BASE Student Survey

This has been our first year with the BASE program. The district is applying for another year of funding so we could run BASE again next year. To make sure we are meeting student needs students involved in BASE are being surveyed. Please answer the following questions.

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* 1. I am in ---grade

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* 2. I attended BASE on (check all that apply)

Monday

Tuesday

Wednesday

Thursday

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* 3. I started attending BASE in

September

October

November

December

January

February

March

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* 4. Before I came to BASE, I usually

Went home, my parent(s) were there

Went home, my brothers and sisters were there

Went home, I was alone

Went to a babysitter, neighbor, or relative

Was in after school sports, clubs, etc.

Went to a friends house

I don't know

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* 5. Do you enjoy the BASE program?

Yes, almost always

Most of the time

Sometimes

No, hardly ever

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* 6. Do you feel safe in this program?

Yes, almost always

Most times

Sometimes

No, hardly ever.

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* 7. Do you have friends in this program?

Yes

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* 8. Would you encourage other students to come to this program?

Yes

Maybe

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* 9. Have you learned anything in BASE that you did not know before?

Yes

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* 10. Does BASE give you enough time to finish your homework?

Yes, almost always.

Sometimes, I still have things I need to take home.

No, I always have to take homework home, even after BASE.

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* 11. Do teachers in the program help you with your homework?

Yes, always

Most of the time

Sometimes

Never

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* 12. How do you feel about school? Please answer each statement with agree, disagree, no opinion.

	Agree	Disagree	No opinion
I think I'm a good student.	I think I'm a good student. Agree	I think I'm a good student. Disagree	I think I'm a good student. No opinion
I'm not a very good student.	I'm not a very good student. Agree	I'm not a very good student. Disagree	I'm not a very good student. No opinion
I have trouble figuring things out in school.	I have trouble figuring things out in school. Agree	I have trouble figuring things out in school. Disagree	I have trouble figuring things out in school. No opinion
I am doing a good job in school.	I am doing a good job in school. Agree	I am doing a good job in school. Disagree	I am doing a good job in school. No opinion
I don't do very well in school.	I don't do very well in school. Agree	I don't do very well in school. Disagree	I don't do very well in school. No opinion
I want to do well in school.	I want to do well in school. Agree	I want to do well in school. Disagree	I want to do well in school. No opinion
I like going to school.	I like going to school. Agree	I like going to school. Disagree	I like going to school. No opinion
I don't think school is important.	I don't think school is important. Agree	I don't think school is important. Disagree	I don't think school is important. No opinion
The things I am learning in school will be important in the future.	The things I am learning in school will be important in the future. Agree	The things I am learning in school will be important in the future. Disagree	The things I am learning in school will be important in the future. No opinion

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* 13. Since you started coming to the BASE program, how often have you participated in the following activities.

	Never	Rarely	Sometimes	Often
Homework Help	Homework Help Never	Homework Help Rarely	Homework Help Sometimes	Homework Help Often
Tutoring	Tutoring Never	Tutoring Rarely	Tutoring Sometimes	Tutoring Often
Reading Activities	Reading Activities Never	Reading Activities Rarely	Reading Activities Sometimes	Reading Activities Often
Math Activities	Math Activities Never	Math Activities Rarely	Math Activities Sometimes	Math Activities Often
Crafts	Crafts Never	Crafts Rarely	Crafts Sometimes	Crafts Often
Snack	Snack Never	Snack Rarely	Snack Sometimes	Snack Often
Cooking	Cooking Never	Cooking Rarely	Cooking Sometimes	Cooking Often
Sports (wrestling, outside games)	Sports (wrestling, outside games) Never	Sports (wrestling, outside games) Rarely	Sports (wrestling, outside games) Sometimes	Sports (wrestling, outside games) Often
Speakers (magician, bubbles, NED program)	Speakers (magician, bubbles, NED program) Never	Speakers (magician, bubbles, NED program) Rarely	Speakers (magician, bubbles, NED program) Sometimes	Speakers (magician, bubbles, NED program) Often
Swimming	Swimming Never	Swimming Rarely	Swimming Sometimes	Swimming Often
Bowling	Bowling Never	Bowling Rarely	Bowling Sometimes	Bowling Often
Play in Wisconsin Dells	Play in Wisconsin Dells Never	Play in Wisconsin Dells Rarely	Play in Wisconsin Dells Sometimes	Play in Wisconsin Dells Often
Other activities	Other activities Never	Other activities Rarely	Other activities Sometimes	Other activities Often

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* 14. Overall, how do you like BASE?

I really like the program--it's great!

I sort of like the program--its OK

I don't like the program at all-I wish I didn't have to come.

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* 15. Below are statements about the BASE program. Please answer Agree, Disagree, No opinion to each statement.

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* 16. The BASE program has helped me

	Agree	Disagree	No opinion
Get my homework done.	Get my homework done. Agree	Get my homework done. Disagree	Get my homework done. No opinion
Get better grades.	Get better grades. Agree	Get better grades. Disagree	Get better grades. No opinion
Become a better reader	Become a better reader Agree	Become a better reader Disagree	Become a better reader No opinion
Become better at math	Become better at math Agree	Become better at math Disagree	Become better at math No opinion
Made me feel part of my school	Made me feel part of my school Agree	Made me feel part of my school Disagree	Made me feel part of my school No opinion
Use computers	Use computers Agree	Use computers Disagree	Use computers No opinion
Make new firends	Make new firends Agree	Make new firends Disagree	Make new firends No opinion
Feel safer after school.	Feel safer after school. Agree	Feel safer after school. Disagree	Feel safer after school. No opinion
Learn to work together with others	Learn to work together with others Agree	Learn to work together with others Disagree	Learn to work together with others No opinion
Think more about my future.	Think more about my future. Agree	Think more about my future. Disagree	Think more about my future. No opinion

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* 17. Are you a

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

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* 19. What changes would you like to see in the BASE program for next year?

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* 20. Below are statements about the BASE program. Please answer Agree, Disagree, No opinion to each statement.

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* 21. Below are statements about the BASE program. Please answer Agree, Disagree, No opinion to each statement.