Instructions

Please fill out one survey per GATE child. Answer questions as they relate to you and your student. For most answers, check the boxes most applicable to you or fill in the blanks. Your responses will help us improve our GATE Program.

Please provide the following (optional)

Please provide the following (optional) First Name
Last Name
E-mail
Student's Full Name

Demographic Information

1. Which Yucaipa-Calimesa School does your child attend?

Demographic Information 1. Which Yucaipa-Calimesa School does your child attend? Calimesa Elementary School

Dunlap Elementary School

Meadow Creek Elementary School

Chapman Heights Elementary School

Ridgeview Elementary School

Valley Elementary School

Wildwood Elementary School

Yucaipa Elementary School

Canyon Middle School

Park View Middle School

YHS- 9th Grade Campus

YHS

2. What grade is your child in?

2. What grade is your child in? 4th

5th

6th

7th

8th

9th

10th

11th

12th

Program Design

	Strongly Agree	Mildly Agree	Neutral	Mildly Disagree	Strongly Disagree	Not applicable
3. I am well informed of how GATE instruction is delivered within YCJUSD Schools.	*Program Design 3. I am well informed of how GATE instruction is delivered within YCJUSD Schools. Strongly Agree	3. I am well informed of how GATE instruction is delivered within YCJUSD Schools. Mildly Agree	3. I am well informed of how GATE instruction is delivered within YCJUSD Schools. Neutral	3. I am well informed of how GATE instruction is delivered within YCJUSD Schools. Mildly Disagree	3. I am well informed of how GATE instruction is delivered within YCJUSD Schools. Strongly Disagree	3. I am well informed of how GATE instruction is delivered within YCJUSD Schools. Not applicable
4. I understand YCJUSD's instructional model of differentiated instruction (based on where the student's academic need) for GATE students.	4. I understand YCJUSD's instructional model of differentiated instruction (based on where the student's academic need) for GATE students. Strongly Agree	4. I understand YCJUSD's instructional model of differentiated instruction (based on where the student's academic need) for GATE students. Mildly Agree	4. I understand YCJUSD's instructional model of differentiated instruction (based on where the student's academic need) for GATE students. Neutral	4. I understand YCJUSD's instructional model of differentiated instruction (based on where the student's academic need) for GATE students. Mildly Disagree	4. I understand YCJUSD's instructional model of differentiated instruction (based on where the student's academic need) for GATE students. Strongly Disagree	4. I understand YCJUSD's instructional model of differentiated instruction (based on where the student's academic need) for GATE students. Not applicable
5. My child understands the purpose and intent of the GATE instruction which he/she receives.	5. My child understands the purpose and intent of the GATE instruction which he/she receives. Strongly Agree	5. My child understands the purpose and intent of the GATE instruction which he/she receives. Mildly Agree	5. My child understands the purpose and intent of the GATE instruction which he/she receives. Neutral	5. My child understands the purpose and intent of the GATE instruction which he/she receives. Mildly Disagree	5. My child understands the purpose and intent of the GATE instruction which he/she receives. Strongly Disagree	5. My child understands the purpose and intent of the GATE instruction which he/she receives. Not applicable

Identification

	Strongly Agree	Mildly Agree	Neutral	Mildly Disagree	Strongly Disagree	Not applicable
6. I understand how my child qualified as a GATE student.	*Identification 6. I understand how my child qualified as a GATE student. Strongly Agree	6. I understand how my child qualified as a GATE student. Mildly Agree	6. I understand how my child qualified as a GATE student. Neutral	6. I understand how my child qualified as a GATE student. Mildly Disagree	6. I understand how my child qualified as a GATE student. Strongly Disagree	6. I understand how my child qualified as a GATE student. Not applicable
7. I understand my child's area(s) of high ability or giftedness.	7. I understand my child's area(s) of high ability or giftedness. Strongly Agree	7. I understand my child's area(s) of high ability or giftedness. Mildly Agree	7. I understand my child's area(s) of high ability or giftedness. Neutral	7. I understand my child's area(s) of high ability or giftedness. Mildly Disagree	7. I understand my child's area(s) of high ability or giftedness. Strongly Disagree	7. I understand my child's area(s) of high ability or giftedness. Not applicable

