CSIP Survey: Parent Form
The Comprehensive School Improvement Plan (CSIP) is reviewed and revised every few years in order
for school districts to develop new goals for the district and plan for the future. The school district
welcomes feedback from all stakeholders involved in the school community (ie. students, faculty, staff,
parents and community members) to identify the districts strengths and weaknesses as it analyzes its
needs. Please take a moment to complete the online survey to assist the administration and CSIP
Committee in understanding the demographics and needs of the Shelby Co. R-IV School District. Thank you for your input.
 In what grade is your child? *
For multiple children, check all that apply.
Required
My child is a: *
For multiple children, check all that apply.
Required
 What is your relationship to the child or children? *
 Which best describes you? *
Which best describes your household? *
 How many adults in your household work outside the home for pay? *
 Is your child covered by some kind of family medical insurance? *
How many children in your household are under 18 years old? *
Which category best describes your age? *
Which best describes your completed level of education? *
How many years have you lived in this school district? *
Please mark any of the following educational programs in which your child participates: *
Required
What do you see your child doing after graduating from high school? *
 How many hours a day does your child spend playing on a cell phone, computer or video games? *
How much time does you child spend reading at home each day? *
Please fill in the circle below that best describes how often during the past 12 months you have done each of the following things: *
Never
Once or twice
3-5 times
6-10 times
More than 10 times
Talked to your child's teacher.
Attended an open house at school.
Attended parent/teacher meetings.
Visited the school on your own.
Helped with school activities (i.e. room parent or concession stand).
Visited the school website or social media accounts (IE Facebook or Twitter)
Attended a school sponsored event.
Please answer YES or NO to the following: *
Yes
No
I know the parents of 5 or more of my child's closest friends.
I enforce family rules about how many hours my child can watch TV, or play video/computer games.
My child has access to the internet at home.
Please fill in the circle below that best describes how often you do the following: *
Never
Rarely
Occasionally
Regularly
Talk to your child about his/her experiences in school.
Talk to your child about his/her plans for high school.
Talk to your child about his/her plans for after high school.
Indicate how much you agree or disagree with each statement by clicking one of the circles. *
Strongly disagree
Disagree
Neutral
Agree
Strongly Agree
The school recognizes the accomplishments of my child.
My child's opinions are valued by teachers and administrators.
My child's school promotes an environment of mutual respect among students.
My involvement in my child's educaiton has improved his/her achievement.
Parents are asked for input about school decisions.
Our school has a program that teaches and reinforces student self-discipline and responsibility.
My school has clear procedures for handling school emergencies.
The school values and respects differences among students and their families.
Effective assistance is provided for children having difficulty in school.
My child has the necessary classroom supplies and equipment for effective learning.
Indicate how much you agree or disagree with each statement by clicking one of the circles. *
Strongly disagree
Disagree
Neutral
Agree
Strongly Agree
The way they teach at this school works well for my child.
My child is given a fair chance to succeed at school.
My child likes attending this school.
I can talk with my child's teachers or principal whenever I need.
I know how well my child is doing in class.
I feel my child is safe at achool.
I receive information about the educational services available to my child at school.
My child's school building is in good condition.
The community provides enough money for the school to do a good job.
Discipline in my child's school is handled fairly.
I feel our school provides my child with adequate access to technology.
Indicate how much you agree or disagree with each statement by clicking one of the circles. *
Strongly disagree
Disagree
Neutral
Agree
Strongly Agree
I expect my child to do well in school.
My child's teachers are good teachers.
I know what my child's teachers expect in school.
My child has been taught in school about respect for other cultures.
I am a partner with the school in my child's education.
The school encourages parents to be involved.
The school offers suggestions about how I can help my child learn at home.
In our community, people tend to trust each other.
The community is proud of this school.
If I could, I would send my child to a different school.
Indicate how much you agree or disagree with each statement by clicking one of the circles. *
Strongly disagree
Disagree
Neutral
Agree
Strongly Agree
My child's teachers expect very good work from my child.
The school has helped my child establish educational and career plans.
Career and technical education is an essential part of the district's program of studies.
 Would you say the school district has improved from five years ago, gotten worse or stayed the same? *
Students are often given the grades A, B, C, D and F to denote the quality of their work. If the school district was graded the same way, what grade would you give them? *
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