Thank you for participating in our survey. Your input is essential in helping us create an after-school program that best serves our community. Please take a few minutes to share your thoughts and preferences.

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* 1. Your child's grade:

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* 2. Your child’s gender

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* 3. Has your child ever participated in a KLM program in the past?

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* 4. What are your primary goals and expectations for an after-school program? (Select up to three)

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* 5. Please indicate your child's interest in the following types of after-school classes. You can select multiple options:

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* 6. Are there any specific classes or subjects not mentioned above that your child would be interested in or would benefit your child?

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* 7. Please select the days of the week that work best for your child to attend after-school classes. You can select multiple options:

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* 8. Please indicate your preferred time slots for in-person after-school classes. You can select multiple options:

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* 9. Do you prefer in-person or virtual events?

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* 10. Is transportation or the ability to travel to the after-school location a significant factor in deciding whether to enroll your child in the program?

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* 11. Do you have any specific time constraints or preferences regarding class start and end times?

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* 12. Which of the following would you be able to pay per class?

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* 13. How do you prefer the cost of the program to be structured? (Select one)

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* 14. Are you interested in financial assistance or scholarship options for the after-school program, if available?

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* 15. Would you be interested in attending a Family Engagement Workshop that could help you gain new skills and tools to help your neurodiverse student succeed in school?

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* 16. How do you prefer to receive updates and information about the program? (Check all that apply)

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* 17. Are you satisfied with the frequency and quality of communication from our program?

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* 18. Any other suggestions or ideas that you’d like to mention that may help us in planning and communicating about the after school programs?

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* 19. Contact Information (Optional)

Thank you for sharing your thoughts and preferences with us. Your feedback, including your cost-related considerations, is invaluable in shaping the development of our after-school program. We appreciate your input and look forward to providing a program that aligns with your needs and expectations.

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