Parent Survey Question Title * Date After attending the after-school program, my child improved their... Question Title * Motivation to learn Yes No Question Title * Behavior in getting along with other students Yes No Question Title * Completion of homework Yes No Question Title * Academic achievement Yes No Question Title * Math skills Yes No Question Title * Reading skills Yes No Question Title * Willingness to talk to me (us) about school Yes No Question Title * Interest and participation in activities offered Yes No During the after-school program, my child... Question Title * felt safe in the program Yes No Question Title * received assistance with homework Yes No Question Title * was offered academic assistance/intervention Yes No Question Title * participated in enrichment activities (art, music, cultural activities, technology, science, recreation, etc) Yes No Question Title * received a healthy snack Yes No Question Title * participated in career exploration activities Yes No Question Title * participated in physical activities (recreation, fitness, sports, games, etc) Yes No Question Title * participated in projects to help the community/others Yes No The after-school program staff... Question Title * treated my child in a caring, supportive way Yes No Question Title * encouraged completion of activities and tasks Yes No Question Title * provided a program my child enjoyed Yes No Question Title * offered age appropriate activities Yes No Question Title * had the program well organized Yes No Question Title * provided assistance and encouragement Yes No Question Title * had reasonable expectations Yes No Question Title * showed interest in and respect to me and my child Yes No Question Title * offered a nurturing and encouraging environment Yes No Question Title * helped my child improve in school Yes No Question Title * encouraged positive relationships among children Yes No Question Title * informed me about how my child was doing in the program Yes No Question Title * communicated to me about what was going on in the program Yes No Question Title * provided family activities/events Yes No School and Family Connection Question Title * Did you attend any of the family events? Yes No Question Title * Did you learn something new at the event(s) Yes No N/A Please rate the following: (5 being the highest; 1 being the lowest) Question Title * Rate your sense of connection with the program at the beginning of the year 5 4 3 2 1 Question Title * Rate your sense of connection with the program now 5 4 3 2 1 Done
