November 1, 2018

Dear Parent or Guardian,

To make sure we give the best possible education and services to children in Wellesley, we want to learn about their attitudes and behaviors with regard to a variety of health issues. In order to accomplish this, students at Wellesley High School are being asked to participate in a survey called the MetroWest Adolescent Health Survey. The questions of the survey cover many topics including alcohol, tobacco and other drug use; violence and safety; nutrition and physical activity; sexual behaviors; online behaviors; mental health; and protective factors. This project will help our district develop and enhance its health education and prevention services. Wellesley has participated in the survey six times now, over a 12-year period, so we have a lot of data to work with.  We will be giving this survey to students in grades 9-12 on Thursday, November 8th during an extended Advisory period.

The survey is anonymous, meaning your child will not put his or her name on the survey and no one will know what they write.  There will be no identifying information on any of the surveys.

Completing this survey is voluntary.  Your child’s grades in school will not be affected by whether or not s/he participates.  Your child can also decide not to take the survey or skip any question s/he doesn’t wish to answer.

The Protection of Pupil Rights Amendment is a Federal Law that requires us to notify you ahead of time about the survey, and give you the chance to look at it, so you can let us know if you don’t want your child to take part.  If you want to see the survey before deciding, a copy will be available in the Main Office at the High School from October 31st to November 7th.

If you DO NOT want your child to take part in the survey, please complete and detatch the form below or download the attachment and have your child return it to his or her Advisor in Advisory by Wednesday, November 7th.

If you have any questions, please feel free to contact Joanne Grant, Director of Fitness and Health at GrantJ@wellesleyps.org, or 781-446-6210, Extension #5894


Dr. Jamie Chisum


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Child’s Name (Please print): _____________________________________________________________

Child’s School: ________________________________________   Grade: ____________________

I DO NOT allow my child to participate in the 2018 MetroWest Adolescent Health Survey.


Your name (please print)

_______________________________________________ ________________________________


Metrowest Adolescent Health Survey – Nov. 8

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