Atlantic City After School Program

PURPOSE: The purpose of this survey is to obtain your feelings about the implementation and impact of the After School Program in which you are participating. Your opinions will be used to improve future program activities.

DIRECTIONS: Respond to each item by checking the box which most accurately describes you.

1. I have the following role with the After School Program:

2. I have had previous experience with after school programs.

3. Site:

4. How would you rate your familiarity with the expectations of the After School Program?

5. How would you rate your knowledge about your responsibilities with the After School Program?

6. How would you rate the lines of communication for the After School Program?

7. How would you rate the degree of attainment for each of the following goals set for the After School Program?

  Excellent Good Fair Poor
Goal 1: To provide high-quality educational and enrichment programs that will enable students to improve academic achievement, and promote positive behavior and appropriate social interaction with peers and adults.
Goal 2: To implement activities that promote parental involvement and provide opportunities for literacy, mathematics, and related educational development to families of participating students.
Goal 3: To measure students' progress and program effectiveness through monitoring and evaluating.

8. How would you rate the attitude toward school of After School Program students, as a result of their participation in the program?

9. How would you rate the self-esteem of After School Program students, as a result of their participation in the program?

10. How would you rate the academic achievement of After School Program students, as a result of their participation in the program?

11. How would you rate the overall educational impact of the After School Program on students?

12. As a result of their participation in the dinner program, what level of improvement have you observed in the student participants in the following areas? (Select one response for each item)

  Improved a Lot Improved a Little Did not Improve Don't Know or Not Sure
Grades
Standardized test scores (e.g. NJASK, HSPA)
Attitude toward school
Overall attendance at school
Being on time for school
General health and well being
Alertness
Paying attention in class
Ability to get along with peers
Interactions with adults in authority
Study habits/study skills
Completing homework assignments
General disciplinary behaviors
Ability to control impulses (e.g., anger, stress)
Participation in regular school-day activities
Self-confidence
Problem-solving skills
Critical thinking skills
Referrals to the principal’s office
Visits to the school nurse

13. What is your overall opinion of the following food service programs offered in the district?

  Excellent Good Fair Poor
Breakfast
Lunch
Dinner

14. Please offer any comments about the food service programs offered in the district.

15. What are the strengths of the After School Program?

16. What are the weaknesses of the After School Program?

17. What changes would you suggest to improve the After School Program?

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