Parent Survey- Movement in the Classroom

Dear Parents,
As a part of my action research project I would like to invite you to participate in a survey
so I may learn more about your childs activities outside of school as well as your
perspective on movement in the classroom. The attached survey will help me collect
data for my research project.
If you choose to participate in this survey, please answer all questions as completely,
honestly, and accurately as possible and return the completed survey by sending it back
to school with your child. The return of this survey implies informed consent to
participate in the study. Your responses will be used anonymously. Your participation is
much appreciated.
Thank you for taking the time to assist me in my educational endeavors. The data
collected will provide useful information regarding parental perspective about
incorporating movement in a regular education classroom. If you have any questions,
please feel free to contact me.
Thank you,
Shana Denne

SURVEY QUESTIONS
Please check or bubble in the answer that most accurately applies to you or
your child (unless specifically instructed differently).
1. What is the most important aspect of schooling? Please rank the following from 1
(most important) to 7 (least important).
______ Academics
______ Athletics
______ Character Building/Self Concept
______ Creativity
______ Health and Wellness
______ Socialization
______ Other (please specify):
______________________________________________________________________
2. What is the most important environmental attribute of your childs classroom? Please
rank the following from 1 (most important) to 5 (least important).
______ Discipline
______ Engagement
______ Safety
______ Support
______ Understanding
______ Other (please specify):
______________________________________________________________________
3. How important is learning to sit down, sit properly, and sit still in relation to
academic performance?

o Very important
o Important
o Moderately important
o Not very important
o Unimportant
4. In your own education, did you find requirements to sit down, sit properly, and sit
still to be:

o Very helpful
o Helpful

o Neutral
o Problematic
o Highly problematic
o I was not required to sit down, sit properly, and sit still
5. If, upon visiting your childs classroom, you found your child sprawled on the floor or
kneeling on his/her chair attentively doing his/her assigned tasks would you be:

o Horrified
o Concerned
o Indifferent
o Mildly pleased
o Extremely pleased
6. On average, how many hours does you child participate in either a structured or
unstructured physical activity after school each day?

o Thirty minutes or less

o One hour
o Two hours
o Three hours
o Four or more hours
7. On average, how many hours does your child participate in either a structured or
unstructured physical activity over the weekend?

o Thirty minutes or less

o One hour
o Two hours
o Three hours

o Four hours
o Other (please specify):
______________________________________________________________________

8. Does your child participate in organized activities outside of school that use
movement?

o Yes
o If yes, please check all that apply:
o
o
o
o
o
o
o

Soccer
Football
Baseball
Dance
Cheerleading
Gymnastics
Other (please specify):
______________________________________________________________

o No
Why or why not?
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9. Does your child use movement or physical activities at home other than organized
activities/sports?

o Yes
o No
If yes, please specify:
__________________________________________________________________________________________
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10. On a typical day, what is the sequence of events that usually occurs between the
times your child leaves school until when your child goes to bed? Please indicate
his/her normal routine.
For example: My child comes home, does her homework, plays hide-and-go
seek with her neighborhood friends until dinner, has dinner, watches TV,
and then gets ready for bed.
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