Grade 5 Survey

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Parent Resources
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PS 184 Art
- PS184 Art Page
- PS184 Halloween Art

School Info
Parent Resources
PTA
Our School
PS 184 Art
- PS184 Art Page
- PS184 Halloween Art

Family size: The number of people in our household is: *

1
2
3
4
5
6 or more

Communication in the home: In our home we speak another language besides English *

Yes
No

If Yes, What Language?

Childcare: Primary person who cares for the children before and after school is: *

Parent
Sibling
Grandparent
Babysitter
Afterschool program

Available Technology: The number of internet capable devices in the home besides cell phones are: *

0
1
2
3
4 and over

When is it convenient for you to attend (virtual) meetings / workshops? *

Morning
Evening

What days are convenient for you to attend (virtual) meetings / workshops? (you can select more than one day) *

HOMEWORK

My child completes their homework: *

Completely Independently
With some support
With a lot of support

The amount of time my child takes to complete homework is: *

Less than 1 hour
1-2 hours
2-3 hours

READING

How long do you read with your child each day? *

Less than 15 minutes
15-30 minutes
30-60 minutes

Where do you get books for your child (pick all that apply) (copy) *

Does your child have a library card? *

Yes
No

CULTURAL CONNECTIONS

A special holiday or tradition in our family is:

This special holiday usually takes place in the month:

One thing I would like to share with the school about our family is:

Child's Name (optional)

First

Last

Class (optional)

Contact Us

Main Office:
718-352-7800
School Nurse:
718-352-7800 (Ext 1172)
Fax: 718-352-0311
School Email: 25Q184@schools.nyc.gov

163-15 21st Rd., Whitestone NY 11357

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