Jackson County 21CCLC Parent Survey Question Title * 1. Does your child (or children) participate in the Save the Children afterschool program? Yes No If no, why not? OK Question Title * 2. If your child does not participate in the afterschool program, how does your child typically spend time after school? (Please choose as many as you like.) Doing homework or chores Playing sports or playing outside Participating in organized activities (for example, church, scouts, music lessons) Participating in another afterschool program Watching television or playing video/computer games Hanging out with friends or family Other (please specify) OK Question Title * 3. What are your biggest obstacles in getting your child to participate in the afterschool program? If your child does participate in the program, what are your biggest challenges to having your child participate regularly? (Please choose as many as you like.) Transportation Scheduling (e.g., the days and times the program is offered don’t work for my schedule) Programming (e.g., my child isn’t interested in the types of activities offered) Other activities at the same time Other (please specify) OK Question Title * 4. If your child does participate or would like to participate in an afterschool program, what days work best for your schedule? Monday through Thursday Monday through Friday Monday through Saturday Monday through Sunday OK Question Title * 5. What times would work best for your schedule? Before school only After school only Before and after school OK Question Title * 6. Would you be interested in enrolling your child in a summer program? Yes No If no, why not? OK Question Title * 7. What student activities would you like to see included in the afterschool and summer program? (Please choose as many as you like.) Homework help or tutoring Reading activities Math activities Science/technology activities Computer lab Character education/social-emotional learning activities Physical activity and education Nutrition education and cooking Arts and crafts Music and dance Field trips Community service Other (please specify) OK Question Title * 8. What parent and family education activities would be most helpful to you to be more engaged in your child’s or children’s learning? (Please choose as many as you like.) Helping your kids with homework Family literacy nights Family math nights Health and nutrition education and activities (like cooking healthy meals at home) Expanded library and computer lab hours for families Adult education opportunities Child development education Parent support group Other (please specify) OK Question Title * 9. How do you think the program should impact student behavior? (Please choose as many as you like.) Focus on improving classroom participation (including turning in homework on time) Focus on increasing school attendance Focus on improving behaviors (like reducing bullying) Focus on increasing positive peer and adult interactions Focus on developing social and emotional skills Other (please specify) OK Question Title * 10. What is the biggest challenge your child faces at school? OK Question Title * 11. In your opinion, what is the most important thing the afterschool and summer program could do to improve the lives of students? OK DONE