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* 1. What is your name? (providing a name allows us to address any feedback with you directly)

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* 2. What is your child's name? (optional)

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* 3. What school does your child attend?

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* 4. What After School Program Theme(s) did your child participate in?

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* 5. What is the primary reason that your child signed up for the program?

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* 6. If available, we would like to participate the next EDMO360 program that is offered at our school.

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* 7. After their participation in this program, my child's enthusiasm for the topic has:

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* 8. After their participation in this program, my child's confidence in the topic has:

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* 9. The staff are fun, enthusiastic, and positive role models for my child.

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* 10. My child taught a family member something they learned during the program.

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* 11. I believe that the hands-on learning my child did in this program will have school year benefits.

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* 12. I find the campedmo.org website (check all that apply):

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* 13. I found Mo's Treehouse on campedmo.org: (please check all that apply)

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* 14. My child's favorite part of the After School Program was:

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* 15. Some parent and caregiver comments may be used in future program or organizational literature. Do you approve use of your comments?

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* 16. My suggestions for improving the program are:

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* 17. Are you familiar with CAMP EDMO Summer Programs?

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* 18. I am a member of the following groups:

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* 19. Please share any additional feedback or comments.

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