Mirus Fall Parent Survey 2011 Question Title * 1. What grade is your child in? 7 8 9 10 11 12 Question Title * 2. What is your child's gender? Male Female Question Title * 3. How long has your student been enrolled at Mirus? 0-6 months 7-12 months 13-18 months 19+ months Question Title * 4. What brought you and your child to Mirus?Please Check all that apply. Counselor referral Credit deficient, behind in grade level course work Looking for an alternative educational setting Looking for a safer, more positive learning environment Discipline problems in previous school Other (please specify) Question Title * 5. In what type of school was your child previously enrolled? Public Private Home School Other (please specify) Question Title * 6. Rate your child's overall progress since they have attended Mirus. A - Greatly improved B - Moderate improvement C - Slight improvement D - No improvement F - Student has fallen behind Please rate accordingly. Please rate accordingly. A - Greatly improved Please rate accordingly. B - Moderate improvement Please rate accordingly. C - Slight improvement Please rate accordingly. D - No improvement Please rate accordingly. F - Student has fallen behind Question Title * 7. Rate your child's teacher availability to discuss their academic progress. A - Teacher is always available B - Teacher is regularly available C - Teacher is sometimes available D - Teacher is rarely available F - Teacher is never available Please rate accordingly. Please rate accordingly. A - Teacher is always available Please rate accordingly. B - Teacher is regularly available Please rate accordingly. C - Teacher is sometimes available Please rate accordingly. D - Teacher is rarely available Please rate accordingly. F - Teacher is never available Question Title * 8. Does your child's teacher meet his/her academic needs? Yes No Question Title * 9. Do you feel that your child is learning the skills needed for academic success? Yes No Next >>
