1. Do you have a child/children attending Concrete
Elementary School?
Yes
No
2. What grade/s is your child/children
in?
(Hint: If you
have children in more than one grade- hold down the control key while selecting
more than one grade
3. Has your child showed more interest in reading this
year?
Yes
No
4. Do you feel you need more training to read with your child
Yes
No
5. Is your child able to comfortably read homework?
Yes
No
6. Does your child choose to read without being asked?
Yes
No
If yes, how often?
7. Do you read stories to your child?
Yes
No
If yes, how often?
8. Does your child ask to read to you?
Yes
No
If yes, how often?
9. Would you like a specific time to ask questions of the
Reading Coach about reading with
your child?
Yes
No
10. Has your family attended any of
the Celebrating Families activities this year?
Yes
No
11. What activities would you like to
see for next year's Celebrating Families?
