Parent Questionnaire printable pdf download

Parent Questionnaire

Important: YOU DO NOT NEED TO WRITE YOUR CHILD'S NAME ON THIS QUESTIONNAIRE!

Part 1. Background

1.1

Your relationship to child enrolled in school: Mother_____

Father_____

Other_____

1.2

What is your and your spouse's ethnic background?

You

Your spouse

You

Your spouse

___ ___ Hispanic/Latino

___ ___ Asian-American

___ ___ Caucasian/Anglo

___ ___ American Indian/Alaskan Native

___ ___ African-American

1.3

What is the highest level of education that you and your spouse have completed?

You

Your spouse

You

Your spouse

___ ___ Elementary

___ ___ Community College/Vocational School

___ ___ Junior High/Middle School

___ ___ 4-year College/University Degree

___ ___ High School or equivalent

___ ___ Professional Degree/Graduate School

1.4

What language(s) do you and your spouse speak? You:_________________ Your Spouse:__________________

1.5

Please check below your own and your spouse's ability to communicate in Spanish.

You Your spouse

___ ___ No ability; cannot understand or speak the language at all.

___ ___ Can understand somewhat but cannot speak the language.

___ ___ Can understand and speak the language somewhat.

___ ___ Can understand and speak the language very well.

___ ___ Native speaker, or native-like ability in the language.

1.6

What are the three most important reasons for enrolling your child in the program you selected? (Put a 1 next to the MOST

IMPORTANT, a 2 next to the SECOND MOST IMPORTANT, a 3 next to the THIRD MOST IMPORTANT)

_____ it is our neighborhood school

_____ it is a high quality academic program

_____ my child will be able to communicate with family, friends, or other Spanish speaking people

_____ my child will have an academic or career advantage

_____ my child will have a stronger identity as a bilingual-bicultural/multicultural individual

Part 2. Please indicate how strongly you agree or disagree with the following statements. (CIRCLE ONE ANSWER FOR EACH

STATEMENT.)

Strongly

Not

Strongly

Disagree Disagree Sure

Agree

2.1

I am satisfied that the school is giving my child

access to the subject matter that s/he needs.

2.2

Hispanic students, parents, staff and community members are made to

feel like a valuable part of our school culture.

2.3

The faculty and staff have been successful in promoting

diversity and understanding among the school community.

2.4

The faculty and staff are successful in balancing the needs and

concerns of both English and Spanish speaking communities.

2.5

I am supportive of the program my child is receiving at this school.

2.6

I feel that my family is valued by the school.

2.7

I enjoy the ethnic and linguistic diversity in our school and community.

2.8

I would recommend this school to other parents.

2.9

Studying Spanish would be important for my child because it would

allow him/her to be more comfortable with other Spanish speakers.

2.10

Studying Spanish is important for my child because it will

enable him/her to better understand and appreciate Hispanic culture.

2.11

Studying Spanish is important for my child's future career.

2.12

Studying Spanish is important for my child because it will make him/her

smarter.

Parent Questionnaire

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