21st Century After-School Program Parent Survey Funding for 21st CCLCs after-school programs will end on June 30, 2016. Responses to this survey will help us to develop an overall needs assessment for program activities. Question Title * 1. What is the name of your child's school. Camden Elementary School East Flora Elementary School Luther Branson Elementary School Shirley D. Simmons Middle School Question Title * 2. What is the grade level of your child? Kindergarten 1st 2nd 3rd 4th 5th 6th 7th 8th Question Title * 3. Does your child attend an after-school program in his/ current school? Yes No Question Title * 4. If your child attends an after-school program, how often does he/she attend? 4-5 times per week 2-3 times per week 1 time per week a few times per month Question Title * 5. If your child does not attend an after-school program, please share reasons why not? Prefers to do homework at home Is tired after school Conflicts with sports or athletic activities Conflicts with clubs or other community activities Friends do not attend Is not comfortable coming home in the dark Other (please specify) Question Title * 6. When would be the most convenient time for your child to attend a 21st Century program? After school Before school During School Evenings Summer Question Title * 7. How important is homework help in an after-school program? Very important important Not very important Unimportant Question Title * 8. How important is academic tutoring for your child in an after-school program? Very important Somewhat important Not very important Unimportant Question Title * 9. What types of activities would you like to see available for your child in an after-school program? Video production Computer activities Science enrichment Art Music Dance Creative writing School newspaper Chess Fitness activities Arts & crafts Other (please specify) Question Title * 10. What kinds of activities would you be interested in and/or willing to attend with your child? Yes, definitely Very likely Not likely No, I would not attend Family Night Family Night Yes, definitely Family Night Very likely Family Night Not likely Family Night No, I would not attend Student Showcase Student Showcase Yes, definitely Student Showcase Very likely Student Showcase Not likely Student Showcase No, I would not attend FamilyFitness Activities FamilyFitness Activities Yes, definitely FamilyFitness Activities Very likely FamilyFitness Activities Not likely FamilyFitness Activities No, I would not attend Family Reading Activities Family Reading Activities Yes, definitely Family Reading Activities Very likely Family Reading Activities Not likely Family Reading Activities No, I would not attend Other (please specify) Question Title * 11. If we wanted to maximize the likelihood that families would attend these activities, when and where should these activities take place? Before school During school After school Evenings Other (please specify) Question Title * 12. What would you suggest to improve the quality of after-school programs? Done
