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Family Needs Assessment 2023-24
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1.
Please select the school(s) your children attend.
(Required.)
A. B. Hill Elementary
A. Maceo Walker Middle
Alcy Elementary
American Way Middle
Avon School
B. T. Washington High
Balmoral/Ridgeway Elementary
Barret's Chapel School
Belle Forest Community School
Bellevue Middle
Berclair Elementary
Bethel Grove Elementary
Bolton High
Brownsville Road Elementary
Bruce Elementary
Campus Elementary
Central High
Cherokee Elementary
Chickasaw Middle
Chimneyrock Elementary School
Colonial Middle
Cordova Elementary
Cordova High School
Cordova Middle
Craigmont High
Craigmont Middle
Cromwell Elementary
Crump Elementary
Cummings School
Delano Elementary
Dexter School
Double Tree Elementary
Douglass High
Douglass School
Downtown Elementary
Dunbar Elementary
E.E. Jeter School
East High
Egypt Elementary
Evans Elementary
Ford Road Elementary
Fox Meadows Elementary
Frayser-Corning Elementary
G.W. Carver College & Career Academy
Gardenview Elementary
Geeter School
Georgian Hills Elementary
Georgian Hills Middle
Germanshire Elementary
Germantown Elementary
Germantown High
Germantown Middle
Getwell Elementary
Gordon Achievement Academy ES
Gordon Achievement Academy MS
Grahamwood Elementary
Grandview Heights Middle School
Hamilton High
Hamilton School
Hanley K-8
Havenview Middle
Hawkins Mill Elementary
Hickory Ridge Elementary
Hickory Ridge Middle
Highland Oaks Elementary
Highland Oaks Middle
Hollis F. Price Middle College
Holmes Road Elementary
Hope Academy
Ida B. Wells Academy
Idlewild Elementary
Invictus Academy at Airways
J. P. Freeman School
Jackson Elementary
Kate Bond Elementary School
Kate Bond Middle School
Keystone Elementary
Kingsbury Career & Technology Center
Kingsbury Elementary
Kingsbury High
Kingsbury Middle
Kirby High
LaRose Elementary
Levi Elementary
Lowrance School
Lucie E. Campbell Elementary
Lucy Elementary
Macon-Hall Elementary
Manassas High
Maxine Smith STEAM Academy
Medical District High School
Melrose High
Memphis Virtual Adult High School
Memphis Virtual School
Middle College High
Mitchell High
Mt. Pisgah Middle/High
Newberry Elementary
Newcomer International Center
Newcomer International-Kirby
Norris Achievement Academy ES
Norris Achievement Academy MS
Northaven Elementary
Northeast Prep Academy
Oak Forest Elementary
Oakhaven Elementary
Oakhaven High
Oakhaven Middle
Oakshire Elementary
Overton High
Parkway Village Elementary
Peabody Elementary
Raleigh-Bartlett Meadows Elementary
Raleigh-Egypt High
Raleigh-Egypt Middle
Richland Elementary
Ridgeway Early Learning Center
Ridgeway High
Ridgeway Middle
Riverview School
Riverwood Elementary School
Robert R. Church Elementary
Ross Elementary
Rozelle Elementary
Scenic Hills Elementary
Sea Isle Elementary
Sharpe Elementary
Sheffield Career & Technology Center
Sheffield Elementary
Sheffield High
Shelby Oaks Elementary
Sherwood Elementary
Sherwood Middle
Shrine School
Snowden School
South Park Elementary
Southwest Career & Technology Center
Southwind Elementary
Southwind High
Springdale Elementary
Treadwell Elementary
Treadwell Middle School
Trezevant Career & Technology Center
Trezevant High
University Middle School
Vollentine Elementary
Wells Station Elementary
Westhaven Elementary
Westside Elementary
Westwood High
White Station Elementary
White Station High
White Station Middle
Whitehaven Elementary
Whitehaven High
Whitney Elementary
William Herbert Brewster Elementary School
Willow Oaks Elementary
Winchester Elementary
Winridge Elementary
Wooddale High
Woodstock Middle School
Other (please specify)
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2.
How many children attend a Memphis Shelby County School?
(Required.)
1
2
3
4
5 or more
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3.
What are the ages of the children living in your household for which you are the LEGAL GUARDIAN? Please select all that apply.
(Required.)
Pregnant
Birth through 11 months
12 through 23 months
3-4 years old
5-9 years old
10-13 years old
14-18 years old
19-21 years old
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4.
How many people currently live in your household (including yourself)?
(Required.)
2
3
4
5
6
7
8
9 or more
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5.
What is your marital status?
(Required.)
Married
Living with partner
Single
Separated
Divorced
Widowed
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6.
What is your relationship to the child(ren) in your household? Please select all that apply.
(Required.)
Mother/Stepmother
Father/Stepfather
Adoptive Parent
Foster Parent
Court-Appointed Legal Guardian
Grandparent
Other
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7.
