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Members Name
   
 
 
 
Grade and club location
   
 
 
 
What do you like about your MAPS (coach)?
   
 
 
 
How often did your MAPS work with you?
 
Every day
 
Once a week
 
Once a month
 
Never

 
 
 
What activities did your MAPS do with you?            
 
Helped me with homework
 
Talked to me
 
Checked on me while I was doing my work
 
Explained my scores to me
 
All of the above
 
None of the above
 
Other
 

 
 
How happy are you with your MAPS
Consistent
Helpful
Responsive
Caring
Patient
 
 
 
Would you like to continue working with your MAPS next year?
 
Yes
 
No
 
It Does not matter