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Parent Survey
As a parent/guardian, you have insight to your student that is very valuable to me as their reading teacher. Your answers to the following questions will help me to support your child in this class.
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* Indicates required question
Student’s Name
*
Your answer
Parent completing the survey:
*
Your answer
Please describe your child’s learning strengths.
*
Your answer
Please describe the goals you have for your learner for the year.
*
Your answer
When you think about your learner, what makes you proud?
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Your answer
What is a topic your student is most interested in?
*
Your answer
Explain your child’s reading abilities. Is your child a proficient or struggling reader? Why?
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Your answer
Does your child enjoy reading books to themselves?
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Sometimes
Always
Never
Does your child enjoy reading books to others (younger siblings or parents)?
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Sometimes
Always
Never
Do you feel that your child is a motivated reader?
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Sometimes
Always
Never
If you read aloud, do you and your child have a running dialogue with questions occurring about the story(ies)?
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Sometimes
Always
Never
How many days a week does your child read at home?
*
Your answer
How many minutes per night will your child read without having to be asked?
*
0-10 Minutes
10-20 Minutes
20-40 Minutes
About an Hour (or more)
Does your child have books at home?
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Yes
No
Where does your child get the books he/she reads?
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Your answer
Does your child ever talk to you about the books he/she is reading?
*
Yes
No
Are there any obstacles that get in the way of your child being a good reader? If so, what?
*
Your answer
Please check all of the following that apply to you:
*
I stress the importance of reading to my child.
In my home, I have scheduled time set aside for reading.
I limit the amount of screen time for my child.
I read aloud to my child and encourage them to do so to me.
I have a wide variety of reading materials around the house.
I have recently spent time with my child in a bookstore.
Our family visits the public library.
I read and discuss books my child is assigned in school.
I encourage my child to set reading goals.
I like to read.
Reading-related activities are never used as disciplinary measures.
Required
What was the name of the last good book you read for yourself?
Your answer
Is there anything else we should know about your child?
*
Your answer
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This form was created inside of State of South Dakota K-12 Data Center.
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