Parent/Guardian Feedback Tool

! Danielson Framework Alignment

!
This!input!form!allows!for!ongoing!parent/guardian!input,!which!is!important!in!improving!the!quality!of!education!for!all!our!
students.!!Forms!are!available!on!the!district!website!or!at!any!school!office.!Copies!of!completed!feedback!forms!will!be!
!
made!available!to!teachers!upon!request.!

Teacher!_____________________________! ! ! ! Location!__________________________!
!
!

Consistently*

Most*of*the*

Sometimes*

Observed*
Never*
Time*

Not*
1! Has!knowledge!of!subject!area!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! Has!high!expectations!and!encourages!my!child!to!do!their!best.! ! ! ! ! !
7! Returns!corrected!homework!within!a!reasonable!time!period.! ! ! ! ! !
8! Provides!useful!information!about!my!child’s!progress!through!tests,! ! ! ! ! !
corrections,!and!other!methods,!which!ensures!and/or!reinforces!my!child’s!
learning.!
9! Regularly!communicates!with!me!in!a!clear!way!about!my!child’s!behavior!and! ! ! ! ! !
academic!progress.!
10! Solicits!feedback!and!welcomes!my!ideas.! ! ! ! ! !
11! Responds!to!my!concerns.! ! ! ! ! !
12! Lets!me!know!when!special!concerns!arise.! ! ! ! ! !
13! Provides!appropriate!assistance!so!that!I!can!help!my!child!at!home.! ! ! ! ! !
!
General*Comments!(additional!page!may!be!attached)!!! ! ! ! ! ! ! !
! ! ! ! ! ! ! ! ! ! ! ! ! ! !
! ! ! ! ! ! ! ! ! ! ! ! ! ! ! !
!
!
Name!(please!print)! ! ! ! ! ! ! Telephone:!! ! ! ! ! !
!
Signature!! ! ! ! ! ! ! ! Date:!! ! ! ! ! ! !
!
!
!
Complete!and!sign!the!form,!place!in!sealed!envelope!and!forward!to!building!principal.!
!
Revised:!June!11,!2015!