PSAT Pre-Survey Parent Opt Out Form

Submit your opt-out decision

The following notification and opt-out form should be referenced when communicating a parent's or guardian's decision to not have a student complete the PSAT pre-survey. 


September 2018

Dear Parents and/or Guardians of Ninth, Tenth, and Eleventh Grade Students:

As a reminder, in Fairfax County Public Schools (FCPS) and across the United States, students in grades 9-11 will take a Preliminary SAT (PSAT) on October 10, 2018. Ninth grader students will take the PSAT 8/9, which is specifically designed for eighth and ninth graders. Tenth and eleventh grade students will take the PSAT/National Merit Scholarship Qualifying Test (PSAT/NMSQT). 

On test day, students will participation in a preadministration session, completing an optional pre-survey from PSAT. You may view a copy of the optional pre-survey for the PSAT 8/9 online at and for the PSAT/NMSQT online at 

If you do not wish for your child to take part in the pre-survey, please complete the form below and return it to the School PSAT Assessment Coordinator at your child's school by September 28, 2018. 

If you have questions about the pre-survey, contact Stephanie Gray, Coordinator, School Counseling and College Success, at 571-423-4420. 




Please complete this portion of the form if you do not wish for your child to participation in the pre-survey of the PSAT. 

I do not give permission for my child to participate in the pre-survey of the PSAT. 

Student's name (please print): ________________________

Student's school (please print): _______________________

Signature of parent or guardian: ______________________


Select a preferred language for viewing a printable version of the notification letter and opt-out form above.

PSAT Pre-Survey Parent Opt-Out Form Translations



Learn more about PSAT pre-survey opt-outs