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14th & Chestnut Afterschool Program Parent Survey
Please complete this short survey to provide input on the afterschool program at 14th & Chestnut Community Center. Your feedback is much appreciated!
OK
1.
Your child/ren's name:
2.
What grade is your child in? Check all that apply.
K
1st
2nd
3rd
4th
5th
3.
How much do you agree with the following statement about the after-school program? Place a check in the box for your answer.
Strongly agree
Agree
Disagree
Strongly disagree
N/A
The program staff treat my child with respect.
Strongly agree
Agree
Disagree
Strongly disagree
N/A
The program staff listened to what my child has to say.
Strongly agree
Agree
Disagree
Strongly disagree
N/A
The program staff listen to my concerns about my child’s education.
Strongly agree
Agree
Disagree
Strongly disagree
N/A
My child has improved their behaviors since coming to the after-school program.
Strongly agree
Agree
Disagree
Strongly disagree
N/A
The program staff maintain frequent communication with me.
Strongly agree
Agree
Disagree
Strongly disagree
N/A
I feel welcome in the program.
Strongly agree
Agree
Disagree
Strongly disagree
N/A
The program staff help me understand issues or changes at the school.
Strongly agree
Agree
Disagree
Strongly disagree
N/A
My child is doing better in school since coming to the after-school program.
Strongly agree
Agree
Disagree
Strongly disagree
N/A
Overall, my child has benefited from attending the after-school program.
Strongly agree
Agree
Disagree
Strongly disagree
N/A
4.
How often do you either read with your student or encourage them to read?
Every day
A few times a week
About once a week
A few times a month
Once a month
Less than once a month
5.
How often do you speak with a teacher or other school staff about your student’s grades or behaviors?
At least once a week
At least monthly
At least quarterly
At least once a semester
At least once a school year
Never
6.
Do you plan to enroll your child in the program next school year?
Yes
No
Unsure
7.
On a scale of 1 (very poor) to 5 (excellent), how would you rate the Center’s after-school program?
Very poor
1 star
Below average
2 stars
Average
3 stars
Above average
4 stars
Excellent
5 stars
8.
Any other comments regarding the program: