* 1. Do you feel welcome in your child’s school?

* 2. Does your school encourage you to be involved in your child’s education?

* 3. Do you know your school’s academic goals and how you can be involved? _

* 4. Did you participate in any of the following activities offered this year?

* 5. Do you know about volunteer work you can do at school?

* 6. Do you know how you can be involved in school planning/review committees? 

* 7. Do you know what it means to be a Title I School and what your rights are

* 8. Do you know how additional help with reading and/or mathematics is given to students through the Title I program?

* 9. Do you know what your child should know and be able to do in reading and/or mathematics for the grade he/she is in? (Academic Content Standards)

* 10. Do you understand your child’s report cards and test scores?

* 11. Does the Title I School-Parent Compact help to remind you about things you can do to help your child do better in school?

* 12. Do you have internet access in your home?

* 13. What is the best way for the school to share information about your child and school activities?

* 14. Can you reach your child’s classroom teacher(s) to discuss your child?

* 15. Do you feel that teachers in the school are interested and cooperative when you discuss your child’s academic progress and/or other concerns? 

* 16. Check any of the following items that would help you attend Title I Activities:

* 17. Please chose all items that you received a copy of this year:

* 18. Do you know about the school’s extra services (for example, counseling, and speech therapy)?

* 19. Do you know about the school’s referral program to community services outside of the school? (Such services may be adult literacy programs, social services, health services, GED, adult career development, etc.) 

* 20. Do you have comments/concerns about the Title I Program or the Parental Involvement Program in your school?

* 21. The following data requested is for statistical purposes only:  
Grades of Children:

* 22. Race/Ethnicity:

* 23. Is your child eligible for the free or reduced-price lunch program?

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