List the grades your child(ren) are in.

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* 1. List the grades your child(ren) are in.

How many parent/teacher conferences have you attended
this year?

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* 2. How many parent/teacher conferences have you attended
this year?

Do you feel your child(ren) receives nutritious and tasty meals?    Yes or No     If not, why?

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* 3. Do you feel your child(ren) receives nutritious and tasty meals?    Yes or No     If not, why?

I feel my child(ren) is safe at school.      Yes or No   
Why or why not?

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* 4. I feel my child(ren) is safe at school.      Yes or No   
Why or why not?

Our school reflects a true sense of community?     Yes or No    
Why or why not?

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* 5. Our school reflects a true sense of community?     Yes or No    
Why or why not?

What methods does the school use to keep you updated about
your child(ren)’s academic progress?

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* 6. What methods does the school use to keep you updated about
your child(ren)’s academic progress?

What grade would you give your child(ren)’s school?
A   B   C   D   F   Why?

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* 7. What grade would you give your child(ren)’s school?
A   B   C   D   F   Why?

What do you like about your child(ren)’s school?

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* 8. What do you like about your child(ren)’s school?

What changes would you like to see at your child(ren)’s school?

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* 9. What changes would you like to see at your child(ren)’s school?

How do you let the school know when your child(ren) needs
help?

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* 10. How do you let the school know when your child(ren) needs
help?

Have you received the necessary help/interventions for your
child(ren) when they are needed?  Explain

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* 11. Have you received the necessary help/interventions for your
child(ren) when they are needed?  Explain

What types of help/interventions have helped your child(ren) at school?

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* 12. What types of help/interventions have helped your child(ren) at school?

My child(ren) has been bullied at school?     Yes  or  No    
What type of bullying?

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* 13. My child(ren) has been bullied at school?     Yes  or  No    
What type of bullying?

My child(ren) has been cyberbullied? (egs – Facebook, instant messaging, texting, etc.)  Yes  or  No

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* 14. My child(ren) has been cyberbullied? (egs – Facebook, instant messaging, texting, etc.)  Yes  or  No

Did the school get involved with dealing with cyberbullying
with your child(ren)?     Yes or No

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* 15. Did the school get involved with dealing with cyberbullying
with your child(ren)?     Yes or No

Do you feel the school dealt appropriately with your child(ren)’s bullying incident?     Yes  or  No     Why or why not?

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* 16. Do you feel the school dealt appropriately with your child(ren)’s bullying incident?     Yes  or  No     Why or why not?

My child(ren) is comfortable asking teachers for help.     
Yes or No     If not, why?

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* 17. My child(ren) is comfortable asking teachers for help.     
Yes or No     If not, why?

I feel my child(ren) likes school.  Yes or No   If not, why?

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* 18. I feel my child(ren) likes school.  Yes or No   If not, why?

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