* 1. What is your gender?

* 2. Are you White, Black or African-American, American Indian or Alaskan Native, Asian, Native Hawaiian or other Pacific islander, or some other race?

* 3. What is your ethnicity? (Please select all that apply.)

* 5. Evaluate the following statements.

  Strongly Disagree Disagree Neither Disagree Nor Agree Agree Strongly Agree
Our school's purpose statement is clearly focused on student success.
Our school's purpose statement is formerly reviewed and revised with involvement from parents.
Our school has estasblished goals and a plan for improving student learning.
Our school's governing body operates responsibly and functions effectively.
Our school's governing body does not interfere with the operation of leadership of our school.
Our school has high expectations for students in all classes.
Our school shares responsibility for student learning with it's stakeholders.
Our school communicates effectively about the school's goals and activities.
Our school provides opportunities for stakeholders to be involved in the school.
All of my child's teachers provide an equitable curriculum that meets his/her learning needs.
All of my child's teachers give work that challenges my child.
All of my child's teaches use a variety of teaching strategies and learning activities.
All of my child's teachers meet his/her learning needs by individualizing instruction.
All of my child's teachers work as a team to help my child learn.
All of my child's teachershelp me understand my child's progress.
All of my child's teachers keep me informed regularly of how my child is being graded.
All of my child's teachers report on my child's progress in easy to understand language.
My child sees a relationship between what is being taught and his/her everyday life.
My child knows the expectations for learning in all classes.
My child has at least one adult advocate in the school.
My child is given multiple assessments to measure his/her understanding of what was taught.
My child has up-to-date computers and other technology to learn.
My child has access to support services based on his/her identified needs.
Our school provides qualified staff members to support student learning.
Our school provides an adequate supply of learning resources that are current and in good condition.
Our school provides a safe learning environment.
Our school provides students with access to a variety of information resources to support their learning.
Our school provides excellent support services ( e.g., counseling, and/or career planning).
Our school provides opportunities for students to particiapte in activities that interest them..
Our school ensures that the facilities support student learning.
Our school ensures the effective use of financial resources.
Our school ensures that instructional time is protected and interruptions are minimized.
Our school ensures that all staff members monitor and report the achievement of school goals.
My child is prepared for success in the next school year.
My child has administrators and teachers that monitor and inform me of his/her learning progress.

* 6. What do you like best about our school?

* 7. What do you like least about our school?

* 8. What suggestions do you have for improving this school?

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