1.What building does your child/ren currently attend for after school programming?

2.How many years has/have your child/ren participated in the after school program?

3.Why did you enroll your child/ren in the after school program?

4.How many years have you lived in the community?

5.How many individuals live in your household?

6.What are things you like about your community?

7.What are challenges your family deals with on a regular basis?

Food insecurities

Alcohol abuse

Drug abuse

Violent crime

Domestic abuse

Physical abuse

Unemployment

Lack of opportunity

Lack of education

Crime

Parenting issues

Other (please specify)

8.What are challenges other families in your community deal with on a regular basis?

Food insecurities

Alcohol abuse

Drug abuse

Violent crime

Domestic abuse

Physical abuse

Unemployment

Lack of opportunity

Lack of education

Crime

Parenting issues

Other (please specify)

9.What assistance, if any, do you and your family need that you are currently not receiving?

10.What are courses/classes you would like to see offered for you and adults in your community?

11.What careers, if any, are you currently interested in?

12.If you listed a career above, what type of support do you need to achieve that career?

13.Would you be interested in attending workshops in your community?

Yes

No

Maybe

14.If so, what topics would you like covered in these workshops?

15.Is there any other way 21st Century After School Program can help your community?