1, fill in the student's name, gender, grade and class. Record the specific date and time of the home visit. Fill in the specific address of the home visit, which can be the student's home address or other agreed place.

2. Describe students' learning environment, such as room layout and desk cleanliness. Record students' learning attitudes and habits at home, such as whether they consciously complete their homework and actively participate in extracurricular reading.

3. Record parents' comments on students' performance in school and their views on school education. Understand parents' expectations and goals for students' future.

4. Record the students' family environment and parents' attitude observed during the teacher's home visit. In view of students' study and life at home, this paper puts forward concrete suggestions and measures.

5. Parents and teachers sign the home visit record form respectively to confirm the authenticity and accuracy of the records.