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* 1. Student Name - (Please enter your child's first and last name):

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* 3. Who was the primary teacher for the student you listed above:

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* 4. In total, how many students (of all ages) did you have in your home participating in at home learning during this school closure?

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* 5. Do you have reliable internet access (outside of a Smartphone) in your home that your child could use to complete school work?

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* 6. Did your child “check out” a school device like a Chromebook or Laptop?

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* 7. About how much time was your child engaged in learning during the school closure on an average day?

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* 8. Were you or your child able to get help when needed with at home learning questions or issues?

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* 9. Did your student's teacher communicate to you how to get help with home/remote learning?

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* 10. Was the amount of work provided:

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* 11. Given the circumstances, how satisfied are you as a parent/caregiver with the at home learning opportunities provided during the school closure?

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* 12. Please list some things that went well in terms of at home learning during school closure:

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* 13. Please list some things that didn't go as well as you had hoped in terms of at home learning during the period of school closure:

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* 14. Are there other things you want the school to know?  Was there something else you needed for your child during this time that was not provided by the school?  


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* 15. If the district were to offer Summer School that was similar to the opportunities provided during the school closure from July 20th-August 6th, would your child participate (saying Yes is not a total commitment but we are trying to gauge interest for planning purposes)?

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