Parent Questionnaire (Page 2 of 5) in pdf

Parent Questionnaire

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

QUESTIONNAIRE!

Part 1. Background

1.1

Your relationship to child enrolled in kindergarten: Mother_____

Father_____

Other_____

1.2

What is your and your spouse's ethnic background?

You

Your spouse

___ ___ Hispanic/Latino

___ ___ Caucasian/Anglo

___ ___ African-American

___ ___ Asian-American

___ ___ American Indian/Alaskan Native

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

Part 2. Language and Culture

2.1

What language(s) do you and your spouse speak?

You:_________________ Your Spouse:__________________

2.2

What language did you first learn as a child before entering school? You:____________ Your Spouse:____________

2.3

Please list the language(s) most often used in the home by the:

Mother to child____________________________________________________

Father to child____________________________________________________

Parents to each other______________________________________________

2.4

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.

2.5

Have you ever studied Spanish? _____ Yes _____ No

----

If yes, for how long?________________

Are you currently studying Spanish? _____ Yes _____ No

2.6

What is your most important reason for studying Spanish? (Check only one.)

_____ I learned/studied Spanish to fulfill coursework requirements in school or college, or for career advancement.

_____ I want to be able to communicate with family, friends, or other Spanish speakers in Spanish.

_____ I want to be able to help my child with his/her schoolwork.

2.7

If you have studied Spanish, where did you learn or where are you learning Spanish?

_____ in a foreign language program (in junior high/high school/college)

_____ in a Spanish class for parents at my child's school

_____ in an immersion situation (in an immersion program, living in a Spanish speaking community or country)

2.8

Have you ever spent time in a Spanish-speaking country?

_____ Yes _____ No

If yes, what was the major reason?

_____ education or work

_____ family, vacation/leisure

2.9

If you have studied Spanish, what is the most important benefit that you think you have received from your ability to speak

Parent Questionnaire Page 2

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