University School After School Child Care The purpose of this survey is to gather information about the interest and feasibility of providing after school care at University School. We appreciate your responses to the survey. We will provide a summary of these responses and keep you informed of plans. Question Title * 1. Are you currently using after school child care? Yes No Question Title * 2. If you are currently using after school child care, which days per week and hours does your child(ren) attend? Check all that apply. 3:00 - 4:30 3:00 - 5:00 3:00 - 5:30 3:00 - 5:45 Monday Monday 3:00 - 4:30 Monday 3:00 - 5:00 Monday 3:00 - 5:30 Monday 3:00 - 5:45 Tuesday Tuesday 3:00 - 4:30 Tuesday 3:00 - 5:00 Tuesday 3:00 - 5:30 Tuesday 3:00 - 5:45 Wednesday Wednesday 3:00 - 4:30 Wednesday 3:00 - 5:00 Wednesday 3:00 - 5:30 Wednesday 3:00 - 5:45 Thursday Thursday 3:00 - 4:30 Thursday 3:00 - 5:00 Thursday 3:00 - 5:30 Thursday 3:00 - 5:45 Friday Friday 3:00 - 4:30 Friday 3:00 - 5:00 Friday 3:00 - 5:30 Friday 3:00 - 5:45 Other (please specify) Question Title * 3. What are your costs per child? Per day Per week Question Title * 4. If after school care was available at University School beginning January 2016, would you plan to use it? Monday Tuesday Wednesday Thursday Friday Yes Yes Monday Yes Tuesday Yes Wednesday Yes Thursday Yes Friday No No Monday No Tuesday No Wednesday No Thursday No Friday Maybe Maybe Monday Maybe Tuesday Maybe Wednesday Maybe Thursday Maybe Friday Other (please specify) Question Title * 5. If you used an after school program at University School, what hours would you need? Monday Tuesday Wednesday Thursday Friday 3 - 4:30 PM 3 - 4:30 PM Monday 3 - 4:30 PM Tuesday 3 - 4:30 PM Wednesday 3 - 4:30 PM Thursday 3 - 4:30 PM Friday 3 - 5:00 PM 3 - 5:00 PM Monday 3 - 5:00 PM Tuesday 3 - 5:00 PM Wednesday 3 - 5:00 PM Thursday 3 - 5:00 PM Friday 3 - 5:30 PM 3 - 5:30 PM Monday 3 - 5:30 PM Tuesday 3 - 5:30 PM Wednesday 3 - 5:30 PM Thursday 3 - 5:30 PM Friday 3 - 5:45 PM 3 - 5:45 PM Monday 3 - 5:45 PM Tuesday 3 - 5:45 PM Wednesday 3 - 5:45 PM Thursday 3 - 5:45 PM Friday Other (please specify) Question Title * 6. Select the grade level for each of the child(ren) in your family who would use the after school program. Child #1 Child #2 Child #3 Kindergarten Kindergarten Child #1 Kindergarten Child #2 Kindergarten Child #3 1st Grade 1st Grade Child #1 1st Grade Child #2 1st Grade Child #3 2nd Grade 2nd Grade Child #1 2nd Grade Child #2 2nd Grade Child #3 3rd Grade 3rd Grade Child #1 3rd Grade Child #2 3rd Grade Child #3 4th Grade 4th Grade Child #1 4th Grade Child #2 4th Grade Child #3 5th Grade 5th Grade Child #1 5th Grade Child #2 5th Grade Child #3 Other (please specify) Question Title * 7. Please share any other comments or questions you may have. Done