XXX High School Survey For Parents
Parent's Name (optional)
First Name
Last Name
Gender
Please Select
Female
Male
Transgender
Gender-neutral
Prefer not to say
Relationship to the child
Please Select
Mother
Father
Grandmother
Grandfather
Step-mother
Step-father
Sister
Brother
Aunt
Uncle
Guardian
Adoptive Parent
other
Highest level of education you have completed
Please Select
No schooling completed
Some high school
High school graduate, diploma or the equivalent
Some college
Trade/technical/vocational training
Associate degree
Bachelor’s degree
Master’s degree
Professional degree
Doctorate degree
Email
Cell Phone Number
.
What is your Ethnicity
Please Select
What is the main language spoken at home ______________________
What are some activities your family enjoy together?
Please Select
Eating Out
____Movies or theatre
____Music Concerts
____Sporting Events
____Travel/Vacations
____ Camping or Nature Adventures
____ Other: Please Identify
1. How often do you meet with the teachers at the school?
Never
1-2 times a month
Once in a few months
Once in a year
Weekly or more
2. How often do you talk with your child about the school?
Never
1-2 times a month
Once in a few months
Once in a year
Weekly or more
3. How much effort do you put into helping your children for their homework and studying their lessons?
Almost no effort
Little bit of effort
Some effort
Quite a bit of effort
A tremendous amount of effort
4. To what extend are you aware of you child's social life at school?
Not at all
A little bit
Somewhat
Quite a bit
A tremendous amount
5. How well does your child work independently on his/her subjects?
Not well at all
Mildly well
Fairly well
Quite well
Extremely well
6. How well does the teacher's way of teaching matches your child's way of learning?
Not well at all
Mildly well
Fairly well
Quite well
Extremely well
7. How much effort does your child put into learning his/her tasks?
Almost no effort
Little bit of effort
Some effort
Quite a bit of effort
A tremendous amount of effort
8. How often does your child read?
Never
1-2 times in a month
1-2 times in a week
3+ in a week
Everyday
9. In general, how responsive is your child to feedbacks?
Not responsive at all
Little bit responsive
Somewhat responsive
Quite a bit responsive
Extremely responsive
10. How much do you think your child enjoys going to the school?
Not at all
A little bit
Somewhat
Quite a bit
A tremendous amount
Please rate the school on following parameters
Quality of education
1
2
3
4
5
Teaching methods
1
2
3
4
5
Curriculum
1
2
3
4
5
Teaching aids
1
2
3
4
5
Use of technology
1
2
3
4
5
Location
1
2
3
4
5
Hygiene
1
2
3
4
5
Library and Technology Use/Programs
1
2
3
4
5
Cafeteria
1
2
3
4
5
Sports area
1
2
3
4
5
Campus safety
1
2
3
4
5
Please state your agreement about the school
Rows
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
My child learns easily
My child finds school work interesting
My child finds school work challenging
My child has hard times while doing homework
Students at school help each other
Students at school are bullying each other
Students at school respect each other
My child is motivated by teachers
My child has no problem with the academic staff
My child is treated fairly at school
I feel my child is safe at school
I feel my child is safe on the way to school and back home
My child gets sufficient academic counselling
Social activities matches with my child's interests
School values the diversity of student's background
Classes and academic staff motivate students
Teachers are respectful to the students
Please give an overall rating for the school by considering your and your child's complete experience
Not satisfied
1
2
3
4
5
6
7
8
9
Extremely satisfied
10
1 is Not satisfied, 10 is Extremely satisfied
Please share your comments
Signature
Date
-
Month
-
Day
Year
Date
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