Name: Age: Sex:

Directions: For each statement in the survey, please indicate how much you agree or disagree
with the statement by putting a check in the box (/) on the right side of each statement.
Please respond honestly. Thank you for your participation!

1 – Strongly Disagree 2 –Disagree 3 – Agree 4 – Strongly Agree

Statement Strongly Agree Disagree Strongly

Agree Disagree

I do not have enough time to be actively involved in

my child’s education.
I work long hours and find it difficult to attend school
events.
I do not feel comfortable communicating with my
child’s teacher.

I do not understand the school’s curriculum and

expectations.
I am not confident in my ability to help my child with
homework.
I feel like my cultural background or language barriers
limit my involvement.
I lack access to the resources I need to support my
child's learning.
The school does not offer enough opportunities for
parent involvement.
I feel like my involvement is not valued by the school
staff.

I have difficulty balancing my work and family

responsibilities.