Spring 2018 needs assessment Opportunities for Students Question Title * 1. Family Events Mother(Guardian) Son Event Father(guardian) Daughter Event Family Carnival Family Olympics event Other (please specify) Question Title * 2. Safety Neighborhood Safety Summit Safe Walking Routes Car Seat Safety and access to in expensive car seats Other (please specify) Question Title * 3. Social/Emotional/Medical Support Parent Support Groups Child Care skills birth to teen opportunities to get to know other parents Behavior supports for families to help children Bullying Stress/Anxiety Healthcare and insurance Vision Mental health counseling for caregivers Other (please specify) Question Title * 4. Neighborhood Leadership opportunities in the neighborhood Neighborhood meetings Neighborhood watch Opportunities to connect with neighbors Other (please specify) Question Title * 5. Employment/ Adult Education Jobs (finding, how to apply) Resume help Interview help Job skills Technology skills Computer access for families Connecting to the internet Childcare birth-pre k Process for applying for college Funding for college College requirements Other (please specify) Question Title * 6. Financial Financial Planning Information Credit counseling Paths from renting to home ownership Other (please specify) Question Title * 7. Food/ Clothing Supports Food Supports Clothing Supports Home goods(blankets, pots, pans, towels) Question Title * 8. School Supports Workshops to learn how to support your child's education Workshops to learn how to help with your child's math homework Educational kits to work with your student on skills at home opportunities to be more involved in the school community leadership/volunteer opportunities in the classroom Tutoring for my child Math buddies(mentors work on math) Reading buddies(mentors work on reading) Other (please specify) Question Title * 9. What is your gender? Female Male I don't wish to answer Question Title * 10. In what language do you speak most fluently? Arabic Armenian Chinese English French French Creole German Greek Gujarati Hindi Italian Japanese Korean Persian Polish Portuguese Russian Spanish Tagalog Urdu Vietnamese Other (please specify) Question Title * 11. Your relationship to Dr. Week's Elementary School Student Parent/Guardian Grandparent Other Family Member Friend of Family SCSD Teacher/SCSD Contracted Service Provider Question Title * 12. May we invite you to future discussions regarding the community school and/ or request your input regarding the services and programs that we would like to bring into the school? Name Phone Number Email Done
