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* 1. Student's First Name:

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* 2. Student's Last Name:

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* 3. Student's School:

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* 4. Which of the afterschool activities did you do this week?

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* 5. About how much time per activity (on average) do you think you spent?

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* 6. What challenged you in doing these activities?

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* 7. What was you favorite part?

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* 8. Anything else you want to share about this week's activities?

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