HARCATUS HEAD START

PARENT INTEREST SURVEY

Mom/Female Guardian’s Name: ______Date: ______

Children love to see their parents in the classroom. Would you be willing to…

 Play with the children  Listen to and chat with the children  Share a hobby

 Sing or lead songs  Let children visit your work site  Take pictures

 Be a field trip aide  Be a story-teller  Share music/artistry

Sometimes we need a classroom fix-it person or helper. Can you help with…

 Playground maintenance  Classroom props  Cleaning

 Nuts & bolts checker  Preparing program materials  Serving on a committee

 Setting up or cleaning up for Parent Club  Publishing a center newsletter

We are always looking for new ideas for Parent Club. Would you be interested in…

 Budgeting  Coupons  Recycling  Exercise & Aerobics

 Car care  Home repairs  Carpentry  Wood working

 Stress Management  Crafts  Scrap-Booking  Hair or Make-up Make-overs

Would you be willing to share your talents with other parents or would you be willing to give a presentation on…

 Car care  Home repairs  Carpentry  Wood working

 Craft-making  Scrap-booking  Making toys and games

 Cooking or baking  Couponing  Other: ______

Do you need help with or would you like to learn more about…

 Job search skills  Resume’ Writing  Computer training

 Parent’s rights in public schools  Reading Skills  College courses or degrees

 Technical school  GED  Special interest classes

Throughout the year, parents will be given the opportunity to attend trainings at the center. Would you be interested in…

 First Aid or CPR  Nutrition/Meal Planning  Dental Care

 Quitting Tobacco Use  Weight management (adult/child)  Knowing when to call the doctor

 Planned parenthood  Adoption  Foster parenting

 Single parenting  Child support issues  Domestic violence

 Child abuse  Drug/alcohol abuse  Child development

 Guidance & discipline  Family relationships

Traditions are handed down through generations. Do you have any family traditions that you would like to share about food, clothing, or special events? ______

______

What are some of your interests, hobbies, or other special things you enjoy? ______

______

HARCATUS Head Start has an open door policy for parents. When would you be more likely to…

Visit/Volunteer in the classroom?  M  T  W  TH  F Morning Afternoon Evening

Attend Parent Club?  M  T  W  TH  F Morning Afternoon Evening


PARENT INTEREST SURVEY

Dad/Male Guardian’s Name: ______Date: ______

Children love to see their parents in the classroom. Would you be willing to…

 Play with the children  Listen to and chat with the children  Share a hobby

 Sing or lead songs  Let children visit your work site  Take pictures

 Be a field trip aide  Be a story-teller  Share music/artistry

Sometimes we need a classroom fix-it person or helper. Can you help with…

 Playground maintenance  Classroom props  Cleaning

 Nuts & bolts checker  Preparing program materials  Serving on a committee

 Setting up or cleaning up for Parent Club  Publishing a center newsletter

We are always looking for new ideas for Parent Club. Would you be interested in…

 Budgeting  Coupons  Recycling  Exercise & Aerobics

 Car care  Home repairs  Carpentry  Woodworking

 Stress Management  Crafts  Scrap-Booking  Hair or Make-up Make-overs

Would you be willing to share your talents with other parents or would you be willing to give a presentation on…

 Car care  Home repairs  Carpentry  Wood working

 Craft-making  Scrap-booking  Making toys and games

 Cooking or baking  Couponing  Other: ______

Do you need help with or would you like to learn more about…

 Job search skills  Resume’ Writing  Computer training

 Parent’s rights in public schools  Reading Skills  College courses or degrees

 Technical school  GED  Special interest classes

Throughout the year, parents will be given the opportunity to attend trainings at the center. Would you be interested in…

 First Aid or CPR  Nutrition/Meal Planning  Dental Care

 Quitting Tobacco Use  Weight management (adult/child)  Knowing when to call the doctor

 Planned parenthood  Adoption  Foster parenting

 Single parenting  Child support issues  Domestic violence

 Child abuse  Drug/alcohol abuse  Child development

 Guidance & discipline  Family relationships

Traditions are handed down through generations. Do you have any family traditions that you would like to share about food, clothing, or special events? ______

______

What are some of your interests, hobbies, or other special things you enjoy? ______

______

HARCATUS Head Start has an open door policy for parents. When would you be more likely to…

Visit/Volunteer in the classroom?  M  T  W  TH  F Morning Afternoon Evening

Attend Parent Club?  M  T  W  TH  F Morning Afternoon Evening

HSFCP014 Rev. 3/11