Teacher and Staff Survey
Please help the Room Parents get acquainted with you by completing the following survey.


General and Family Information
Teacher Last Name:*
Teacher First Name:*
Grade:*
Birthday (no year):*
Married:
Children:
Grandchildren:
What are your favorites?
(type NONE if you do not have a favorite or DISLIKE if you do not like any type of that item)
Color:*
Books:*
Sport:*
Sports Team:*
Vacation Spot:*
Restaurant:*
Store:*
Charity:*
Hot Drink:*
Cold Drink:*
Smoothie:*
Candy:*
Bagel:*
Muffin:*
Fast food breakfast items:*
Fast food lunch items:*
Cookie:*
Brownie:*
Donut:*
Fruit:*
Flower:*
 

* indicates required field

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