Please answer the following questions based on the school your child currently attends.  If you have more than one child attending the same school, you need only complete one survey for that specific school. For each question select the answer choice that best represents your opinion and experiences regarding parent and family engagement at this school.

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* 1. Please indicate if the school provided you the following documents or opportunities during the 2018-2019 school year. (Please check all that apply.)

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* 2. Please indicate the type of trainings and meetings you or a family member attended during the 2018-2019 school year.

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* 3. Please rate how helpful the trainings and meetings you or a family member attended were. Only rate trainings and meetings you or a family member actually attended.

  a.  Not helpful at all b. Slightly helpful c. Quite helpful d. Extremely helpful
A. Annual Title I Meeting/Title I Parent Meetings
B. Trainings and materials to address my family’s needs (e.g., child development, discipline, etc.).
C. Trainings and materials to help my family members and me acquire education and skills, such as reading, G.E.D., E.S.L., computer skills and/or job skills, etc.
D. Trainings and materials to help my family members and me support my child’s learning at home.
E. One-on-one meetings between the teacher, principal, assistant principal, or counselor and me about my child.
F. IEP or 504 meetings for my child with a disability.

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* 4. Please respond to each statement by placing one mark under the category that best indicates how often you and your family members have participated in the following activities.

  a. Never b. 1 time c. 2-3 times d. At least 4 times
A. Assisted with school programs and student activities from any location at any time (e.g., school board meetings, fundraisers, sporting events, flyers/brochures, student clubs, field trips, off-campus formal/informal events and ceremonies, etc.).
B. Attended school assemblies, performances, sporting events, ceremonies or celebrations, school board meetings, etc.
C. Assisted administrators, teachers, and students at this school or in the classroom as a homeroom mom/dad, aide, tutor, coach, lecturer, chaperone, booster, speaker, mentor, lead/participate in club, PTO, or assisted in other ways.

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* 5. Please respond to each statement by placing one mark under the category that best indicates your level of agreement with that statement.

  a. Strongly disagree b. Disagree c. Agree d. Strongly agree
A. The school clearly explained the curriculum (what my child needs to know) and the assessments used to determine my child’s academic achievement to me.
B.  The school communicates with me in a timely manner about the academic progress and needs of my child.
C.  The school provides helpful suggestions on how my family and I can help improve my child’s progress.
D. The school communicates with me in a manner that I can understand (e.g., mode of communication, language, clarity, etc.).
E. The school has encouraged me to participate in positions such as on planning committees, advisory groups, PTO, school board, school improvement teams, etc.
F. The school values my opinions and experiences when it comes to decisions concerning my child’s education.
G. The school encourages me to observe my child in the classroom.
H. The school ensures my family has opportunities to access information about community programs, services, and agencies (e.g., faith-based programs, health services, business partnerships) to meet my family’s needs.
I. The school provides support to my family when impacted by adverse events (e.g., natural disaster, crime victim, accident, loss of employment, separation/or death of a family member etc.).
J. My school partners with the community (e.g., non-profit organizations, universities, businesses) to provide programs and/or supports to enhance my child’s learning experiences and skills.
K. Campus administration does a good job running my child’s school.
L. School staff treats me with respect.
M. The overall climate or feeling at my child’s school is positive and helps my child learn.
N. There is at least one teacher or other adult in this school that my child can talk to about a problem.
O. The school gives instruction that meets the individual needs of my child.
P. I am satisfied my child’s school is providing the skills and education necessary to be successful at the next level.

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* 6. Please use the checklist below to indicate barriers you experience that have prevented you from being able to participate in school functions, workshops, meetings, planning events, and other activities during 2018-2019. (Please check all that apply.)

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* 7. Please respond to each statement by placing one mark under the category that best indicates how often you and your family members support your child’s learning at home during 2018-2019.

  a. Never b. Seldom c. Sometimes d. Usually e. Always
A. Helping my child complete homework and school-related projects.
B. Monitoring my child’s screen time (e.g., television, telephone, social media, apps, etc.)
C. Promoting my child’s participation in after-school enrichment programs or positive extracurricular activities.
D. Encouraging my child to demonstrate and discuss what she or he is learning at school with a family member.
E. Seeking outside resources to support my child's learning (e.g., pay for tutors, therapists, test prep, medical devices/attention; online resources, etc.)
F. Listening to and talking to my child about their experiences both inside and outside of school.

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* 8. Please use the checklist below to tell your school what it can do to improve or provide you extra help to support your child’s learning at home. (Please check all that apply.).

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* 9. What racial/ethnic background do you primarily identify with? (Please choose only one below.)

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* 10. Is English the primary language spoken in your home? (Please choose only one below.)

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* 11. Do you have a disability? (Please choose only one below.)

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* 12. What is the highest level of education you have completed? (Please choose only one below.)

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