1. 21st CCLC Parent/Guardian Survey - Egg Harbor City

PURPOSE: The purpose of this survey is to obtain your feelings about the 21st Century Community Learning Centers (21st CCLC) program in which you and your child/children are participating. Your opinions will be used to improve future program activities.

DIRECTIONS: Respond to each item by checking the box which most accurately describes you.

1. Site:

2. How would you rate your familiarity with the goals and objectives of the 21st CCLC program?

3. How would you rate the attitude toward school of your child/children as a result of participation in the 21st CCLC program?

4. How would you rate the self-esteem of your child/children as a result of participation in the 21st CCLC program?

5. How would you rate the social behavior of your child/children as a result of participation in the 21st CCLC program?

6. How would you rate the discipline behavior of your child/children as a result of participation in the 21st CCLC program?

7. How would you rate the academic achievement of your child/children as a result of their participation in the 21st CCLC program?

8. How would you describe your literacy skills as a result of your participation in the 21st CCLC program?

9. How would you describe your level of involvement with your child/children's education (parent teacher conferences, back-to-school-night, etc.) as a result of your participation in the 21st CCLC program?

10. How would you describe your level of participation in literacy-related activities with your child/children (family reading time, trips to libraries and museums, etc.) as a result of your participation in the 21st CCLC program?

11. How would you rate the overall impact of the 21st CCLC program?

12. What are the strengths of the 21st CCLC program?

13. What are the weaknesses of the 21st CCLC program?

14. What changes would you suggest to improve the 21st CCLC program?

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