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Parent Survey
I have prepared some questions in an effort to gain more knowledge about your child, and your
expectations for their learning. Please answer as thoroughly as possible. If you are unsure of a
question or do not feel comfortable answering it, please leave it blank. Thank you!

Child’s name: ___________________________ Date of Birth: ______________________

Your name: ____________________________ Relation to the child:_________________

Phone number: ___________________ email: ___________________________________

How do you prefer to communicate? (circle one) phone email

I really like when teachers: __________________________________________________

_______________________________________________________________________  

I really do not like when teachers: _____________________________________________

_______________________________________________________________________  

Some of my child’s strengths are: _____________________________________________

_______________________________________________________________________  

Some areas that I want my child to improve upon are: _______________________________

_______________________________________________________________________  

Some of my child’s interests are: ______________________________________________

_______________________________________________________________________  

How many books do you have at home that your child would be able to read during the school year?:
(circle one) a lot some very few none

**If you have very few, I can send some home so your child can do some at-home reading.

My hopes for my child this school year are:______________________________________  

______________________________________________________________________  

_______________________________________________________________________  

**Please feel free to write any additional information or questions on the back! Thank you!**

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