musiConnects Demographic Survey (Residency Program)
We appreciate you taking the time to fill out this *anonymous and confidential* survey, and we understand that personal information is sensitive. This survey does NOT collect names or email addresses, so your responses will be completely anonymous.

To ensure accurate counts, please complete a *separate* survey for each child/sibling in musiConnects programming.

musiConnects takes a holistic approach to teaching each child. We want to make sure that we have the most information possible to help us understand our students' backgrounds. We also want to make sure that we are continually meeting our mission by programming in the most effective ways. Finally, in order for us to bring our programming free of charge to you (aside from the $20 registration fee), we have to raise funds each year. We do this primarily by applying for grants that support music and education. When we ask funders for support, they want to know exactly who we are offering our programs to – they want to know that if they support us, we will use the funding as we have promised.
Does this student attend a Boston Public School?
Clear selection
What is the primary language spoken in your home?
Are you the student's primary caretaker?
Clear selection
If you answered "yes" to the previous question, please mark your relationship to the student -
Clear selection
Please describe your employment status -
Clear selection
What is the range of your household income?
Clear selection
Does anyone in your household receive one or more of the following benefits? Please mark all that apply.
Does your family live in public housing or Section 8 affordable housing?
Clear selection
Does your student experience any of the following learning differences?
Feel free to add additional information regarding your previous responses, or general feedback regarding this survey. Again, all answers are anonymous.
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