"We Need Your Input & Opinion"
Question #1

Please check one:


Question #2

Please check the category that includes your age:


Question #3

How many children under the age of 18 live in your household?  
Please indicate your relationship to children under 18 in your household:
Question #4

Please indicate your level of interest in the schools and the education of children in your family and community:
Question #6

Please indicate how many times you volunteered last school year at a school in your neighborhood:
Question #5

Please indicate how many times you visited your child's or a neighborhood school last school year:

Reason for visit:
Question #7

Do you feel parents and neighbors can help their neighborhood schools be successful?
How?
Question #8

Do you feel parents and neighbors need more representation and voice in the decision making process to help neighborhood schools be more successful? 
Your Suggestion:
Question #9

Do you feel we need a community organization consisting of parents and neighbors as a separate entity and partner with the School District to improve the education of children in our communities?
Your Additional Comments:
Thanks for Your Help!!    
Please Check if applies:
Parent of Child in School  Neighbor - No Child in SchoolStudent
under 1718-2425-3435-4445-5455- older
ParentGrandparentFoster ParentGuardian (Aunt,uncle, etc)
No interestLittle interest Very Interested
Never volunteered at a school1-56-1010 +
School EventTeacher ConferenceDiscipline ConferenceOther
YesNo
YesNo
YesNo
Teacher
School Administrator