Parent Survey
This information collection is authorized by OMB # 0704-0437 and RCS # [INSERT ONCE RECEIVED]. The public reporting burden for this collection of information is estimated to average 10 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. Comments can be sent regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to the Department of Defense, Executive Services Directorate [OMB control # 0704-0437]. Respondents should be aware that notwithstanding any other provision of law, no person shall be subject to any penalty for failing to comply with a collection of information if it does not display a currently valid OMB control number. Your responses to these questions are voluntary and there is no penalty if you choose not to respond. However, maximum participation is encouraged so that the data will be complete and representative. The purpose of these group interviews is to identify school-related issues to be addressed through the school improvement process. We will not collect or record information that could be used to identify specific individuals that participate in these interviews. In any release of results, no information will be disclosed that could be used to identify specific subgroups of individuals if that information would reveal the identity of the participants.
NOTE: EACH SCHOOL WOULD CHOOSE ONLY 3-5 OF THE FOLLOWING QUESTIONS FOR PARENTS, DEPENDENT ON THE FOCUS OF THEIR INDIVIDUAL SCHOOL IMPROVEMENT PLAN.
Achievement
1. On a scale of 1-5, with 5 being “Very Good” and 1 being “Very Poor” how well do you think your child is performing in each of the following areas? (Schools would provide as choices only the areas below they are focusing on from the following list).
|
Very Poor
1 |
Poor
2 |
Neither Poor nor Good 3 |
Good
4 |
Very Good
5 |
Reading comprehension |
O |
O |
O |
O |
O |
Writing |
O |
O |
O |
O |
O |
Oral communication |
O |
O |
O |
O |
O |
Listening |
O |
O |
O |
O |
O |
Math computation |
O |
O |
O |
O |
O |
Math reasoning/problem solving |
O |
O |
O |
O |
O |
Science |
O |
O |
O |
O |
O |
Social Studies/History |
O |
O |
O |
O |
O |
Health/Physical Education |
O |
O |
O |
O |
O |
Foreign Language |
O |
O |
O |
O |
O |
Art |
O |
O |
O |
O |
O |
Music |
O |
O |
O |
O |
O |
Problem Solving |
O |
O |
O |
O |
O |
Reasoning/Inquiry |
O |
O |
O |
O |
O |
Using technology |
O |
O |
O |
O |
O |
Leadership |
O |
O |
O |
O |
O |
Personal Discipline/Self-control |
O |
O |
O |
O |
O |
Study Skills |
O |
O |
O |
O |
O |
2. On a scale of 1-5, with 5 being “Very Good” and 1 being “Very Poor” please rate the quality of instruction your child receives in each of the following subject areas.
|
Very Poor
1 |
Poor
2 |
Neither Poor nor Good 3 |
Good
4 |
Very Good
5 |
Reading |
O |
O |
|
O |
O |
Writing |
O |
O |
|
O |
O |
Mathematics |
O |
O |
|
O |
O |
Science |
O |
O |
|
O |
O |
Social Studies |
O |
O |
|
O |
O |
3. On which THREE of the following areas do you think your child’s school should place the most emphasis? (Place checks by the three areas where you feel you need the most help). (Schools would select those areas of focus from the following list).
Reading comprehension |
□ |
|
Reasoning/Inquiry |
□ |
Writing |
□ |
|
Using technology |
□ |
Oral communication |
□ |
|
Leadership |
□ |
Listening |
□ |
|
Personal Discipline/Self-control |
□ |
Math computation |
□ |
|
Foreign Language |
□ |
Math reasoning/problem solving |
□ |
|
Art |
□ |
Science |
□ |
|
Music |
□ |
Social Studies/History |
□ |
|
Problem Solving |
□ |
Health/Physical Education |
□ |
|
|
|
4. The school provides extra academic help to my child when he/she needs it. (Please mark one).
O Strongly agree
O Agree
O Undecided
O Disagree
O Strongly disagree
5. This school is preparing my child well for the next grade. (Please mark one).
O Strongly agree
O Agree
O Undecided
O Disagree
O Strongly disagree
6. [FOR PARENTS OF HIGH SCHOOL STUDENTS ONLY] This school is preparing my child well for what he/she wants to do after high school. (Please mark one).
O Strongly agree
O Agree
O Undecided
O Disagree
O Strongly disagree
7. [FOR PARENTS OF HIGH SCHOOL STUDENTS ONLY] This school is preparing my child well for the world of work. (Please mark one).
O Strongly agree
O Agree
O Undecided
O Disagree
O Strongly disagree
8. When my child graduates, I am confident in their:
|
Yes |
No |
Ability to write |
O |
O |
Ability to read |
O |
O |
Ability to do mathematics |
O |
O |
Ability to present information |
O |
O |
Technology skills |
O |
O |
Safe Environment
9. My child’s school maintains good discipline. (Please mark one).
O Strongly agree
O Agree
O Undecided
O Disagree
O Strongly disagree
10. How safe do you think your child feels at school? (Please mark one).
O Very safe
O Safe
O Undecided
O Unsafe
O Very Unsafe
11. Discipline problems are handled quickly at my child’s school. (Please mark one).
O Strongly agree
O Agree
O Disagree
O Strongly disagree
O Undecided
12. Discipline problems are handled fairly at my child’s school. (Please mark one).
O Strongly agree
O Agree
O Undecided
O Disagree
O Strongly disagree
13. On a scale of 1-4, with 4 being “Very Safe” and 1 being “Very Unsafe” how safe do you feel your child is in each of the following locations at school?
|
Very unsafe 1 |
Unsafe
2 |
Neither safe nor Unsafe 3 |
Safe
4 |
Very Safe
5 |
Does Not Apply |
a. School Hallways |
O |
O |
O |
O |
O |
|
b. Classrooms |
O |
O |
O |
O |
O |
|
c. School Lunchroom |
O |
O |
O |
O |
O |
|
d. School Playground |
O |
O |
O |
O |
O |
|
e. School Parking Lot |
O |
O |
O |
O |
O |
|
f. School Restrooms |
O |
O |
O |
O |
O |
|
g. School Buses |
O |
O |
O |
O |
O |
O |
h. Walking to and from school |
O |
O |
O |
O |
O |
O |
i. Other (please specify): _________ |
O |
O |
O |
O |
O |
|
School Partnerships
14. I feel welcome when I visit my child’s school. (Please mark one).
O Most of the time
O Sometimes
O Rarely
O No answer
15. How often do the teachers at your child’s school communicate with you (by phone,
email, classroom newsletter, etc.)? (Please mark one).
O At least once a week
O At least once a month
O Once or twice a year
O No answer
16. Who usually initiates the communication between you and the school? (Please mark one).
O The parent/sponsor
O The teacher
O The principal/assistant principal
O Someone else: _________________________________________
17. My child’s school encourages parent/guardian involvement at school related events. (Examples might include parent nights, sports, or field trips.) (Please mark one).
O Yes
O No
O No answer
18. The staff at my child’s school listen carefully when I express my opinions and concerns. (Please mark one).
O Most of the time
O Sometimes
O Rarely
O No answer
| File Type | application/msword |
| File Title | Please indicate whether you agree or disagree with the following statements |
| Author | user |
| Last Modified By | pltoppings |
| File Modified | 2007-01-30 |
| File Created | 2007-01-23 |