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Annual Family Survey

(must be complete with annual registration form and fees)

Please help us tailor our program to meet your child’s individual needs, skills, abilities and interests by sharing background information about your child and your family.  Thank you!


Name (optional):
Child's Name: *
Child's Classroom: *
Child's Teacher: *
Date: *
1.To make your child’s learning experience more meaningful, please share any special talents, interests and/or needs your child may have. *
2. With whom does your child play with most often? *
3. To aid in a smooth transition from home to school please share any worries or fears your child may have pertaining to attending his/her class. *
4. What are your aspirations for your child? *
5. What are your expectations for your child’s school? *
6. Do you have any requests on how the school could implement activities which would reflect your family background or belief structure? *
7. Do you have any hobbies or interests you would like to share with your child’s class? *
8. Does your family speak a second language other than English in your home? If so, what language do you speak? Would you be willing to share some songs or words in that language with our class? *
9. What guidelines, expectations or responsibilities (if any) does your child have at home? How do you think these reflect or differ from your understanding of the school’s implementation of positive discipline? *
10. Regular contact and communication between teacher and home is valuable. Do you feel that you *
11. Do you have any questions at this time regarding our assessment procedure and your participation in setting goals for your child? (A copy of the assessments will be shared with you in November, February and May.) *
12. Annually families are given the opportunity to evaluate the school, and a summary of the results are published in the newsletter. Is there any question, comment, concern, or compliment you have at this time? *
13. We will gladly share referrals for any community resources that you might desire as well. Is there any area that you feel a need for community resources at this time? *
14. Are there any activities in the community in which you participate that would be appropriate for our school and your child's class in particular to use as a resource? *
15. We encourage you to take on leadership roles, such as being on the Parent Advisory Board or serving in the Children's Asscociation. Our classrooms provide opportunities to participate. Please check any area you are interested in:
 Room Parent (aslo serves on the Parent Advisory Board)
 North Wall Children's Association Officer
 Materials Asssitant
 Event Committee
 Fall-Cookie Dough
 Winter-Auction
 Spring-Summer Celebration
 Fieldtrip Driver or Chaperone
 Classroom Assistant
 Specialist (share a talent or interst with the class)
 Nature Trail