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Room 14 - Back to School Survey 21-22
Please fill out this survey to help me with contact information and to get to know your child better. Thanks!
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* Indicates required question
Your child's first name:
*
Your answer
Your child's last name:
*
Your answer
Your child's birthday
*
Your answer
Parent/Guardian #1 First and Last Name and Relationship to Child:
*
Your answer
Parent/Guardian #1 Email (if none, please put n/a):
*
Your answer
Parent/Guardian #1 Cell Phone Number:
Your answer
Parent/Guardian #2 Full Name and Relationship to Child:
*
Your answer
Parent/Guardian #2 Email (if none, please put n/a):
*
Your answer
Parent #2 Cell Phone Number:
Your answer
What languages are spoken at home?
*
Your answer
Any siblings at home?
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Yes
No
Required
If "yes" there are siblings at home, please list their age or grade level and what school they attend. Please list teacher name of siblings who attend MSJE. If "no" please put n/a:
*
Your answer
How would you describe your child's personality traits?
Your answer
What other after school/weekend activity is your child involved in? Hobbies and extracurricular interests?
Your answer
My child and I are excited about ______ this year:
*
Your answer
My child and I are nervous/concerned about_______:
Your answer
Please share any other information you would like me to know as we begin this school year:
Your answer
I would like to create a class contact page. Are you comfortable with me sharing parent emails/phone numbers?
*
Yes
No
Please only share my email
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