CODE313 - 501(c)(3) | Providing Equitable Access to STEAM Education

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Who We Are
What We Do
Our Impact
Get Involved
- Sponsorship
- Volunteer
Careers
Contact
Upcoming Events

32N Out-of-School-Time Program Youth Satisfaction Survey

Are you your child/teen's:

Mother (including stepmom, foster mom)

Grandparent

Father (including stepdad, foster dad)

Prefer not to answer

Some other relative or guardian (please describe): _______________________

With what race/ethnicity do you identify? (Choose all that apply)

American Indian or Alaskan Native

Black or African American

Middle Eastern or North African

White

Asian

Hispanic or Latino

Native Hawaiian or Pacific Islander

Prefer not to disclose

What is your current grade level?

Kindergarten

1st

2nd

3rd

4th

5th

6th

7th

8th

9th

10th

11th

12th

How often do you come to this program?

Almost daily

2-3 times a week

Once a week

Once every 2 weeks

Monthly

. What is your HOME zip code? (If you don’t know it, just write down the name of your school.)

How would your family be impacted if this program was no longer available? (Check all that apply)

We would have to reduce work hours.

We would have to stop working or find another job.

We would have to pay for other services or programs.

None of the above.

Other (Please describe):____________________________________________

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How much has this program helped your child/teen with…

Being safe and staying out of trouble

Strongly Disagree

Disagree

Agree

Strongly Agree

Eating healthy

Strongly Disagree

Disagree

Agree

Strongly Agree

Being physically active

Strongly Disagree

Disagree

Agree

Strongly Agree

Avoiding excessive screen time

Strongly Disagree

Disagree

Agree

Strongly Agree

Keeping up with schoolwork

Strongly Disagree

Disagree

Agree

Strongly Agree

Having adult support

Strongly Disagree

Disagree

Agree

Strongly agree

Making good friends

Strongly Disagree

Disagree

Agree

Strongly Agree

Adults ask what we think about activities here.

Strongly Disagree

Disagree

Agree

Strongly Agree

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Family Engagement

This program makes me feel supported and welcomed.

Strongly Disagree

Disagree

Agree

Strongly Agree

I am well informed about what my child is doing at the program.

Strongly Disagree

Disagree

Agree

Strongly Agree

This program encourages me to be the best I can be.

Strongly Disagree

Disagree

Agree

Strongly Agree

If you were asked to tell your story about how this out-of-school time program has helped your family, what would you say?

What else would you like to share?

Thank you for contacting us.
We will get back to you as soon as possible.

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Detroit, MI 48207

Phone: 313-744-5500

Email: info@code313.com

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