Parent/Guardian Survey (Grades Preschool-Grade 3)

21st CCLC Early Childhood

Best Practices Study

Parent/Guardian Survey

(Grades Preschool-Grade 3)

Afterschool Program/Center ________________________ Date ___________________

Thank you for taking part in this survey. Please answer each of the following questions about your family’s experience in this afterschool program. Please return the survey as soon as possible. Your responses will be kept confidential and will not be shared with any of the after-school program staff.

Please fill in the bubbles completely. Correct mark = 

How good is the program at…

N/A

Poor

Not so good

Average

Good

Excellent

. . .interacting with and talking to your child?

O

O

O

O

O

O

…teaching your child early literacy skills, including the alphabet, reading or writing?

O

O

O

O

O

O

…teaching your child about numbers, counting or math?

O

O

O

O

O

O

…teaching your child about science?

O

O

O

O

O

O

…teaching your child about the arts?

O

O

O

O

O

O

… providing enrichment activities?

O

O

O

O

O

O

…making connections to what your child is learning about in the classroom?

O

O

O

O

O

O

…sharing information with your child’s classroom teacher?

O

O

O

O

O

O

…teaching your child about how to get along with others?

O

O

O

O

O

O

…providing for your child’s needs as an English Learning, if applicable?

O

O

O

O

O

O

…providing for your child’s needs if she/he has a disability or developmental delays, if applicable?

O

O

O

O

O

O

…providing enough learning materials, toys and equipment for your child?

O

O

O

O

O

O

…providing a safe environment for your child?

O

O

O

O

O

O

…providing healthy snacks for your child?

O

O

O

O

O

O

...paying attention to your child’s health or dietary needs?

O

O

O

O

O

O

…talking with you about your child’s health, behavior or feelings?

O

O

O

O

O

O

…talking with you about your child’s health?

O

O

O

O

O

O

…talking with you about your child’s educational and social-emotional learning and development?

O

O

O

O

O

O

…explaining the policies and goals of the program, including links to age-appropriate State or local standards?

O

O

O

O

O

O

…explaining their policy on discipline? …explaining their policy on child abuse?

O

O

O

O

O

O

…providing their goals and policies in writing?

O

O

O

O

O

O

…keeping their staff in the program?

O

O

O

O

O

O

…providing information about the experience and education of the staff

O

O

O

O

O

O

…involving families in program activities

…working with the local community?

O

O

O

O

O

O

…meeting your schedule’s needs?

O

O

O

O

O

O

…providing opportunities for you to ask questions or discuss any concerns?

O

O

O

O

O

O

	Terrible	Not so good	Average	Good	Excellent
Overall, how would you rate this program?	O	O	O	O	O

Please add any additional comments you may have: