* 1. Before School
a. Interested in structured activities/childcare before school?

* Before School
b. Best time to start in the morning?

* Before School
c. How many days per week?

* Before School
d. Grade(s) of your child/youth who might participate?

* 2. After School
a. Interested in structured activities/childcare after school?

* After School
b. Best Time to end in the afternoon?

* After School
c. How many days per week?

* After School
d. Grade(s) of your child/youth who might participate?

* After School
e. Interested in transportation to PYW (grades 5-9)?

* After School
f. Interested in transportation home from PYW (grades 5-9)?

* 3. Academic Support
a. Interested in help with reading, writing, math, other subjects?

* Academic Support
b. Grade(s) of your child/youth who might participate?

* 4. Homework Help
a. Interested in help with reading, writing, math, other subjects?

* Homework Help
b. Interested in help with homework completion?

* Homework Help
c. Grade(s) of your child/youth who might participate?

* 5. Enrichment
a. Interested in enrichment activities (field trips, music and art activities, etc.)?

* Enichment
b. Interested in recreational activities (physically active games, etc.)?

* Enrichment
c. Grade(s) of your child/youth who might participate?

* 6. Recreation
a. Interested in recreational activities (physically active games, etc.)?

* Recreation
b. Grade(s) of your child/youth who might participate?

* 7. Early Dismissal (PES)
a. Interested in activity during early dismissal days (PES only)?

* Early Dismissal (PES)
b. Grade(s) of your child/youth who might participate?

* 8. School Vacations
a. Interested in activity during school vacations (for example, February vacation?

* School Vacations
b. Interested in activity during summer vacation?

* School Vacations
c. Interested in transportation to/from Drake Field Summer Program?

* School Vacations
d. Interested in transportation to/from PYW?

* School Vacations
e. Grade(s) of your child/youth who might participate?

* 9. What types of activities might interest your child/youth?

* 10. What child or youth activities/enrichment or recreation do you currently travel to another community that you wish was offered here?

* 11. What kinds of activities would you be willing to pay for?

* 12. Cost
a. What per hour cost could you afford and think is fair for before school and after school programming?

* 13. Other Comments and Suggestions

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