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Hawthorne Family Needs Survey
Please assist our coronavirus planning by completing this brief survey.
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* Indicates required question
Email
*
Your email
Your Name (First Last, "John Smith")
*
Your answer
Your Children's Names (First Last, "John Smith, Jr")
Your answer
Best way to contact you in an emergency
*
Cell phone (please supply below)
Email
Other:
Emergency contact information (cell phone number, email address, other)
*
Your answer
How many children do you have attending Hawthorne by grade level? Please provide an answer for each row.
*
1 child
2 children
3 children
No children
Pre-K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
1 child
2 children
3 children
No children
Pre-K
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
Do you have a computer at home?
*
Yes, I have a desktop computer
Yes, I have a laptop computer
Yes, I have a tablet
Yes, my son/daughter has a school supplied iPad
Yes, I have received a Hawthorne Chromebook
No, I do not have a computer at home. I need a Chromebook.
Required
Do you have internet access at home?
*
Yes, I have Wi-Fi
I only have internet access through a cell phone data plan
No, I need internet access
Other:
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