ABC-ASSETS Interest Survey 2014-15

We want to hear from you to make the after school program work!

Please take a few minutes to answer the following questions. Answer the questions only for yourself.

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* 1. What grade are you in?

9th

10th

11th

12th

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* 2. When are you most likely to attend extra activities

Before school

After School (2:30 - 4:30)

Evenings (4:30 - 8:00)

Saturdays

Sundays

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* 3. How many days per week would you be willing to attend ABC-Assets activities if there were programs of interest to you?

One day

Two days

Three days

Four days

Five days

Six days

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* 4. If the following intramural/ athletic activities were offered, which ones would you attend?

	Yes	No	Maybe
Arm Wrestling	Arm Wrestling Yes	Arm Wrestling No	Arm Wrestling Maybe
Martial Arts	Martial Arts Yes	Martial Arts No	Martial Arts Maybe
Handball	Handball Yes	Handball No	Handball Maybe
Soccer	Soccer Yes	Soccer No	Soccer Maybe
Tennis	Tennis Yes	Tennis No	Tennis Maybe
Swimming	Swimming Yes	Swimming No	Swimming Maybe
Bicycling	Bicycling Yes	Bicycling No	Bicycling Maybe
Swimming	Swimming Yes	Swimming No	Swimming Maybe
Mountain Biking	Mountain Biking Yes	Mountain Biking No	Mountain Biking Maybe
Flag Football	Flag Football Yes	Flag Football No	Flag Football Maybe
Wrestling	Wrestling Yes	Wrestling No	Wrestling Maybe
Weight Training	Weight Training Yes	Weight Training No	Weight Training Maybe
Softball	Softball Yes	Softball No	Softball Maybe
Basketball	Basketball Yes	Basketball No	Basketball Maybe
Skateboarding	Skateboarding Yes	Skateboarding No	Skateboarding Maybe
Ultimate Frisbee	Ultimate Frisbee Yes	Ultimate Frisbee No	Ultimate Frisbee Maybe
Frisbee Golf	Frisbee Golf Yes	Frisbee Golf No	Frisbee Golf Maybe
Cheer/Pep Squad	Cheer/Pep Squad Yes	Cheer/Pep Squad No	Cheer/Pep Squad Maybe

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* 5. If the following programs were offered, which ones would you attend?

	Yes	No	Maybe
Fire Science/ Firefighter Basics	Fire Science/ Firefighter Basics Yes	Fire Science/ Firefighter Basics No	Fire Science/ Firefighter Basics Maybe
First Aid/ CPR	First Aid/ CPR Yes	First Aid/ CPR No	First Aid/ CPR Maybe
Law Enforcement/ Criminal Justice	Law Enforcement/ Criminal Justice Yes	Law Enforcement/ Criminal Justice No	Law Enforcement/ Criminal Justice Maybe
Computer Applications	Computer Applications Yes	Computer Applications No	Computer Applications Maybe
Digital Technology (e.g. film making, web design, blogging)	Digital Technology (e.g. film making, web design, blogging) Yes	Digital Technology (e.g. film making, web design, blogging) No	Digital Technology (e.g. film making, web design, blogging) Maybe
Photography	Photography Yes	Photography No	Photography Maybe
Model Airplane building and use	Model Airplane building and use Yes	Model Airplane building and use No	Model Airplane building and use Maybe
Art (e.g. Drawing, Ceramics, Painting)	Art (e.g. Drawing, Ceramics, Painting) Yes	Art (e.g. Drawing, Ceramics, Painting) No	Art (e.g. Drawing, Ceramics, Painting) Maybe
Performance arts (e.g. Theater, Improv, Stepping)	Performance arts (e.g. Theater, Improv, Stepping) Yes	Performance arts (e.g. Theater, Improv, Stepping) No	Performance arts (e.g. Theater, Improv, Stepping) Maybe
Auto Shop	Auto Shop Yes	Auto Shop No	Auto Shop Maybe
Swimming/Water Polo/ Water Sports	Swimming/Water Polo/ Water Sports Yes	Swimming/Water Polo/ Water Sports No	Swimming/Water Polo/ Water Sports Maybe
Health & Nutrition	Health & Nutrition Yes	Health & Nutrition No	Health & Nutrition Maybe
Robotics	Robotics Yes	Robotics No	Robotics Maybe
Patriot Lounge (gaming, pool table, etc.)	Patriot Lounge (gaming, pool table, etc.) Yes	Patriot Lounge (gaming, pool table, etc.) No	Patriot Lounge (gaming, pool table, etc.) Maybe
Youth Leadership (e.g. Public speaking, Organizational Skill Building)	Youth Leadership (e.g. Public speaking, Organizational Skill Building) Yes	Youth Leadership (e.g. Public speaking, Organizational Skill Building) No	Youth Leadership (e.g. Public speaking, Organizational Skill Building) Maybe
Service Learning (e.g. Community projects, Job Shadowing)	Service Learning (e.g. Community projects, Job Shadowing) Yes	Service Learning (e.g. Community projects, Job Shadowing) No	Service Learning (e.g. Community projects, Job Shadowing) Maybe
College Prep (e.g. Applications, FAFSA, Test prep)	College Prep (e.g. Applications, FAFSA, Test prep) Yes	College Prep (e.g. Applications, FAFSA, Test prep) No	College Prep (e.g. Applications, FAFSA, Test prep) Maybe
Woodworking/Carpentry	Woodworking/Carpentry Yes	Woodworking/Carpentry No	Woodworking/Carpentry Maybe
Crafts (e.g. Jewelry making, Sewing)	Crafts (e.g. Jewelry making, Sewing) Yes	Crafts (e.g. Jewelry making, Sewing) No	Crafts (e.g. Jewelry making, Sewing) Maybe
Dance (e.g. Hip Hop, Salsa)	Dance (e.g. Hip Hop, Salsa) Yes	Dance (e.g. Hip Hop, Salsa) No	Dance (e.g. Hip Hop, Salsa) Maybe
Mariachi Band	Mariachi Band Yes	Mariachi Band No	Mariachi Band Maybe
Culinary arts (e.g. Cooking, Baking)	Culinary arts (e.g. Cooking, Baking) Yes	Culinary arts (e.g. Cooking, Baking) No	Culinary arts (e.g. Cooking, Baking) Maybe

