1. Parent Survey

Please answer the following questions to provide feedback regarding the overall operation of the after school program.

Question Title

2. Please respond to each statement according to your level of agreement or disagreement. Please check one response only for each statement.

  Yes No Not sure
As a result of participating in the after-school program, has your child’s reading skills improved?
As a result of participating in the after-school program, has your child’s math skills improved?
As a result of participating in the after-school program, has your child’s attitude towards school improved? 
Do you feel that the after-school program relates closely to what is being taught during the regular school day?
Does the after-school program offer your child a variety of activities to help them learn?
Does the after-school program provide your child with a safe setting to participate in activities?
Do you feel you can make suggestions or voice your concerns about the after-school program to the program staff?
Would you refer a friend or relative’s child to attend the after-school program?
In general, how satisfied is your child with the after-school program?
In general, how satisfied are you (parent/guardian) with the after-school program?

Question Title

3. Please respond to each statement according to your level of agreement or disagreement. Please check one response only for each statement.

  It helps with my childcare situation after school. It provides a safe setting for my child to participate in after-school activities. It helps improve my child’s academic performance in school. It helps improve my child’s attitude towards school. It helps improve my child’s behavior in and out of school.
What is the most important reason for having your child participate in the after-school program?
What is the second most important reason for having your child participate in the after-school program?

Question Title

4. Additional Comments?

T