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California Healthy Kids Students Survey

TVUSD students in grades 5,7,9 and 11 are annually asked to participate in the California Healthy Kids Survey (CHKS), sponsored by the California Department of Education. The survey will be given in grades 5, 7, 9 and 11.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.  The survey will be administered from February 13 through February 23, 2017.  Parent permission for grade 5 and opt out forms for grades 7,9 and 11 must be received in your child's school office by January 31, 2017.

TVUSD parents of students in grades, 5, 7,9 and 11 received the permission letters regarding survey participation options through the District's Infinite Campus email system.  Grade 5 parents were also sent hard copy letters through their students.   

Student participation is voluntary.   For students in grade 5, participation is voluntary and requires completion of the elementary parent permission letter listed below.  For students in  grades 7, 9 and 11, parents must notify the school by completing the CHKS Survey Withdrawal Form contained in the secondary permission letter listed below. 


Permission Letters/Withdrawal Form: 

Parent Consent Form For Grade 5 - for the California Healthy Kids Survey - Please return this form to your child’s school by January 31, 2017 to allow permission to participate.  Your child will not participate unless you have authorized them to do so by submitting this form.
Elementary - Grade 5

Elementary-Grade 5 Spanish


Parent Survey Withdrawal Form for Grades 7,9 and 11 – Please return this form by January 31, 2017 to your child’s school to opt your child out of taking this survey.  Your child will participate in the survey unless you opt them out.

Secondary - Grades 7,9,11

Secondary-Grades 7,9, 11 Spanish


To view the surveys by grade level, please click the links below:

Grade 5:


Elementary Military-English

Elementary Military-Spanish

Grade 7:

Middle School 

Middle School-Spanish


Grade 9 and 11:

High School 

High School-Spanish


Grade 7,9, and 11 Military:

Middle School/High School Military

Middle School/High School Military-Spanish