Parent Roles and Responsibilities Survey
I know how my child is doing socially at school.
Totally Agree
Agree
Neutral
Disagree
Totally Disagree
N/A
I frequently talk with my child when he or she is having a problem with others.
Totally Agree
Agree
Neutral
Disagree
Totally Disagree
N/A
I know my child's close friends.
Totally Agree
Agree
Neutral
Disagree
Totally Disagree
N/A
I often have conversations with my child about what he or she is learning at school.
Totally Agree
Agree
Neutral
Disagree
Totally Disagree
N/A
I put so much effort into helping my child learn to do things for himself/herself.
Totally Agree
Agree
Neutral
Disagree
Totally Disagree
N/A
I frequently help my child understand the content he/she is learning in school.
Totally Agree
Agree
Neutral
Disagree
Totally Disagree
N/A
I frequently help my child engage in activities which are educational outside the home.
Totally Agree
Agree
Neutral
Disagree
Totally Disagree
N/A
My child frequently come to me for help with his/her schoolwork.
Totally Agree
Agree
Neutral
Disagree
Totally Disagree
N/A
What are your family dynamics?
Single parent (divorced)
Single parent (widowed)
Double parent (heterosexual)
Double parent (LGBTQUIA)
Adoptive parent
How many hours do you see your child every day?
Not at all
Less than 1 hour
1-3 hours
4-6 hours
More than 6 hours
Other
How do you feel about the quality of work your child is delivering at school?
Unsatisfactory
Poor
Fair
Good
Excellent
Other
Does your child receive tutoring outside of school?
Yes
No
Other
Do you supplement your child’s learning with outside material?
Yes
No
Other
How can your child’s education be improved? Please list your suggestions below.
Student Grade
School Name (Optional)
Name (Optional)
First Name
Last Name
Email For Results (Optional)
example@example.com
Submit
Should be Empty: