Parental Support Survey

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0

Child'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

What is your occupation?

0 / 5000
0

If applicable, what is your spouse or partner's occupation?

0 / 5000
0

How many siblings does your child have?
0

1

2

3

4

5

>5
0

How is the relationship between you and your child?
Unsatisfactory

Poor

Fair

Good

Excellent
0

How is the relationship(s) between your child and their sibling(s)?
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 are you updated about your child’s school life?
Never

Rarely

Monthly

Weekly

Daily
0

How often do you communicate with your child about their 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 schoolwork?
Never

Rarely

Monthly

Weekly

Daily
0

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

Rarely

Sometimes

Often

Always
0

Does your child receive tutoring outside of school?
Yes

No
0

Please elaborate
0

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

No
0

Please elaborate