DoDEA Questionnaire
Child(ren)'s Name
Grade Level (Select all that apply to your family):
Pre-K
K
1
2
3
4
5
6
7
8
9
10
11
12
Is anyone in your household a military veteran?
Yes
No
Is anyone in your household active duty?
Yes
No
Is anyone in your household employed by SAFB in any capacity?
Yes
No
If yes, please explain:
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Should be Empty: