1. General Information

 
33% of survey complete.
Welcome to the survey

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* 1. What Clubhouse location does your child attend?

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* 2. What is the grade level of your child? (Check all that apply if you have multiple children in the program)

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* 3. How many children do you have in the program?

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* 4. What Clubhouse services do you utilize? (Check all that Apply)

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* 5. How many days per week does your child attend?