Curriculum Instruction

	Strongly Agree	Mildly Agree	Neutral	Mildly Disagree	Strongly Disagree	Not applicable
8. The GATE teaching methodology of differentiated instruction provides a variety of lessons that respond to the needs, interests, and ability of my child.	*Curriculum Instruction 8. The GATE teaching methodology of differentiated instruction provides a variety of lessons that respond to the needs, interests, and ability of my child. Strongly Agree	8. The GATE teaching methodology of differentiated instruction provides a variety of lessons that respond to the needs, interests, and ability of my child. Mildly Agree	8. The GATE teaching methodology of differentiated instruction provides a variety of lessons that respond to the needs, interests, and ability of my child. Neutral	8. The GATE teaching methodology of differentiated instruction provides a variety of lessons that respond to the needs, interests, and ability of my child. Mildly Disagree	8. The GATE teaching methodology of differentiated instruction provides a variety of lessons that respond to the needs, interests, and ability of my child. Strongly Disagree	8. The GATE teaching methodology of differentiated instruction provides a variety of lessons that respond to the needs, interests, and ability of my child. Not applicable
9. Differentiated assignments are offered to my child.	9. Differentiated assignments are offered to my child. Strongly Agree	9. Differentiated assignments are offered to my child. Mildly Agree	9. Differentiated assignments are offered to my child. Neutral	9. Differentiated assignments are offered to my child. Mildly Disagree	9. Differentiated assignments are offered to my child. Strongly Disagree	9. Differentiated assignments are offered to my child. Not applicable
10. I am satisfied with the level of differentiated instruction my child is receiving.	10. I am satisfied with the level of differentiated instruction my child is receiving. Strongly Agree	10. I am satisfied with the level of differentiated instruction my child is receiving. Mildly Agree	10. I am satisfied with the level of differentiated instruction my child is receiving. Neutral	10. I am satisfied with the level of differentiated instruction my child is receiving. Mildly Disagree	10. I am satisfied with the level of differentiated instruction my child is receiving. Strongly Disagree	10. I am satisfied with the level of differentiated instruction my child is receiving. Not applicable
11. My child has profited intellectually and academically from his/her GATE instruction.	11. My child has profited intellectually and academically from his/her GATE instruction. Strongly Agree	11. My child has profited intellectually and academically from his/her GATE instruction. Mildly Agree	11. My child has profited intellectually and academically from his/her GATE instruction. Neutral	11. My child has profited intellectually and academically from his/her GATE instruction. Mildly Disagree	11. My child has profited intellectually and academically from his/her GATE instruction. Strongly Disagree	11. My child has profited intellectually and academically from his/her GATE instruction. Not applicable

Social Emotional

	Strongly Agree	Mildly Agree	Neutral	Mildly Disagree	Strongly Disagree	Not applicable
12. My GATE child's social/emotional needs are being meet.	*Social Emotional 12. My GATE child's social/emotional needs are being meet. Strongly Agree	12. My GATE child's social/emotional needs are being meet. Mildly Agree	12. My GATE child's social/emotional needs are being meet. Neutral	12. My GATE child's social/emotional needs are being meet. Mildly Disagree	12. My GATE child's social/emotional needs are being meet. Strongly Disagree	12. My GATE child's social/emotional needs are being meet. Not applicable
13. My child has an increased willingness to take the lead and express his/her opinions and ideas.	13. My child has an increased willingness to take the lead and express his/her opinions and ideas. Strongly Agree	13. My child has an increased willingness to take the lead and express his/her opinions and ideas. Mildly Agree	13. My child has an increased willingness to take the lead and express his/her opinions and ideas. Neutral	13. My child has an increased willingness to take the lead and express his/her opinions and ideas. Mildly Disagree	13. My child has an increased willingness to take the lead and express his/her opinions and ideas. Strongly Disagree	13. My child has an increased willingness to take the lead and express his/her opinions and ideas. Not applicable

Parent/Community Involvement

	Strongly Agree	Mildly Agree	Neutral	Mildly Disagree	Strongly Disagree	Not applicable
14. I am aware of the District GATE Advisory Committee meetings.	*Parent/Community Involvement 14. I am aware of the District GATE Advisory Committee meetings. Strongly Agree	14. I am aware of the District GATE Advisory Committee meetings. Mildly Agree	14. I am aware of the District GATE Advisory Committee meetings. Neutral	14. I am aware of the District GATE Advisory Committee meetings. Mildly Disagree	14. I am aware of the District GATE Advisory Committee meetings. Strongly Disagree	14. I am aware of the District GATE Advisory Committee meetings. Not applicable
15. I am aware of Site GATE Advisory Committee meetings (parent meetings).	15. I am aware of Site GATE Advisory Committee meetings (parent meetings). Strongly Agree	15. I am aware of Site GATE Advisory Committee meetings (parent meetings). Mildly Agree	15. I am aware of Site GATE Advisory Committee meetings (parent meetings). Neutral	15. I am aware of Site GATE Advisory Committee meetings (parent meetings). Mildly Disagree	15. I am aware of Site GATE Advisory Committee meetings (parent meetings). Strongly Disagree	15. I am aware of Site GATE Advisory Committee meetings (parent meetings). Not applicable

Please provide any additional comments or suggestions.

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