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HMS Parent/Guardian Needs Assessment Survey for Family Resource Center
1.
What grade is your student in?
5th
6th
7th
8th
2.
Do you have more than one child attending this school?
Yes
No
3.
Does your family have enough food each week?
Always
Sometimes
Rarely
Never
4.
Do you have reliable internet/Wi-Fi for schoolwork at home?
Yes, always
Sometimes
No
5.
Do your children have the clothing, shoes, and supplies they need for school?
Yes, always
Sometimes
No
6.
Which of the following supports would be most helpful to your family? (check all that apply)
Food pantry/grocery support
Clothing closet
School supplies
Help with housing
Job resources/employment help
Childcare/after-school care
Health services (medical, dental, vision)
Mental health/counseling services
Parenting workshops/classes
Transportation support
Other (please specify)
7.
What challenges do you face most often in supporting your child's education? (check all that apply)
Helping with homework/academics
Understanding technology used in school
Communication with teachers/school
Transportation to/from school
Attendance/keeping my child in school every day
Other (please specify)
8.
How familiar are you with the Family Resource Center and its services?
Very familiar
Somewhat familiar
Not familiar
9.
How comfortable are you reaching out to the Family Resource Center for help?
Very comfortable
Somewhat comfortable
Not comfortable
10.
What's the best way for the school/Family Resource Center to share information with you? (check all that apply)
Email
Phone Call
Text message
School website/app
Flyers sent home
Other (please specify)
11.
What services or programs would you like to see the Family Resource Center provide?
12.
Any other comments or suggestions?