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* 1. What is your child's gender?

  Male Female
Child 1
Child 2
Child 3

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* 2. What is your child's race or ethnicity?

  White American Indian Black Pacific Islander or Native Hawaiian Asian Hispanic or Latino
Child 1
Child 2
Child 3

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* 3. What grade is your child in?

  Grade K Grade 1 Grade 2 Grade 3 Grade 4 Grade 5
Child 1
Child 2
Child 3

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* 4. Did you complete this survey last year?

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* 5. Did you attend Open House/Back-to-School Night this year?

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* 6. Adults at this school treat students with respect.

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* 7. Homework is productive and supports learning in the classroom.

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* 8. How many report card conferences have you attended for each child at this school this school year? 

  2 1 0
Child 1
Child 2
Child 3

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* 9. I am aware of my child's progress or problems before report cards are sent home.

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* 10. If a problem arises, I would feel comfortable going to the school principal.

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* 11. I am satisfied with the response I get when I contact my child's school with questions or concerns.

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* 12. I feel respected at this school.

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* 13. I feel well-informed about what is going on at the school.

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* 14. I recognize and communicate the value/importance of education to my child/ren.

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* 15. My child has access to extra help (before/after school programs, meeting with teacher before/after school...) outside the classroom when he/she needs it.

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* 16. My child is challenged to meet high expectations at this school.

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* 17. My child is learning what he or she needs to know this year to succeed in later grades.

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* 18. My child is safe at school.

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* 19. My child likes to go to school.

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* 20. My child's teacher(s) are sensitive to my child's individual learning style.

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* 21. My child's teacher(s) communicates grades and class performance to my child in a timely fashion?

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* 22. My child's teacher communicates with me frequently.

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* 23. My child's teacher(s) helps me understand how I can best support my child's learning at home.

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* 24. My child's teacher(s) motivates my child to learn.

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* 25. The academic classwork is interesting to my child.

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* 26. The school communicates well with me.

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* 27. The school environment is caring and supportive.

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* 28. The school facilities are clean and well-maintained.

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* 29. There is at least one adult at the school that my child trusts and can go to for help with a school problem.

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* 30. This school helps students learn to resolve conflicts.

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* 31. This school offers a wide variety of opportunities for parental involvement.

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* 32. This school offers projects, trips, and other hands-on learning opportunities that interest my child.

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* 33. Did your child/ren attend the before- and/or after-school program this year?

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* 34. I am best informed of school information by using:
(check all that apply)

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* 35. In my child's school, there are clear rules against physically hurting other people (for example, hitting, pushing, or tripping).

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* 36. I have seen students at my child's school being physically hurt by other students more than once (for example, pushed, slapped, punched, or beaten up).

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* 37. There are groups of students in the school who exclude others and make them feel bad for not being a part of the group.

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* 38. Students at my child's school will try to stop students from insulting or making fun of other students.

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* 39. Students in my child's school respect each other's differences (for example, gender, race, culture, disability, sexual orientation, learning differences, etc.).

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* 40. Parents/guardians feel welcome at my child's school.

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