Parent Survey
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1. Which topics are you interested in discussing or learning more about regarding high school students?

	Not Interested	Somewhat Interested	Very Interested
Keeping your child safe in various social situations (parties, social networking, driving,...)	Which topics are you interested in discussing or learning more about regarding high school students? Keeping your child safe in various social situations (parties, social networking, driving,...) Not Interested	Keeping your child safe in various social situations (parties, social networking, driving,...) Somewhat Interested	Keeping your child safe in various social situations (parties, social networking, driving,...) Very Interested
Social dynamics of high school and how to help your child navigate them (harassment, peer pressure, fitting in,...)	Social dynamics of high school and how to help your child navigate them (harassment, peer pressure, fitting in,...) Not Interested	Social dynamics of high school and how to help your child navigate them (harassment, peer pressure, fitting in,...) Somewhat Interested	Social dynamics of high school and how to help your child navigate them (harassment, peer pressure, fitting in,...) Very Interested
Substance abuse: what types are there and how to tell if your child is involved	Substance abuse: what types are there and how to tell if your child is involved Not Interested	Substance abuse: what types are there and how to tell if your child is involved Somewhat Interested	Substance abuse: what types are there and how to tell if your child is involved Very Interested
Sexual activity in high school: what is really going on and how to talk to your child about it	Sexual activity in high school: what is really going on and how to talk to your child about it Not Interested	Sexual activity in high school: what is really going on and how to talk to your child about it Somewhat Interested	Sexual activity in high school: what is really going on and how to talk to your child about it Very Interested
Body image, eating disorders for males and females: how to identify and head them off	Body image, eating disorders for males and females: how to identify and head them off Not Interested	Body image, eating disorders for males and females: how to identify and head them off Somewhat Interested	Body image, eating disorders for males and females: how to identify and head them off Very Interested

Other (please specify)

2. What are the top 1 or 2 issues you would like to learn more about in the coming year? (These may include but are not limited to the topics listed in the previous question.)

What are the top 1 or 2 issues you would like to learn more about in the coming year? (These may include but are not limited to the topics listed in the previous question.)

3. In general, what format for information exchange do you prefer?

	Not Interested	Somewhat Interested	Very Interested
Formal presentation by expert in the field with Q & A	In general, what format for information exchange do you prefer? Formal presentation by expert in the field with Q & A Not Interested	Formal presentation by expert in the field with Q & A Somewhat Interested	Formal presentation by expert in the field with Q & A Very Interested
Counselor/Administration led discussions with Q & A	Counselor/Administration led discussions with Q & A Not Interested	Counselor/Administration led discussions with Q & A Somewhat Interested	Counselor/Administration led discussions with Q & A Very Interested
Informal parent roundtable dialogue	Informal parent roundtable dialogue Not Interested	Informal parent roundtable dialogue Somewhat Interested	Informal parent roundtable dialogue Very Interested
Panel discussion with parents/students/professionals	Panel discussion with parents/students/professionals Not Interested	Panel discussion with parents/students/professionals Somewhat Interested	Panel discussion with parents/students/professionals Very Interested
Guided Interactive workshops	Guided Interactive workshops Not Interested	Guided Interactive workshops Somewhat Interested	Guided Interactive workshops Very Interested

Other (please specify)

4. What topics would you like to discuss or learn more about at Centaurus High School?

	Not Interested	Somewhat Interested	Very Interested
Course selection	What topics would you like to discuss or learn more about at Centaurus High School? Course selection Not Interested	Course selection Somewhat Interested	Course selection Very Interested
College preparation/planning	College preparation/planning Not Interested	College preparation/planning Somewhat Interested	College preparation/planning Very Interested
Planning for after high school	Planning for after high school Not Interested	Planning for after high school Somewhat Interested	Planning for after high school Very Interested
Infinite Campus	Infinite Campus Not Interested	Infinite Campus Somewhat Interested	Infinite Campus Very Interested
Safety	Safety Not Interested	Safety Somewhat Interested	Safety Very Interested

Other (please specify)

5. How interested are you in being involved in CHS future planning?

How interested are you in being involved in CHS future planning? Not Interested

Somewhat Interested

Very Interested

6. What time of day works best for you for parent meetings or presentations?

	Yes	No	Top Preference(s)
Morning	What time of day works best for you for parent meetings or presentations? Morning Yes	Morning No	Morning Top Preference(s)
Lunch	Lunch Yes	Lunch No	Lunch Top Preference(s)
Afternoon	Afternoon Yes	Afternoon No	Afternoon Top Preference(s)
Evening	Evening Yes	Evening No	Evening Top Preference(s)

General comments, concerns or constraints:

7. Would you like to participate in an a parent group that meets regularly to discuss parenting issues?

	Yes	No
I would like to meet weekly	Would you like to participate in an a parent group that meets regularly to discuss parenting issues? I would like to meet weekly Yes	I would like to meet weekly No
I would like to meet biweekly	I would like to meet biweekly Yes	I would like to meet biweekly No
I would like to meet monthly	I would like to meet monthly Yes	I would like to meet monthly No

I would like to participate, but with some other frequency (please specify)

8. Student demographic information:

Please note the grade of your child(ren) in the 2010/11 academic year. - Please count each high school student in family.

Student demographic information: Please note the grade of your child(ren) in the 2010/11 academic year. - Please count each high school student in family. 9th(Freshman)
10th(Sophomore)
11th(Junior)
12th(Senior)

9. Would you like to be added to the Parent Engagement Network (PEN) mailing list to get information about upcoming PEN events at Centaurus?

Would you like to be added to the Parent Engagement Network (PEN) mailing list to get information about upcoming PEN events at Centaurus? Yes (please be sure to note your email below)

10. Optional Information

Optional Information Name:
Email Address:
Phone Number:

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Parent Survey
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