Parent/Guardian Exit Survey

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

Thank you for taking some time to share your reasons for not re-enrolling your child at Henry R. Clissold Elementary School. Your feedback is important to us, and we hope to use it to improve the experience of families who choose to stay in the schools.

Student First Name *

Student Last Name *

Grade Level *

What did you enjoy best about the school? *

From the following list, please select reasons for not re-enrolling your child/children in Clissold: *

Poor communication

Class Size

No before/after school programs

Moved out of area

Limited technology

Rigorous instruction

Not treated with respect

Lack of gifted student programs

Lack of resources

Facilities

Other:

Required

Rate your experience at school on the following scale *

Yes

Mostly

Unsure

Not Usually

The school tries to bring out the best in each child.

Discipline problems are competently handled.

Relationships between teachers and parents are good

Lines of communication to the staff are clearly defined

The school takes parents' concerns seriously

Next year, my child(ren) will be attending a *

Parochial School

Academic Center

Neighborhood School

Charter School

Other:

Submit

Clear form

Never submit passwords through Google Forms.

This form was created inside of Chicago Public Schools. Report Abuse

Forms