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Family Survey (E)
Family Survey (E)
Please complete the form below. Required fields marked with an asterisk *
Name of your student(s)
*
Answer Required
1. What grade(s) are your students in?
*
Check all that apply
Answer Required
Pre-K
K
1
2
3
4
5
6
7
8
9
10
11
12
2. What school(s) do your children attend?
*
Check all that apply
Answer Required
Everett High School
Adams
Webster Extension
Devens
Keverian
Lafayette
Madeline English
Parlin
Webster
Whittier
3. Please indicate your student's home language
Answer Required
English
Spanish
Portguese
Haitian Creole
French
Vietnamese
Arabic
Nepali
Other:
4. Does your student(s) have an Individualized Education Plan (IEP) for special education needs?
Answer Required
Yes
No
5. Is your student(s) an English Learner (EL)?
Answer Required
Yes
No
6. If your student(s) attend an e-Learning Center, please tell us how often:
Answer Required
5 Days
3-4 Days
1-2 Days
My student does not attend an e-Learning Center
7. How many hours each day does your student(s) engage in school at home?
This includes time spent in online classes, doing work independently assigned by the teacher, and homework
Answer Required
Less than 1 hour
1-2 hours
2-3 hours
3-4 hours
4-6 hours
6-plus hours
8. Thinking strictly about technology, what best describes the school day for your student(s) and your family:
Answer Required
My student(s) logs in and completes his/her work without any technical help from a caregiver.
My student(s) needs help getting logged in and set up in the morning, but does need any help from a caregiver for the remainder of the day.
My student(s) needs a moderate amount of technical assistance throughout the day.
My student(s) needs a significant amount of technical assistance throughout the day.
9. Once your student(s) is logged into e-Education at the start of each day, what most accurately describes the school day from a learning and social-emotional perspective:
Answer Required
He/she works independently, without any assistance or a encouragement from a caregiver.
He/she works with very little assistance from a caregiver.
He/she needs a moderate amount of help staying engaged in schoolwork throughout the day.
He/she needs a significant amount of help staying engaged in schoolwork throughout the day.
10. Overall, how would you describe the amount of work assigned by your student's teacher?
Answer Required
Too much work is assigned
Just the right amount of work is assigned
Too little work is assigned, and my child has time to do more work if it were offered or expected
11. What would you like to see more of?
Check all that apply
Answer Required
More class time on Zoom live with a teacher
More paper packet distributions for work at home
More communication from the district or your school during remote learning
More individual check-in between teachers and parents
Opportunities for virtual social interactions
More virtual independent work assigned by the teacher
More hands-on independent work assigned by the teacher
More clubs/activities/learning opportunities that are offered in school buildings, either during or after the school day. (Socially distanced and for approximately 1-3 hours)
Specialist classes (art, physical education, music, health, computer)
More school supplies available to families
More training for parents/guardians on technology
Access to Chromebooks
Access to an internet hotspot
12. My student(s) daily class schedule is easy to follow
Answer Required
Strongly agree
Agree
Disagree
Strongly disagree
13. If I need support, I am most likely to contact:
Answer Required
My child's teacher
A Family Liaison
Principal or Assistant Principal
14. When I reach out for support, I feel my school/teacher is responsive
Answer Required
Strongly agree
Agree
Disagree
Strongly disagree
15. My biggest concern about my student(s) during remote learning is:
Answer Required
His/her academic growth
His/her social-emotional health
The absence of extracurricular activities and/or athletics
No major concerns
Confirmation Email
Confirmation Email
Email Required
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