Survey of modify parents on Program Preferences For After School Programs

1. Do you think your child/children would participate in an after school program? (check one)

No  Yes

2. Do you have a need for a summer program for your children? (check one)

No  Yes

3. What types of activities do you think an after school program should offer? (check up to four)

 Homework  Sports Team  Part time job

 Chores  Other: ________________

5. Please indicate the days that you would like your child/children to be able to attend after school activities if they were offered in the afternoon after the school day ended? (check all that apply):

6. Please check the box that best describes your opinion:

My children currently have a safe place to go during after school hours:
 Strongly disagree  Disagree  Agree  Strongly agree
7. Would your child/children need a ride home after an after school activity?
 No, I would be able to pick up my child/children after an activity.

 Yes, I would need the program to provide transportation for my child/children after an activity.

My child can find someone in our house to help with English/Language homework. No Yes

My child can find someone in our house to help with math homework. No Yes

Someone in our house would be interested in adult literacy and/or computer classes held at my child’s school. No Yes