
Student Grade Level
Clear selection
Does your student preferred to be called by something other than their legal name?
Parent's Names: *
Do both parents reside in the same home? *
Required
Siblings and ages: *
Parent Email(s): *
May I share your email with other classroom parents? *
Required
What are your child's strengths? *
What is your child still working on? *
What makes your child special? *
What does your child like to do in his/her free time? *
What goals do you have for your child this year? *
What did your child most enjoy about their class last year? *
What did your child not enjoy about their class last year? *
How was your child's remote learning experience last spring? *
Does your child have their own device to do school work? *
What type of device will your child be using during remote learning?
Clear selection
Does your child have their own designated work space at home? *
Would you consider your child to be an independent worker? *
Please explain why or why not.... *
Does your child have any allergies or health issues I need to be aware of? *
Required
If yes, what health issue should I be aware of?
Does your child have any sight or hearing problems? *
If yes, please explain ..
Do you have any concerns about school year this year? Please explain.. *
Is there anything else you want me to be aware of? *
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