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Year 4 Steve Jobs Parent Questionnaire

Total questions: 17

Worksheet time: 21mins

Name
Class
Date
1.

My child is highly interested in learning.

a)

Agree

b)

Neutral, i.e. neither agree nor disagree

c)

Strongly disagree

d)

Disagree

e)

Strongly agree

2.

My child takes the initiative to learn.

a)

Neutral, i.e. neither agree nor disagree

b)

Strongly agree

c)

Disagree

d)

Agree

e)

Strongly disagree

3.

My child is confident in learning.

a)

Strongly agree

b)

Agree

c)

Disagree

d)

Strongly disagree

e)

Neutral, i.e. neither agree nor disagree

4.

My child often takes his/her assignments seriously.

a)

Neutral, i.e. neither agree nor disagree

b)

Strongly disagree

c)

Agree

d)

Disagree

e)

Strongly agree

5.

My child often reads materials such as leisure reading materials and newspapers outside class.

a)

Strongly disagree

b)

Strongly agree

c)

Agree

d)

Disagree

e)

Neutral, i.e. neither agree nor disagree

6.

My child gets along well with his/her schoolmates/classmates

a)

Neutral, i.e. neither agree nor disagree

b)

Agree

c)

Strongly agree

d)

Disagree

e)

Strongly disagree

7.

Your child study daily.

a)

Disagree

b)

Strongly disagree

c)

Agree

d)

Strongly disagree

e)

Neutral

8.

The study space is quiet and free from distraction

a)

Disagree

b)

Strongly disagree

c)

Agree

d)

Strongly disagree

e)

Neutral

9.

What resources are available for studying at home?

a)

Computer/Library/Internet

b)

Library

c)

Internet

d)

Internet/Library

e)

Neutral

10.

Are there any challenges with completing his homework?

a)

Yes

b)

No

11.

Your child asks questions or seeks help when struggling.

a)

Agree

b)

Strongly agree

c)

Disagree

d)

Strongly disagree

e)

Neutral

12.

How best do you encourage/motivate your child to learn?

4 lines
13.

Are there any concerns or issues affecting or have affected your child's academic performance negatively?

a)

Yes

b)

No

14.

What issue do you think may have affected his or her performance in the past? (Negatively)

4 lines
15.

What do you think has influenced your child's improvement in any of his previous class? (Can ask your child to specify)

4 lines
16.

What specific subject area would you like your child to get additional support?

4 lines
17.

Any other issue you would like to notify the teacher?

4 lines