Communication Questionnaire  

Student Name: _________________________________________________ 

Student Birthday: _______________________________________________ 

Parent/Guardian Name(s): _________________________________________ 

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!