Name

First Name Last Name

Email

example@example.com

Phone Number

Please enter a valid phone number.

If physical school attendance resumes, how much concerned are you about health and safety?

If physical attendance in school resumes, how concerned would you be in terms of sanitization in the campus?

Considering that measures are in place to ensure safety of students, what is your preference for learning?

I prefer remote learning I would love to physically attend school

How comfortable are you with wearing mask and gloves during class or while in school in long hours?

How comfortable would you feel wearing a personal protective equipment in the classroom?

How satisfied are you with your school in resolving challenges of distance learning?

How satisfied are you with the tools used for virtual classes?

How satisfied are you with the device that you are using for virtual conferencing?

If distance learning continues, what would you like to be continued?

Asynchronous learning Class discussions Online-based examinations Other

If distance learning continues, what would you like to be improved?

Online-based tests and examinations Class discussions Other

What would help you cope in distance learning?

If physical attendance to school resumes, what processes would you like to see?

Medical and Health Inspection prior entry Sanitation requirements for all students and staff Social distancing policies Sanitization of classrooms and hallways periodically Other

What are your challenges in distance learning?

How comfortable are you in returning to school now?

How concerned are you about mental health?

Do you miss meeting in-person your friends or colleagues?

Yes No

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