* 1. What School does your child(ren) currently attend?

* 2. What grade is/are your child(ren) in?

* 3. Does your child(ren) participate in after school programming?

* 4. If you answered yes to #3, what programming do they attend?

* 5. What is missing in your child's current after school program?

* 6. What is most important for you as a parent in your child's after school programming?

* 7. Will your child(ren) need transportation in order to participate in an after school program at Everett Elementary?

* 8. How late do you need your child to stay in after school care?

* 9. What activities would you like to see included in an after school program? Please check all that apply. 

* 10. Please provide any additional comments/suggestions.

T