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California Healthy Kids Survey

This is a voluntary survey.  Students in grades 5 & 6 will receive the elementary survey; grade 7 will receive the middle school survey; and grades 9 & 11 will receive the high school survey.
 
Permission is needed for students in grades 5 & 6. Opting out of the survey is available for students in grades 7, 9, and 11.  Both forms will be provided by your child's teacher.
 
If you have questions, please contact your teacher or the site administrator for your school.
 
Samples are provided below.  Please let us know if you would like to view this document in Spanish or other language.