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BCMSHS 21st CCLC Parent Survey
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1.
Name of student in 21st CCLC program:
(Required.)
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2.
The program is helping my child’s behavior improve. (choose one)
(Required.)
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
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3.
*The program is helping my child to complete and turn in his/her homework on time. (choose one)
(Required.)
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
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4.
*How satisfied are you with your child's 21st CCLC program? (choose one)
(Required.)
Very satisfied
Satisfied
Neither Satisfied or Dissatisfied
Dissatisfied
Very Dissatisfied
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5.
Prior to your child participating in the 21st CCLC program, where did your child usually go after school? (choose one)
(Required.)
My child stayed home alone.
My child stayed home with a sibling, parent, guardian, or sitter.
My child went to the home of someone else (like a friend, relative, or sitter).
My child went someplace else for activities
Other (please specify)
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6.
How did you find out about the 21st CCLC program? (choose best answer)
(Required.)
From the school or agency.
From another parent.
From another community organization or agency.
From another student.
Other (please specify)
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7.
The program is helping my child’s reading skills improve. (choose one)
(Required.)
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
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8.
The program is helping my child’s math skills improve. (choose one)
(Required.)
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
Current Progress,
0 of 8 answered