Survey: Student and Family Needs Assessment and Access to Community Resources
Section 1: Demographics
1. How many children do you have attending this school?
2. What grade(s) are your children in? (Check all that apply)
3. What is your primary language spoken at home?
Section 2: Academic Needs
4. Does your child need assistance with homework or academic tutoring outside of school hours?
5. Does your child have access to necessary resources (like textbooks, internet, computer, etc.) for schoolwork at home?
6. Are you comfortable with your ability to help your child with their homework?
Section 3: Medical Needs
7. Does your child have any specific medical needs (physical, mental health, etc.) that require professional help or resources?
8. If yes, does your child have access to the necessary medical services?
9. Are you familiar with any local organizations or resources that can support your child's medical needs?
Section 4: Physical Needs
10. Does your child participate in any extracurricular physical activities (e.g., sports, dance,...
Does your child have access to nutritious meals regularly?
12. Are you familiar with any local organizations or resources that provide support for physical needs (like food assistance, sports equipment, etc.)?
Section 5: Familiarity with Community Resources
13. Are you aware of local community resources that can provide assistance in academic,...
…needs (Marzano, 2003).
The survey also promotes a culture of open communication between the school, students, and families. By asking about comfort levels in sharing personal needs, we acknowledge the sensitivity of the information we are asking for, and it shows our respect for their privacy (Epstein & Van Voorhis, 2010). Confidential and respectful communication are paramount to fostering trust, which is the bedrock of effective home-school partnerships.
Resources
Marzano, R. J. (2003). What works in schools: Translating research into action. ASCD.
Epstein, J. L., & Van Voorhis, F. L. (2010). School counselors' roles in developing partnerships
with families and communities for student success. Professional School…
