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
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
b. I know how to contact someone at the school when I have questions and concerns
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.
d. The school keeps me informed about my child's
academic progress.
e. The school contacts me when my child breaks school rules.
f. The school contacts me to tell me about my child's achievements and successes.
g. There is an adult at the school whom my child trusts and can go to for help with a school problem.
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?
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?
c. been invited to visit your child's classroom?
d. been invited to a program or event at your child's school or to go on a school trip?
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?
b. talked to a teacher about how to help your child learn something your child is struggling with?
c. talked to a teacher about your child's academic progress?
d. talked to a teacher about how you can help your child learn better?
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
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
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
b. The school clearly communicates its expectations for my
child's learning to me and my child.
c. My child's teacher(s) give helpful comments on homework,
class work, and tests.
d. My child is learning what he or she needs to know to
succeed in later grades or after graduating from high school.
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.
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
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
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.
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.
b. My child's school is clean.
c. Discipline is enforced fairly at my child's school.
d. I worry about crime and violence at my child's school.
e. The presence and actions of School Safety Agents help to
promote a safe and respectful learning environment.
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.
b. School staff are disrespectful to students.
c. There is racial or cultural bias by school staff.
d. There is conflict at my child's school based on race, culture,
religion, sexual orientation, gender, or disabilities.
e. Students use alcohol or illegal drugs during school.
f. There is gang activity at my child's school.
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
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.
b. How well your child's school communicates with you.
c. Your opportunities to be involved in your child's education.
d. The education your child has received this year.