[Quest X Parent Questionnaire]

Quest X

PARENT Questionnaire

We request that the father (if possible) fill out this questionnaire. The information you as parents provide is vital for our being able to effectively work with your son. Please take time to share as much as you can.

"*" indicates required fields

Name of parent/guardian completing questionnaire:*

Parent/guardian email:*

Student's Name:*

Describe your son:*

What are your goals for your son?*

How do you see Quest X helping your son achieve your goals for him?*

What would you say are your son's greatest strengths?*

What would you say are your son's greatest weaknesses?*

Describe the relationship between you and your son:*

Would you say that your son generally understands authority structures?*

Yes

At this time, does your son accept you as an authority in his life?*

Yes

Besides yourself (and/or spouse), does your son generally accept other authorities that God has placed in his life?*

(i.e. teachers, church leaders, etc.)?

Yes

Any other information you think might be helpful:

By checking this box I certify that I, the student's parent or guardian, have completed this parent portion of this application and that the answers are my own.

Parent/guardian name:*

Today's Date:*

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One Academy Blvd. Big Sandy, TX 75755

[email protected] | 903-636-9291

Quest X

PARENT Questionnaire

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