Middle School Title I Parent Involvement Survey Template
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4Middle School Title I Parent Involvement Survey Template
This template is one of four different surveys developed by the 2013 State Superintendent’s Parent Advisory Council with assistance
from the Georgia Department of Education’s (GaDOE) Parent Engagement Program. Local educational agencies (LEAs) and schools
may use this template to guide them in meeting the compliance requirements of Section 1118(a)(2)(E). Each sample survey provided
by the GaDOE may contain questions that are more or less suitable to address the needs of different LEAs and/or schools; therefore, it
is highly encouraged that LEAs and schools review all surveys and select the best questions to guide the development of a survey that
is suited to individual objectives and needs.
Dear Parents/Guardians,
As partners in your child’s education, your input is valued. Please take a few minutes to respond to this brief parent survey. This
information will be used to help evaluate and strengthen parental involvement within our school. All surveys may be returned to
(faculty/staff member) in the (location), mailed to (school name and address), or completed online at (website).
School Environment
1. How welcome does the school staff at your child’s school make you feel?
Not at all
Minimally
Quite a bit
A tremendous amount
2. How often do you participate in school events because your child encourages you to be involved?
Not at all
Minimally
Quite a bit
A tremendous amount
3. In the past year, how often have you visited your child’s school?
Never
Once or twice
Every few months
Monthly
Weekly or more
4. In the past year, how often did you participate in a parental involvement activity, event, or program at your child’s school?
Never
Once or twice
Every few months
Monthly
Weekly or more
5. In the past year, how often have you talked with the school about how they can help your child learn?
Never
Once or twice
Every few months
Monthly
Weekly or more
6. Please check any of the following that would help you participate more often in school functions, activities, and planning
events?
___ Transportation provided
___ Child care provided
___ Event/Meeting reminders one week before the event
___ Meetings/Activities offered more than once
___ Meetings/Activities offered at various times
___ Other (Please describe):_______________________
___ Meetings/Activities held in community locations other than the school
7. When is the best time for you to attend a school event for parents?
___ Before school (M-f)
___ Evenings (M-F)
___ During school, before lunch (M-F)
___ Saturday
___ During school, after lunch (M-F)
___ Preferred day/time (please indicate):_______________________________
Dr. John D. Barge, State School Superintendent
May 2013 - Page 1 of 4
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