Music Haven PARENT Program Evaluation 2019
To be filled out by PARENT or GUARDIAN
Parent/Guardian's First Name *
Your answer
Parent/Guardian's Last Name *
Your answer
Child's First Name *
Your answer
Child's Last Name *
Your answer
Child's Age *
Your answer
Child's School *
Your answer
The Neighborhood Child Lives In *
How many years has your child been in Music Haven? *
Your answer
How many hours per week did your child spend at Music Haven this past year (on average)?
Your answer
Has your child received help with homework at Music Haven this past year?
For each question below, please select one answer that best describes your child right now:
Please answer the following questions with respect to your opinion and perception of Music Haven's after-school programs. These questions will help us develop our evaluation report on the effectiveness of our programs.

Please note that all responses are CONFIDENTIAL! Your name and your child's name will be removed from the survey data before responses are examined. We share data and quotes from this report with funders and various community stakeholders, but all information is shared anonymously. We appreciate your open and honest responses.
My child is comfortable working in a group/team setting. *
My child is good at planning ahead. *
We feel like we are part of the Music Haven community. *
My child is comfortable connecting to and working with adults. *
My child notices when other people are having a hard time. *
When facing difficult tasks, my child is confident he/she will accomplish them. *
My child thinks about choices before making a decision. *
My child believes he/she can succeed at most any goal he/she sets. *
My child is willing to work harder at things he or she wants to accomplish. *
My child is patient when learning new things. *
It's easy for my child to talk to new people. *
My child's musical skills have improved over the year. *
When something is hard, my child tends to give up. *
My child believes he/she will be able to overcome many challenges in life. *
Playing music helps my child to calm down when he/she is stressed out. *
Even when things are tough, my child can perform very well. *
Learning to play an instrument has made my child a better student in school. *
If you agreed with Question # 27 above, can you give an example of how learning to play an instrument has made your child a better student in school?
Your answer
Music Haven teachers are good role models for my child. *
What changes, if any, have you noticed in your child as a result of his or her involvement with Music Haven? *
Your answer
How has being involved with Music Haven affected your family's life this past year? Please note any effect Music Haven has had on parents, siblings, or extended family. *
Your answer
What Music Haven programs was your child involved in this past year? (Please check all that apply) *
Required
Which of the following events did you attend this year? (check all that apply) *
Required
Are any of the following obstacles to your family's full participation in Music Haven? *
Required
Please tell us your suggestions for ways to improve Music Haven. *
Your answer
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy