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Parent/Guardians Pre- Survey
Hello Parents and Guardians ! Thank you so much for taking our pre-survey about your Queen! This survey will help us track her progress.
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Name of Child
Your answer
Age
Your answer
School /Grade
Your answer
How would you describe your child's self-esteem?
Very Low
1
2
3
4
5
Very High
Clear selection
Would you say that your child is able to manage her emotions well?
All the time
Most of the time
Sometimes
Never
Clear selection
Would you say that your child knows how to manage conflict well?
All the time
Most of the time
Sometimes
Never
Clear selection
Would you describe your child shy?
All the time
Most of the time
Sometimes
Never
Clear selection
Would you say that you child makes friends easily?
All the time
Most of the time
Sometimes
Never
Clear selection
Would you say that your child is "too hard" on herself?
All the time
Most of the time
Sometimes
Never
Clear selection
Would you say that your child gives up too easily?
All the time
Most of the time
Sometimes
Never
Clear selection
Does your child get along with their siblings at home ?
All the time
Most of the time
Sometimes
Never
Does not apply
Clear selection
Would you say that your child is responsible?
All the time
Most of the time
Sometimes
Never
Clear selection
Does your child enjoy school?
All the time
Most of the time
Sometimes
Never
Clear selection
Does your child struggle behaviorally in class ?
All the time
Most of the time
Sometimes
Never
Clear selection
What do you think your child could improve on ?
Your answer
What would you like your child to gain from Queens Academy programming?
Your answer
What are a couple of great aspects about your child?
Your answer
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