M. GuénetteLa classe d'immersion 8e année
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Parent Survey
Student's Name
*
First
Last
Parent's Name
*
First
Last
Phone Number
*
-
-
My child has access to a computer and the internet at home:
*
Yes
No
My child and I have set up a gmail account for school purposes:
*
Yes
No
Our family gmail address is:
*
I would prefer to be contacted at my:
*
Home
Work Number
Cell Number
My child has access to the following devices that I allow him/her to bring to school:
*
Laptop
Cell Phone
Ipod
Tablet
No Technology
My child's strenghts are: (Do not limit to academic ability, please include physical and social strengths too.)
*
My child needs help with:
*
I would like the teacher to know that:
*
My son/daughter has the following academic needs:
*
My son/daughter has the following physical needs:
*
My son/daughter has the following social/emotional needs:
*
How would you rate your child's sense of responsibility?
*
Needs Improvement
Fair
Good
Excellent
How would you rate your child's attitude toward school?
*
Needs Improvement
Fair
Good
Excellent
What are your child's favourite after-school or weekend interests and activities?
*
What else do you want me to know about your child or your family?
*
Submit