What is your relationship to the child(ren) in your household? Please select all that apply.
(Required.)
Mother/Stepmother
Father/Stepfather
Adoptive Parent
Foster Parent
Court-Appointed Legal Guardian
Grandparent
Other
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8.
How long have you lived in Memphis and/or Shelby County?
(Required.)
Less than one year
1-3 years
4-6 years
7-9 years
10 or more years
Not a Memphis and/or Shelby County resident
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9.
What is the highest level of education you have completed?
(Required.)
No formal schooling
Some Elementary School
Some Middle School
Some High School
High School Diploma or GED
Associate's degree
Bachelor's degree
Master's degree
Advanced degree
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10.
What is your total household income?
(Required.)
Under $15,000
Between $15,000 and $29,999
Between $30,000 and $49,999
Between $50,000 and $74,999
Between $75,000 and $99,999
Between $100,000 and $150,000
Over $150,000
11.
Does your child have a part-time job?
Yes
No
My child is not of age to work.
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12.
Which, if any, of the benefits and/or services below do you currently receive?
(Required.)
Food Stamps/SNAP
Earned Income Tax Credit
Head Start/Earl Head Start
Medicaid
Child Care Subsidy
Housing Choice or Affordable Housing
None of the above
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13.
Many families have a number of strengths as well as challenges. From the statements listed below, please indicate how well each characteristic describes your family.
(Required.)
Please select a choice below.
In my family, we talk about problems.
-- Select an option --
Never
Rarely
Sometimes
Often
Always
When we argue, my family listens to "both sides of the story."
-- Select an option --
Never
Rarely
Sometimes
Often
Always
In my family, we take time to listen to each other.
-- Select an option --
Never
Rarely
Sometimes
Often
Always
My family pulls together when things are stressful.
-- Select an option --
Never
Rarely
Sometimes
Often
Always
My family is able to solve our problems.
-- Select an option --
Never
Rarely
Sometimes
Often
Always
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14.
Raising children can be challenging. Please indicate how often each statement applies to your in thinking about the relationship with your youngest child living in your home.
(Required.)
Please select a choice below.
There are many times when I don't know what to do as a parent.
-- Select an option --
Never
Rarely
Sometimes
Often
Always
I know how to help my child learn.
-- Select an option --
Never
Rarely
Sometimes
Often
Always
My child misbehaves just to upset me.
-- Select an option --
Never
Rarely
Sometimes
Often
Always
I praise my child when s/he behaves well.
-- Select an option --
Never
Rarely
Sometimes
Often
Always
I have a hard time controlling my temper when I discipline my chid.
-- Select an option --
Never
Rarely
Sometimes
Often
Always
I am happy being with my child.
-- Select an option --
Never
Rarely
Sometimes
Often
Always
My child and I are very close to each other.
-- Select an option --
Never
Rarely
Sometimes
Often
Always
I am able to soothe my child when s/he is upset.
-- Select an option --
Never
Rarely
Sometimes
Often
Always
I spend time with my child doing what s/he likes to do.
-- Select an option --
Never
Rarely
Sometimes
Often
Always
I worried that someone will harm, threaten, or take something from my child at school.
-- Select an option --
Never
Rarely
Sometimes
Often
Always
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15.
Thinking about the times when you feel overwhelmed or stressed, in general would you say that you:
(Required.)
Receive the help or support you need
Receive some help or support, but would like to receive more
Receive just a little help or support and feel the need for a lot more
Do not receive any help or support
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16.
How many times have you or someone in your family...
(Required.)
Number of Days
read, looked at books, or told stores with your child(ren) in the past week?
-- Select an option --
0
1
2
3
4
5
6
7
sang, played and listened to music, played games, or did other learning activities with your child(ren)?
-- Select an option --
0
1
2
3
4
5
6
7
gotten together with another family for play dates, trips to the park, etc.?
-- Select an option --
0
1
2
3
4
5
6
7
ate at least one meal together in the past week?
-- Select an option --
0
1
2
3
4
5
6
7
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17.
Please estimate the number of books in your home.
(Required.)
None
1-10
11-24
25-49
50-74
More than 75
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18.
What do you think are the greatest challenges for accessing parent resources?
(Required.)
Parents don't know all the services the community offers
-- Select an option --
Yes
No
Families who don't fall within an "eligible group" often miss out on parenting resources that could be available to them
-- Select an option --
Yes
No
There is a lack of an array of prevention services for parents of children birth to years olf
-- Select an option --
Yes
No
Support to access parenting services are not always available (e.g., childcare, transportation)
-- Select an option --
Yes
No
There is a lack of ongoing training on diverse topics for parents
-- Select an option --
Yes
No
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19.
Please check if you need any of the services below:
(Required.)
