Please complete the form below. Mandatory fields marked *
If you have more than one child in the same school ... please fill out just one survey about your oldest child.
| 1. In which grade is your child at this school? |
9th Grade |
10th Grade |
11th Grade |
12th Grade |
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| 2. How much do you Agree or Disagree with the following statements about your child's school? |
Strongly Agree |
Agree |
Disagree |
Strongly Disagree |
Does Not
Apply |
| a. I feel welcome in my child's school |
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| b. I know how to contact someone at the school when I have questions and concerns |
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| c. My child's school makes it easy for me to attend meetings by holding them when I can come, providing an interpreter, or in other ways. |
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| d. The school keeps me informed about my child's
academic progress. |
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| e. The school contacts me when my child breaks school rules. |
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| f. The school contacts me to tell me about my child's achievements and successes. |
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| g. There is an adult at the school whom my child trusts and can go to for help with a school problem. |
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| 3. How often during this school year have you: |
At least
once a
week |
About
once a
month |
Once
every few
months |
Once or
twice
this
school
year |
Never |
| a. received information about what your child is studying in school? |
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| b. received information on services for your child or for you, such as: tutoring, after-school programs, or classes you can take to help your child learn? |
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| c. been invited to visit your child's classroom? |
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| d. been invited to a program or event at your child's school or to go on a school trip? |
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| 4. How often during this school year have you: |
At least
once a
week |
About
once a
month |
Once
every
few
months |
Once or
twice
this
school
year |
Never |
| a. contacted a teacher or other adult at your child's school to share with them important information about your child's learning? |
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| b. talked to a teacher about how to help your child learn something your child is struggling with? |
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| c. talked to a teacher about your child's academic progress? |
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| d. talked to a teacher about how you can help your child learn better? |
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| 5. How often do you get a response when you contact your child's school or teacher(s) to offer information or ask questions about your child's learning? |
Always |
Most of
the Time |
Sometimes |
Never |
Does Not
Apply |
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| 6. What are the BEST ways for your child's school or teachers to get information to you about your child's education?
(Mark as few or as many as apply.) |
| Mail |
E-mail |
PA or PTA meetings |
Paper sent home with your child |
School Website |
| School bulletin board |
Phone |
Parent Coordinator |
Community or Citywide Education
Councils |
Parent teacher conferences |
| Other parents |
Other organizations in your
community |
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| 7. How much do you Agree or Disagree with the following
statements about your child's school or teacher? |
Strongly
Agree |
Agree |
Disagree |
Strongly
Disagree |
Don't Know |
| a. The school has high expectations for my child |
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b. The school clearly communicates its expectations for my
child's learning to me and my child. |
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c. My child's teacher(s) give helpful comments on homework,
class work, and tests. |
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d. My child is learning what he or she needs to know to
succeed in later grades or after graduating from high school. |
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e. Answer this question only if you are a high school parent:
This year, school staff helped my child select courses that he
or she needs to graduate and to succeed after graduating. |
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| 8. My child participates in the following courses during the regular school day.
Please mark all that apply. |
| Art |
Music |
Dance |
Theater |
Foreign language |
| Computer skills/technology |
Health |
Physical
education |
None of these
courses |
Don't know |
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| 9. My child participates in the following school activities before or after school.
Please mark all that apply. |
| Art |
Music |
Dance |
Theater |
Foreign language |
| Computer skills/technology |
Team sports
and clubs |
Tutoring/
enrichment
activities |
None of these activities
| Don't know
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| 10. How much do you Agree or Disagree with the following
statement?. |
Strongly
Agree |
Agree |
Disagree |
Strongly
Disagree |
Don't Know |
| My child's school offers a wide enough variety of courses and activities to keep my child interested in school. |
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| 11. How much do you Agree or Disagree with the following
statement about your child's school? |
Strongly
Agree |
Agree |
Disagree |
Strongly
Disagree |
Don't Know |
| a. My child is safe at school. |
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| b. My child's school is clean. |
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| c. Discipline is enforced fairly at my child's school. |
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| d. I worry about crime and violence at my child's school. |
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e. The presence and actions of School Safety Agents help to
promote a safe and respectful learning environment. |
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| 12. How often do you think the following problems occur
at your child's school? |
Never |
Once in a while |
Fairly Often |
Very Often |
Don't Know |
| a. Students threaten or bully other students. |
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| b. School staff are disrespectful to students. |
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| c. There is racial or cultural bias by school staff. |
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d. There is conflict at my child's school based on race, culture,
religion, sexual orientation, gender, or disabilities. |
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| e. Students use alcohol or illegal drugs during school. |
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| f. There is gang activity at my child's school. |
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| 13. Which of the following improvements would you most like your school to make?
Choose ONE |
More effective school
leadership |
More hands-on
learning |
More or better
enrichment
programs |
More or better
arts programs |
More challenging
courses |
| Better communication with
parents |
More teacher
training |
Smaller class
size |
More
preparation for
state tests |
Less preparation
for state tests |
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| 14. How satisfied are you with the following things about
your child's school? |
Very
Satisfied |
Satisfied |
Unsatisfied |
Very
Unsatisfied |
| a. The quality of your child's teacher(s) this year. |
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| b. How well your child's school communicates with you. |
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| c. Your opportunities to be involved in your child's education. |
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| d. The education your child has received this year. |
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