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Childs Name_______________________

Parents Name______________________

Hello Parents, this is a questionnaire that I would like for you to fill
out in order for me to get familiar with your child. There will also be space
for you to leave any comments and/or questions for me in regards to your
child that you would like for me to know. Please return this questionnaire
along with the other forms that need to come back to the school. Thank you
for your time!
How was the students experience in the previous grade?
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
___
What are the students favorite subjects?
__________________________________________________________________________
__________________________________________________________________________
__
What are the students least favorite subjects?
__________________________________________________________________________
__________________________________________________________________________
__
What subject(s) did the student have the most difficulty in? Why?
__________________________________________________________________________
__________________________________________________________________________
__
Did the student have any issues/problems in the previous grade? (ex: Like
with other students/teachers/staff)
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
___

Childs Name_______________________
Parents Name______________________

What kind of personality does the student have? (Ex:


Friendly/Shy/Isolated/Independent)
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
___
What kinds of treats/snacks is the student allowed to have? (Cookies, Fruit
cups, lollipops, etc)
__________________________________________________________________________
__________________________________________________________________________
__
Does the student have any allergies that I should be aware of?
__________________________________________________________________________
__________________________________________________________________________
__
Would you like to attend any of the class field trips throughout the year?
__________________________________________________________________________
_
Is there anything that you would like for me to know about the student?
__________________________________________________________________________
__________________________________________________________________________
__________________________________________________________________________
___
What will be the easiest way for us to stay in contact? By phone and/or via
email. Please provide your contact information
(owhesu@richmond.k12.va.us)

Childs Name_______________________
Parents Name______________________

Thank you for your time and please remember to stop by anytime to visit
our class!

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