Form 2: Parent Reading & Writing Habits Form

A

Student & Family Info

Student Full Name *

Date Completed

Completed By (Name)

Relationship to Student

B

1. How often does your child read for pleasure?

2. How often does your child read for school?

4. What topics or subjects captivate your child?

5. Does your child avoid reading?

Yes Sometimes No

6. If yes, what does avoidance look like?

7. What do you think causes the avoidance?

C

1. What is your child's general feeling about writing? (Check all that apply)

Other:

2. Which types of writing are most difficult? (Check all that apply)

Short answer responses Paragraphs Essays Creative writing Research writing Text-based responses Note-taking Grammar

3. How does your child complete writing assignments?

Very easily With some difficulty With significant difficulty Rarely completes them

D

1. Are books readily available at home?

Yes Limited selection No

2. Does the family read or discuss reading together?

Often Sometimes Rarely Never

3. Is there anything else you'd like us to know about reading and writing at home?