A parent feedback questionnaire is very helpful to understand the psyche of the child with respect to the issues faced by him or her in education, family, etc and the corresponding impact parental decisions have on the child.

Sample Parent Feedback Questionnaire:

Name of the child:               _____________________________

Address:                    _____________________________

Age:                          _____________________________

Phone Number:           _____________________________

Email address:                    _____________________________

Name of the parent:            ______________________________

Q1: Are you able to properly communicate your needs to your parents?

a)   Yes always

b)   Never

c)   Sometimes

d)   Most of the times

e)   Rarely

Q2: Is your parent able to understand the educational needs of the child and appropriately fulfil them?

a)   Yes

b)   No

Q3: As a child, are you facing a financial problem?

a)   Yes

b)   No

Q4: If the answer to the above question is ‘yes’, please mention the source of your financial problem

a)   Educational needs

b)   Pocket money

c)   Unable to manage the status with the friends due to lack of money

d)   Others, please mention __________________________________________________

Q5: Are you depressed?

a)   Yes

b)   No

Q6: Do your parents empower you with the necessary freedom needed to take your own personal decisions?

a)   Yes

b)   No

Q7: If the answer to the above question is ‘yes’, please mention the kind of decisions that your parents are not allowing you to take


Q8: Do your parents take time to understand your problems, needs and solve them?

a)   Often

b)   Rarely

c)   Sometimes

d)   Never

Q9: Do your parents encourage and support you in your personal and career goals and help you to achieve them?

a)   Yes

b)   No