Los Monitos Language Center Summer Programs Survey

Question Title

* 1. Are you interested in your child(ren) attending a Los Monitos Summer Language Camp?

Yes

Maybe

Question Title

* 2. In which month(s) would you prefer your child(ren) to attend summer camp? (Check all that apply and rank in order of preference)

	Most Preferred	Next Preferred	Least Preferred
June	June Most Preferred	June Next Preferred	June Least Preferred
July	July Most Preferred	July Next Preferred	July Least Preferred
August	August Most Preferred	August Next Preferred	August Least Preferred

Question Title

* 3. To which language(s) would you like your child(ren) to be introduced during a summer camp? (Check all that apply and rank in order of preference)

	Most Preferred	2nd	3rd	4th	5th	6th	7th	8th	Least Preferred
Spanish	Spanish Most Preferred	Spanish 2nd	Spanish 3rd	Spanish 4th	Spanish 5th	Spanish 6th	Spanish 7th	Spanish 8th	Spanish Least Preferred
French	French Most Preferred	French 2nd	French 3rd	French 4th	French 5th	French 6th	French 7th	French 8th	French Least Preferred
German	German Most Preferred	German 2nd	German 3rd	German 4th	German 5th	German 6th	German 7th	German 8th	German Least Preferred
Italian	Italian Most Preferred	Italian 2nd	Italian 3rd	Italian 4th	Italian 5th	Italian 6th	Italian 7th	Italian 8th	Italian Least Preferred
Russian	Russian Most Preferred	Russian 2nd	Russian 3rd	Russian 4th	Russian 5th	Russian 6th	Russian 7th	Russian 8th	Russian Least Preferred
Portuguese	Portuguese Most Preferred	Portuguese 2nd	Portuguese 3rd	Portuguese 4th	Portuguese 5th	Portuguese 6th	Portuguese 7th	Portuguese 8th	Portuguese Least Preferred
Chinese	Chinese Most Preferred	Chinese 2nd	Chinese 3rd	Chinese 4th	Chinese 5th	Chinese 6th	Chinese 7th	Chinese 8th	Chinese Least Preferred
Arabic	Arabic Most Preferred	Arabic 2nd	Arabic 3rd	Arabic 4th	Arabic 5th	Arabic 6th	Arabic 7th	Arabic 8th	Arabic Least Preferred
Japanese	Japanese Most Preferred	Japanese 2nd	Japanese 3rd	Japanese 4th	Japanese 5th	Japanese 6th	Japanese 7th	Japanese 8th	Japanese Least Preferred

Other (please specify)

Question Title

* 4. What special topics would your child(ren) most enjoy? (Check all that apply and rank in order of preference).

	Most Interested	2nd	3rd	4th	5th	Least Interested
Cooking	Cooking Most Interested	Cooking 2nd	Cooking 3rd	Cooking 4th	Cooking 5th	Cooking Least Interested
Music	Music Most Interested	Music 2nd	Music 3rd	Music 4th	Music 5th	Music Least Interested
Nature/Animals	Nature/Animals Most Interested	Nature/Animals 2nd	Nature/Animals 3rd	Nature/Animals 4th	Nature/Animals 5th	Nature/Animals Least Interested
Theater/Drama	Theater/Drama Most Interested	Theater/Drama 2nd	Theater/Drama 3rd	Theater/Drama 4th	Theater/Drama 5th	Theater/Drama Least Interested
Traditional Language Class	Traditional Language Class Most Interested	Traditional Language Class 2nd	Traditional Language Class 3rd	Traditional Language Class 4th	Traditional Language Class 5th	Traditional Language Class Least Interested
Conversation Groups	Conversation Groups Most Interested	Conversation Groups 2nd	Conversation Groups 3rd	Conversation Groups 4th	Conversation Groups 5th	Conversation Groups Least Interested

Other (please specify)

Question Title

* 5. Would you (or spouse or relative) like to take a beginner’s language class with your child(ren)?

Yes

Unsure

Question Title

* 6. Which type of camps would you prefer your child(ren) to attend? Half-day (3 hours) or a full-day(6 hours)? For one or two weeks? Check all that apply.

One Week, Half Days

One Week, Full Days

Two Weeks, Half Days

Two Weeks, Full Days

Any/Unsure

Other (please specify)

Question Title

* 7. We need to know how to contact you!
This information will only be used for contacting the drawing winner or for follow-up only if requested.

Name:

ZIP/Postal Code:

Email Address:

Phone Number:

Question Title

* 8. What are the ages of your child(ren)? Check all that apply.

3-4 Years Old

5-8 Years Old

9-12 Years Old

13-15 Years Old

16-18 Years Old

Question Title

* 9. Would you like for Los Monitos Language Center to send and E-mail when our Summer Programs are finalized and scheduled?

Yes

Question Title

* 10. Would you like more information on any other programs offered by Los Monitos Language Center - either for your children or yourself?

Yes, Thanks!

No, Thank You.

Please specify your preferred contact method

Question Title

* 1. Are you interested in your child(ren) attending a Los Monitos Summer Language Camp?

Question Title

* 2. In which month(s) would you prefer your child(ren) to attend summer camp? (Check all that apply and rank in order of preference)

Question Title

* 3. To which language(s) would you like your child(ren) to be introduced during a summer camp? (Check all that apply and rank in order of preference)

Question Title

* 4. What special topics would your child(ren) most enjoy? (Check all that apply and rank in order of preference).

Question Title

* 5. Would you (or spouse or relative) like to take a beginner’s language class with your child(ren)?

Question Title

* 6. Which type of camps would you prefer your child(ren) to attend? Half-day (3 hours) or a full-day(6 hours)? For one or two weeks? Check all that apply.

Question Title

* 7. We need to know how to contact you!This information will only be used for contacting the drawing winner or for follow-up only if requested.

Question Title

* 8. What are the ages of your child(ren)? Check all that apply.

Question Title

* 9. Would you like for Los Monitos Language Center to send and E-mail when our Summer Programs are finalized and scheduled?

Question Title

* 10. Would you like more information on any other programs offered by Los Monitos Language Center - either for your children or yourself?

* 7. We need to know how to contact you!
This information will only be used for contacting the drawing winner or for follow-up only if requested.