Remote Learning Parent Inquiry Form
Please complete this form to help us understand your family's experience and needs regarding remote learning.
Parent/Guardian Full Name
*
First Name
Last Name
Student's Full Name
*
First Name
Last Name
Student's Grade Level
*
Please Select
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Other
Email Address
*
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Do you have reliable internet access at home?
*
Yes
No
Sometimes
What devices does your child use for remote learning? (Select all that apply)
*
Desktop Computer
Laptop
Tablet
Smartphone
No device available
Other
How satisfied are you with your child's remote learning experience so far?
*
1
2
3
4
5
What challenges has your family faced with remote learning? (Select all that apply)
*
Technical issues (internet/device problems)
Difficulty understanding assignments
Lack of motivation/engagement
Balancing work and supporting learning
Limited communication with teachers
No significant challenges
Other
What additional support or resources would be helpful for your child during remote learning?
Preferred method(s) of communication from the school
Email
Phone call
Text message
School website/portal
Mobile app
Other
Please share any additional comments or suggestions regarding remote learning.
Submit
Should be Empty: