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* 1. Gender:

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* 2. Race:

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* 3. Oldest child's grade in this school:

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* 4. Our school’s mission statement is clearly focused on student success.

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* 5. Our school has established goals and a plan for improving student learning.

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* 6. Our school’s governing body operates responsibly and functions effectively.

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* 7. Our school has high expectations for students in all classes.

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* 8. Our school shares responsibility for student learning with its stakeholders.

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* 9. Our school communicates effectively about the school’s goals and activities.

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* 10. Our school provides opportunities for stakeholders to be involved in the school.

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* 11. All of my child’s teachers provide an equitable curriculum that meets his/her learning needs.

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* 12. All of my child’s teachers give work that challenges my child.

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* 13. All of my child’s teachers use a variety of teaching strategies and learning activities.

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* 14. All of my child’s teachers meet his/her learning needs by individualizing instruction.

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* 15. All of my child’s teachers work as a team to help my child learn.

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* 16. All of my child’s teachers help me to understand my child’s progress.

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* 17. All of my child’s teachers keep me informed regularly of how my child is being graded.

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* 18. All of my child’s teachers report on my child’s progress in easy to understand language.

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* 19. My child sees a relationship between what is being taught and his/her everyday life.

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* 20. My child knows the expectations for learning in all classes.

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* 21. My child has at least one adult advocate in the school.

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* 22. My child is given multiple assessments to measure his/her understanding of what was taught.

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* 23. My child has access to support services based on his/her identified needs.

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* 24. Our school provides qualified staff members to support student learning.

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* 25. Our school provides a safe learning environment.

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* 26. Our school provides excellent support services (e.g., counseling, and/or career planning).

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* 27. Our school provides opportunities for students to participate in activities that interest them.

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* 28. Our school ensures that the facilities support student learning.

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* 29. Our school ensures the effective use of financial resources.

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* 30. Our school ensures that all staff members monitor and report the achievement of school goals.

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* 31. My child is prepared for success in the next school year.

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* 32. My child has administrators and teachers that monitor and inform me of his/her learning progress.

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* 33. What do you like best about our school?

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* 34. What do you like least about our school?

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* 35. What is one suggestion you would like to offer to improve our school?

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* 36. Our school informs and explains how Title 1 services operate.

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* 37. Our school seeks to place students in enrichment activities.

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* 38. Our school communicates to parents on a regular basis.

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