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* 1. Family/Parent Name

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* 2. If school is in person in the fall, do you feel comfortable sending your child?

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* 3. Do you have masks for your child(ren)?

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* 4. Has your child(ren) been practicing wearing his/her mask?

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* 5. Would you be concerned about a staff member taking your child's temperature each morning?

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* 6. If we have to do 100% remote learning, will you need to borrow a computer/device for your child?

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* 7. How does your child(ren) feel about returning to school with the safety and social distancing requirements in place?

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* 8. What concerns do you have about returning to school in person?

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* 9. What do you need to feel comfortable sending your child(ren) to school?

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* 10. Any additional feedback you would like to share at this time?

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