The 21st Century after school program wants to hear from you, the parents and guardians of our students who have attended the program. We’d like to hear about what we’ve done well, what we could do better or differently, or any ideas or thoughts you have about how to make our after school program work best for your child and you. Thank you for being part of our school community!

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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.

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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* 3. 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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* 4. 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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* 5. Do you agree with the following statements about the afterschool program?

  Strongly Agree Agree Disagree Strongly Disagree Don't know/ Did not participate
I had opportunities to visit the student 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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* 6. Please write a short answer to the following questions. Your answers will help guide us as we make decisions regarding the 21st Century programs.

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