Section 1: Demographic Information
- Role/Title:
- Teacher
- Parent
- Student
- School Administrator
- Community Member
- Other (please specify): _______________
- Grade Level/Area of Focus (if applicable):
- Elementary
- Middle School
- High School
- Higher Education
- Other (please specify): _______________
- Location:
- Urban
- Suburban
- Rural
- Which type of school or educational institution do you belong to?
- Public School
- Private School
- Charter School
- Home Schooling
- Other (please specify): _______________
Section 2: Current Educational Needs
- What do you believe are the most important educational needs for students in your community? (Select up to 3)
- Academic Support (e.g., tutoring, remedial classes)
- Mental Health and Wellness Resources
- Career and Technical Education (CTE) Programs
- Special Education Services
- Advanced Placement (AP) and Honors Programs
- Social-Emotional Learning (SEL)
- Technology Integration in the Classroom
- Parental Engagement and Support
- Extracurricular Activities (sports, clubs, etc.)
- Other (please specify): _______________
- In your opinion, what are the biggest challenges facing students today? (Select up to 3)
- Lack of access to educational resources (books, technology, etc.)
- Mental health and stress management
- Lack of career guidance and exploration
- Teacher shortages or low morale
- Inadequate special education services
- Insufficient family involvement
- Social issues (bullying, peer pressure, etc.)
- Equity gaps (race, socioeconomic status, etc.)
- Other (please specify): _______________
- How well do you feel current educational programs meet the needs of students in your community?
- Very well
- Somewhat well
- Not well
- Not at all
- Not sure
- What additional programs or initiatives do you think are needed to better support students?
Please provide your suggestions:
Section 3: Educational Priorities for Improvement
- What areas should be prioritized for improvement in the educational system? (Select up to 3)
- Curriculum updates and relevance
- Teacher professional development and training
- School safety and security measures
- Technology infrastructure (hardware, software, internet access)
- Parent-teacher communication
- Student engagement and motivation
- Inclusion and diversity initiatives
- Health and wellness programs (physical and mental health)
- Infrastructure and facilities (classrooms, playgrounds, etc.)
- Other (please specify): _______________
- How important do you think it is to integrate technology in the classroom to enhance learning?
- Extremely important
- Very important
- Somewhat important
- Not important
- Not sure
- Do you believe that educational institutions are adequately preparing students for careers and post-secondary education?
- Yes, adequately prepared
- No, they need more preparation
- Not sure
Section 4: Feedback on Current Programs and Services
- How satisfied are you with the current educational resources and programs offered to students?
- Very satisfied
- Satisfied
- Neutral
- Dissatisfied
- Very dissatisfied
- What strengths do you see in the current educational system?
Please elaborate:
- What improvements or changes would you recommend to improve the current educational programs and resources?
Please provide suggestions:
Section 5: Closing Questions
- Do you feel that community input is adequately considered in decision-making about educational programs and policies?
- Yes
- No
- Not sure
- Would you be willing to participate in future discussions or initiatives to improve education in your community?
- Yes
- No
- Maybe
- Additional Comments or Suggestions:
Please share any other thoughts or ideas regarding educational needs and priorities:
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