Exit PANDEMIC IMPACT REGISTER Question Title * 1. This questionnaire is designed so school can deploy our resources appropriately. Following research studies that have taken place of the last 5 months it is clear that the pandemic, lock down and school closures have impacted lives.Child's Name Question Title * 2. Select the statement that best describes your families health through the pandemic and lock down. I have had significant worries about my families health and life in general. I have been satisfied with my families health and life in general. I have had no worries about my families health and life in general. Please add any details that will help school gain an understanding of your experiences. Question Title * 3. Select the statement that describes your home life experiences through the pandemic and lock down. It has been very difficult and we have had tensions in the family home. We have had some ups and downs but have worked through them as a family. It has been good to spend time together as a family and concentrate on home life. Please add your own comment if one of the options is not suitable. Question Title * 4. Please select any of the following answers that may have occurred during the pandemic or lock down. This information will be dealt with sensitively but will enable school to provide further support for your child and family. Struggle with routines with children Increased disagreements in the household Members of the family feeling emotionally disconnected Members of the family feeling physically disconnected Members of the family struggled with work commitments and home-schooling Members of the family struggling with the reduction in work commitments Members of the family struggling with furlough Members of the family being made redundant Family bereavement Family separation A member of the family being COVID-19 positive Family (child) members worrying about returning to school Family (adult) members worrying about returning to school Family (child) members worrying about returning to work Family (adult) members worrying about returning to work Other (please specify) Question Title * 5. How can school provide further support? Continued communication about the recovery plan and return to school Signpost adult counselling support Provide a family (child) member with counselling in school Signpost financial support Signpost School Nurse Other (please specify) Question Title * 6. Which of the following statements describes your school return experience? My child has loved coming back to school and is extremely positive about school life. My child has loved coming back to school and is positive about school life. My child has returned to school and is indifferent about school life. My child has worried about coming back to school and is negative about school life. My child has worried about coming back to school and is extremely negative about school life. Other (please specify) Question Title * 7. Finally, is there anything you would like school to be aware of prior, during and after the lockdown? Next