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* 1. My child/ren attend the following site(s).

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* 2. How comfortable is your child/children when asking for help from adults at school?

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* 3. The school offers me a variety of ways to give feedback.  (check only one)

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* 4. The school has informed me of my family’s Title I rights and my family takes part in the decision making process to support my child's/children's learning and growth.  (check only one)

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* 5. The best ways for the school to communicate information to me are: (check all that apply)

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* 6. The school offers a variety of ways for me to be engaged when I’m unable to physically be present in the school building to contribute to my child's/children’s needs.  (check only one)

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* 7. I have participated in learning opportunities that assist me to support my child's/children’s educational needs.  (check only one)

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* 8. I would like information, tools, and strategies to enrich my child's/children’s learning experience with the following topics: (Check all that apply)

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* 9. Parent/family meetings and workshops are held at various times during the school year. To better serve your needs, which time is best for you?  (check only one)

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* 10. In order to meet the educational needs of your child/children, provide comments or suggestions on how the school may best include you in making school-based decisions.

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