Your child(ren) are in which grades (mark all that apply):

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* 1. Your child(ren) are in which grades (mark all that apply):

Which of the following Social/Emotional Health issues do you consider the biggest challenges to student success at Burgin Schools (mark three answers):

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* 2. Which of the following Social/Emotional Health issues do you consider the biggest challenges to student success at Burgin Schools (mark three answers):

Which of the following Physical Health & Safety issues do you consider the biggest challenges to student success at Burgin Schools (mark three answers):

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* 3. Which of the following Physical Health & Safety issues do you consider the biggest challenges to student success at Burgin Schools (mark three answers):

Which of the following Educational issues do you consider the biggest challenges to student success at Burgin Schools (mark three answers):

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* 4. Which of the following Educational issues do you consider the biggest challenges to student success at Burgin Schools (mark three answers):

Which of the following Family issues do you consider the biggest challenges to student success at Burgin Schools (mark three answers):

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* 5. Which of the following Family issues do you consider the biggest challenges to student success at Burgin Schools (mark three answers):

Which of the following Employability/Post-Secondary Educational issues do you consider the biggest challenges to student success at Burgin Schools (mark three answers):

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* 6. Which of the following Employability/Post-Secondary Educational issues do you consider the biggest challenges to student success at Burgin Schools (mark three answers):

The Burgin Family Connections FRYSC Coordinator is willing and available to discuss students' and families' needs.

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* 7. The Burgin Family Connections FRYSC Coordinator is willing and available to discuss students' and families' needs.

The Burgin Family Connections FRYSC Coordinator addresses requests/needs in a timely manner.

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* 8. The Burgin Family Connections FRYSC Coordinator addresses requests/needs in a timely manner.

The Burgin Family Connections FRYSC communicates well with students, families and staff.

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* 9. The Burgin Family Connections FRYSC communicates well with students, families and staff.

The Burgin Family Connections FRYSC Coordinator collaborates with teachers, families, staff, community and other programs or agencies to meet needs.

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* 10. The Burgin Family Connections FRYSC Coordinator collaborates with teachers, families, staff, community and other programs or agencies to meet needs.

The Burgin Family Connections FRYSC Coordinator is visible, accessible and pleasant with students and families.

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* 11. The Burgin Family Connections FRYSC Coordinator is visible, accessible and pleasant with students and families.

The Burgin Family Connections FRYSC Coordinator is willing to help with student, teacher and family issues.

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* 12. The Burgin Family Connections FRYSC Coordinator is willing to help with student, teacher and family issues.

The Burgin Family Connections FRYSC Coordinator is an important and integral part of the school staff.

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* 13. The Burgin Family Connections FRYSC Coordinator is an important and integral part of the school staff.

The Burgin Family Connections FRYSC Coordinator is an important and integral part of the community.

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* 14. The Burgin Family Connections FRYSC Coordinator is an important and integral part of the community.

Burgin Family Connections is removing barriers to student success.

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* 15. Burgin Family Connections is removing barriers to student success.

I would refer a friend or family member to Burgin Family Connections.

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* 16. I would refer a friend or family member to Burgin Family Connections.

My family has received services from Burgin Family Connections.

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* 17. My family has received services from Burgin Family Connections.

If yes, how satisfied were you with those services?

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* 18. If yes, how satisfied were you with those services?

I am familiar with the services offered by Burgin Family Connections.

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* 19. I am familiar with the services offered by Burgin Family Connections.

List the average number of minutes you spend reading with your child(ren) each week.

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* 20. List the average number of minutes you spend reading with your child(ren) each week.

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