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Program Surveys

Pre Program Survey (Little Friend)

This survey will help our program learn more about you and your family. It is important for us to learn as much as we can in order to provide the highest quality programming and match to you. It is important that you answer as honestly as you can. Remember there are no right or wrong answers, so please do not answer the questions based on what you think we want to hear. Only the program director will see how you answer the questions and she will keep your answers confidential. Thank you for taking this survey and helping us evaluate the program.

Pre Program Survey (Little Friend/Guardian)

First Name *
Last Name *
First Name *
Last Name *
How many adults in your life (parents, teachers, counselors, relatives, friends, etc.) offer help with your school work?
How many adults in your life (parents, teachers, counselors, relatives, friends, etc.) pay attention to what’s going on in your life? ?
How many adults in your life (parents, teachers, counselors, relatives, friends, etc.) offer advice about personal problems, such as a problem with a friend?
How many adults in your life (parents, teachers, counselors, relatives, friends, etc.) offer help if you were really upset or mad?
How often is this statement true for you?
I pay attention in class.
How often is this statement true for you?
I often come to class unprepared.
How often is this statement true for you?
I don’t try very hard in school.
How often is this statement true for you?
I work very hard on my schoolwork.
When you’re faced with a problem or difficult situation, how likely are you to do the following?
Come up with a couple of different solutions to the problem.
When you’re faced with a problem or difficult situation, how likely are you to do the following?
Try to see things from the other person’s point of view
When you’re faced with a problem or difficult situation, how likely are you to do the following?
Talk to someone who can do something to solve the problem.
How important is each of the following to you in your life?
Accepting responsibility for my actions when I make a mistake or get in trouble.
How important is each of the following to you in your life?
Doing my best even when I have to do a job I don’t like.
How important is each of the following to you in your life?
Helping to make the world a better place in which to live.
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