Middle School Needs Assessment
21st Century / ASAP Needs Assessment Questionnaire
1. What is your grade level for the 2016-2017 school year? *
2. Do you attend any ASAP programs? *
3. If you answer no to Question 2, why not?
Your answer
4. Do you attend any morning ASAP programs? (Check all that apply) *
Required
5. Do you attend any after school ASAP programs? (Check all that apply) *
Required
6. How many times a week do you attend ASAP? *
7. Why do you attend ASAP programs? (Check all that apply) *
Required
8. Have you ever attended Summer School? (Check all that apply) *
Required
If you answered no to Question 8, why not?
Your answer
9. What are the top priorities for an after school program to have? Check the top three *
Required
10. Which after school program benefits are the most important to you? Check the top three *
Required
11. What kinds of programs do you think would help you succeed in school? (Check all that apply)
11. What kinds of services do you think would help you succeed in school? (Check all that apply) *
Required
13. How would you like to see family involvement incorporated into the ASAP Program> *
Your answer
14. What changes would you like to see made to the current ASAP program? *
Your answer
15. What programs would you like to see added to the ASAP program for the upcoming school year? *
Your answer
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