COVID-19 Parent Survey

Instructions

Please complete the questions below. We are requesting that you complete a separate survey for each child that will be attending the Head Start classroom. Thank you for your valuable input.

Question Title

* 1. What is your child's full name (first name and last name)

Question Title

* 2. What community (city) do you live in?

Question Title

* 3. What model of learning do you prefer for your child?

Long Distance

Hybrid (a combination of classroom & long distance)

Classroom

Comments:

Question Title

* 4. What safety measures would need to be in place for you to be comfortable sending your child to school?

Question Title

* 5. With MDH (MN Department of Health) limitations on transportation, do you have the ability and willingness to transport or arrange alternate transportation to and from school for your child?

Yes

Comments

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* 6. If there are days your child is not in class, will your child need a bag meal provided?

Yes

Comments

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* 7. Do you have a reliable Internet connection available for long distance learning if needed?

Yes

Comments

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* 8. What type of technology device would you have available for your child to use for long distance learning? (check all that apply)

Laptop

Tablet (iPad, Surface, Samsung Galaxy, etc)

Smartphone

Desktop computer

I do not have a technology device available for my child

Comments

COVID-19 Parent Survey

Instructions

Question Title

* 1. What is your child's full name (first name and last name)

Question Title

* 2. What community (city) do you live in?

Question Title

* 3. What model of learning do you prefer for your child?

Question Title

* 4. What safety measures would need to be in place for you to be comfortable sending your child to school?

Question Title

* 5. With MDH (MN Department of Health) limitations on transportation, do you have the ability and willingness to transport or arrange alternate transportation to and from school for your child?

Question Title

* 6. If there are days your child is not in class, will your child need a bag meal provided?

Question Title

* 7. Do you have a reliable Internet connection available for long distance learning if needed?

Question Title

* 8. What type of technology device would you have available for your child to use for long distance learning? (check all that apply)

Question Title

* 9. Do you have any other comments, concerns, or suggestions you'd like to share with us?