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* 1. What age/grade groups are in your family? (mark all that apply)

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* 2. What days do you use the Mohican Family Center (MFC)/ After School Program (ASP) most often?

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* 3. What time of the day does your family use the MFC/ASP most often?

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* 4. How many times per month does your family use the MFC/ASP?

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* 5. Which MFC/ASP activities do you participate in?

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* 6. Does the MFC/ASP Facility and Staff meet your expectations?

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* 7. How do you feel when you visit the MFC/ASP building?

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* 8. What improvements would you like to see at the MFC/ASP?

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* 9. What types of activities would you like to see at the MFC/ASP?

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* 10. Were announcements regarding field trips and other activities easily reached?

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* 11. What types of field trips would you like the MFC/ASP to offer?

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* 12. Are you or your family already involved in an organized activity such as dance, soccer, boy/girl scouts?

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* 13. If you said yes to Question 12, have you ever had issues transporting your child to these activities?

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* 14. The following is a list of activities that the MFC/ASP has provided; please check all that you would like them to offer in the coming months.

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* 15. Thank you for completing our survey. Your input is very important to us. If you would like to be entered into the survey drawing please enter you contact information below:

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