Questionnaire for Elementary Students
Questionnaire for Parents of Elementary Students
Tastes & Interests:
What is the most important thing I should know about your child?
A When your child has nothing to do what would be their first choice to pass the time?
1. Draw pictures, paint, make things with clay or sculpey.
2. Go bowling.
3. Go exploring on a bike.
4. Go on Face book
5. Go shopping
6. Go swimming.
7. Go to a movie
8. Hang out with friends
9. Play a sport with friends. Which sport? _________________________
10. Play basketball in the park or a yard.
11. Play on a Wii
12. Play with an X box.
13. Play with games on a computer.
14. Read a book.
15. Text friends.
16. Watch television.
17. Write
18. Something not on this list – please write it down. ______________________
B Would your child’s choice of activity be affected by the weather?
Please explain.
C Does your child prefer to play:
on his or her own
with one or two other kids
with a big group of kids?
C What are your child’s favourite TV shows?
D Do you limit what your child watches on television? Yes No
If yes, what restrictions do you impose?
E Do you read to your child? Yes No
F What kind of books does he or she like?
Adventures
Books about archaeology such as Egyptian mummies and Chinese tombs
Books about how things work
Books about real people
Books about science
Fairy tales
Fantasy
History books
Mysteries
Stories about people his or her age?
G Our child goes to bed at: (please circle the most appropriate)
7 7:30 8 8:30 9 9:30 10 10:30 11
When he or she chooses; usually __________
Emotions & Perceptions
A. Circle the number that shows how much you agree or disagree with these sentences.
For example:
If the sentence is:
Most kids like candy.
1 2 3 4 5 5.5 6 7 8 9 10
Strongly Disagree Don’t Know Strongly Agree
I have no opinion
If you agreed somewhat that most kids like candy, then you would circle 6 or 7.
If you completely disagreed that most kids like candy, you would circle 1 or 2.
If you had never noticed how other kids felt about candy, you would circle 5.5.
You can circle 5.5 if you have no opinion on whether kids like candy.
1. My child could get better marks if he or she tried.
1 2 3 4 5 5.5 6 7 8 9 10
Strongly Disagree Don’t Know Strongly Agree
I have no opinion
2. My child enjoys most of the schoolwork.
1 2 3 4 5 5.5 6 7 8 9 10
Strongly Disagree Don’t Know Strongly Agree
I have no opinion
3. My child is a good student.
1 2 3 4 5 5.5 6 7 8 9 10
Strongly Disagree Don’t Know Strongly Agree
I have no opinion
4. My child is poor at schoolwork.
1 2 3 4 5 5.5 6 7 8 9 10
Strongly Disagree Don’t Know Strongly Agree
I have no opinion
5. My child finds it hard to concentrate on schoolwork.
1 2 3 4 5 5.5 6 7 8 9 10
Strongly Disagree Don’t Know Strongly Agree
I have no opinion
6. Kids should only get homework in high school.
1 2 3 4 5 5.5 6 7 8 9 10
Strongly Disagree Don’t Know Strongly Agree
I have no opinion
Parents should help students with homework.
