ALC Parent Survey

Mt. View Middle School ALC Parent Survey

Please fill out this questionnaire and return to school as soon as possible.

Student name _________________________                 Nickname(s)_______________________

1. Please list any allergies:

2. Is your child on a special diet? If so, please describe:

3. Does your child have any siblings? If so, please list their names and ages:

4. What are your child’s favorite foods?

5. What are your child’s favorite toys/activities?

6. What is your child’s favorite school subject?

7. What are your child’s strengths?

8. In what area(s) would you like to see your child improve this year?

9. What are you hoping for your child to learn this year?

10. What, if any, concerns do you have for your student this year?

11. What does your child like to do for fun outside of school?

12. Is your child involved in any extracurricular activities? If so, please list:

13. Are there specific days of the week/times that work best for you to come in for meetings?

14. What is your preferred method of communication?

____ Telephone:_____________________

____ Email: __________________________

15. Is there anything else I should know about your child?

Thank you for taking the time to complete this questionnaire. I’m looking forward to getting to know your child. This is going to be a great year!