Student Information Survey

Dear Parents,

Please tell us about your child! Your responses below will help us get to know
your youngster and allow us to more quickly design an educational program that
will meet his or her needs this year.

Please fill in the top SIX fields and then write at least one comment for each of the SEVEN sections below.
If you would like a response to your completed survey, you MUST fill in the email address field and pose
your question to a particular teacher -- or the team in general in section # 7. When you click on "Submit"
at the bottom of the form, your evaluation will be sent to Mr. Clauset and shared with 7th HG Wolf Team
teachers at Hanes Middle School.

Parent's Name:

Parent Email Address:

Student Name:

Student Birthdate:

# Siblings in Family:

Age of Student as of September 1st


Please share with us any information you feel is pertinent.

1. Health Issues:  Any issues of which classroom teachers should be aware?

2. Sports / Lessons:  Any regular after school or weekend sports or lessons?

3. Social / Emotional: How does he or she get along with others?  Special concerns?

4. Favorite Subjects:  Think back to 4th, 5th, & 6th grades.

5. LEAST Favorite Subjects: Think back to 4th, 5th, & 6th grades.

6. Hobbies / Pets: Tell us what your child likes to do in his or her free time.

7. Comments / Requests: This one is open-ended. (Free writing -- It's up to you...)
Let us know in this section if you would like an email response to the survey.  
Address your question to a particular teacher
-- or -- to the team in general. With 90+ responses
coming into our email "inbox" it might take a while before we can get back to you, but we will try!
If you don't mention that you would like a response, then THANK YOU in advance for filling out the
survey and we will share the results among teachers on the team. We appreciate your sharing your
knowledge of your son or daughter with us.  The more we know the better "fit" we can make between
the educational program and your child.