Skip survey header

Oregon 21st CCLC Caregiver Survey

Dear Parent/Caregiver:

This survey is an opportunity for you to help this after school program by sharing your opinions about it. Your opinions are important, and we are interested in hearing them.
Answer all the questions based on your experiences at this center only.
No one can tell who filled out this survey. Your answers will be completely private and unknown to others. Your answers will be combined with those of other parents.
This survey is voluntary. You do NOT have to answer any question if you do not want to, but we hope you will answer as many questions as you can.

If you have more than one child in this afterschool program, please think about your child whose first name comes first alphabetically when responding to items that ask you to reflect on your child's experiences. We do NOT need a survey for each child.
Please begin by selecting the name of this afterschool program.

3. About how many days has your student attended the program this school year?
4. Why is your student attending this program? Select the most relevant reason.