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Period 1/2 A and B: Parent Survey 2023-24
Please complete each question. Thank you! Mrs. Stein
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Child's First Name
*
Your answer
Child's Last Name
*
Your answer
Parent/Guardian Name
*
Your answer
Relationship to Child
*
Your answer
Email Address
*
Your answer
Secondary Parent/Guardian Name (optional)
Your answer
Relationship to Child
Your answer
Email Address
Your answer
To help me plan units and to provide an equitable environment, please let me know what your child has access to at home (check all that apply):
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Internet
A quiet space to work
Obtaining reading books
A black and white printer
Coloring supplies (markers, crayons, colored pencils, etc)
Stapler
Glue
Pens and pencils
Highlighters
Post-It Notes
A mobile device/iPad
Required
Dear Parent: I feel that a partnership between the parent, student, and the teacher is vitally important. To help ensure your child’s success in middle school, and more specifically, in my classroom, I need your help to become more knowledgeable about your child. Any information you can give me that might affect your child’s performance and/or success at school would be appreciated. Possible information could include: academic strengths and weaknesses, learning style(s), outside interests, and any medical/family issues that could impact your child’s performance at school.
Please take some time to type a brief, confidential note to me regarding your child. You may do this below. And, as the year progresses, please email me if anything occurs that I need to be informed about. All information will be held in the strictest confidence.
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Your answer
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