Family Literacy Program Questionnaire

This survey is to find out interest about a Family Literacy Program which is in the process of planning at this time. 
If you, your family or friends are interested, please complete this survey by September, 2017. Questions? Please contact 412-668-2064 or or

* 1. What is your last/family name?

* 2. What is your first name?

* 3. What is your country of origin?

* 4. What are the languages spoken at home?

* 5. How many months/years of ESL training you have gotten in the United States?

* 6. What is the Best day for you to attend the ESL Class? The ESL Classes will be held during the second week of each Month on the best day that is determined by the group - participants will be made aware of exact date once all surveys are returned.  Each class will run from 6:00 - 8:00 PM.

* 7. What are your goals for attending this program? (Helping child with homework, wanting to volunteer in school, meeting other parents, assistance with navigating the school system, etc.)