Form
Parent Questionnaire
Level 1 Career Assessment, (Send Home)

Student Name:

Date:

Completed by:

Relationship:

Read the statements below and circle the number which best matches how you feel about the statement:

My son/daughter:

Agree

Disagree

Don't Know

Freely helps with house chores

1

2

3

Completes chores that he/she starts

1

2

3

Responds positively to directions

1

2

3

Calmly accepts constructive criticism

1

2

3

Works/plays well with friends

1

2

3

Uses free time constructively

1

2

3

Does homework without being told

1

2

3

I hope that my son/daughter:

Agree

Disagree

Don't Know

Will pursue additional training after high school

1

2

3

Will become employed after high school

1

2

3

Will live on his or her own after high school

1

2

3

Based upon your child’s interests and abilities, what jobs/careers do you think your child would enjoy and succeed in?

 

 

Please return this completed questionnaire to your child’s teacher. THANK YOU!