• What grade is your student?

  • What gender does your student identify?

  • Which of the following statements do you most agree with…

    • I wish my student spent less time on their phone

    • I wish my student spent more time on their phone

    • I think my student is spending about the right amount of time on their phone 

  • Does your student bring their phone with them to school?

    • Yes

    • No

    • Occasionally

  • Which of the following would you agree with?

    • I am supportive of my child taking their phone to school

    • I am not supportive of my child taking their phone to school

    • I let my child take their phone to school, but have mixed feelings on doing so

  • If you let your child take their phone to school, what are your primary motivations?

    • The phone can be used as a learning aid in class

    • I can communicate with my student about logistics such as pick up times 

    • I want to have contact with my student in cases of emergency

    • I wish they didn’t take their phone to school but I feel I have no choice in the matter.

  • As it relates to students using their phone in class, which of the following statements do you agree with...

    • I am supportive of my student using their phone during class whenever they wish

    • I am supportive of my student using their phone in class, but only at the teacher’s discretion 

    • I am supportive of phones being collected at the beginning of class and not used during class

  • Our school’s cell phone policy is as follows [insert the specific language]   Please indicate your level of support towards this policy:

    • I am supportive of the cell phone policy

    • I would prefer a more restrictive policy

    • I would prefer a less restrictive policy or no policy at all

  •  If you had your choice of school cell phone policy, which would you prefer... 

    • I prefer there is no policy - in other words, students can use their cell phones as they see fit

    • Cell phones can be used during period and lunch breaks.  In class, phones can be used at teacher’s discretion.  

    • Cell phones can be used during period and lunch breaks.  In class, phones are collected and kept away for the duration of class.

    • Cell phones must remain in the locker at all times, used only in cases of an emergency

    • Cell phones are to be turned off and not used for the duration of the school day

  • On a scale of 1-10, please indicate the degree to which you struggle with this topic - your child’s cell phone use - as a parent?

  • On a scale of 1-10 please indicate how important you believe this topic is?