After School Activity Survey

Hello Plymouth Student. This is a short survey about your participation in after school activities. Please answer all the questions to the best of your ability. Thank you in advance and have a great day.

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* 1. Name

First:

Last:

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* 2. Grade:

1

2

3

4

5

6

7

8

9

10

11

12

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* 3. Age:

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* 4. Gender:

Male

Female

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* 5. School:

Parkview

Fairview

Horizon

Riverview

Plymouth High School

Other (please specify)

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* 6. Where Do You Live:

In Town (Plymouth)

Out of Town

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* 7. Do you participate in any after school activities (Extracurricular Activities)?

Yes

No