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* 1. What school does your child(ren) attend?

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* 2. In what grade(s) do you have children. (click on all that apply)

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* 3. Which best describes you?

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* 4. What is your relationship to the child?

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* 6. Which best describes your household?

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* 7. Which category best describes your age?

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* 8. What is the one thing that will likely take up most of your child's time in the year after high school?

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* 11. How much time does your child spend on homework each day?

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* 12. How much time does your child spend reading at home in an average week?

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* 13. Does your child have access to the Internet at home?

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* 14. Please choose your rating for each item below.

  Strongly Agree Agree Disagree Strongly Disagree
My child's school promotes an environment of mutual respect among students.
My involvement in my child's education has improved his/her achievement.
Our school has a program that teaches and reinforces student self-discipline and responsibility.
My school has clear procedures for handling school emergencies.
The school values and respects differences among students and their families.
Effective assistance is provided for children having difficulty in school.
The teaching methods used at this school work well for my child.
My child likes attending this school.
I can talk with my child's teachers or campus administrators whenever I need.
I know how well my child is doing in class.
I feel my child is safe at school.
My child's school building is in good condition.
Discipline in my child's school is handled fairly.
The school encourages parents to be involved.
There is a feeling of belonging, safety and trust at my child's school.
My child has been taught in school about respect for other cultures.

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* 15. What suggestions do you have for improving your child's school?

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* 16. Additional Comments

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