Student’s name________________________

Guardian’s name(s)________________________
________________________

*The intent of this form is for you, as the guardian, to answer the questions listed below.

Once the questions are answered, this will give the educators of your child a better
understanding of what they can do to help them succeed. This sheet is being sent home in
hopes that some questions about your child are getting answered and can help us to prepare
for what we will do next to help your child with their future education.

 What kind of things interest/intrigue your child?

 What is your child’s biggest fear when coming to school?

 What would you like to see for the future of your child’s education?

 What can teachers do to make your child feel more comfortable in the classroom?

 What is your main concern regarding your child’s education?

 What goals do you have for your child?

 What goals does your child have?

 What is your child’s favorite subject in school?

 What is your child’s biggest strengths?