Whiteville City Schools LifeSkills Training Pretraining Survey

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Section A: Demographic Information

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*3.	Date (Please enter in the following way MM/DD/YYYY):

*6.	Who do you live with most of the time? (Pick Only One)

*7.

Which of the following best describes you? (Pick All that Apply)

	If other, please specify

*9.	What grades do you generally get in school? (Pick Only One)

*10.	About how many days were you absent from school last year? (Pick Only One)

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