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Parent Involvement Questionnaire The following questions are intended to help parents rate their contributions to their chila’s success at school. Research indicates that students are more successful when parents are involved in their child's education. Use these 30 questions as a guide to discover some of the ways that you can help your child at home and at school. Parenting 4 Have you identified a regular time and place In yourhome 1 Yes D1 No . for your child to do homework. 2 Do you monitor your child's homework? O Yes 0 No 3. Do you monitor your child's television viewing habits? O Yes ONo Do you ensure that your child has excellent altendance at 4. school? O Yes 0 No Have you discussed with your child the importance of a 5. good education? O Yes O No 6. Did you attend Open House or Back-To-School Night at your child's school? O Yes O No 7. Do you support and reinforce the school's discipline plan? = Yes 1 No 8. Do you support your child's learning by providing nutritious meals and adequate time for sleep? O Yes O No Learning at Home 9. Do you read to your young child? If your child is older, do O Yes O No you encourage reading by paying attention to what your child reads as well as how often he/she reads? 10. Do you hold your child responsible for completing all assignments on time and to the best of his/her ability? O Yes O No Copyright 2009 Project Appleseed. All ights reserved. 1 Parent Involvement Questionnaire The following questions are intended to help parents rate their contributions to their child's success at school. Research indicates that students are more successful when parents are involved in their child's education. Use these 30 questions as a guide to discover some of the ways that you can help your child at home and at school. 11. Are you knowledgeable about what information and skills your child should master a his/her grade level or in his/her 1 Yes O No mojor subject areas? How Involved Are You With Your Child's School Volunteering 12, _ Did you sign a written parental involvement pledge and O Yes O No volunteer to help teachers, administrators, students and olher parents? 13. | Were you a class parent, telephone tree coordinator, or a volunteer who provided parents with needed O Yes O No information? 14. Were you a part of parent patrols or other activities to increase the safety and operation of your child's school O Yes 0 No ‘and programs? Decision Making 15. Have you attended at least one PTA, PTO, or other support group meeting this year? O Yes O No 17. Did you assist in providing information to your SCC or serve as a SCC parent representative? O Yes O No Community Involvement 18. Have you attended at least one school program? (examples are an awards assembly, a play, an athletic event, ora O Yes O No school party.) 19. Are you a model of "good sportsmanship" when attending 1 Yes O No school and community events? Copyright 2009 Project Appleseed. All rights reserved. 2 Parent involvement Questionnaire The following questions are intended to help parents rate their contributions to their child's success at school. Research indicates that students are more successful when parents are involved in their child's education. Use these 30 questions as a guide to discover some of the ways that you can help your child at home and at school 20. Do you insist that your child exhibit good sportsmanship at alll times? 1 Yes C1 No 21. Do you encourage your child to participate in volunteer projects which serve the community? 0 Yes 0 No How Familiar Are You With School Information? Communicating 22. Have you read the student code of conduct and/or discipline policy (Chapter 19]? O Yes O No 23. Do you regularly read the school newsletter? 0 Yes O No 24, Are you familiar with the extra services provided at your child's school? (examples are speech therapy, resource help O Yes O No for gifted students, and counseling.) 26. Have you had at least one parent-teacher conference with the teacher(s) of your child? 0 Yes 0 No 27. Do you initiate contact with your child's teacher or principal just fo show your support? 0 Yes 0 No 28. Are you aware of your child's academic strengths and weaknesses? U Yes 0 No 29. Do you ensure that your child takes courses to prepare him/ner for a chosen career path? 0 Yes No 30. Are you familiar with the grading scale used on your child's teporl card? 0 Yes No Copyright 2009 Project Appleseed. All rights reserved. 3 Parent Involvement Questionnaire The following questions are intended to help parents rate their contributions to their child's success at school. Research indicates that students are more successful when parents are involved in their child's education. Use these 30 questions as a guide to discover some of the ways that you can help your child at home and at school. ‘HEE and HEM Survey Feedback: 1. OnaScale of 1-5, 1 being not helpful and 5 being extremely helpful, please rate the survey: Ja: The survey is helpful in learning about parent involvement: 12345 1b: The survey asks about a wide range of parent involvement areas: 12345 1c: The survey would help principals make decisions about parent involvement: 12345 4d: The survey would help parents learn about parent involvement duties: 12345 2, Would your PTSA be interested in helping with this type of survey? Yes No 3. Does your school collect data on parent involvement? Yes 4. Does your school have a parent involvement/engagement policy? Yes No 5. Does your school have an annual workshop/meeting on parent involvement/engagement? Yes No Would you be interested in having HEM host a workshop at your school? Yes No 6. How many active PTSA members does your school have? <5 6-10 11-20 21-30 +31 Additional Comments (anything else you would like to share about parental involvement or recommendations for the survey): May we contact you about future HEM and HE’E parent involvement/engagement efforts? Name; School: Email Address: Phone: MAHALO! Copyright 2009 Project Appleseed. Allights reserved. 4

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