ConnectiKids Program Evaluation Survey - Spring 2018
Name
Gender
Clear selection
Grade *
School *
Tutoring Site *
How many years have you been in the ConnectiKids Program?
Mark ALL of the things you talk about with any adult at ConnectiKids.
Mark ALL of the things your tutor does for you.
Mark ALL of the adults you feel comfortable with when you are at ConnectiKids.
Do you like yourself?
Clear selection
Are you proud of yourself?
Clear selection
Mark ALL of the words that describe you.
Mark ALL of the goals you have for continuing your education.
I will study hard for good grades.
Clear selection
I understand the importance of attending school.
Clear selection
I will work hard to reach my goals.
Clear selection
I want to be a positive member of my community.
Clear selection
I will have a good job when I grow up.
Clear selection
I meet new people at ConnectiKids.
Clear selection
I go new places with ConnectiKids.
Clear selection
I learn new things at ConnectiKids.
Clear selection
Fill in the blank: Going to ConnectiKids makes me feel
Have you met any positive role models at ConnectiKids?
Clear selection
If yes, write their names
Name THREE skills or talents you are good at.
What skill or talent would you like to get better at?
Mark ALL of the things you do when faced with challenges.
Mark ALL of the people you feel comfortable going to when faced with a peer conflict or issue.
Mark ALL of the things you feel confident to do when faced with peer pressure.
Thank you!!
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