2017 APS Health and Wellness Parent Survey
Demographics Section (Questions 1-9)
1. What is your age?
Your answer
2. What is the highest level of education you have completed?
3. What is your race/ethnicity?
4. How many years have you been a resident in Aurora Public Schools?
Your answer
5. Do any of your children receive Free or Reduced Priced Meals?
6. What is the primary language in your home?
Your answer
7. Do any of your children receive English Language Learner (ELL) or English as a Second Language (ESL) Services
8. Do any of your children receive Special Education Services?
9a. Ages of children residing in household
Check for each child
3 and under
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20 and older
9 b. Current Schools children attend
9b. If your children attends more than one school, select second school here
9b. If there are more than two schools, list here
Your answer
Health and Well-Being Components (Questions 10-14)
10. Consider the health/well-being components that are most important to your child or children, and rank the following components from 1 to 7, with 1 as the MOST IMPORTANT and 7 as the LEAST IMPORTANT. Each issue should receive a unique ranking – there should be one #1 ranking, only one #2, etc.
1
2
3
4
5
6
7
Health Education: Providing educatino to adopt and maintain health behaviors
Physical Education and Physical Activity: Creating opportunities for students to be physically active
Nutrition Environment and Services: Providing opportunties to learn about and practice healthy eating
Health Services: providing support to students with health care needs
Counseling, Psychological, and Social Services: Empowering students to accomplish mentla health, wellness, education, and career goals
Social and Emotional Climate: Developing students' social and emotional skills in order to promote student engagement in a safe environment
Family Engagement: Emcouraging families to be an active part of the child's education and school community
How would you rate the effectiveness of APS in meeting the health and well-being needs of children for each of the following components? 5= highly effective 4= effective 3=neutral 2=needs improvement 1=ineffective
11a. Health Education: Providing education to help children adopt and maintain healthy behaviors
Ineffective
Highl Effectivey
11b. Physical Education and Physical Activity: Creating opportunities for students to be physically active
Ineffective
Highly Effective
11c. Nutrition Environment and Services: Providing opportunities to learn about and practice healthy eating
Ineffective
Highly Effective
11d. Health Services: Providing support to students with health care needs.
Ineffective
Highly Effective
11e. Counseling, Psychological, and Social Services: Empowering students to accomplish mental health, wellness, education and career goals
Ineffective
Highly Effective
11f. Social and Emotional Climate: Developing students' social and emotional skills in order to promote student engagement in a safe environment
Ineffective
Highly Effective
11g. Family Engagement: Encouraging families to be an active part of the child's education and school community
Ineffective
Highly Effective
12. Please rate each statement on a scale from Strongly Agree to Strongly Disagree. If you have more than one child in the school district, please respond based on your overall experience across grades and schools. 5= Strongly agree 4= Agree 3=Disagree 2= Strongly disagree 1= Not sure
5
4
3
2
1
My child learns the skills needed to adopt and maintain healthy behaviors from his/her teachers
My child has opportunities to participate in physical activity during the school day either through recess or physical education class
My child is learning to make health eating choices from programs at their school.
My child has access to health staff and services at their school
My child has access to counseling services at their school
My child's school is a safe and welcoming place
We are encouraged, as a family, to participate in school assignments and activities
My child is learning how to have a healthy lifestyle from programs and activities at school
My child is encouraged to have an active lifestyle both in and out of school
Meals and snacks available at my child's school provide examples of healthy eating
Health services staff encourage students to live a healthy lifestyle
Counseling services at my child's school
My child has the opportunity to learn and practice social and emotional skills from his/her teachers
Our family feels like a part of the school community
13. Please mark the three health and well-being components you feel APS should focus the MOST attention for improvement in the next two years
14. Please list any other health and well-being topics that are of high priority for you that we have not asked about
Your answer
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