Parent Survey Basic Information Question Title * 1. What city/town do you live in? Question Title * 2. Are you… Male Female Question Title * 3. Are you . . . Caucasian African American Hispanic/Latino Asian Biracial/Multiracial Other (please specify) Question Title * 4. How many children do you have? 1 2 3 4 or more Question Title * 5. Do any of your children in grades K-12 participate in an after school program or activity? Yes No Next