Family Phone Wellness Survey
This will be completed by our Families as Partners Team. Daily calls will go out and each person calling will contact 5 people. We will do this until we call every family at the school. Then we will take a break and begin once the new quarter begins.
Sign in to Google to save your progress. Learn more
Student Name - Nombre de estudiante *
Teacher's Name | Nombre de Maestro/a
Grade Level - Nivel de grado
Do you have access to technology & Internet? Can you log in to class everyday? Have you encountered any challenges? Tiene acceso a tecnologia? Puede entrar a la clase todos los dias? Ha tenido algun problema?
Clear selection
Do you have consistent communication with teachers and overall staff? Have you felt supported during Distance Learning? How can we improve? Tiene comunicacion consitente con maestros y  con el personal de nuestra escuela? Se ha sentido apoyado durante el aprendizaje a distancia? Como podemos mejorar?
which of the following meetings do you participate in? En cual de estas actividades participa?
What workshops would you like us to provide at our school? Que talleres le gustaria que proveeamos en nuestra escuela?
How has the pandemic affected you? Como le ha afectado la pandemia?
Do you need mental health/wellness support? usted necesita apoyo de salud/bienestar mental?
Clear selection
Did you know that our school has a family support referral system? Usted sabia que nuestra escuela tiene un sistema de peticion de apoyo?
Clear selection
Do you plan on submitting a Family Support Form? Planea entregar una forma de apoyo familiar?
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Camino Nuevo Charter Academy.

Does this form look suspicious? Report

Google Forms