Parent Questionnaire

Parents/guardians: please fill out all of the following data and click the "Submit" button when you are finished. Each parent is welcome to fill out a separate questionnaire, if desired.

The goal of this assignment is to help me get a sense of your expectations for your child in chemistry class. This information will be invaluable in helping me to meet your needs as parents, as well as those of your child.

This questionnaire should take you about 5 minutes. Please answer the questions honestly; I do not believe that there are any "good" or "bad" answers. For example, if you rarely check in with your child about homework, it might be because you have never needed to do so.

Finally, please note that even though there are no "right" answers to these questions, the completed questionnaire counts as a homework assignment, and will be counted as part of your child's chemistry grade.

Your name (parent):

Your son/daughter's name: (include last name if different)

Please fill in your contact information below and indicate which one is your preferred method of contact.

Your mailing address:

How often do you discuss regular, day-to-day homework assignments with your son/daughter?

never      sometimes      frequently      always

How often do you discuss tests and major assignments with your son/daughter?

never      sometimes      frequently      always

Chemistry involves a significant amount of math and problem-solving. Previous science and math grades are often a good prediction of how well a student will do in chemistry.

What grades has your son/daughter usually gotten in previous science classes? science grades A (90-100) B (80-89) C (70-79) D (60-69) F (below 60)

What grades has your son/daughter usually gotten in previous math classes? math grades A (90-100) B (80-89) C (70-79) D (60-69) F (below 60)

Bearing your son/daughter's previous science and math grades in mind, what grade do you expect him/her to earn in chemistry this year? expected grade A (90-100) B (80-89) C (70-79) D (60-69) F (below 60)

Continuing to bear your son/daughter's previous math & science grades in mind, what is the minimum acceptable grade that you feel he/she should earn in chemistry this year? minimum acceptable grade A (90-100) B (80-90) C (70-80) D (60-69) F (below 60)

Is there anything about your son/daughter (such as past academic performance, learning style, personality, etc.) that you think a teacher would want to be aware of?

Would you like an opportunity to discuss the upcoming school year with me?

I have an email list for sending my students periodic email reminders about homework, tests, and other important class-related announcements. Would you like to be added to that email list? (Note: This requires that the email address you provided above is correct. If you do not have email access, check "no".)

yes, please add me to the email list
no, I would not like to be on the email list.