2019-2020 Consent for California Healthy Kids Survey

  • Dear Parent or Guardian:
    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 and well-being among our youth, improve the school learning environment, and combat problems such as drug abuse and violence. Your child does not have to take the survey. If you do not want your child to complete the survey, you must notify your school.

    Survey Content
    .
    The survey gathers information on developmental supports provided to youth; school connectedness and barriers to learning; school safety; health-related concerns such as physical activity and nutritional habits; alcohol, tobacco, and other drug use; risk of depression and suicide; and perceived sexual orientation. You may examine the questionnaire in the school office or at our district website OGUSD.ORG. The results from this survey are compiled into district- and county-level CHKS Reports. To view a copy of our district’s report, go to https://calschls.org/reports-data/search-lea-reports and type in the district name.

    It is Voluntary
    .
    Students who, with your permission, agree to participate do not have to answer any questions they do not want to answer, and may stop taking the survey at any time.

    It is Anonymous
    .
    No names are 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 on November 25th.  It will take about one class period to complete (about 50 minutes) and will be administered in your child’s Health/PE class.

    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 21 years of survey administration. In rare instances, some discomfort might be experienced from the questions. Willowside’s counseling services will be available to answer any personal questions that may materialize.

    For Further Information
    .
    The survey was developed by WestEd, a public, non-profit educational institution. If you have any questions about this survey, or about your rights, call Linsey Gannon at 707 542-3322

    Click here to download the consent form
    Click here to view an example of the survey-The survey will be emailed out at a later date.
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    Estimado padre o tutor,
    Le pedimos su permiso para que su hijo forme parte de la encuesta California Healthy Kids Survey que lleva a cabo nuestra escuela y que es patrocinada por el Departamento de Educación de California (California Department of Education). Esta es una encuesta importante que ayudará a proveer información para mejorar el entorno de aprendizaje de la escuela, el logro académico y la salud y bienestar de nuestros jóvenes. Incluye preguntas acerca del abuso de drogas, la seguridad y la violencia, el riesgo de depresión y suicidio, y la orientación sexual.
    La participación de los estudiantes es voluntaria y anónima. Su hijo no tiene que contestar. No se relacionará el nombre u otro tipo de información que identifique a su hijo con las respuestas, salvo el nombre de la escuela.
    La participación del estudiante requiere su permiso por escrito. Esperamos que anime a su hijo a participar para que su opinión y conocimientos formen parte de la información recopilada de esta encuesta. Si no desea que su hijo conteste la encuesta, debe notificar a la escuela devolviendo el formulario adjunto.
    Si tiene preguntas, póngase en contacto Linsey Gannon at 542-3322.
    Si desea ver la encuesta, puede hacerlo en la oficina de la escuela o en Internet en ogusd.org. 

    haga clic aquí para descargar el formulario de consentimiento
    Haga clic aquí para ver un ejemplo de la encuesta: la encuesta se enviará por correo electrónico en una fecha posterior.