Kirby High School

Title I Family Friendly Survey

Revised 2014.2015

Kirby High School needs your help to plan family involvement programs at our school. Family involvement is fun, informative, and helps our children perform better in school. Please take a few minutes to fill out this survey..

1. What specifically would you like to know about Kirby High School?

______

______

2. From what sources do you get most of your

information about school? (Check one)

 Newsletter Friends

 Children Newspaper

 Teachers TV

 Principal Lesson Line

 Progress Report  Marquee/Sign out front

 Parent/Teacher Communication

 Other ______

3. Would you be interested in attending a class or session

on how parents can help their children learn at

home?

 Yes No

4. If you checked “yes” for question 3, please indicate

below the types of workshops you would like to

participate in to help you help your child learn:

 Helping with homework

 Improving reading skills

 Improving math skills

 Improving your child’s self-image

 Building your own parenting skills

 Building technology literacy/skills

 Saying NO to drugs

 Recognizing gang symbols/activities

 Other ______

5. When would you like to have these meetings

scheduled?

 On a week night

 In the early morning before school starts

 Some time during a weekday

 Morning Afternoon

6. Would you be interested in participating in a small

group discussion hour at the school?

 Yes No

Best time is  Morning (coffee/breakfast)

 Lunchtime (brown bag)  Afternoon (snack)  Evening

7. Do you agree with the following statements:

My child feels comfortable with his or her teachers and

can talk openly if there is a problem.

 Yes No

I can talk openly about my child’s academic progress

with the principal, Dr. Jack.

 Yes No

I am well-informed by the school or teachers about what

my child is doing at Kirby High.

 Yes No

I feel that teachers need to be aware of home problems

that may affect children’s work.

 Yes No

I feel comfortable seeking help for my child through the

school guidance counselors.

 Yes  No

I am well informed about activities that take place at

Kirby High.

 Yes No

8. As a parent, do you have trouble with any of the

following? To some

Yes No degree

Helping with your child’s homework   

Attending school functions   

Spending enough time with your child   

Dealing with your child’s problems   

Knowing school policies   

Motivating your child   

Getting in to see your child’s teacher   

Getting in to see administrator or   

support personnel when needed

9. Would you like to volunteer in the following areas?

Yes No

Clerical or administrative duties for school 

Helping in your child’s classroom 

Helping PTO with a school event 

Supervising student events or field trips 

Participating on a school improvement 

planning committee

Volunteering to participate on the SBDMC

Committee 

Talking to students about careers or hobbies 

Other ______

10. Check the kinds of resources and services you would

like to see made available at the school.

 Parent Resource Center

 Parent Support Group

 Parent workshops on parenting skills/high interest

topics

 Other ______

11. I have the following hobbies and work experience

that I would be willing to share with the students.

______

______

12. Family involvement at school should be

strengthened in the following ways:

______

Questions/Comments/Concerns/Suggestions:

______

If you would like a personal response or you wish to volunteer your time, please fill out the information listed below.

Parent’s Name______

Phone Number ______

Child’s Name______

Child’s Teacher______