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Parent Questionnaire Form Template

Gather insights from parents effortlessly with this template

Creating a parent questionnaire can feel overwhelming when you need clear insights about children's needs and backgrounds. This template is designed for educators and school administrators looking to gather valuable data in an organized manner. You can streamline communication, enhance student support, and foster stronger parent-school relationships, all while ensuring the form is WCAG-aligned for accessibility. Dive into this easy-to-use template to start simplifying your data collection process today.

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Your full name
Your relationship to the child
Mother
Father
Legal guardian
Stepparent
Foster parent
Grandparent
Prefer not to say
Other
Please Specify:
Email address
Phone number
Preferred contact method
Email
Phone call
Text message
No preference
Child's full name
Child's date of birth
Child's gender
Woman
Man
Non-binary
Prefer to self-describe
Prefer not to say
Primary language spoken at home
People the child lives with (select all that apply)
List any current diagnoses or ongoing health concerns
List any medications and allergies (or write None)
Areas you are currently concerned about (select all that apply)
Current school/program and grade
Does your child have an IEP or 504 plan?
IEP
504 plan
Both
Neither
Not sure
Services your child currently receives (select all that apply)
Special education
Speech therapy
Occupational therapy
Physical therapy
Counseling or therapy
Behavioral therapy
Tutoring or academic support
None
My child follows routines at home.
Very rarely
Rarely
Sometimes
Often
Very often
My child gets along with peers.
Very rarely
Rarely
Sometimes
Often
Very often
My child completes homework on time.
Very rarely
Rarely
Sometimes
Often
Very often
Overall, I am satisfied with my child's wellbeing.
Very dissatisfied
Dissatisfied
Neutral
Satisfied
Very satisfied
What are your top goals for your child in the next 6 months?
May we share relevant information with professionals involved in your child's care (including school/program) to coordinate support?
Yes
No
Type your full name as your signature
Date
I confirm the information provided is accurate to the best of my knowledge.
True
False
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Paper art illustration depicting a parent questionnaire form for FormCreatorAI article

When to use this form

Use this form at enrollment, at the start of a term, or when a student changes schools or services. It gives you a clear view of a child's strengths, routines, and support needs, straight from the family. Teachers, counselors, and program coordinators benefit by aligning goals and avoiding guesswork. Pair it with the Parent information form to capture contacts and logistics. Use the insights to plan interventions, ease transitions, and prep for meetings; they also help you guide your Parent teacher conference form. If special education services are involved, summarize relevant notes to inform your IEP Form. The result: faster rapport, fewer surprises, and a plan families trust.

Must Ask Parent Questionnaire Questions

  1. What are your child's strengths, interests, and motivators?

    This helps you build on what already works and choose tasks that spark effort. You can personalize instruction and behavior supports from day one.

  2. What routines or strategies work best at home for behavior, homework, and transitions?

    Proven strategies from home create consistency across settings. Consistency reduces friction and helps the child adapt faster.

  3. What concerns or goals do you have for your child this term?

    This clarifies family priorities so you can align your plan. It also helps set measurable targets and track progress through the term.

  4. Are there medical, allergy, or accessibility needs we should know to keep your child safe?

    Health and access details guide safety plans, emergency steps, and accommodations. Getting this right reduces risk and builds trust with families.

  5. What permissions do you grant (photos, field trips, technology use), and are there limits we should follow?

    Clear consent boundaries prevent mistakes and protect the student and your program. For formal documentation, confirm details in the Parent agreement form.

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