21st CCLC After School Program Needs Assessment 2022-25 Question Title * 1. Does your child(ren) attend the 21st CCLC Befeore/After School program? Yes No Question Title * 2. If no, why not? I did not know about the program My child has other after school activities/care My child does not attend school yet My child does not wish to attend Other Other (please specify) None of the above Question Title * 3. If yes, how many of your children will attend from 2022-25 school years? 1 2 3 4 5 or more Question Title * 4. How likely will your child(ren) attend in the 2022-25 school years? Very likely Likely Neither likely nor unlikely Unlikely Very unlikely Question Title * 5. How much do you rely on the before/after school program? Completely - I have no other options for my child after school Somewhat - I have other options, but I prefer the before/after school program Not at all - my child does not attend or only occasionally Question Title * 6. Do you feel your child experienced learning loss during the past 2 years? A great deal A lot A moderate amount A little None at all Question Title * 7. Do you feel your child experienced loss of social connection over the past 2 years? A great deal A lot A moderate amount A little None at all Question Title * 8. Do you feel that the Before/After School Program helps your child improve the learning loss or social loss they experienced in the last 2 years? A great deal A lot A moderate amount A little None at all Question Title * 9. If you anticipate your child will attend the 21st CCLC Before/After School program from 2022-25, which activities would be most beneficial? (select as many as you like) Homework Help STEM activities Reading skills Math skills Physical Actvitity Arts activities Culture activities Social Emotional activities Question Title * 10. Which school will your child attend in the 2022-25 school years? Anamoose Belcourt Elementary Belcourt Middle Bottineau Dunseith Day Dunseith Ojibwa St. Ann's St. John TGU-Granville TGU-Towner Westhope Done