**If you could, I would appreciate you quickly filling out the Questionnaire on the back of this

page**

Please answer the following questions to the best of your knowledge. Circle Y or N when
necessary

1.) Is your child ever overwhelmed with their classwork? Y / N

2.) Does your child have a favorite class or content area? Y / N

If so, what are they?
_________________________________________________________________

3.) Are there any subjects that your child finds difficult and/or challenging? Y / N
If so, what are they?
___________________________________________________________________
4.) Does your child participate in school extracurricular activities (sports or clubs)?
If so, which activities? Y / N
______________________________________________________________________

5.) As a parent, do you work or volunteer in any school extracurricular activities? Y / N

If so, which activities?
______________________________________________________________________