Parent Questionnaire                                             (Freedom Fighter Team/Mrs. McQueary)
I'd like to know more about your student, through your eyes. The more I know, the better I can tailor an educational and motivational program to fit his or her particular needs.

Please answer the questions and complete the information in the following survey. Feel free to write as much or as little as you need to give me the most comprehensive picture of your student as possible.

If you have more than one student in my classes, please fill out this form once for EACH student. Please know you can email me at any time with additional information at beth.mcqueary@pulaski.kyschools.us.

Thank you for your time!
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Email *
STUDENT'S LAST Name *
STUDENT'S FIRST Name *
YOUR Name/Role (Parent/Grandparent/Guardian, etc.) *
What is your preferred method of contact (call/text/email)? Please include an updated phone number and/or email. *
Does your child have access to internet at home? *
What type of device(s) does your child have access to at home? *
Does your child have any allergies/medical conditions? *
How would you rate your child’s ATTITUDE towards school? *
Needs Improvement
Loves it!
Which academic subject is your child's best? Worst? Favorite? *
What does your child enjoy doing outside of school? *
5 words that describe your child’s Personality and Character (ex: competitive, cheerful, perfectionist, etc.): *
What GOALS do you have for your child? *
My child learns best when.... *
My child's STRENGTHS include: *
My child's WEAKNESSES include: *
What MOTIVATES your child? *
What else would you like me to know about your child? *
Do you have a homework/studying routine at home? *
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