Question Title

* 1. Number of Children in the BASE Program

Question Title

* 2. What grades are your children presently in.

Question Title

* 3. How many days a week does your child attend the before school BASE program?

Question Title

* 4. How many days a week does your child attend the after-school BASE program?

Question Title

* 5. Why did you enroll your child in the BASE program?

  Not important A little important Somewhat important Very important
I believed the BASE program would help my child do better in school.
The BASE program is free.
My child needed after school supervision.
I wanted help for my child in reading/math
It wanted my child to get help with homework.
It was a way for my child to be with friends.
I was worried about my child's safety after school.
I wanted my child to participate in the activities that were going to be offered.
It helped with day care after school.

Question Title

* 6. To what extent do you agree with the following statements.

  Strongly Disagree Disagree Unsure Agree Strongly agree
My child likes coming to BASE.
BASE is helping my child to get homework done.
BASE has helped my child do better in school.
My child is getting the academic help he/she needs.
My child enjoys the enrichment activities that the BASE program has offered.
The BASE Program is a worthwhile program for students.
BASE has helped my child improve in reading.
BASE has helped my child improve in math.
My child seems happier since participating in the after-school program.
My child has a better attitude toward school.

Question Title

* 7. Below are some statements about whether the BASE program fits your needs and/or helps you in work or school.  Please identify if the statement is very true, sort of true, a little true, or not at all true for you.

  Not true Sort of true A little true Very true
BASE hours fit my needs
I miss less work than I used to because of BASE.
I have been able to work because of BASE.
I am able to work more hours because of BASE
BASE has made it easier for me to go to work.

Question Title

* 8. Since the beginning of the school year, how frequently has the BASE program sent information to you about the program.

Question Title

* 9. How would you rate the BASE program (excellent, good, fair, poor, don't know) in each of the following areas.

  Poor Fair Don't Know Good Excellent
The safety of your child while he/she is at the BASE program.
The comfort of the room(s) in which the BASE program operates.
The snacks that are served to your child.
The hours of operation.
The enrichment opportunities.
Homework help
Field Trips
Extra support in math/reading
Transportation home
Overall rating of the BASE program.

Question Title

* 10. To what extent do you agree or disagree with the following statements about the BASE staff.

  Strongly Disagree Disagree Don't Know Agree Strongly Agree
I am comfortable talking with the staff.
The staff welcomes suggestions from parents.
The staff keeps me informed about my child's day at the BASE program.
The staff welcomes parents at the BASE program.
The staff encourages positive interactions among children.
I am satisfied  with the number of adult staff aavailable to work with the children.
The staff has clearly informed me about how to contact them during the BASE program.

Question Title

* 11. What do you like best about the BASE program?

Question Title

* 12. What are some things you would like to see changed about the BASE program?

Question Title

* 13. Other comments or questions.

T