Parenting Matters
A resource for parents of elementary school-age children

Parenting Matters Survey

We would like to hear your feedback about the Parenting Matters kindergarten newsletter so that we can make our program most beneficial to you. Please help us by filling out this anonymous questionnaire. Your answers make a difference to us in obtaining financial support for the program.

Updated 4/14/09

En Español

Volunteering to complete these first 7 questions will help us know more about all families participating in the our program. We use this information for our funders. All information will be kept confidential.

P1. How Many Years has your family lived in the school district
P2. What Language is most often spoken in your home? (If more than one, please list all)
 

P3. How Often have you moved in the last 5 years

P4. Who provides considerable time in caring for your child (please check up to 3)
Single Parent in Home  Two Parents in Home Step-Parent(s) Parent Living In Another HomeGrandparents Siblings Family, Friends, Neighbors Child Care Provider Foster Parent Other Relative 

P5. What is your family's ethnicity?

P6. What is the highest level of education by someone in your home?

P7. What is your total family income over one year?

Name of your school District (what it says on Masthead of newsletter):

I read the Parenting Matters material from the point of view as a

Gender:

Marital Status:

Ethnic Background (Check all that apply):
African American  Caucasian  Latino  Native American   Asian
Pacific Islander      Other

1. How often do you read the Parenting Matters newsletter? 

2. Check the topics from the Parenting Matters material that have been the most helpful or important for you:

Parenting Tips    Healthy, Nutrition & Safety     Reading     Behavior    Drugs/Alcohol      TV/Computer/Internet      Discipline     Communication
Other     Please explain:

3. From what sources do you primarily get your information on parenting?
Books       Your Parents       Parenting Matters     
Parenting Classes       Church      Friends            Spouse               
Community Sources     College               Magazines

Other (Please specify)

4. Please indicate the degree to which you agree or disagree with each of the following statements:

As a result of reading the Parenting Matters newsletters, I have learned or have been reminded of some parenting issues. As a result . . .
                                                              Strongly Disagree 1    Disagree 2    Agree 3   Strongly Agree 4

a. I have increased the amount of time that I spend reading with my child.  
b. I have tried new discipline techniques.
c. I have used things in my child's everyday environment to teach new things to him.
d. I praise my child more often.
e. I try to reinforce what my child is learning about math, reading, geography, writing, and science.
f. I have improved my communication with my child.
g. I have tried new ways to encourage my child’s curiosity and excitement about learning.
h. I know I am still an important teacher to my child.
i. I am monitoring more closely what and how much television my child watches.
j. I feel more comfortable bringing ideas, input, and concerns to the attention of the school.
k. I think it is important for the teacher and me to work together for my child to succeed in school.    
l. I have tried new strategies to help increase my child’s positive behavior.
m. I have incorporated new information about health and nutrition for my child.                
n. I have a greater expectation for my child to take on age-appropriate responsibilities.
o. I believe that the school recognizes my value in my child’s education.
p. I have realized the importance of teaching my child to accept and appreciate differences (different ethnic groups, people with special needs, older people, etc.).
q. I feel more comfortable bringing ideas, input, and concerns to the attention of the school.
r. I have tried new ways to increase the safety and decrease hazards for my child.
s. I have increased my understanding of the dangers of secondhand smoke and smoking.

5. Do you think other parents of elementary students would benefit from receiving this Parenting Matters Newsletter?

 

6. Please list any additional comments or suggestions here.

Thank you for your participation.

 

Here's how to reach us:
Toll free: 1-866-943-KIDS (5437)
(206) 855-9189 or (360) 681-2250
Fax -
(206) 866-1252

A United Way of Clallam County Partner Agency

For more information e-mail: info@firstteacher.org

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