Parent Roles and Responsibilities Survey

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Child's name
0

Parent's name
0

School
0

Grade
0

What are your family dynamics? Check and specify where appropriate.
Single parent (divorced)

Single parent (widowed)

Double parent (heterosexual)

Double parent (LGBTQUIA)

Adoptive parent
0

How many hours do you see your child every day?
Not at all

Less than 1 hour

1-3 hours

4-6 hours

More than 6 hours
0

How is the relationship between you and your child?
Unsatisfactory

Poor

Fair

Good

Excellent
0

How well does your child respond to discipline from you in your household?
Not at all

Slightly

Moderately

Very

Extremely
0

How often do you need to discipline your child?
Never

Rarely

Monthly

Weekly

Daily
0

How do you discipline your child? Comment briefly below.

0 / 5000
0

How often are you updated about your child’s school life?
Never

Rarely

Monthly

Weekly

Daily
0

How often do you keep track of your child’s academic progress at school?
Never

Rarely

Monthly

Weekly

Daily
0

How often do you supervise your child’s school work?
Never

Rarely

Monthly

Weekly

Daily
0

How do you feel about the quality of work your child is delivering at school?
Unsatisfactory

Poor

Fair

Good

Excellent
0

How often does your child come to you for help with their schoolwork?
Never

Rarely

Monthly

Weekly

Daily
0

How responsible do you feel you are for your child’s education outside of school?
Not at all

Slightly

Moderately

Very

Extremely
0

Does your child receive tutoring outside of school?
Yes

No
0

Please elaborate

0 / 5000
0

Do you supplement your child’s learning with outside material?
Yes

No
0

Please elaborate

0 / 5000
0

How can your child’s education be improved? Please list your suggestions below.

0 / 5000