Quest X

PARENT Questionnaire

Step 1:


Step 2:

Student Questionnaire

Step 3:

Parent Questionnaire

Step 4:

Medical Form

Final Step:


We request that the father (if possible) fill out this questionnaire. The information you as parents provide is vital for our being able to effectively work with your son. Please take time to share as much as you can.

"*" indicates required fields

Would you say that your son generally understands authority structures?*
At this time, does your son accept you as an authority in his life?*
Besides yourself (and/or spouse), does your son generally accept other authorities that God has placed in his life?*
(i.e. teachers, church leaders, etc.)?

MM slash DD slash YYYY

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One Academy Blvd. Big Sandy, TX 75755

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