Name of student in 21st CCLC program:

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* 1. Name of student in 21st CCLC program:

*The program is helping my child’s behavior improve.

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* 2. *The program is helping my child’s behavior improve.

*The program is helping my child to complete and turn in his/her homework on time.

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* 3. *The program is helping my child to complete and turn in his/her homework on time.

*How satisfied are you with your child's 21st CCLC program?

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* 4. *How satisfied are you with your child's 21st CCLC program?

Prior to your child participating in the 21st CCLC program, where did your child usually go after school?

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* 5. Prior to your child participating in the 21st CCLC program, where did your child usually go after school?

How did you find out about the 21st CCLC program?

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* 6. How did you find out about the 21st CCLC program?

The program is helping my child’s reading skills improve.

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* 7. The program is helping my child’s reading skills improve.

The program is helping my child’s math skills improve.

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* 8. The program is helping my child’s math skills improve.

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