Please complete the survey below and return it to your child's teacher or school principal. The online version of the survey can be completed at

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

* 2. In what grade level is your child(ren) enrolled?

* 3. Your Name (optional)

* 4. What is your relationship to your child?

* 5. Do you have internet access?

* 6. How well does your child's school create an environment that helps your child learn?

* 7. How well do you feel your child's school prepares him/her for the next academic year?

* 8. Do you feel informed when it comes to making decisions about your child's schooling?

* 9. In the past year, how often did you participate in an activity, event, or program held by your child's school?

* 10. Did you attend a Title I meeting at your child's school this year?

* 11. How satisfied are you with the way you are included in the decisions made about your child's school continuous improvement plan?

* 12. Are you satisfied with the services provided by the school to help you support your child academically?

* 13. Have you been given the opportunity to participate in the planning and implementation of a parental involvement program at your child’s school?

* 14. Would you like to participate in the planning and implementation of the parental involvement program at your child’s school?

* 15. Please indicate how effective each communication source is in ensuring information about parental involvement workshops, presentations, meetings or other information offered by the school district and/or your child's school is received by you?

  Most Effective Effective Somewhat Effective Least Effective
Classroom Teacher
School Newsletter
School Website
District Website
Automated Phone Call/Text

* 16. How often does your child’s school give you the opportunity to be involved in your child’s learning?

* 17. How often do you communicate with teachers at your child's school?

* 18. How well do you feel the assessments given are used to measure my child's academic ability and reflect my child's strength?

* 19. I am willing to volunteer in my child's school, but I am unsure how I can help.

* 20. Did you participate in any of the following decision making opportunities requiring parent input and partnership?

* 21. Which of the following prevent you from being able to participate in school functions, activities, and planning events?

* 22. When is the best time for you to attend a parent event?

* 23. How can parent engagement be strengthened at the school and district?

* 24. Contact information (optional)