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| Are you the Mother, Father or Guardian? |
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| If Guardian, are you a Female or Male? |
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| How many children do you have in school? |
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| My child(ren) attends: (check all that apply) |
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| Do you attend Parent/Teacher Conferences? |
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| Do you attend PTO meetings? |
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| Do you go to the school unannounced? |
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| Do you help your child(ren) with homework? |
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| Is your child involved in extracurricular activities? |
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| Is your child excelling academically? |
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