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Elementary Parent Needs Assessment

Based on your observations, check the appropriate box for items that are concerns interfering with the learning process or other concerns for your student(s).  
1. I am concerned about my child's ability to learn how to play and make friends
2. I am concerned about my child's ability to get along with friends and classmates without fighting, arguing or yelling.
3. I am concerned about my child's ability to listen during class time
4. I want my child to learn how to do work independently
5. I want my child to become better organized and learn study habits
6. I feel like my child is safe at school
7. I am concerned my student might be bullied
8. I have noticed my child having difficulty controlling their anger and frustration
9. I am concerned my child might be dealing with anxiety or depression
10. I am concerned about my child's self-esteem or self-image
11. I am concerned that my student is worried about their living situation (foster care, homelessness, living away from parents)
12. I am wondering if my child is having a difficult time after a recent divorce/separation
13. I am wondering if my child is having a difficult time after the loss of a friend/family member/pet
14. I feel like my child has someone they can turn to when they have a problem
15. I feel support from my child's teacher
21. Who is your child's teacher?
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