1 2 3 4 5 5.5 6 7 8 9 10
Strongly Disagree Don’t Know Strongly Agree
I have no opinion
7. My child usually has a good understanding of how to do his or her homework.
1 2 3 4 5 5.5 6 7 8 9 10
Strongly Disagree Don’t Know Strongly Agree
I have no opinion
8. My child’s homework is usually too hard for them to do on their own.
1 2 3 4 5 5.5 6 7 8 9 10
Strongly Disagree Don’t Know Strongly Agree
I have no opinion
10. Our child keeps trying even when the work is hard.
1 2 3 4 5 5.5 6 7 8 9 10
Strongly Disagree Don’t Know Strongly Agree
I have no opinion
9. Schoolwork is usually easy for my child.
1 2 3 4 5 5.5 6 7 8 9 10
Strongly Disagree Don’t Know Strongly Agree
I have no opinion
10. The teacher gives the children too much homework to do.
1 2 3 4 5 5.5 6 7 8 9 10
Strongly Disagree Don’t Know Strongly Agree
I have no opinion
11. When my child’s assignment is difficult, he or she usually asks for help right away.
1 2 3 4 5 5.5 6 7 8 9 10
Strongly Disagree Don’t Know Strongly Agree
I have no opinion
14. My child prefers to work on his or her own on assignments.
1 2 3 4 5 5.5 6 7 8 9 10
Strongly Disagree Don’t Know Strongly Agree
I have no opinion
1. We do not allow our child to use the Internet while he or she is doing homework.
1 2 3 4 5 5.5 6 7 8 9 10
Strongly Disagree Don’t Know Strongly Agree
I have no opinion
2. It is easy for my child to do homework quickly.
1 2 3 4 5 5.5 6 7 8 9 10
Strongly Disagree Don’t Know Strongly Agree
I have no opinion
3. My child has difficulty paying attention to spoken explanations.
1 2 3 4 5 5.5 6 7 8 9 10
Strongly Disagree Don’t Know Strongly Agree
I have no opinion
4. When homework gets difficult, my child stops doing it.
1 2 3 4 5 5.5 6 7 8 9 10
Strongly Disagree Don’t Know Strongly Agree
I have no opinion
5. My child has difficulty understanding explanations of new ideas.
1 2 3 4 5 5.5 6 7 8 9 10
Strongly Disagree Don’t Know Strongly Agree
I have no opinion
6. My child is distracted by colourful pictures.
1 2 3 4 5 5.5 6 7 8 9 10
Strongly Disagree Don’t Know Strongly Agree
I have no opinion
7. My child usually watches television before doing homework.
1 2 3 4 5 5.5 6 7 8 9 10
Strongly Disagree Don’t Know Strongly Agree I have no opinion
8. Easy schoolwork is boring for my child.
1 2 3 4 5 5.5 6 7 8 9 10
Strongly Disagree Don’t Know Strongly Agree
I have no opinion
9. Homework is important.
1 2 3 4 5 5.5 6 7 8 9 10
Strongly Disagree Don’t Know Strongly Agree
I have no opinion
10. Schoolwork is too hard for my child.
1 2 3 4 5 5.5 6 7 8 9 10
Strongly Disagree Don’t Know Strongly Agree
I have no opinion
11. My child finds schoolwork interesting.
1 2 3 4 5 5.5 6 7 8 9 10
Strongly Disagree Don’t Know Strongly Agree
I have no opinion
12. My child enjoys the challenge of difficult schoolwork
1 2 3 4 5 5.5 6 7 8 9 10
Strongly Disagree Don’t Know Strongly Agree
I have no opinion
1. Bullies are a serious problem at my child’s school.
1 2 3 4 5 5.5 6 7 8 9 10
Strongly Disagree Don’t Know Strongly Agree
I have no opinion
2. Bullies often do things behind the teacher’s back.
1 2 3 4 5 5.5 6 7 8 9 10
Strongly Disagree Don’t Know Strongly Agree
I have no opinion
3. Kids who misbehave in class get off too easily.
1 2 3 4 5 5.5 6 7 8 9 10
Strongly Disagree Don’t Know Strongly Agree
I have no opinion
4. Gum chewing should be allowed in school.
1 2 3 4 5 5.5 6 7 8 9 10
Strongly Disagree Don’t Know Strongly Agree
I have no opinion
5. Children can work well in a noisy classroom.
1 2 3 4 5 5.5 6 7 8 9 10
Strongly Disagree Don’t Know Strongly Agree
I have no opinion
6. My child prefers a quiet classroom when he or she is working.
1 2 3 4 5 5.5 6 7 8 9 10
