Parent Survey Excelsior Parent Survey Parent Name*Student Name*Email Enrollment Date (estimate) Survey Date Student Grade Level---Pre-KKindergarten1st2nd3rd4th5th6th7th8th9th10th11thI am well aware of important information regarding school's Policy & Handbook*Strongly AgreeAgreeDisagreeStrongly DisagreePlease explain*Teacher(s) listen to my suggestions and are supportive.Strongly AgreeAgreeDisagreeStrongly DisagreePlease explain:*I can easily contact teacher(s) to communicate about my child's academic achievements.*Strongly AgreeAgreeDisagreeStrongly DisagreePlease explain:*Teachers have my child's best interest in mind.*Strongly AgreeAgreeStrongly DisagreeDisagreePlease explain:*Teachers are available and willing to discuss my child's education with me*Strongly AgreeAgreeDisagreeStrongly DisagreePlease explain*Teacher(s) keep my child interested in the learning environment*Strongly AgreeAgreeStrongly DisagreeDisagreePlease explain:*My child actively participates in class*Strongly AgreeAgreeDisagreeStrongly DisagreePlease explain*My child takes responsibility in completing his/her assigned work.*Strongly AgreeAgreeDisagreeStrongly DisagreePlease explain*As the parent, I am involved in my child's learning experience*Strongly AgreeAgreeDisagreeStrongly DisagreePlease explain:*I can monitor my child's academic progress*Strongly AgreeAgreeDisagreeStrongly DisagreePlease explain:*These are the ways my child's teacher(s) are succeeding in teaching:*I would like to see improvement in (Comments/Suggestions):*Electronic Signature (if completed by Staff, use Staff Signature and record Date & Time of survey phone call in textbox above)*(If you have a touch screen please use your finger to sign.)
