PARENT/GUARDIAN FEEDBACK FORM

This input form allows for ongoing parent/guardian input, which is important in
improving the quality of education for all our students.

Teacher: _____________________________ Grade and Section: ________

Consistently

Sometimes
Most of the

Observed
Never
Time

Not
1. Has knowledge of subject area are taught to my
child
2. Passes on subject knowledge to my child.
3 Responds to my child in a respectful and
positive manner.
4 Demonstrates respect and understanding of my
child’s cultural values.
5 Maintains a classroom in which my child feels
physically and emotionally safe.
6 Provides useful information about my child’s
progress through tests, corrections, and other
methods, which ensures and/or reinforces my
child’s learning.
7 Responds to my concerns
8 Regularly communicates with me in a clear way
about my child’s behavior and progress.
9 Provide appropriate assistance so that I can
help my child at home.
10 Lets me know when special concerns arise.
11 Provides useful information about my child’s
progress through tests, corrections, and other
methods, which ensures and/or reinforces my
child’s learning.

Name:

Signature:

Date:
 PARENT/GUARDIAN FEEDBACK FORM

This input form allows for ongoing parent/guardian input, which is important in
improving the quality of education for all our students.

Teacher: _____________________________ Grade and Section: ________

Consistently

Sometimes
Most of the

Observed
Never
Time

Not
1. Has knowledge of subject area are taught to my
child
2. Passes on subject knowledge to my child.
3 Responds to my child in a respectful and
positive manner.
4 Demonstrates respect and understanding of my
child’s cultural values.
5 Maintains a classroom in which my child feels
physically and emotionally safe.
6 Provides useful information about my child’s
progress through tests, corrections, and other
methods, which ensures and/or reinforces my
child’s learning.
7 Responds to my concerns
8 Regularly communicates with me in a clear way
about my child’s behavior and progress.
9 Provide appropriate assistance so that I can
help my child at home.
10 Lets me know when special concerns arise.
11 Provides useful information about my child’s
progress through tests, corrections, and other
methods, which ensures and/or reinforces my
child’s learning.

Name:

Signature:

Date: