In March 2008, some 7th, 9th and
11th grade children will be asked to participate in the California Healthy
Kids Survey. This survey gathers information to assist us in providing
services and support to promote better health among youth and combat
problems such as drug abuse and violence. The survey is voluntary and
anonymous and no names will be recorded or attached to the survey. Your
child may be receiving a notification and withdrawal form. If you don’t
want your child to take the survey, please sign and return the withdrawal
form by Friday, February 22, 2008. For more information, please visit our
website www.scusd.edu or call Manpreet Kaur, training specialist, at (916)
643 – 9262.
The following
letter was sent to some 7th,, 9th, & 11th
grade parents:
English | Spanish | Hmong | Chinese |
Russian | Vietnamese
Click
here to access the California Healthy Kids Survey
If you have any
questions about the survey, or about your rights, call Manpreet Kaur,
Training Specialist, at the district office. She can be reached at (916)
643 – 9262.
Sacramento City
Unified School District
CALIFORNIA HEALTHY
KIDS SURVEY (CHKS)
NOTIFICATION AND
WITHDRAWAL FORM 2007 – 2008 SCHOOL YEAR
(To be
administered only in 7th, 9th & 11th grades)
Dear Parents,
Your
child is being asked to be part of our school’s Healthy Kids Survey,
sponsored by the California Department of Education. This is a very
important survey that will help promote better health among youth and
combat problems such as drug abuse and violence. It will take your child
about one class period to complete the survey. If you do not
want your child to complete the survey, you must notify your school in
writing.
The
survey will gather information on behaviors such as physical activity and
nutritional habits; alcohol, tobacco, and other drugs; school safety;
environmental and individual strengths and assets. This information will
be shared with an outside evaluator(s) for research purposes. You may
examine the questionnaire in the school office or the Healthy Kids Website
(www.wested.org/hks).
The survey is voluntary and anonymous and no names will be recorded
/attached to the survey forms or data. Students who participate only have
to answer the questions they want to answer and they may stop taking the
survey at any time.
The
survey was developed by WestEd, a public non-profit educational
institution. If you have any questions about the survey, or about your
rights, call Manpreet Kaur, Training Specialist, at the district office.
She can be reached at (916) 643 – 9262.
CHKS
Withdrawal Form
By returning this form, I do not
give permission for my child to take the Healthy Kids Survey. Please
return this form to the teacher who gave it to your child, by no later
than Friday, February 22, 2008
(Please Print) My child’s
name is: _____________________________
Grade: __________________
Teacher’s name:
_________________________________
Signature:
_________________________ Date: ___________________
