Secondary After School Survey

Thank you for taking the time to complete this survey. This survey is designed to help make the after school programs better. Your input is valuable, and your responses will be kept anonymous.

* What grade are you in?

At this after school program:

	A. Never	B. Sometimes	C. Most of the time	D. All of the time
* I do interesting activities.

At this after school program:

	A. Never	B. Sometimes	C. Most of the time	D. All of the time
* I help with program decisions and activities that we do in the program.

At this after school program:

	A. Never	B. Sometimes	C. Most of the time	D. All of the time
* I make a difference in my school and community.

At this after school program:

	A. Never	B. Sometimes	C. Most of the time	D. All of the time
* I get the opportunity to try new things.

At this after school program:

	A. Never	B. Sometimes	C. Most of the time	D. All of the time
* I do activities that help me develop my critical thinking skills.

During a normal week in this after school program, how often do you:

	A. Never	B. Sometimes	C. Most of the time	D. All of the time
* Finish your homework?

During a normal week in this after school program, how often do you:

	A. Never	B. Sometimes	C. Most of the time	D. All of the time
* Read a book?

During a normal week in this after school program, how often do you:

	A. Never	B. Sometimes	C. Most of the time	D. All of the time
* Practice your writing?

During a normal week in this after school program, how often do you:

	A. Never	B. Sometimes	C. Most of the time	D. All of the time
* Do math or science activities?

During a normal week in this after school program, how often do you:

	A. Never	B. Sometimes	C. Most of the time	D. All of the time
* Participate in art activities (such as drama, music, dance, etc…)?

During a normal week in this after school program, how often do you:

	A. Never	B. Sometimes	C. Most of the time	D. All of the time
* Get help with your homework?

During a normal week in this after school program, how often do you:

	A. Never	B. Sometimes	C. Most of the time	D. All of the time
* Learn and talk about different careers?

During a normal week in this after school program, how often do you:

	A. Never	B. Sometimes	C. Most of the time	D. All of the time
* Learn and talk about college?

During a normal week in this after school program, how often do you:

	A. Never	B. Sometimes	C. Most of the time	D. All of the time
* Help another student with homework or another activity?

During a normal week in this after school program, how often do you:

	A. Never	B. Sometimes	C. Most of the time	D. All of the time
* Take part in a project to help your school or community (like a clean-up project)?

How much has the afterschool program helped you:

	Not helped at all	Not helped much	Helped a little	Helped a lot
* Feel like you are an important member of your school?

How much has the afterschool program helped you:

	Not helped at all	Not helped much	Helped a little	Helped a lot
* Learn to speak and understand English better?

How much has the afterschool program helped you:

	Not helped at all	Not helped much	Helped a little	Helped a lot
* Read better?

How much has the afterschool program helped you:

	Not helped at all	Not helped much	Helped a little	Helped a lot
* Write better?

How much has the afterschool program helped you:

	Not helped at all	Not helped much	Helped a little	Helped a lot
* Solve math or science problems better?

How much has the afterschool program helped you:

	Not helped at all	Not helped much	Helped a little	Helped a lot
* Complete and understand homework problems?

How much has the afterschool program helped you:

	Not helped at all	Not helped much	Helped a little	Helped a lot
* Get better grades?

How much has the afterschool program helped you:

	Not helped at all	Not helped much	Helped a little	Helped a lot
* Make new friends?

How much has the afterschool program helped you:

	Not helped at all	Not helped much	Helped a little	Helped a lot
* Get into less trouble at school?

How much has the afterschool program helped you:

	Not helped at all	Not helped much	Helped a little	Helped a lot
* Disagree with others without starting a fight?

How much has the afterschool program helped you with:

	Not helped at all	Not helped much	Helped a little	Helped a lot
* Thinking carefully before making a decision?

How much has the afterschool program helped you with:

	Not helped at all	Not helped much	Helped a little	Helped a lot
* Getting along better with others who are different from you?

How much has the afterschool program helped you with:

	Not helped at all	Not helped much	Helped a little	Helped a lot
* Listening to other students carefully?

How much has the afterschool program helped you with:

	Not helped at all	Not helped much	Helped a little	Helped a lot
* Feeling safer after school?

How much has the afterschool program helped you with:

	Not helped at all	Not helped much	Helped a little	Helped a lot
* Attending school more often?

How much has the afterschool program helped you with:

	Not helped at all	Not helped much	Helped a little	Helped a lot
* Using computers to do research, school projects, or homework?

How much has the afterschool program helped you with:

	Not helped at all	Not helped much	Helped a little	Helped a lot
* Feeling more comfortable taking tests?

How much has the afterschool program helped you:

	Not helped at all	Not helped much	Helped a little	Helped a lot
* Feel more confident about success in school?

How much has the afterschool program helped you:

	Not helped at all	Not helped much	Helped a little	Helped a lot
* Feel more positive about your future?

In this afterschool program, there is an adult staff member:

	Not at all true	A little true	Pretty much true	Very true
* Who really cares about me

In this afterschool program, there is an adult staff member:

	Not at all true	A little true	Pretty much true	Very true
* Who tells me when I do a good job

In this afterschool program, there is an adult staff member:

	Not at all true	A little true	Pretty much true	Very true
* Who notices when I’m not there

In this afterschool program, there is an adult staff member:

	Not at all true	A little true	Pretty much true	Very true
* Who always wants me to do my best

In this afterschool program, there is an adult staff member:

	Not at all true	A little true	Pretty much true	Very true
* Who listens to me when I have something to say

In this afterschool program, there is an adult staff member:

	Not at all true	A little true	Pretty much true	Very true
* Who believes that I will be a success

How strongly do you agree or disagree with the following statements about this afterschool program?

	Strongly disagree	Disagree	Agree	Strongly agree
* I feel close to people in this after school program.

How strongly do you agree or disagree with the following statements about this afterschool program?

	Strongly disagree	Disagree	Agree	Strongly agree
* I am happy to be in this after school program.

How strongly do you agree or disagree with the following statements about this afterschool program?

	Strongly disagree	Disagree	Agree	Strongly agree
* I feel like I am an important part of this after school program.

How strongly do you agree or disagree with the following statements about this afterschool program?

	Strongly disagree	Disagree	Agree	Strongly agree
* I feel safe in this afterschool program.