Question Title

* 6. If the following outdoor activities were offered, which ones would you attend?

	Yes	No	Maybe
Backpacking	Backpacking Yes	Backpacking No	Backpacking Maybe
Rock Climbing	Rock Climbing Yes	Rock Climbing No	Rock Climbing Maybe
Camping	Camping Yes	Camping No	Camping Maybe
Horsemanship/ Horseback Riding	Horsemanship/ Horseback Riding Yes	Horsemanship/ Horseback Riding No	Horsemanship/ Horseback Riding Maybe
Water sports (Kayaking, Canoeing)	Water sports (Kayaking, Canoeing) Yes	Water sports (Kayaking, Canoeing) No	Water sports (Kayaking, Canoeing) Maybe
Wilderness Survival	Wilderness Survival Yes	Wilderness Survival No	Wilderness Survival Maybe
SCUBA Diving/ Snorkeling	SCUBA Diving/ Snorkeling Yes	SCUBA Diving/ Snorkeling No	SCUBA Diving/ Snorkeling Maybe

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* 7. What kinds of activities would you like for us to offer that are not mentioned above

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* 8. Please describe your comfort level swimming in a pool or the ocean

I don't know how to swim

I like to be in the water, but can't swim really well

I can swim somewhat (I know a couple of swimming strokes)

I am a good swimmer (I can do several swimming strokes well)

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* 9. I would like to learn to swim better

True

False

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* 10. If the following academic activities were offered, which ones would you come to?

	Yes	No	Maybe
Individual tutoring	Individual tutoring Yes	Individual tutoring No	Individual tutoring Maybe
Small Group tutoring	Small Group tutoring Yes	Small Group tutoring No	Small Group tutoring Maybe
Reteaching of difficult topics	Reteaching of difficult topics Yes	Reteaching of difficult topics No	Reteaching of difficult topics Maybe
Tutoring/Homework help with my own teacher	Tutoring/Homework help with my own teacher Yes	Tutoring/Homework help with my own teacher No	Tutoring/Homework help with my own teacher Maybe
Tutoring/Homework help with a different teacher	Tutoring/Homework help with a different teacher Yes	Tutoring/Homework help with a different teacher No	Tutoring/Homework help with a different teacher Maybe

Other (please specify)

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* 11. Which Academic areas do you need the most help in?

English

Essay Writing

Algebra 1

Geometry

Algebra 2

Advanced Math (statistics, calculus)

Science (Biology, Chemistry, Earth Science)

Social Science (World History, US History, Gov't, Economics)

Electives

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* 12. When thinking about after school activities/clubs, which do you think would help you...

	Yes	No	Maybe
Finish homework	Finish homework Yes	Finish homework No	Finish homework Maybe
Get tutoring	Get tutoring Yes	Get tutoring No	Get tutoring Maybe
Get more involved with the school	Get more involved with the school Yes	Get more involved with the school No	Get more involved with the school Maybe
Feel more comfortable with math	Feel more comfortable with math Yes	Feel more comfortable with math No	Feel more comfortable with math Maybe
Feel more comfortable writing papers	Feel more comfortable writing papers Yes	Feel more comfortable writing papers No	Feel more comfortable writing papers Maybe
Explore new things	Explore new things Yes	Explore new things No	Explore new things Maybe
Think and prepare myself for the future	Think and prepare myself for the future Yes	Think and prepare myself for the future No	Think and prepare myself for the future Maybe
Use computers to do research, school projects, or homework	Use computers to do research, school projects, or homework Yes	Use computers to do research, school projects, or homework No	Use computers to do research, school projects, or homework Maybe
Learn about what kind of career I want	Learn about what kind of career I want Yes	Learn about what kind of career I want No	Learn about what kind of career I want Maybe
Learn how to get a job	Learn how to get a job Yes	Learn how to get a job No	Learn how to get a job Maybe
Participate in activities I could not have otherwise	Participate in activities I could not have otherwise Yes	Participate in activities I could not have otherwise No	Participate in activities I could not have otherwise Maybe
Learn to work together with other students	Learn to work together with other students Yes	Learn to work together with other students No	Learn to work together with other students Maybe
Get help with exams like CAHSEE, or AP	Get help with exams like CAHSEE, or AP Yes	Get help with exams like CAHSEE, or AP No	Get help with exams like CAHSEE, or AP Maybe
Gain leadership skills	Gain leadership skills Yes	Gain leadership skills No	Gain leadership skills Maybe
Learn more about what to study in college	Learn more about what to study in college Yes	Learn more about what to study in college No	Learn more about what to study in college Maybe