Strongly Disagree Don’t Know Strongly Agree
I have no opinion
7. My child likes having his or her own desk.
1 2 3 4 5 5.5 6 7 8 9 10
Strongly Disagree Don’t Know Strongly Agree
I have no opinion
8. My child likes school.
1 2 3 4 5 5.5 6 7 8 9 10
Strongly Disagree Don’t Know Strongly Agree
I have no opinion
9. The teacher is too strict.
1 2 3 4 5 5.5 6 7 8 9 10
Strongly Disagree Don’t Know Strongly Agree
I have no opinion
10. The teacher usually has time during class to help my child.
1 2 3 4 5 5.5 6 7 8 9 10
Strongly Disagree Don’t Know Strongly Agree
I have no opinion
11. School is usually fun for my child.
1 2 3 4 5 5.5 6 7 8 9 10
Strongly Disagree Don’t Know Strongly Agree
I have no opinion
12. Working in groups at the same table in the classroom is good for my child.
1 2 3 4 5 5.5 6 7 8 9 10
Strongly Disagree Don’t Know Strongly Agree
I have no opinion
13. Students need breaks to shake their sillies out.
1 2 3 4 5 5.5 6 7 8 9 10
Strongly Disagree Don’t Know Strongly Agree
I have no opinion
14. Students should help keep the classroom clean and tidy
1 2 3 4 5 5.5 6 7 8 9 10
Strongly Disagree Don’t Know Strongly Agree
I have no opinion
15. There are too many kids in my child’s class.
1 2 3 4 5 5.5 6 7 8 9 10
Strongly Disagree Don’t Know Strongly Agree
I have no opinion
Assignments should be done well.
1 2 3 4 5 5.5 6 7 8 9 10
Strongly Disagree Don’t Know Strongly Agree
I have no opinion
Even though my child works very hard, his or her marks are too low.
1 2 3 4 5 5.5 6 7 8 9 10
Strongly Disagree Don’t Know Strongly Agree
I have no opinion
Schools are biased towards girls.
1 2 3 4 5 5.5 6 7 8 9 10
Strongly Disagree Don’t Know Strongly Agree
I have no opinion
I don’t worry about my child’s marks.
1 2 3 4 5 5.5 6 7 8 9 10
Strongly Disagree Don’t Know Strongly Agree
I have no opinion
We reward our child for good marks on report cards.
1 2 3 4 5 5.5 6 7 8 9 10
Strongly Disagree Don’t Know Strongly Agree
I have no opinion
Our child needs to learn more about how to study.
1 2 3 4 5 5.5 6 7 8 9 10
Strongly Disagree Don’t Know Strongly Agree
I have no opinion
If our child studied, he or she would get good marks on tests.
1 2 3 4 5 5.5 6 7 8 9 10
Strongly Disagree Don’t Know Strongly Agree
I have no opinion
Our child’s marks are bad because his or her teacher doesn’t like him or her.
1 2 3 4 5 5.5 6 7 8 9 10
Strongly Disagree Don’t Know Strongly Agree
I have no opinion
We care more about our child’s learning skills than the marks for subjects.
1 2 3 4 5 5.5 6 7 8 9 10
Strongly Disagree Don’t Know Strongly Agree
I have no opinion
We expect our child to do well in school.
1 2 3 4 5 5.5 6 7 8 9 10
Strongly Disagree Don’t Know Strongly Agree
I have no opinion
Our child’s report card marks are usually fair.
1 2 3 4 5 5.5 6 7 8 9 10
Strongly Disagree Don’t Know Strongly Agree
I have no opinion
We expect our child to come with us to most parent-teacher meetings.
1 2 3 4 5 5.5 6 7 8 9 10
Strongly Disagree Don’t Know Strongly Agree
I have no opinion
No matter how much our child studies, he or she still doesn’t get good marks on tests.
1 2 3 4 5 5.5 6 7 8 9 10
Strongly Disagree Don’t Know Strongly Agree
I have no opinion
Parent-teacher meetings are important to us.
1 2 3 4 5 5.5 6 7 8 9 10
Strongly Disagree Don’t Know Strongly Agree
I have no opinion
Studying makes our child’s marks better on tests
1 2 3 4 5 5.5 6 7 8 9 10
Strongly Disagree Don’t Know Strongly Agree
I have no opinion
Studying for a test makes the work in the next unit easier for our child.
1 2 3 4 5 5.5 6 7 8 9 10
Strongly Disagree Don’t Know Strongly Agree
I have no opinion
Tests usually make my child nervous.
