Parent/Guardian Questionnaire
All information contained in this questionnaire will be held in the strictest of confidence. It is for my use as the teacher to provide the best education to your student. Thank you! -Ms. Grete
Email address *
Student name *
Your answer
All Parents'/Guardians' names & relationship to student *
Your answer
What is the structure of your family/household? (Other children/siblings in the home? Single family home? Grandparents living in the household? Step parents? Etc.)
Your answer
What are some of your student’s strengths?
Your answer
What is your student’s general attitude toward school?
Your answer
What are some of your student’s favorite activities?
Your answer
What have you observed to be frustrating for your student? (subjects, learning styles, social situations)
Your answer
How do you perceive education? What is the value of education to you?
Your answer
How often does your student read at home? What types of books do they like to read? In what languages do they read?
Your answer
Are there any factors that you feel significantly influence your student’s progress in school?
Your answer
I occasionally ask students to print out hard copies of their work or articles/assignments at home. Does your student have access to a printer?
In what capacity would you be interested in volunteering at Creekside?
If you would like to volunteer, how often?
Is there anything else I should know about your student? (Feel free to brag!)
Your answer
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