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* 1. Where do you go to school?

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* 2. What grade are you in?

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* 3. How many days do you usually go to BASE after school?

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* 4. How many years have you gone to BASE during the school year for after school?

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* 5. Do you have a brother or a sister who goes to BASE with you?

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* 6. Do you like to go to BASE after school?

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* 7. Do you like to go to all day BASE on no school days?

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* 8. Do you feel that you belong at BASE?

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* 9. How many friends do you have at BASE?

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* 10. What are your favorite activities at BASE during the school year? Check as many as you like!

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* 11. Do you eat snack at BASE?

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* 12. What do you think about snack at BASE after school?

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