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* 1. In what grade(s) do you have children enrolled at the 21st Century after school program?

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* 2. NOTE: Going forward, if you have more than one child, please answer for your oldest child.

Did your child in the 21st Century program participate in-person, online, or both in-person and online?

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* 3. How satisfied are you with your child’s school’s afterschool (21st Century) program?

  Satisfied Neutral Dissatisfied Don't know
The afterschool program overall
Homework assistance
The types of learning opportunities in the program
The recreational opportunities in the program
Safety of the afterschool program
Communication between the program and home
The time of the program (e.g., after school hours)
The days of the week that the program is offered

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* 4. Has your child improved in the following areas BECAUSE OF the afterschool program?

  Improved No Change Declined Did not need to improve Don't know
Reading
Writing
Math
Science
Social Studies
Technology
Homework Completion
Self-Confidence
Attitude toward school/learning
Attendance at school
Behavior at school

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* 5. Have you participated in parent activities at the after school program or in the summer program in the past year (Parent’s Night, Open Houses, etc.)?

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* 6. Please indicate whether you agree or disagree with the following statements.

  Strongly Agree Agree Disagree Strongly Disagree Don't know/ Did not participate
I had opportunities to visit (in-person or online) the 21st C program.
I am satisfied with the program’s offerings for parents.
The program offered me helpful information for my own growth.
The program offered me activities that were interesting to me.
I would recommend the after school program to other parents.

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* 7. If the program was virtual, is there anything you'd like to tell us about that, for example whether you think the virtual program helped your child succeed academically, socially or emotionally or was particularly challenging for your child?

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* 8. If your child attended the online 21st C program, what changes would you suggest be made to improve the online program in the future?

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* 9. Is there anything else you'd like to tell us about the 21st Century program?

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