Student Survey
Thank you for completing this survey. The more information I have, the better we can work together to help your child do well in my class. Please feel free to use the back side if you need more space for any answer.
Student Name (please print name legibly):
Parent/Guardian Name (please print name legibly):
Relationship to student (i.e.: parent, grandmother….):
Home Phone: Work Phone: Cell Phone:
What is the best number and time to contact you?
[ ] Home [ ] Work [ ] Cell Time:
Comments:
Do you have internet access? Yes No
I can send email updates to keep parents informed of upcoming tests, missed assignments, student’s progress. Would you like to receive email updates? Yes No
1. What do you want teachers to know about your child that they may not know? Also, does your child have any special needs or conditions that I may need to know in order to assist them with their education?
2. What motivates you child?
3. What are YOUR goals for your child?
4. What are your CHILD goals for themselves?
5. Is there anything else that I should know that would be helpful in making me the best teacher for your child?
Parents/students please print/sign and return this survey form stating that you have read and understand this syllabus and have contacted the teacher if you have any questions or concerns related to the syllabus. Parents please write updated contact information in the spaces indicated above. You may also use the back side if you need more space to provide additional information about your child that you may feel is useful for the teacher to know in the classroom.
Student’s Signature/Date Parent’s signature/Date
Thank you for completing this survey. The more information I have, the better we can work together to help your child do well in my class. Please feel free to use the back side if you need more space for any answer.
Student Name (please print name legibly):
Parent/Guardian Name (please print name legibly):
Relationship to student (i.e.: parent, grandmother….):
Home Phone: Work Phone: Cell Phone:
What is the best number and time to contact you?
[ ] Home [ ] Work [ ] Cell Time:
Comments:
Do you have internet access? Yes No
I can send email updates to keep parents informed of upcoming tests, missed assignments, student’s progress. Would you like to receive email updates? Yes No
1. What do you want teachers to know about your child that they may not know? Also, does your child have any special needs or conditions that I may need to know in order to assist them with their education?
2. What motivates you child?
3. What are YOUR goals for your child?
4. What are your CHILD goals for themselves?
5. Is there anything else that I should know that would be helpful in making me the best teacher for your child?
Parents/students please print/sign and return this survey form stating that you have read and understand this syllabus and have contacted the teacher if you have any questions or concerns related to the syllabus. Parents please write updated contact information in the spaces indicated above. You may also use the back side if you need more space to provide additional information about your child that you may feel is useful for the teacher to know in the classroom.
Student’s Signature/Date Parent’s signature/Date