1. Power-On and Power-Up Mid-School Year 2010-11 Out of School Time Program

We are in the process of evaluating the 2010-11 School Year Power-On and Power-Up Out of School Time Program. Please help us by filling out the following mid-year survey. Please check the response indicating your reaction to the following statements by using the scale.

As a result of participating in this program my child experienced one or more of the following:

* 1. Increased social interactions and developed friendships

* 2. Improved social skills

* 3. Personal enjoyment

* 4. Improved physical fitness and overall health

* 5. Enhanced knowledge, skills and abilities through participation

T