After-School Program Student Development Impact Survey
Help us evaluate how our after-school program supports student growth and development.
Student Full Name
*
First Name
Last Name
Grade Level
*
Please Select
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
Other
School Name
*
How often do you attend the after-school program?
*
Every day
Most days
Once or twice a week
Rarely
Please rate your development in the following areas since joining the program:
*
Rows
Not Improved
Somewhat Improved
Improved
Greatly Improved
Academic Skills
1
2
3
4
Social Skills
5
6
7
8
Self-Confidence
9
10
11
12
Teamwork
13
14
15
16
Problem Solving
17
18
19
20
How would you rate your overall experience in the after-school program?
*
1
2
3
4
5
Which activities have you participated in? (Select all that apply)
*
Sports
Arts & Crafts
STEM/Science
Music/Drama
Homework Help
Other
Since joining the program, I feel more connected to other students.
*
Strongly Disagree
1
2
3
4
Strongly Agree
5
1 is Strongly Disagree, 5 is Strongly Agree
Please share one thing you like most about the after-school program.
Please share one thing you would like to see improved in the after-school program.
Submit Survey
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