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* 1. School District
Please enter the district your school building is in located even if it is not a public school (Charter, Private School).

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* 2. School Building
Please enter the name of the school building your child attends:

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* 3. Grade
Please enter your child's grade level:

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* 4. Teacher Name
Please enter your child's teacher:

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* 5. My child and I reviewed and discussed the material on the 3 KHR worksheets.

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* 6. After review the worksheets, my child's knowledge on body safety has increased.

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* 7. I feel the KHR lessons and follow-up activities assisted my child and I in beginning or continuing body safety conversations at home.

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* 8. The parent brochure and the parent sections on the back of the worksheets, are informative and easy to read.

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* 9. I recommend the Kids Have Rights Program to others.

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* 10. Please use the box below for any comments and/or suggestions you may have. Thank you so much for your time!

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