Health Department Opt Out Form

Our school is taking part in the Northeast Ohio Youth Health Survey. This anonymous, evidence-based survey is being conducted by the Stark County Health Department and Ohio Department of Health, with technical assistance from the Centers for Disease Control and Prevention (CDC). The survey is based on prior research and is designed to help understand students’ mental health. The survey will ask about the health behaviors of 7th through 12th grade students. The survey is anonymous and includes questions about life experiences, social media, injuries, mental health, suicide, substance use, and friendships.


This form only needs to be signed and returned if you do NOT want your child to participate.

Download Form Here


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Local Schools

3242 Coral Rd NW
Malvern, OH 44644
Phone: (330) 863-1355