PrimeTime Perception Survey - STUDENT 2018-2019

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* 1. Select your school

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* 2. What grade are you in?

3rd grade

4th grade

5th grade

6th grade

7th grade

8th grade

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* 3. Please answer the following questions as Great, Okay or Not Okay.

	Great	Okay	Not Okay
The PrimeTime program at my school is...	The PrimeTime program at my school is... Great	The PrimeTime program at my school is... Okay	The PrimeTime program at my school is... Not Okay
The PrimeTime program staff are...	The PrimeTime program staff are... Great	The PrimeTime program staff are... Okay	The PrimeTime program staff are... Not Okay
The PrimeTime activities (music, arts, sports, dance, computers, etc.) are...	The PrimeTime activities (music, arts, sports, dance, computers, etc.) are... Great	The PrimeTime activities (music, arts, sports, dance, computers, etc.) are... Okay	The PrimeTime activities (music, arts, sports, dance, computers, etc.) are... Not Okay
The PrimeTime homework help is...	The PrimeTime homework help is... Great	The PrimeTime homework help is... Okay	The PrimeTime homework help is... Not Okay
The PrimeTime environment is...	The PrimeTime environment is... Great	The PrimeTime environment is... Okay	The PrimeTime environment is... Not Okay

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* 4. How often do you...

	Always	Most of the time	Sometimes	Never
Like going to PrimeTime	Like going to PrimeTime Always	Like going to PrimeTime Most of the time	Like going to PrimeTime Sometimes	Like going to PrimeTime Never
Get to know other kids in PrimeTime	Get to know other kids in PrimeTime Always	Get to know other kids in PrimeTime Most of the time	Get to know other kids in PrimeTime Sometimes	Get to know other kids in PrimeTime Never
Get to choose what you want to do in PrimeTime	Get to choose what you want to do in PrimeTime Always	Get to choose what you want to do in PrimeTime Most of the time	Get to choose what you want to do in PrimeTime Sometimes	Get to choose what you want to do in PrimeTime Never
Get to tell the PrimeTime staff about your problems	Get to tell the PrimeTime staff about your problems Always	Get to tell the PrimeTime staff about your problems Most of the time	Get to tell the PrimeTime staff about your problems Sometimes	Get to tell the PrimeTime staff about your problems Never
Get to do fun and interesting things in PrimeTime	Get to do fun and interesting things in PrimeTime Always	Get to do fun and interesting things in PrimeTime Most of the time	Get to do fun and interesting things in PrimeTime Sometimes	Get to do fun and interesting things in PrimeTime Never
Feel the PrimeTime staff really listens when you have something important to say	Feel the PrimeTime staff really listens when you have something important to say Always	Feel the PrimeTime staff really listens when you have something important to say Most of the time	Feel the PrimeTime staff really listens when you have something important to say Sometimes	Feel the PrimeTime staff really listens when you have something important to say Never
Feel bored in PrimeTime	Feel bored in PrimeTime Always	Feel bored in PrimeTime Most of the time	Feel bored in PrimeTime Sometimes	Feel bored in PrimeTime Never
Feel happy in PrimeTime	Feel happy in PrimeTime Always	Feel happy in PrimeTime Most of the time	Feel happy in PrimeTime Sometimes	Feel happy in PrimeTime Never

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* 5. While in the PrimeTime program I...

	Yes	No
Learn new things like art, computers, music or sports	Learn new things like art, computers, music or sports Yes	Learn new things like art, computers, music or sports No
Feel safe	Feel safe Yes	Feel safe No
Feel good about myself	Feel good about myself Yes	Feel good about myself No
Feel respected	Feel respected Yes	Feel respected No
Understand bullying is not allowed	Understand bullying is not allowed Yes	Understand bullying is not allowed No
Like the supper or snack	Like the supper or snack Yes	Like the supper or snack No

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* 6. Do you receive help with your homework in PrimeTime?

Yes

I don't need help with my homework

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* 7. Does PrimeTime help you do better in school?

Yes

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* 8. Do you feel like you are part of PrimeTime?

Yes

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* 9. The best thing about PrimeTime is (choose one or more):

Clubs

Homework help

Supper/Snack

Friends

Staff

Games

Sports

MVPA (Moderate to Vigorous Physical Activity)

Coop Games

Other (please specify)

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* 10. What is the name of your favorite activity or club in PrimeTime?

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* 11. I wish PrimeTime would offer (choose one or more):

Dance

Cooking

Theater/Drama

Reading/Writing

Art

Fitness

Games

Computers

Science

Sports

Math

Other (please specify)