Please provide answers to the following questions to reflect your perceptions of the 21st CCLC after-school program. Please add any comments as appropriate.

Question Title

* 1. Please answer each question by selecting "Yes" or "No".

  Yes No
Do you feel the 21st CCLC program offers assistance to students that relates to what is being taught during the regular school day?
Do you feel you have been adequately informed about the 21st CCLC school programs?
Do you feel the 21st CCLC after-school program offers an adequate variety of enrichment activities to partcipate?
Do you feel there is a continuing need for the 21st CCLC after-school program?
Have you visited the program?
Do you communicate/interact with 21st CCLC program staff on an ongoing basis?
Overall, do you think the 21st CCLC after-school program is having  a positive impact on participants?

Question Title

* 2. Please rate how strongly you agree or disagree with each statement. The 21st Century Program . . . 

  Strongly Agree Agree Disagree Strongly Disagree
Increases the likelihood that students complete their homework.
Improves daily attendance by students.
Decreases students disruptions.
Improves academic performance by students.
Enhances their motivation for attending school.
Increases their participation in classroom activities.

Question Title

* 3. Please write any additional comments in the space below.

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