Family Literacy Check-In Survey Form
Please complete this survey to share your family's literacy habits and support needs. Your feedback helps us better support family learning.
What is your relationship to the child or children in your family?
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Parent/Guardian
Grandparent
Other Family Member
Other
How many children in your family participate in literacy activities at home?
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What are the age ranges of the children participating in literacy activities? (Select all that apply)
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0-2 years
3-5 years
6-8 years
9-12 years
13+ years
How often does your family participate in literacy activities together (such as reading, storytelling, or educational games)?
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Daily
Several times a week
Once a week
Less than once a week
What types of literacy activities does your family enjoy? (Select all that apply)
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Reading books
Storytelling
Singing songs/rhymes
Educational games
Writing/drawing
Other
Please rate your family's enjoyment of literacy activities together.
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1
2
3
4
5
How confident do you feel supporting your child(ren)'s literacy at home?
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Not confident
1
2
3
4
Very confident
5
1 is Not confident, 5 is Very confident
What challenges, if any, does your family face in supporting literacy at home? (Select all that apply)
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Limited time
Lack of materials/resources
Not sure how to help
Language barriers
No challenges
Other
Which resources or support would be most helpful to your family? (Select up to 2)
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Book recommendations
Workshops or events
Online resources
Tips for home activities
Community reading programs
Other
Please share any additional comments or suggestions to help us support your family's literacy journey.
Submit
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