Family Involvement - Elementary example

This is an example Family Involvement - Elementary survey. This survey includes questions like:

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1) What is your relationship to this child?
  • Mother
  • Step Mother
  • Father
  • Step Father
  • Grandmother
  • Grandfather
  • Aunt
  • Uncle
  • Foster Parent
  • Other:
2) What grade is your child in?
3) What type of school does your child attend?
  • Private, religious school
  • Private, non-religious school
  • Public School
4) Have you or another adult in your household attended a general school meeting in this school year?
  • Yes
  • No
5) Have you or another adult in your household attended a parent-teacher conference this year?
  • Yes
  • No
6) Have you or another adult in your household attended a school event such as a play, musical performance, or sporting event this year?
  • Yes
  • No
7) Have you or another adult in your household been a volunteer at the school?
  • Yes
  • No
8) Have you or another adult in your household served on the PTO or other school based committees this school year?
  • Yes
  • No
9) Have you contacted your child's teacher about school work problems your child is having?
  • Yes
  • No
10) Has the school contacted you about school work problems your child is having?
  • Yes
  • No
11) Have you contacted your child's teacher or counselor about social problems your child may be having in school?
  • Yes
  • No
12) Has your child's teacher or counselor contacted you about social problems your child may be having?
  • Yes
  • No
13) Has your child's teacher contacted you about behavior problems your child may be having in school?
  • Yes
  • No
14) How often do you help your child with homework?
15) How many times have you visited a museum with your child in the past 12 months?
16) How often have you visited a library with your child in the past 12 months?
17) How many times have you read a story to, or with, your child in the past 12 months?
18) Overall, how satisfied are you with your child's school?
19) Overall, how satisfied are you with your child's teacher?
20) How satisfied are you with the academic standards of the school?
21) How satisfied are you with the order and discipline at your child's school?
22) What level of education do you expect your child to complete?
23) What is the highest level of education you have completed?
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