Kinship Caregiver Survey

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We want to thank you for your commitment and dedication to having your child be a part of Richland Wilkin Kinship mentoring programs. Our mission is to improve children's lives by establishing a quality relationship between youth and a caring mentor for the purpose of promoting stability, support, friendship, and community. Our hope if that we have helped your child thrive in their home and community by encouraging a healthy lifestyle, develop coping skills, and build self-esteem. We are here to partner with you to help your child achieve their potential and grow into a successful participant in the community. Kinship relies on the support of our community, fundraisers, and grants to fund our mentoring programs. Please take a few moments to complete this survey to provide Kinship feedback needed to ensure quality programming and funding support. Thank you, Richland-Wilkin Kinship

Email *

Which best describes your child's participation with Kinship? *

Matched with a Mentor

Waiting for a Mentor

Kinship4Teens Participant

Lunch Buddy Participant

If your child is waiting for a mentor, does your child attend the free monthly group activities offered by Kinship?

Yes

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Have you noticed an improvement in your child's attitude towards school? *

Yes

Have you noticed an improvement in your child's academic performance/grades? *

Yes

Have you noticed an improvement in your child's ability to communicate in healthy and positive ways? *

Yes

Have you noticed an improvement in your child's self-esteem? *

Yes

Have you noticed an improvement in your child's social skills? *

Yes

Have you noticed an improvement in your child's coping skills? *

Yes

Have you noticed an improvement in your child's courtesy & manners? *

Yes

Have you noticed an improvement in your child's relationship with peers? *

Yes

Have you noticed an improvement in your child's relationship with you? *

Yes

Have you noticed an improvement in your child's behavior at home? *

Yes

Have you noticed an overall improvement in your child making better (safer, healthier, wiser) choices? *

Yes

Is your child involved with in another youth program outside of school - such as sports, faith group, 4-H, boy/girl scouts, Junior Wild Life? *

Yes

Please share how Kinship mentoring program and/or mentor has impacted your child and your family. That could include: Describe noticeable changes in your child. Share a favorite memory, experience, life lesson your child has shared with a mentor. *

Please share how Kinship mentoring program could make improvements. *

If you're child is waiting for a mentor and is not regularly attending Kinship group events, please let us know the barriers preventing their attendance. *

Optional: Grant Applications frequently request information on the race/ethnicity of client population. Please provide if willing.

American Indian

Asian

African American

White

Hispanic or Latino

Other:

Send me a copy of my responses.

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