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Parent Survey
Please take a few minutes to fill out this form. This survey will be strictly confidential. Thank you for your help!
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What is your name?
Your answer
What is your Child's name?
*
Your answer
What is the best way to contact you? Please provide the email or phone number.
Your answer
Your child approaches learning usually with...
curiosity
confidence
anxiety
reluctance
without interest
Clear selection
Your child finds it challenging to:
speak in front others
pay attention
behave appropriately
none of these
Clear selection
How do you describe your child's reading habits?
enjoys reading with others
enjoys reading alone
reads well, but does not enjoy reading
does not read on his/her own
Clear selection
Is there any information for me that you feel would be helpful in making this a great year for your child?
Your answer
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