• Communication Questionnaire  

     

    Student Name: _________________________________________________ 


    Student Birthday: _______________________________________________ 


    Parent/Guardian Name(s): _________________________________________ 


    When is the best time of day to contact you? ____________________________ 


    What is the best way for me to contact you?   

                  ____ Phone   ____ Email  


    Phone Number: _________________________________________________ 


    Email Address: _________________________________________________ 


    What are your child’s interests/hobbies? 

     

     
    Is there anything you would like me to know about your child?

     

     

      
    This questionnaire is to help me get to know your child a little better.  The information provided will be kept confidential. Parent-teacher communication is important to me, and I believe it will be beneficial to your child as well.  Thank you for your support! 

     

     

    Jeanne Bartley, M.A., CCC-SLP
    Speech-Langauge Pathologist
    jbartley@frsd.k12.nj.us
    (908) 284-7650