K-12 Parent Survey
The purpose of this form is to measure your feelings, thoughts and behaviors towards your child.
Child's Name
First Name
Last Name
Parent Activities
How often do you contact your child's teacher?
Almost Never
Once or twice per year
Every few months
Monthly
Weekly
More
How much effort do you put into your child's learning?
Almost never effort
A little bit effort
Some effort
Enormous effort
How much did you help your child last year?
Almost never
A little bit
Some of them
Frequently
How often have you helped your child with activities outside of school?
Almost never
A little bit
Sometimes
Frequently
How many times have you visited your child's school in the past year?
Almost never
A little bit
Sometimes
Frequently
How often did the child tell you about his/her problems with others?
Almost never
A little bit
Sometimes
Frequently
How often have you supported your child's learning at home?
Almost never
A little bit
Sometimes
Frequently
How often did you spend time on your child's emotional problems?
Almost never
A little bit
Sometimes
Frequently
Do you have any comments regarding this section?
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Child's Interaction
How well do the activities offered at your child's school match his or her interest?
Not well at all
Mildly well
Fairly well
Extremely well
How well does your child work independently on learning activities at home?
Not well at all
Mildly well
Fairly well
Extremely well
How well do the teaching styles of your child's teachers match your child's learning style?
Not well at all
Mildly well
Fairly well
Extremely well
How much effort does your child put into school related task?
Almost never effort
A little bit effort
Some effort
Enormous effort
How much of a sense of belonging does your child feel at his or her school?
No belonging
A little bit belonging
Some belonging
Enormous amount of belonging
How regularly does your child read for fun?
Almost never
Frequently
Sometimes
Almost all the time
How well does your child learn from feedback about his/her work?
Not well at all
Quite well
Fairly well
Extremely well
Do you have any comments regarding this section?
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Perception of The School Environment
What extent do you think that children enjoy going to your child's school?
Not at all
Quite a bit
Somewhat
A tremendous amount
How much does the school value diversity of children's backgrounds?
Not at all
Quite a bit
Somewhat
A tremendous amount
How motivating are the classroom lesson at your child's school?
Not at all
Quite a bit
Somewhat
A tremendous amount
How well do administrators at your child's school create a school environment that helps children learn?
Not at all
Quite a bit
Somewhat
A tremendous amount
How much respect do you think the teachers at your child's school have for the children?
No respect
Quite a bit respect
Some respect
A tremendous amount of respect
Do you have any comments regarding this section?
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General Information
What is your child's grade?
Describe your relationship to your child.
Describe your child's race/ethnicity.
What year were you born?
What was the primary language spoken in your childhood home ?
Describe what language you speak with your child currently.
What is the highest level of education you have completed?
What is your approximate average household income?
Do you have any other comments, questions, concerns?
Submit
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