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* 1. Please indicate which school or schools your child or children currently attend. You may select more than one answer.

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* 2. Do you have a child who is either currently attending or has recently completed preschool or kindergarten in this district?

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* 3. In my experience, teachers in my school (district) are state-certified and effective.

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* 4. My school has effective procedures for addressing school safety.

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* 5. The programs of this school (district) meet the requirements of students with special needs (handicapped, learning disabled, EL, gifted and talented, etc.).

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* 6. Our school actively promotes parent/teacher communication.

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* 7. Parents take an active role in their children's education.

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* 8. Our school (district) provides students and teachers with a safe and orderly environment for learning.

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* 9. Discipline policies are fair at this school.

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* 10. The aspects of the Title instructional program I feel are most beneficial are:

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* 11. To contribute to "Well-rounded Educational Opportunities in our district, I would like to see Title IV money spent on (you may check more than one):

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* 12. Federal funds are used effectively at my school.

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* 13. Teachers provide instructional activities that involve students in their learning.

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* 14. The educational program offered to students in our school (district) is of high quality.

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* 15. Teachers hold high expectations for student learning.

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* 16. Having a preschool in our school district is improving our student achievement.

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* 17. A counselor is available if students need assistance.

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* 18. The health services provided in school contributes to the overall success of children.

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* 19. The teacher assistants are beneficial to the overall success of our school district.

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* 20. In our school district, students have access to a variety of resources to help them succeed in their learning, such as technology, media centers, and libraries.

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* 21. I am satisfied with the way school staff members (administrators, teachers, counselors, support staff) treat students.

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* 22. Our school district provides a clean, well-maintained, and pleasant environment for learning.

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* 23. As a whole, teachers are concerned about my son/daughter as an individual.

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* 24. School (district) rules and regulations affecting students are reasonable.

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* 25. Technology is a part of students’ daily school activities.

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* 26. Please provide any suggestions that you believe will improve the quality of education in our schools.

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