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

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

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

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

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

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

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

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

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