How Are We Doing?

Dear Parents or Guardians,
Your input is very valuable to us. We would like to hear how our organization is meeting the needs of you and your child(ren). Please take a few minutes to fill out this short questionnaire. Feel free to add your own comments/suggestions at the end of the survey.

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* 1. The branch my child attends is:

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* 2. I have seen a positive impact on my child as a result of this program.

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* 3. The Club provides a variety of program opportunities that my child would not get anywhere else.

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* 4. My child receives positive recognition at the Club

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* 5. I feel the Club promotes healthy lifestyles.

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* 6. The appearance of the club is clean and neat.

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* 7. I feel comfortable leaving my child at the Club because it is a safe environment.

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* 8. The Club is FUN for my child.

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* 9. The Club provides excellent role models for my child.

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* 10. The Club promotes good character.

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* 11. I feel the Club enhances academic success of my child.

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* 12. I would recommend the program to a friend.

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* 13. The staff members share information about my child's individual progress and behavior.

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* 14. My overall satisfaction with the Club on a scale of 1 to 10 (with 10 being the highest) is:

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* 15. Any additional comments

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* 16. Are there any other programs you would like to see us offer at the club?

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* 17. OPTIONAL

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