21st Century Community Learning Center Program Ratings

Thanks for participating in our program as a student! We would like to know what you thought about it. Please fill out all parts of this survey so we know if you enjoyed the program and so we know what you thought about the quality of the program. Please rate your program experience at the Spring 2021 Jefferson County School District's 21st CCLC as honestly as possible. Your answers make a difference in improving the program on a yearly basis.

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* 1. Name:

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* 2. Grade: (Please select only one.)

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* 3. What school do you attend?

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* 4. Please choose either Yes or No to each question.

  Yes No
Do you look forward to going to school?
Do you study hard for tests?
Do you feel safer after school?
Do your parents talk to you about school or homework?

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* 5. How many days a week do you attend the Jefferson County School District's 21st CCLC program?

Thanks for participating in our 21st CCLC program this year! We would like to know what you thought about it. Please fill out all parts of this survey so we know if you enjoyed the program and so we know what you thought about the quality of the program.

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* 6. Please choose either Yes or No to each question.

Enjoyable?

  Yes No
I like it.
I look forward to attending the Jefferson County School District's 21st CCLC program.
I do not look forward to attending the Jefferson County School District's 21st CCLC program.

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* 7. Please choose either Yes or No to each question.

High quality?

  Yes No
I feel comfortable talking to the Jefferson County School District's 21st CCLC staff.
I think there is someone available in the program to help when I need it.
I think that I’m doing better in school since I started coming here.

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* 8. What activities did you like best in the Jefferson County School District's 21st CCLC program? (Check ALL that apply.)

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* 9. What suggestions do you have to improve the Jefferson County School District's 21st CCLC program for next year?

Thank you for your time!
Please provide answers to the following COVID-19 related questions as they pertain to the last school year.

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* 10. Did you participate in the 21st CCLC program in-person (at school) or virtually (at home) this school year?

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* 11. How would you rate your 21stCCLC program access to digital learning platforms and materials during the COVID-19 pandemic (Chromebooks, iPads, online learning, Zoom, learning platforms iReady, Study Island, iXL, etc.)?

Rate from 1-5 with 1 being the lowest level of access to 5 being the highest level of access.

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