Classroom Interruption Survey

Please answer the following questions based on classroom interruptions during the day that affect instruction.
Name (optional): 


A red asterisk (*) indicates required questions.

  1. There are too many classroom interruptions during the instructional day.*
    Yes
    No


  1. These interruptions are caused by?*
    Phone Calls from Office Staff
    Door Knocks/Phone Calls from counselor
    Door Knocks/Phone Calls from administration
    Door Knocks/Phone Calls from other classrooms
    All calls other than afternoon announcements
    Bathroom breaks
    Other


  1. The percentage of interruptions that are necessary*
    0%
    25%
    50%
    75%
    100%


  1. Classroom interruptions are a...*
    major problem
    minor problem
    not a problem





James Parker