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Northridge Community School

Behavior Skills Questionnaire

In an attempt to partner with you, please consider how regularly your child exhibits these behaviors. We are not looking for perfect children — we are interested in parental awareness of their child's behavior. Please be honest, knowing that we are all growing in these areas.

Applicant's Family Name *

Child's Name *

Grade Entering *

Scale: 1 = Never 2 = Rarely 3 = Some of the time 4 = Most of the time 5 = All of the time N/A = Does not apply ? = Not sure

For Students Entering 5th–8th Grade

Additional Questions

My child is entering 5th–8th grade (show the additional questions above)

This questionnaire will be reviewed alongside your family's Enrollment Application.

With gratitude,

✓

Questionnaire Received

Thank you — this Behavior Skills Questionnaire has been submitted to Northridge Community School's admissions team.

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