Summer 2016 Student Questionnaire

Information about you!

Please fill out the information about you and your Horizons program.

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* 1. What is your name:

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* 2. What grade are you going into in the fall?

K

1

2

3

4

5

6

7

8

9

10

11

12

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* 3. Are you a boy or a girl?

Boy

Girl

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* 4. What Horizons program do you attend?

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* 5. Overall, how do you feel about Horizons? (check one)

Loved it!

Liked it a lot

It was okay

Liked it a little

Did not like it

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* 6. Would you like to come back to Horizons next year?

Yes

No