Parent Involvement Survey

-Sample School-

The following statements will encourage you to reflect on family issues at your school. Please rate your school in the following areas. Circle your responses.

1 2 3 4

rarely sometimes regularly always

Your school or school district:

1. Recognizes that all parents, regardless of income, educational level, or cultural background, want their children to do well in school and are involved in their children’s learning.

1 2 3 4

rarely sometimes regularly always

2. Supplies a written Title I parent involvement policy that is jointly developed with parents that outlines the partnership among the student, parent, and school.

1 2 3 4

rarely sometimes regularly always

3. Holds an annual meeting to inform parents of children in Title I programs about the Title I program.

1 2 3 4

rarely sometimes regularly always

4. Provides resources such as books, videos, and newsletters that help with better parent participation at home.

1 2 3 4

rarely sometimes regularly always

5. Encourages and provides opportunities for parental input into the design and development of the school-parent compact.

1 2 3 4

rarely sometimes regularly always

6. Schedules varied meeting times to accommodate parents’ work and childcare schedules.

1 2 3 4

rarely sometimes regularly always

7. Provides parents with ideas on how to help their children with homework.

1 2 3 4

rarely sometimes regularly always

8. Thinks of the community as an extension of the family.

1 2 3 4

rarely sometimes regularly always

9. Provides opportunities for parents to have input in the operations of the school.

1 2 3 4

rarely sometimes regularly always

10. Staff sees how diversity may be used to enrich learning experiences for students.

1 2 3 4

rarely sometimes regularly always

11. Uses information from parent and family surveys to design or change school procedures and programs.

1 2 3 4

rarely sometimes regularly always

Please comment on each of these issues.

I would recommend the following changes for how the school communicates with families:

I would recommend the following changes for the Title I services my child is receiving:

I would recommend these changes for the Title I parent involvement policy:

Please list other ways that the district can help support you in your efforts to support your child’s academic and social success:

Please list other comments or concerns here:

Thank you for your responses to this survey.