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* 1. The after-school program staff shows care and concern for my child.

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* 2. The after-school program is a safe place for my child. 

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* 3. I receive sufficient communication and information about the program.

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* 4. The activities during the program are well-organized, fun and interesting. 

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* 5. The after-school program helps my child do better academically. 

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* 6. My child likes to come to the after-school program. 

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* 7. The after-school program meets my needs as a parent/guardian. 

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* 8. Did you volunteer? (This includes bringing snacks for parties, etc.)

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* 9. How could the program be more helpful to your child?

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* 10. Additional Comments

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