Parent/Guardian
Sign in to Google to save your progress. Learn more
Does your child attend an urban or suburban school?
Clear selection
How was your child first diagnosed with ADHD?
What grade is your child in?
Clear selection
How often do you have trouble regulating your child’s behavior at home?
Clear selection
How strongly do you agree or disagree with the following statement? Your child’s behavioral problems are worse at school compared to how they are at home?
Clear selection
How strongly do you agree or disagree with the following statement? The school has a difficult time managing your child’s behaviors?
Clear selection
How strongly do you agree or disagree with the following statement? Your child is being disciplined unfairly at school and as though it is excessive and exceeds the level of behavioral problems they typically exhibit?
Clear selection
What is the demographic of the school your child attends?
Clear selection
At what age was your child diagnosed with ADHD?
What was your immediate reaction?
Has your idea of what ADHD is changed since then? If so, how so?
How much would you say that having ADHD has impacted your child’s life?
Clear selection
How does ADHD present itself in your child's life?
How much would you say that having ADHD has impacted your child’s life at school?
Clear selection
In your own words, how would you define ADHD?
What are your thoughts on ADHD medication?
What are your thoughts on counseling for ADHD?
Are you satisfied with the services you receive from your school regarding your child’s ADHD?
Clear selection
I have read and I understand the provided information and have had the opportunity to ask questions. I understand that my participation is voluntary and that I am free to withdraw at any time, without giving a reason and without cost. I understand that I will be given a copy of this consent form and that this form will be used as anonymous data for a capstone research project.
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Teach For America. Report Abuse