Template Parent Survey Parent Roles and Responsibilities Survey Template

Parent Roles and Responsibilities Survey Template

Parent Roles and Responsibilities Survey Template

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18
Questions
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Parent Roles and Responsibilities Survey Template

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1.
I am aware of how my child is doing socially at school.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Not Applicable
2.
I often talk with my child when they have a problem with others.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Not Applicable
3.
I know who my child's close friends are.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Not Applicable
4.
I regularly discuss with my child what they are learning at school.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Not Applicable
5.
I make a strong effort to teach my child to do things independently.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Not Applicable
6.
I often help my child understand the material they are learning at school.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Not Applicable
7.
I often involve my child in educational activities outside the home.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Not Applicable
8.
My child frequently comes to me for help with their schoolwork.
Strongly Agree
Agree
Neutral
Disagree
Strongly Disagree
Not Applicable
9.
What are your family dynamics?
Two-parent (heterosexual)
Two-parent (LGBTQIA)
Single parent (divorced)
Single parent (widowed)
Adoptive parent
10.
How many hours per day do you spend with your child?
Not at all
Less than 1 hour
1-3 hours
4-6 hours
More than 6 hours
11.
How would you rate the quality of your child's schoolwork?
Unsatisfactory
Poor
Fair
Good
Excellent
12.
Does your child receive tutoring outside of school?
Yes
No
13.
Do you supplement your child's learning with outside materials?
Yes
No
14.
What suggestions do you have to improve your child's education? Please list them below.
15.
Student's Grade
16.
School Name
17.
Name
18.
Email for results
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Template instructions
Parent roles and responsibilities survey template helps teachers, volunteers, and schools assess parents' involvement, knowledge, and support practices to boost student success. Use this free template to gather family insights quickly and without coding.

This template includes Likert-scale items on social awareness, parent-student conversations, homework support, extracurricular educational activities, and tutoring. It also asks about family dynamics, daily contact hours, perceived academic quality, student grade, school name, and optional contact fields. You can send responses to Google Drive, Dropbox, Box, or Airtable through integrations, and analyze results with built-in tables and report tools.

Use it for parent-teacher conferences, remote classrooms, onboarding new families, or school-wide evaluations. Questions are fully customizable so you can adapt language, response options, and required fields to your school's context. It's ideal for collecting actionable data to inform individualized support plans, classroom outreach, and community resource referrals.

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