Please take a few minutes to answer the questions below. Your answers are anonymous and will be used to help us improve your child's program. Thanks for your cooperation.

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* 1. What School Age Program location does your child attend?

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* 2. Overall, how likely are you to recommend the program to a friend or colleague?

  0 - Not at all likely 1 2 3 4 5 6 7 8 9 10 - Extremely likely
Likelihood

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* 3. Please explain your response to question #2:

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* 4. How would you rate the program on each of the following?
Staff

  Excellent Good Fair Poor Not Applicable/Don't Know
Overall caregiver quality
Consistency of staffing
Caregivers are positive, enthusiastic, respectful
Caregivers communicate warmly with children
Caregivers communicate regularly with parent

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* 5. How would you rate the program on each of the following?
Program

  Excellent Good Fair Poor Not Applicable/Don't Know
Program is appropriately supervised
Program offers variety of activities/experiences
Children are involved in conversation/activities
Individual homework help is provided
Planned activities are engaging
Behavior management is clear and consistent
Variety of activities/experiences

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* 6. How would you rate the program on each of the following?
Facilities

  Excellent Good Fair Poor Not Applicable/Don't Know
Safety and security
Space is clean and organized
Convenience of location
Quality of supplies/toys/games
Appropriate space for homework

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* 7. How would you rate the program on each of the following?
General

  Excellent Good Fair Poor Not Applicable/Don't Know
Meals/snacks
Affordability
Information about my child's day
Appropriate information about program

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