Back to School follow up

Question Title

* 1. What kind of school does your child attend?

Public

Private

Charter

Parochial

Other (please specify)

Question Title

* 2. What grade is your child in?

Early elementary (K-2)

Elementary (3-5)

Middle School (6-8)

High School (9-12)

Other (please specify)

Question Title

* 3. Which type of learning does your child's school provide? Which did you choose for your child?

Learning opportunities your school provided

Learning opportunity that you chose for your child

Question Title

* 4. Does your child’s school have social distancing in place?

6 feet apart

3 feet part

No social distancing

My child is exclusively remote learning

Question Title

* 5. Is your school requiring face masks at school?

Yes for everyone

Yes, but they are allowing for students to have medical waivers so they don’t have to wear them

No, students are indoors and sufficiently distanced

No, they are holding classes outside and sufficiently distanced

Other (please specify)

Question Title

* 6. Is your school checking if students are well before they enter school?

They are doing temperature checks upon entering bus or school

They are allowing families to do self screenings and self report

Other (please specify)

Question Title

* 7. Precautions being used

	Yes	No
Classrooms being sanitized daily?	Classrooms being sanitized daily? Yes	Classrooms being sanitized daily? No
Is your school notifying parents if someone has been COVID-19 positive and was in contact with other students and/or teachers?	Is your school notifying parents if someone has been COVID-19 positive and was in contact with other students and/or teachers? Yes	Is your school notifying parents if someone has been COVID-19 positive and was in contact with other students and/or teachers? No
Does your school allow hand sanitizer in the classroom?	Does your school allow hand sanitizer in the classroom? Yes	Does your school allow hand sanitizer in the classroom? No

Question Title

* 8. Has your child had a transplant (solid organ or BMT)

Yes - Heart

Yes - Kidney

Yes - Liver

Yes - Lung

Yes - Other

Other (please specify)

Question Title

* 9. Please enter your zip code.

Question Title

* 10. Optional - Please enter your email address (email is strictly for follow up purposes on request and will not be used for marketing purposes of any kind).

Back to School follow up

Question Title

* 1. What kind of school does your child attend?

Question Title

* 2. What grade is your child in?

Question Title

* 3. Which type of learning does your child's school provide? Which did you choose for your child?

Question Title

* 4. Does your child’s school have social distancing in place?

Question Title

* 5. Is your school requiring face masks at school?

Question Title

* 6. Is your school checking if students are well before they enter school?

Question Title

* 7. Precautions being used

Question Title

* 8. Has your child had a transplant (solid organ or BMT)

Question Title

* 9. Please enter your zip code.

Question Title

* 10. Optional - Please enter your email address (email is strictly for follow up purposes on request and will not be used for marketing purposes of any kind).﻿

* 10. Optional - Please enter your email address (email is strictly for follow up purposes on request and will not be used for marketing purposes of any kind).