21st Century ACE Parent Survey Question Title * 1. My child currently attends: John F. Kennedy Elementary School West Oso Jr. High School West Oso Elementary School West Oso High School Question Title * 2. My child is in: Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade 6th Grade 7th Grade 8th Grade 9th Grade 10th Grade 11th Grade 12th Grade Question Title * 3. Is your child attending the before and/or the afterschool program? Yes, the before school program ONLY Yes, the after school program ONLY Yes, both the before and after school program No, my child will NOT attend the before or after school program Question Title * 4. If your child is enrolled in the program, will your child attend the required days and hours? Yes, my children will attend the required days and hours No, my children will NOT attend the before and after school program Question Title * 5. If your child does NOT attend the before and the after school programs please share the reason they will not attend: Prefer to do homework at home Conflicts with sports/athletic activities Friends do not attend Works after school Is tired after school Conflicts with clubs or other community activities Babysits or cares for family members after school Other (please specify) Question Title * 6. How important is academic tutoring and/or homework help in a before and after school program? Very important Somewhat important Not very important Unimportant Question Title * 7. What type of activities would you like to see available for your child in the afterschool program? Arts & Crafts Chess Creative Writing Martial Arts Science Enrichment Board Games Computer Activities Dance Music Sewing Career Explorations Cooking Fitness Activities Robotics Volunteer Activities Other (please specify) Question Title * 8. What types of activities would you be interested in attending with your child? Family Night Activities Student Showcase Family Fitness Family Reading Other (please specify) Question Title * 9. In order to assist with the success of the parent/student activities, when should these activities take place? During school Afterschool Evening Weekends Other (please specify) Question Title * 10. Which classes/training would you attend? GED Classes ESL Classes Fitness Classes Parenting Classes Other (please specify) Question Title * 11. Do you have any comments or suggestions to add to this survey? Yes No Other (please specify) Done
