Summer Camp Parent Survey

1.

The Youth Task Force is working with the school and other community partners to submit a grant proposal to fund FREE summer camps for students who will be in grades 5-7 this fall. We need your input to help design these camps. We would run the summer camps Monday through Thursday for two weeks in the middle of June and middle of July from 9 AM – 12:30 PM. The bus would pick up your child in the morning and take them to Lincoln School (incoming grades 5-6)and Madison School (incoming 7th graders). They would be dropped off at either another program/day care provider or near home after the program. A morning snack and lunch would be provided.

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* 1. Would you be interested in sending your child(ren) to these camps?

Yes

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* 2. If yes, would your children attend:

The June program only

The July program only

Both the June and July programs

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* 3. If yes, what grade will your children be in next fall?

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* 4. Do your children usually attend a summer program with the
Recreation Dept?

Yes

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* 5. Do your children usually attend a summer program with the YMCA?

Yes

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* 6. Are your children involved in any summer sports programs?

Yes

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* 7. If yes, would the mornings of June 13-16 and 20-23 conflict with the sports program?

Yes

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* 8. If yes, would the mornings of July 11-14 and 18-21 conflict with the sports program?

Yes

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* 9. Comments:

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* 10. Does your child:

	Yes	No
Usually get an A or B in Math?	Usually get an A or B in Math? Yes	Usually get an A or B in Math? No
Usually get an A or B in English/Language Arts?	Usually get an A or B in English/Language Arts? Yes	Usually get an A or B in English/Language Arts? No
Read at grade level?	Read at grade level? Yes	Read at grade level? No
Have an IEP?	Have an IEP? Yes	Have an IEP? No
Have access to a computer at home?	Have access to a computer at home? Yes	Have access to a computer at home? No

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* 11. Part of the program includes parent/family engagement and family services. Please mark any topics/activities below you would be interested in:

Participating in field trips or special activities at summer camp

Volunteering to assist at summer camp (You would not be expected to volunteer for all days, only days that work for you.)

Coming for lunch with your child on some days

Receiving a weekly parent newsletter during camp

Information on family activities in the community

Information about adult education, GED completion, English language literacy, or employment and interview support classes

Parenting classes

Parenting information

Information about community services for parents and familiesNot interested in any of the above

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* 12. Other - Please describe:

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* 13. Please mark the answer that indicates how much your Agree or Disagree with the statements below.

	Strongly Agree	Agree	Not Sure	Disagree	Strongly Disagree
My child gets at least 60 minutes of physical activity each week.	My child gets at least 60 minutes of physical activity each week. Strongly Agree	My child gets at least 60 minutes of physical activity each week. Agree	My child gets at least 60 minutes of physical activity each week. Not Sure	My child gets at least 60 minutes of physical activity each week. Disagree	My child gets at least 60 minutes of physical activity each week. Strongly Disagree
My child eats adequate amounts of fruits and vegetables.	My child eats adequate amounts of fruits and vegetables. Strongly Agree	My child eats adequate amounts of fruits and vegetables. Agree	My child eats adequate amounts of fruits and vegetables. Not Sure	My child eats adequate amounts of fruits and vegetables. Disagree	My child eats adequate amounts of fruits and vegetables. Strongly Disagree
My child has good social skills (friendship skills, conflict resolution skills, etc.)	My child has good social skills (friendship skills, conflict resolution skills, etc.) Strongly Agree	My child has good social skills (friendship skills, conflict resolution skills, etc.) Agree	My child has good social skills (friendship skills, conflict resolution skills, etc.) Not Sure	My child has good social skills (friendship skills, conflict resolution skills, etc.) Disagree	My child has good social skills (friendship skills, conflict resolution skills, etc.) Strongly Disagree
My child enjoys school.	My child enjoys school. Strongly Agree	My child enjoys school. Agree	My child enjoys school. Not Sure	My child enjoys school. Disagree	My child enjoys school. Strongly Disagree
My child enjoys working with arts and crafts.	My child enjoys working with arts and crafts. Strongly Agree	My child enjoys working with arts and crafts. Agree	My child enjoys working with arts and crafts. Not Sure	My child enjoys working with arts and crafts. Disagree	My child enjoys working with arts and crafts. Strongly Disagree
My child enjoys active team games.	My child enjoys active team games. Strongly Agree	My child enjoys active team games. Agree	My child enjoys active team games. Not Sure	My child enjoys active team games. Disagree	My child enjoys active team games. Strongly Disagree

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* 14. THANK YOU FOR TAKING THIS SURVEY!
We should know whether the camps are funded or not by May 1st.
Is there anything else you would like to share with us?

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* 1. Would you be interested in sending your child(ren) to these camps?

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* 2. If yes, would your children attend:

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* 3. If yes, what grade will your children be in next fall?

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* 4. Do your children usually attend a summer program with the Recreation Dept?

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* 5. Do your children usually attend a summer program with the YMCA?

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* 6. Are your children involved in any summer sports programs?

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* 7. If yes, would the mornings of June 13-16 and 20-23 conflict with the sports program?

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* 8. If yes, would the mornings of July 11-14 and 18-21 conflict with the sports program?

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* 9. Comments:

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* 10. Does your child:

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* 11. Part of the program includes parent/family engagement and family services. Please mark any topics/activities below you would be interested in:

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* 12. Other - Please describe:

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* 13. Please mark the answer that indicates how much your Agree or Disagree with the statements below.

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* 14. THANK YOU FOR TAKING THIS SURVEY! We should know whether the camps are funded or not by May 1st.Is there anything else you would like to share with us?

* 4. Do your children usually attend a summer program with the
Recreation Dept?

* 14. THANK YOU FOR TAKING THIS SURVEY!
We should know whether the camps are funded or not by May 1st.
Is there anything else you would like to share with us?