4th & 5th Grade Assets Survey

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1. Type in your student number.

Type in your student number.

2. What grade are you in?

What grade are you in?   4th Grade 5th Grade

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3. Are you a boy or a girl?

Are you a boy or a girl?   Boy Girl

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4. Which one of the following best describes your family?

Which one of the following best describes your family?   I live with my two biological parents. I live in a one-parent family. None of the above apply. I have other living arrangements. I live with one of my biological parents and a step-parent

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5. On an average school day, about how much time do you spend doing homework outside of school?

On an average school day, about how much time do you spend doing homework outside of school?   None 30 minutes or less Between 30 minutes and an hour

1-2 hours 2 hours or more

6. Where do you go after school each day?

Where do you go after school each day?   home with my family and an adult is there home by myself or with a sibling(s) babysitter or day care SACC program (YMCA) other family member's house