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Parent Questionnaire
Please answer the following questions. If you need help filling out this form,please contact the school administrator for assistance. Thanks for your participation!
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What are child's strengths at school and home?
Your answer
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How do you help your child to be more successful?
Your answer
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What goals and expectations(academic and other) do you have for your child?
Your answer
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What are some of the things that motivate your child
Your answer
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Please describe your child's daily (nightly) homework routine:
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What are some of your child's responsibilities at home?
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What time does your child go to bed during the school week?
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How many hours per day does your child spend watching television?
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How many hours per day does your child spend playing video games?
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How many hours per day does your child spend on the internet?
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What is the primary language spoken in your home?
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Is there any medical inforomatiion about your child that the school should know? Please include information related to illness,medication,or any toher pertiinent information.
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Has your child had any professional evaluations? If so,please shae nature and type of evaluation.
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What are your concerns for your child at school?
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Is there a special family or home situation that may be affecting your child?
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What are your suggestions that may be helpful in supporting your child's education
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What else would you like the faculty /administration to know about your child?
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Identifying Information
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Student Name
Your answer
Identifying Information
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Grade
Your answer
Identifying Information
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Birthdate of student
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Identifying Information
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Ethnicity
Your answer
Identifying Information
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phone number
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Identifying Information
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Email
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Today's Date
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Identifying Information
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Parents/Guardians
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