Food assistance
Help finding employment
Getting health insurance
Finding affordable medical services
Locating affordable childcare
Fall/spring/summer break camps for my school-aged children
Help finding affordable housing
Support groups
Literacy/English classes
Help getting clothing or shoes
Help getting furniture
Legal assistance
Mental health services
Immigration/citizenship assistance
Help addressing violence in my home
Other (please specify)
None of the above
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20.
Please select which of the following workshops, if any, you would attend if we were able to offer them.
(Required.)
Job preparation/resume writing
Weight loss/management
Computer/Technology
Parenting
Financial advice
Pregnancy prevention/Family Planning
Alcohol/Drug use prevention
Gang prevention
Bullying
Depression/Mental Health
Other (please specify)
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21.
Please respond to the school safety items based on the current school year.
(Required.)
I feel welcome at my child's school.
-- Select an option --
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
My son or daughter generally behaves well in the classroom
-- Select an option --
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
My child feels safe in the lunchroom/cafeteria.
-- Select an option --
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
My child feels safe in school restrooms.
-- Select an option --
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
My child feels safe in the hallways.
-- Select an option --
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
My child feels safe going to and coming from school.
-- Select an option --
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
My child feels safe in school play areas.
-- Select an option --
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Threats by one student against another are common in the school.
-- Select an option --
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Physical fighting or conflicts happen regularly at school.
-- Select an option --
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Name calling, insults or teasing happen regularly at school.
-- Select an option --
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
Parents are involved in activities at school.
-- Select an option --
Strongly Disagree
Disagree
Neutral
Agree
Strongly Agree
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22.
On average, how often is your child absent from school?
(Required.)
0-1 day per month
2-4 days per month
5-7 days per month
8-10 days per month
More than 10 days per month
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23.
When your child is absent from school, which of the following is the leading cause.
(Required.)
Personal illness of the student
Personal illness of another child in the home
Personal illness of the parent/guardian
Family responsibilities or home situation
Transportation
Mental health or emotional issues for student
Other (please specify)
*
24.
Currently, which of the following do you consider the best way to get updates and information about the school and/or District?
(Required.)
Family Newsletter via email
Website
Social Media
Text Messages
Phone calls
Student's school folder
Other (please specify)
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25.
Outside of school does your child or family have access to:
(Required.)
Personal hygiene products (e.g., shampoo, soap, feminine products, toothbrush)?
-- Select an option --
Yes
Sometimes
No
Equipment to prepare meals (e.g., microwave, stove, plates, utensils)?
-- Select an option --
Yes
Sometimes
No
Technology (e.g., computer/laptop, internet, mobile phone)?
-- Select an option --
Yes
Sometimes
No
School supplies (e.g., markers, posterboards, glue)
-- Select an option --
Yes
Sometimes
No
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26.
When is the best time for IN-PERSON school or district meetings or workshops?
(Required.)
Mondays
-- Select an option --
Before school or Mornings
Midday or Afternoons
After school or Evenings
I prefer not to meet on this day.
Tuesdays
-- Select an option --
Before school or Mornings
Midday or Afternoons
After school or Evenings
I prefer not to meet on this day.
Wednesdays
-- Select an option --
Before school or Mornings
Midday or Afternoons
After school or Evenings
I prefer not to meet on this day.
Thursdays
-- Select an option --
Before school or Mornings
Midday or Afternoons
After school or Evenings
I prefer not to meet on this day.
Fridays
-- Select an option --
Before school or Mornings
Midday or Afternoons
After school or Evenings
I prefer not to meet on this day.
Saturdays
-- Select an option --
Before school or Mornings
Midday or Afternoons
After school or Evenings
I prefer not to meet on this day.
Sundays
-- Select an option --
Before school or Mornings
Midday or Afternoons
After school or Evenings
I prefer not to meet on this day.
*
27.
When is the best time for VIRTUAL school or district meetings or workshops?
(Required.)
Mondays
-- Select an option --
Before school or Mornings
Midday or Afternoons
After school or Evenings
I prefer not to meet on this day.
Tuesdays
-- Select an option --
Before school or Mornings
Midday or Afternoons
After school or Evenings
I prefer not to meet on this day.
Wednesdays
-- Select an option --
Before school or Mornings
Midday or Afternoons
After school or Evenings
I prefer not to meet on this day.
Thursdays
-- Select an option --
Before school or Mornings
Midday or Afternoons
After school or Evenings
I prefer not to meet on this day.
Fridays
-- Select an option --
Before school or Mornings
Midday or Afternoons
After school or Evenings
I prefer not to meet on this day.
Saturdays
-- Select an option --
Before school or Mornings
Midday or Afternoons
After school or Evenings
I prefer not to meet on this day.
Sundays
-- Select an option --
Before school or Mornings
Midday or Afternoons
After school or Evenings
I prefer not to meet on this day.
28.
What are the things you like most about your school or district? What are we doing right?
29.
What are the things you like least about your school or district? What would you like to see the school or district do differently?
30.
Please share any additional information about family needs you believe would be helpful below.
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