1 2 3 4 5 5.5 6 7 8 9 10
Strongly Disagree Don’t Know Strongly Agree
I have no opinion
Assignments are the best way to figure out how well a student understands what has been taught.
Children should do their assignments in school not at home.
Without our help, school projects would be too difficult for our child to do well.
Our child has a hard time waking up in the morning.
Asking questions in class is difficult for our child.
Our child needs our help on his or her projects.
It takes too long for our child to get his or her homework done.
We usually keep the house quiet when our child is doing homework.
We expect our child to do chores most days.
Character is important.
Being popular is important.
Sports are important.
Our child works best if he or she knows she can redo an assignment.
We believe that students should be allowed to redo tests they fail.
If our child does not complete homework we think he or she should stay after school to finish it.
Students should catch up incomplete homework at home not after school.
Incomplete homework should be excused.
Teachers should insist that students do their work neatly.
At school our child finds it hard to concentrate.
My child would find homework boring without friends to talk to on the phone or the Internet.
Our child always studies for tests.
Our child does assignments carefully.
Our child uses spare time in class to do some homework.
Our child usually does all of his or her homework on time.
Our child needs our help on his or her projects.
It takes too long for our child to get his or her homework done.
We usually keep the house quiet when our child is doing homework.
We expect our child to do chores most days.
We supervise our child’s homework.
We help our child if he or she asks.
Texting, tweeting and chatting on line or on the phone are ways of students helping each other with homework.
There isn’t enough time in the evenings for our child to get homework done.
Usually no one reminds our child to do homework.
Our child has a desk in his room for homework.
Work Habits
Circle five or more sentences that best describe the way you work at school and at home.
At home I always listen to music while I do homework.
Even when my teacher is really nice, it is still difficult for me to ask questions in class.
I am not allowed to use my cell phone while I am doing homework.
I can only use the Internet when my parents say so.
I do my homework when and where I want to.
I get up to have a snack while I am doing homework.
I have a cell phone and text friends while I do homework.
I have a computer in my room.
I have a computer where I do homework.
I have a desk in my room but I usually work somewhere else in the house.
I have to do my homework at the time my parents decide.
I like to do my homework while watching TV.
I like to study.
I never show my parents my homework.
I often ask questions in class when I need help with the work.
I share a room with a brother or sister who is not in school yet.
I usually do homework on my bed or the floor.
It takes me a long time to get my homework done.
It’s better to get homework done at school.
My friends sometimes copy my homework answers.
My homework gets done most of the time.
My house is often noisy.
My parents insist on a quiet time for homework.
My parents make me use the desk in my room to do homework
My parents make us work at a table in the kitchen or the dining room.
My parents rarely ask about my homework.
My parents usually supervise my homework.
School would be boring if I didn’t work.
Sometimes I forget my homework at school.
The desk in my room is too messy to do my homework on.
The library is my favourite place to do homework.
The most important thing is to get an assignment finished.
Usually I don’t do all my homework.
When I don’t understand something, I try to figure it out before I ask questions.
When I work hard I eventually understand even difficult schoolwork.
While I do homework I text, tweet, chat on-line or talk to my friends on the phone.
B Circle five or more sentences that best describe your social life at school.
Eating lunch at school is OK.
Going home for lunch is better because:
a. I get a real break from school
b. I get to watch TV or play games
I belong to a club(s). Please list:
I do extra-curricular sports. Usually (list them, please)
I don’t do sports.
I don’t have time to play with my friends.
I don’t like eating lunch at school because:
I don’t like going outside at recess except in warm weather.
I eat lunch at school.
I go home for lunch.
I have a few friends but we spend a lot of time together.
I have lots of friends.
I have no friends.
I have one very good friend
I have to do chores (such as walk a little sister home or help in the family business)
I prefer eating lunch at school because:
I can be with my friends
I can do sports or clubs
I can get extra help
I can go to the school library
I usually read at recess.
I usually throw out part of my lunch or trade it.
I wake up before the alarm clock every morning.
I would rather not go home for lunch because:
I can’t do sports or clubs at school.
