Pemberton Parent Survey - Spring 2021

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* 1. What is the name of the student for whom you are completing this survey?

Question Title

* 2. What is your relationship to the child for whom you are completing this survey?

Mother

Father

Step-parent

Grandparent

Aunt or Uncle

Brother or Sister

Other (please specify)

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* 3. Why did you enroll your child in this after-school program? How important were each of the following reasons?

	A Big Reason	A Small Reason	Not a Reason
My child wanted to enroll	My child wanted to enroll A Big Reason	My child wanted to enroll A Small Reason	My child wanted to enroll Not a Reason
I thought the program would help my child perform better in school	I thought the program would help my child perform better in school A Big Reason	I thought the program would help my child perform better in school A Small Reason	I thought the program would help my child perform better in school Not a Reason
I wanted my child to get help with homework	I wanted my child to get help with homework A Big Reason	I wanted my child to get help with homework A Small Reason	I wanted my child to get help with homework Not a Reason
I wanted my child to participate in new types of activities	I wanted my child to participate in new types of activities A Big Reason	I wanted my child to participate in new types of activities A Small Reason	I wanted my child to participate in new types of activities Not a Reason
I wanted my child to gain more confidence in himself/herself	I wanted my child to gain more confidence in himself/herself A Big Reason	I wanted my child to gain more confidence in himself/herself A Small Reason	I wanted my child to gain more confidence in himself/herself Not a Reason
I wanted my child to develop better personal/social skills (e.g., get along with other kids better, follow directions, listen to adults)	I wanted my child to develop better personal/social skills (e.g., get along with other kids better, follow directions, listen to adults) A Big Reason	I wanted my child to develop better personal/social skills (e.g., get along with other kids better, follow directions, listen to adults) A Small Reason	I wanted my child to develop better personal/social skills (e.g., get along with other kids better, follow directions, listen to adults) Not a Reason
The program provided a way for my child to be with friends virtually	The program provided a way for my child to be with friends virtually A Big Reason	The program provided a way for my child to be with friends virtually A Small Reason	The program provided a way for my child to be with friends virtually Not a Reason
The program is free	The program is free A Big Reason	The program is free A Small Reason	The program is free Not a Reason

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* 4. In your opinion, what type of activity is the most important in this after school program?

Homework Help

Academic Enrichment (i.e. tutoring, literacy, math)

Arts (i.e. drama, music, art)

Sports or Physical Activities

Social Development

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* 5. Select the option(s) that best describe how the program staff supports the parents. You may choose more than one.

informs and communicates about program events

provides useful content during parent meetings or workshops

responds quickly when there are issues affecting the children

provides opportunities for the whole family to participate in the program

provides safe and supportive environment during after school hours

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* 6. As a result of participating in this after school program...

	Strongly Agree	Agree	Disagree	Strongly Disagree
My child is doing better in school overall	My child is doing better in school overall Strongly Agree	My child is doing better in school overall Agree	My child is doing better in school overall Disagree	My child is doing better in school overall Strongly Disagree
My child is getting the academic help that he or she needs	My child is getting the academic help that he or she needs Strongly Agree	My child is getting the academic help that he or she needs Agree	My child is getting the academic help that he or she needs Disagree	My child is getting the academic help that he or she needs Strongly Disagree
My child is making new friends	My child is making new friends Strongly Agree	My child is making new friends Agree	My child is making new friends Disagree	My child is making new friends Strongly Disagree
My child is more confident	My child is more confident Strongly Agree	My child is more confident Agree	My child is more confident Disagree	My child is more confident Strongly Disagree
My child talks more about what he or she is doing in school	My child talks more about what he or she is doing in school Strongly Agree	My child talks more about what he or she is doing in school Agree	My child talks more about what he or she is doing in school Disagree	My child talks more about what he or she is doing in school Strongly Disagree
My child is more productive during the after school hours	My child is more productive during the after school hours Strongly Agree	My child is more productive during the after school hours Agree	My child is more productive during the after school hours Disagree	My child is more productive during the after school hours Strongly Disagree
My child is able to join activities that would otherwise not be available	My child is able to join activities that would otherwise not be available Strongly Agree	My child is able to join activities that would otherwise not be available Agree	My child is able to join activities that would otherwise not be available Disagree	My child is able to join activities that would otherwise not be available Strongly Disagree
My child's attitude toward school has changed for the better since becoming a participant in the program	My child's attitude toward school has changed for the better since becoming a participant in the program Strongly Agree	My child's attitude toward school has changed for the better since becoming a participant in the program Agree	My child's attitude toward school has changed for the better since becoming a participant in the program Disagree	My child's attitude toward school has changed for the better since becoming a participant in the program Strongly Disagree
My family's involvement in the program has made a positive impact in our lives	My family's involvement in the program has made a positive impact in our lives Strongly Agree	My family's involvement in the program has made a positive impact in our lives Agree	My family's involvement in the program has made a positive impact in our lives Disagree	My family's involvement in the program has made a positive impact in our lives Strongly Disagree