After-School Program Impact Survey
Help us improve by sharing your feedback about your experience in our after-school program.
Participant Full Name
*
First Name
Last Name
Age or Grade Level
*
Please Select
6-8 years old
9-11 years old
12-14 years old
15-17 years old
Other
Which after-school program(s) did you attend?
*
Homework Help
Sports & Recreation
Arts & Crafts
STEM Activities
Music & Performing Arts
Other
How often did you attend the program?
*
Every day
A few times a week
Once a week
A few times a month
Rarely
Please rate your experience with the following aspects of the program:
*
Rows
Excellent
Good
Fair
Poor
Program Activities
1
2
3
4
Staff Support
5
6
7
8
Safety & Environment
9
10
11
12
Friendliness of Staff
13
14
15
16
Facilities/Equipment
17
18
19
20
How satisfied are you with the after-school program overall?
*
1
2
3
4
5
Since joining the program, have you noticed improvement in any of the following areas? (Select all that apply)
Academic performance
Social skills
Confidence
Teamwork
Creativity
Other
Would you recommend this program to a friend?
*
Yes
No
Not sure
What did you like most about the program?
What suggestions do you have for improving the program?
Submit Survey
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