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* 1. I would recommend the Chapel Afterschool program to others.

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* 2. I currently have a child(ren) enrolled in the Afterschool Program.

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* 3. Number of children I have enrolled in the Afterschool program.

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* 4. I have had a child(ren) enrolled for a Chapel program for:

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* 5. What is most important benefit of the Chapel program -- rank most (1) to least (7)

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* 6. Chapel programs (afterschool or summer) have helped my child(ren) with academic skills.

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* 7. My child(ren) feels welcome at the Chapel.

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* 8. My child(ren) is safe at Chapel.

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* 9. Chapel staff care about my child(ren).

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* 10. Chapel programs help me to maintain employment.

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* 11. If I were asked, I would make a donation to the Chapel (any amount).

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* 12. Is there anything you would like to have added or changed to Chapel programs?

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* 13. Name? (Optional)

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