There isn’t enough time
If I have forgotten something I can get it.
If we didn’t have recess I couldn’t survive school.
My parents give me money to buy lunch.
of the noise in the lunchroom
Recess is fun because I get to play with my friends.
Some of the kids at school are mean.
Sports and clubs don’t interest me.
Staying in to help the teacher is the best thing to do at recess.
The food is better
The lunch I take to school is usually pretty good.
There isn’t much to do afterwards
Life in General:
Circle at least 5 sentences that you agree with most or you think best describe how you think or feel.
Angry people scare me.
Annoying people should be ignored.
Being a kid is hard.
Being good-looking is not important.
Being nice is different from being good.
Being smart in school can be embarrassing.
Cheating on tests is wrong.
Copying from the Internet is research.
Everyone hates me.
Hardly anybody really wants to be good.
Helping other people makes me feel good.
I am a good person.
I am often unhappy.
I am smart in school.
It’s fine to cheat on schoolwork because it is not important.
I get angry a lot.
I have more good luck than most people.
I occasionally say sarcastic or mean things to annoying kids.
I think it is kind of funny when I make someone else angry.
I try to do the right thing.
I wish I were better looking.
I wish I were smarter.
I’m good-looking enough.
If I do something wrong, I try not to do it again.
It’s OK to steal from a big company.
It is really important to be good-looking.
It’s wrong to copy from the Internet.
It’s usually people’s fault if they need help so we shouldn’t help them.
Kids have a good life.
Kids want to be good people.
Life is so much fun.
Most of the time I am happy.
Most people like me.
My family is smarter than most people so we are better at most things.
My friends are terrific.
Nice people are usually good people.
Parents are not much help to their kids.
Parents are really busy.
Parents do their best to help their children.
Peace at any price is my motto.
Sometimes I behave badly in class.
Sometimes it is hard to do the right thing.
Sometimes people can be very annoying.
Stealing is wrong.
Teachers care about kids.
Teachers like kids.
There is a difference between making a mistake and doing something bad.
The teachers are mean to me.
Very few people are better looking than me.
Very few people work as hard as my family does, so very few people deserve good things the way we do.
When I make a mistake, I usually say I am sorry.
When other kids are annoying, I want to hit them.
You should fight back when somebody hits you.
C Circle the sentences that describe best how you feel about life in the classroom.
1. If everyone talked quietly, the classroom would be very noisy.
2. It’s hard to get help from my teacher during class.
Passing notes should be allowed while the teacher is talking.
Plants are nice to have in a class.
Rows of desks with a desk for each person is a good way to have a classroom.
Some of the students in our class should not talk so much.
The teachers usually figure out who the bullies in our school are.
We should be allowed to pass notes when the teacher isn’t talking.
.
When the classroom is noisy I find it difficult to work.
A classroom should be democratic.
Change is often a challenge for my child.
Children are basically good.
Compromise is a skill my child is good at.
Friendship comes easily to my child.
I believe that teachers care about my child.
It is normal for children of this age to lie.
It is normal for my child to be irritable.
It is often hard to be a child.
Most of the time my child is happy.
My child is able to go with the flow in new situations.
My child is often tired.
My child is shy.
My child likes to work.
My child prefers to work in a quiet classroom.
My child should not be singled out in any way.
My child tries to do the right thing.
My child understands that it wrong to copy other people’s work without explaining who did the work in the first place.
My child’s anger gets in the way of his or her friendships.
Normally, some children at this age steal.
Our child has been taught to say he or she is sorry when they make a mistake.
Our children have been taught that they should fight back when somebody hits them.
Our whole family works hard.
Recent family events (death, divorce, move etc.) have affected my child’s moods.
Risk-taking, up to a point, is a pleasure for my child.
Some teachers have been mean to my child.
Sometimes teachers have to make decisions for professional reasons that we do not agree with.
Teasing is one of my child’s more worrying habits.
We believe that parents should make the decisions in a family.
We expect our child to respect other children and adults.
When my child has difficulty doing something he or she gets angry.
You should fight back when somebody hits you.
Students should be allowed to talk quietly while they are working
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