YDHS Connect! Parent Survey 2019
Please complete the questions based on your experience with the 21st Century Connect program and your observations of your student since participation in the program.
Student's Grade: *
The overall afterschool program: *
The snacks served to your child daily:
The hours of operation 3-5 Tues-Thurs, 2-4 Mon & Fri: *
Academic items *
Based on your observations, select the answer that best describes how your student has changed related to each of the following academic items (attitudes or skills):
Big improvement
Some improvement
No change
I don't know
Reading
Writing
Math
Science
Homework
Grades in general
Behavior items *
Based on your observations, please select the answer that best describes how your child has changed related to each of the following behavior items (attitudes or skills)
Big Improvement
Some improvement
No change
I don't know
Attitude toward school and learning
Behavior at school
Self-confidence
Attendance
Punctuality (on time for school)
Satisfaction with the program *
Please rate your satisfaction with these program areas by checking one box for each row.
Very satisfied
Somewhat satisfied
Unsatisfied
I don't know
Academics
Communication
Recreation/New Skills
Homework
Overall Program
I am satisfied with the kinds of activities offered in the afterschool program: *
Positive results?
In your opinion, what has been the most positive result of your child's participating in the 21st Century Connect! program this year?
How can we improve?
In what ways, if any, do you think the program could improve?
Do you have any other comments or suggestions?
Submit
Never submit passwords through Google Forms.
This form was created inside of Juneau School District. - Terms of Service