[School Name] | [School District] Dear parent or guardian: At our school, we value your feedback. Please fill out the following survey and return it to your child’s teacher. Your feedback is completely anonymous. We appreciate your participation! Date [Date] | Your child’s grade level [Grade] | Your child’s teacher [Name]

Area of Service	Quality rating
overall impressions
Our school’s educational program is of high quality.	Choose an item.
Our school is doing an excellent job teaching:	Choose an item.
Reading	Choose an item.
Writing	Choose an item.
Math	Choose an item.
Science	Choose an item.
Social Studies	Choose an item.
Fine Arts	Choose an item.
Physical Education	Choose an item.
The size of classes does not affect the quality of my child’s education.	Choose an item.
SCHOOL RESOURCES
My child has access to a variety of resources to help him/her learn.	Choose an item.
Our school's facilities are clean and well maintained.	Choose an item.
LIFE SKILLS TRAINING
My child is being well prepared to continue his/her education.	Choose an item.
Our school is preparing my child to deal with issues and problems he or she will face in the future.	Choose an item.
The school’s programs are broad enough to meet the educational needs of all students in the community.	Choose an item.
BEHAVIOR
Students in our school show respect for each other.	Choose an item.
Our school’s discipline policies are fair and effective.	Choose an item.
Students in our school demonstrate sensitivity to racial and ethnic issues.	Choose an item.
Teachers and administrators at our school demonstrate sensitivity to racial and ethnic issues.	Choose an item.
Our school provides students and teachers with a safe and orderly environment.	Choose an item.
Teachers and administrators at our school demonstrate genuine concern for the well being of students.	Choose an item.
Students at our school demonstrate genuine concern for the well being of fellow students.	Choose an item.
PARENT-SCHOOL COMMUNICATION
Parents feel welcome in our schools.	Choose an item.
The views of parents are seriously considered when school decisions are made.	Choose an item.
Parents have a good understanding of the school’s programs and operations.	Choose an item.
Parents receive information they need about the school’s programs.	Choose an item.
MORE COMMENTS?
Please expand upon your assessment of any areas in which our school could improve. We welcome your suggestions and will hold an open house later this fall to discuss the results of this survey.
Optional comments [Comments]