School:____________________________________________Date:____________
Number of Children:___Grade level(s): Pre-K K 1 2 3 4 5 6 7 8 9 10 11 12 (circle all that apply)
Language(s) spoken at home:________________County of origin:_________________
The _____________ Public School system is working to strengthen partnerships between schools and families in order to help children perform better in school. In order to continue to do so, they would like to collect as much information as possible regarding the involvement of parents of diverse backgrounds and the schools their children attend. The purpose of this survey is to get your opinion on how well the schools have met your family's and children's needs and how do you feel about your and/or the involvement of other parents in the schools. There are no right or wrong answers. We are only interested in your opinions. The findings of the survey will be summarized and used to make improvements.
DIRECTIONS: Please circle or check the selection that most closely matches your answer for each item. The last page provides room for written comments.
__Yes __No __Do not know
1 2-3 4-5 6 or more Do not know
1 2-3 4-5 6 or more
__ Yes always
__ Usually
__ Not usually
__ Never
__ Yes always
__ Usually
__ Not usually
__ Never
__ No, workshops are only in English
__ Yes, workshops are in different languages (specify other languages: _______)
__ Yes, interpreters are available (specify other languages:_______)
__ I do not know
__ I was not provided with enough information or notice
__ Workshops were not held at convenient times
__ No child care was available
__ Workshop information provided is difficult for parents to understand
__ I am not interested in workshop topics
| STATEMENT | Strongly Agree | Agree | Disagree | Strongly Disagree |
| The workshops helped me better understand my child's needs | ||||
| I have used the techniques offered in the workshops | ||||
| I believe that my child has improved his/her skills and/or behaviors as a result of using the techniques suggested in the workshops |
| Topic | A lot | Some | Very little | None |
| Child development and parenting | ||||
| How to support learning at home | ||||
| Discipline techniques |
B. COMMUNICATION
| Question | Yes | Somewhat | No |
| Is the reception staff friendly and helpful? | |||
| Are the teachers easy to talk to? | |||
| Is the principal easy to talk to? | |||
| Do you feel comfortable interacting with parents of cultural & ethnic backgrounds different from yours? |
__Yes __ No
__Yes __ No
__ School memos
__ Children's teachers
__ PTA newsletter
__ Parent liaison
__ Counselor
__ Parent representative (your own culture)
__ Parent representative (of any given culture)
None 1 2 or more
| Category | Yes | Somewhat | No |
| English-as-a-second language programs | |||
| Special education programs | |||
| Gifted & talented programs | |||
| Bilingual education programs | |||
| Title I programs | |||
| Report cards | |||
| Standardized testing |
__Often __ A little __ Never
__Yes __ Somewhat __ No
__Yes __ Somewhat __ No
__ Yes __ No __ Not Sure
__Yes __ No __ Not Sure
__Yes __ No __ Not Sure
C. VOLUNTEERING
__ Yes
__ No
__ Yes __ No
| Activity | Never | 1 Time | 2-3 Times | 3+ Times |
| Helping on trips or at parties | ||||
| Sharing food, stories and customs from your culture | ||||
| Assisting in the classroom (e.g., tutoring, grading papers, etc.) | ||||
| Leading club and/or activities | ||||
| Other (please specify)______________ |
__ Have never been asked
__ I don't know how
__ Conflict with work schedule
__ Have other children to care for
__ I do not feel comfortable
__ Not interested
__ Other (please specify)__________________________________________
D. LEARNING AT HOME
__ Often __ Sometimes __ Very Little __ Never
__ Often __ Sometimes __ Very Little __ Never
__ No, information only in English
__ Yes, information is in different languages (specify other languages: ___________)
__ I do not know
E. DECISION MAKING
__ Yes __ No __Do not know
__ 1 __ 2 or more __ None
__ Yes __ No __ Do not know
__ Yes (please specify: ____________________________________)
__ No, I have not participated on any school councils or committees.
__ Yes __ No __ Do not know
__ Yes (please specify ____________________________________________)
__ No, I have not offered my ideas or advice on school-related issues
__ No, I have not been asked for my ideas or advice on school-related issues
| STATEMENT | Strongly Agree | Agree | Disagree | Strongly Disagree |
| I feel my opinion is taken in consideration when it comes to school policy decisions. | ||||
| I actively participate in PTA meetings. | ||||
| I actively participate in school committees and/or school improvement teams. | ||||
| School staff consider my opinion when it comes to decisions concerning my child. | ||||
| I don't feel part of the decision making body at the school at any level. | ||||
| I believe Latino parents are very involved in decision making at the school. | ||||
| I have not been asked for my ideas or advice on school-related issues. |
__Yes, I would like to participate more but I don't feel encouraged by the school.
__Yes, I would like to participate more but I do not know how to get involved.
__Yes, I would like to participate more but I do not have time.
__Yes, I would like to participate more but communicating in English is difficult for
me.
__Yes, I would like to participate more but I do not understand the issues very well.
__Yes, I would like to participate more but I do not feel comfortable.
__No, I am not interested in participating in school decision making.
__No, I would rather become involved in other school activities.
__ Other reasons: ___________________________________________
F. COMMUNITY COLLABORATION
__ Yes __ No __ Do not know
| PROGRAM | Yes | No | Do not know |
| G.E.D. programs | |||
| English-as-a-second-language programs | |||
| Computer training programs |
| PROGRAM | Yes | No |
| G.E.D. programs | ||
| English-as-a-second-language programs | ||
| Computer training programs |
__ Family literacy programs
__ G.E.D. programs
__ English-as-a-second language programs
__ Computer training programs
__ Other programs:
(1) ______________________________
(2) ______________________________
| STATEMENT | Strongly Agree | Agree | Disagree | Strongly Disagree |
| The school provides information about community organizations that support my child's learning. | ||||
| The school participates in community events organized by diverse ethnic groups | ||||
| The parent liaison assists parents and communities to become more involved in the schools |
__ Informal Education
__ Elementary School
__ High School
__ Trade school/Community College degree
__ College degree
__ Master's/Doctorate degree
__Two parents or guardians, both working outside the home
__Two parents or guardians, one working outside the home
__Two parents or guardians, none working outside the home
__One parent or guardian, working outside the home
__One parent or guardian not working outside the home
__Other, please specify_____________________________
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THANK YOU FOR YOUR COOPERATION IN COMPLETING THIS FORM.