Please fill out one form per class.  Thank you

Please enter the date:

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* 1. Please enter the date:

Date
Check Program you were in:

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* 2. Check Program you were in:

Which of the options below did you learn in the program.

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* 4. Which of the options below did you learn in the program.

After participating in the program the amount of time you spend singing songs and telling rhymes has:

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* 5. After participating in the program the amount of time you spend singing songs and telling rhymes has:

After participating in the program, the amount of time you spend looking and talking about books has:

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* 6. After participating in the program, the amount of time you spend looking and talking about books has:

After participating in the program your level of confidence in helping your children with literacy development has:

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* 7. After participating in the program your level of confidence in helping your children with literacy development has:

Did you have a library card when you started the program?

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* 8. Did you have a library card when you started the program?

After participating in the program have your visits increased to the library?

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* 9. After participating in the program have your visits increased to the library?

Would you like to know more about Building Blocks or other programs or supports to help you help your children with literacy and learning?

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* 10. Would you like to know more about Building Blocks or other programs or supports to help you help your children with literacy and learning?

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