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Instructions: To be completed by parent or guardian
Name of Student: _______________________________________ Date: ______________________
Directions: Please answer each of the questions below in terms of your child's homework and return the form to me.
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ITEM
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NEVER
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RARELY
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SOMETIMES
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OFTEN
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ALWAYS
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My child writes down all of his or her homework assignments.
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My child brings the homework planner or recorded assignments home.
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My child brings home the books or materials needed to complete the day's homework assignments.
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My child knows and understands the assignment(s).
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My child knows when the assignments are due.
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My child starts homework without reminding or nagging.
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My child completes the homework without someone sitting with him or her.
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If you have to help your child with homework or supervise your child to make sure the homework gets done, how much time are you spending each day with your child on homework?
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How much time does student usually spend doing homework each day?
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How often do you fight with your child about homework?
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Use the back of this page to let me know any concerns you have about your child's ability to complete their homework. If your child is on medication or has a condition that affects his or her ability to do homework, please let me know.
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