This survey asks about your experience with the 21st Century After-School Program that your child attends. This program includes the academic and enrichment activities that your child participates in outside of the regular school day. We would appreciate it if you took a few minutes to tell us about your experience with this program by answering the questions below. Please select only one response for each question.

Your responses are ANONYMOUS, which means that your name will not be collected, and we will not know who has said what about this program, so please be honest. Thank you for your feedback!
Tell us how much you agree or disagree with the statements below.

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* 1. Overall, this program is good for my child.

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* 2. My child enjoys attending this program.

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* 3. My child is safe at this program.

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* 4. This program schedule meets the needs of my family.

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* 5. I am satisfied with the level of communication with program staff.

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* 6. Since starting this program, my child has become interested in new areas (such as new subjects, sports, technology, etc.)

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* 7. Since starting this program, my child has fewer behavior problems.

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* 8. Since starting this program, my child is more interested in school.

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* 9. Since starting this program, my child has improved in school.

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* 10. School-day teachers want my child to come to this program.

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* 11. I would recommend this program to my friends who have children.

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