California Healthy Kids Survey (CHKS)

Espanol

2011-12

Grades 7, 9 and 11

Your child is being asked to be a part of our school’s California Healthy Kids Survey (CHKS) sponsored by the California Department of Education. This is a very important survey that will help promote better health among our youth, improve the school learning environment and combat problems such as drug abuse and violence. Please read this form for information about the survey, and for instructions on how to withdraw your child. If you do not want your child to complete the survey, you must notify your school.

The results from this survey are compiled into district and county-level CHKS Reports. To view a copy of your district’s report go to http://www.wested.org/chks/reports (Outside Source) and type in the district name.

It is Voluntary. Your child does not have to take the survey. Students who participate only have to answer the questions they want to answer and they may stop taking it at any time.

It is Anonymous. No names will be recorded or attached to the survey forms or data. The results will be made available for analysis only under strict confidentiality controls.

Administration. The survey will be administered in March 23, 2011. It will take about one class period to complete (about 50 minutes).

Potential Risks. There are no known risks of physical harm to your child. Risks of psychological or social harm are very small. None have been reported in seven years of survey administration. In rare instances, some discomfort might be experienced from the questions. The school’s counseling services will be available to answer any personal questions that may materialize.

You may examine the questionnaire in the school office or here. You will need Adobe Acrobat Reader to view these surveys. You can download the free program by clicking here.

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