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Parent Interest Survey Template
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Family and community involvement strengthens our school and helps students succeed both in the classroom and beyond.
*
1.
Parent/Guardian Name
2.
Email Address
3.
Contact Phone Number
4.
Relationship to the Student
5.
Where do you get most of your school information? (Select all that apply.)
[Checkboxes]
School website
School social media accounts
School newsletter/newspaper
Principal or school administrators
Teachers
My child(ren)
Weekly folder/handouts sent home
Television
Neighbors or friends
Other
6.
Which topics would you like to learn more about?
[Checkboxes]
Strategies to improve students' reading, math, and science skills
Helping with homework and study techniques
Understanding standardized assessments
Emotional and social development
Health, safety, and nutrition concerns
Supporting my child's college preparation
Learning difficulties and special education needs
Improving parent-child communication
Other
7.
How would you prefer to receive information on these topics?
Printed materials sent home
Information on the school's website
Phone call
Email
Text message
Other
8.
Please indicate your level of interest for each of the topics below.
[Checkboxes]
Managing stress
Boosting your child's self-esteem
Addressing bullying
Mental health and wellness
Physical health and wellness
Drug and alcohol awareness
Teenage/adolescent concerns
Information about college scholarships
Technology and social media use
Other
9.
Please list any additional topics you would like to see addressed.
10.
If you have any suggestions, please share them with us.
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