Club Xtra - When will you be ready to join us for the program?

Quick Survey: Club Xtra for KIDS (ages 0-7)

Central Phoenix (South Phoenix, Laveen, Downtown, etc.)

North Valley (N. Phoenix, Happy Valley, Anthem, N. Scottsdale, Cave Creek, New River, etc.)

West Valley (Glendale, Peoria, Surprise, Sun City, Goodyear, Avondale, Buckeye, Waddell etc.)

East Valley (Paradise Valley, Scottsdale, Fountain Hills, etc.)

East Valley (Tempe, Mesa, Ahwatukee, Chandler, Gilbert, etc.)

East Valley (Sun Lakes, San Tan Valley, Chandler Heights, Queen Creek, etc.)

Other/NA

Outside of Phoenix-area or Maricopa County, please specify

Parent/Guardian

Caregiver/Family Member

Teacher

Therapist

Hab/Respite Provider

Medical Professional

Other/NA

Other (please specify)

	Completely Satisfied	Somewhat Satisfied	Neutral	Somewhat Disatisfied	Completely Disatisfied	N/A
Overall satisfaction	Overall satisfaction Completely Satisfied	Overall satisfaction Somewhat Satisfied	Overall satisfaction Neutral	Overall satisfaction Somewhat Disatisfied	Overall satisfaction Completely Disatisfied	Overall satisfaction N/A
Satisfaction with monthly groups	Satisfaction with monthly groups Completely Satisfied	Satisfaction with monthly groups Somewhat Satisfied	Satisfaction with monthly groups Neutral	Satisfaction with monthly groups Somewhat Disatisfied	Satisfaction with monthly groups Completely Disatisfied	Satisfaction with monthly groups N/A
Satisfaction with DSNetwork communication you receive	Satisfaction with DSNetwork communication you receive Completely Satisfied	Satisfaction with DSNetwork communication you receive Somewhat Satisfied	Satisfaction with DSNetwork communication you receive Neutral	Satisfaction with DSNetwork communication you receive Somewhat Disatisfied	Satisfaction with DSNetwork communication you receive Completely Disatisfied	Satisfaction with DSNetwork communication you receive N/A

Other (please describe)

August 2020

September 2020

October 2020

November 2020

December 2020

Next year 2021