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Stanislaus County Project SAFE Elementary After School Student Pre-Survey
1. Default Section
1
. How old are you?
How old are you?
7 years old, or younger
8-9 years old
10-11 years old
12 years old, or older
2
. Are you a boy or girl?
Are you a boy or girl?
Boy
Girl
3
. What grade are you in now?
What grade are you in now?
Kinder-1st grade
2nd-3rd grade
4th-5th grade
6th grade
*
4
. What school do you attend?
What school do you attend?
*
5
. Do you like coming to school?
Do you like coming to school?
Always
Sometimes
Never
*
6
. Do you feel safe during school?
Do you feel safe during school?
Always
Sometimes
Never
*
7
. Do you feel safe in your after School Program?
Do you feel safe in your after School Program?
Always
Sometimes
Never
*
8
. Do you think you do well in school?
Do you think you do well in school?
Always
Sometimes
Never
*
9
. Why are you going to this After School Program?
Why are you going to this After School Program?
I don't want to be home alone
I like the program
It is a safe place to be
My parents want me to go
To get help with school work
10
. Any other comments:
Any other comments:
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