Home

Parent Survey (Science Program)

Your Name

 

Today's Date

 
 
 5 = Agree Strongly4 = Agree Somewhat3 = In-between2 = Disagree Somewhat1 = Disagree Strongly
01My child learned new things.[ ][ ][ ][ ][ ]
02My child had fun.[ ][ ][ ][ ][ ]
03My child is now more interested in science.[ ][ ][ ][ ][ ]
04I want my child to return for another session.[ ][ ][ ][ ][ ]

 
 FrequentlySometimesRarely or never
05My child described the activities to me.[ ][ ][ ]
06I have talked with program staff about how my child is/was doing in the program.[ ][ ][ ]
07I received written information (newsletters, emails, etc.) about the program activities.[ ][ ][ ]
08The program has offered events that families could participate in (such as family days or workshops).[ ][ ][ ]
09I have been able to participate in family/parent/guardian events.[ ][ ][ ]
Which of these activities does your child frequently do and enjoy at home?? Has your child recently started doing any of these activities more than in the past?? CIRCLE ALL THAT APPLY. 
 My child recently started doing this MOREYes - my child has always done thisNo - not a typical activity at home
10Building or making things from clay, cardboard, wood or other materials[ ][ ][ ]
11Building or making things with building sets (such as Legos or other sets)[ ][ ][ ]
12Cooking meals or baking desserts[ ][ ][ ]
13Doing homework[ ][ ][ ]
14Doing projects (outside of school) related to science, technology, engineering or math[ ][ ][ ]
15Drawing pictures of buildings, bridges, or other structures[ ][ ][ ]
16Going to the library or reading for fun[ ][ ][ ]
17Paying attention to healthy eating[ ][ ][ ]
18Reading or watching tv about science, technology, engineering or math[ ][ ][ ]
19Repairing or fixing things[ ][ ][ ]
20Talking, asking questions and learning about careers[ ][ ][ ]
21Visiting a science museum or science event[ ][ ][ ]
From your point of view, what type of work do you predict that your child will be interested in for the future? 
 4 = Very likely to be interested3 = Somewhat likely to be interested2 = In-between1 = Probably not interested
22Arts, Media and Communication (Artist, Graphic Designer, Dancer, Musician, Writer, Journalist, TV producer)[ ][ ][ ][ ]
23Business, Finance and Office (Marketing, Management, Retail Sales, Clerical, Secretarial, Accounting, Banking, Finance)[ ][ ][ ][ ]
24Construction and Skilled Trades (Carpenter, Electrician, Mechanic)[ ][ ][ ][ ]
25Education and Human Services (Teacher, Social Worker, Clergy, Community Program Director)[ ][ ][ ][ ]
26Engineering and Technology (Engineering, Industrial Design, Manufacturing Technology, Architecture)[ ][ ][ ][ ]
27Healthcare (Doctor, Nurse, Lab Technician, Physician Assistant)[ ][ ][ ][ ]
28Hospitality and Services (Chef, Restaurant Owner, Hotel Manager, Beautician)[ ][ ][ ][ ]
29Information Technology (Computer Programming, Computer Network Administration, Computer Science)[ ][ ][ ][ ]
30Law, Government and Public Service (Lawyer, Paralegal, Political Leader, Government Administration)[ ][ ][ ][ ]
31Nature, Animals, Environment and Agriculture (Veterinarian, Dog Groomer, Park Ranger, Farmer, Landscaper, Horticulture)[ ][ ][ ][ ]
32Protective Services (Police, Firefighter, EMT/Paramedic)[ ][ ][ ][ ]
33Science (Scientist, Medical Researcher, Biologist, Chemist, Mathematician)[ ][ ][ ][ ]
34Sports and Fitness (Fitness Trainer, Athlete, Coach, Health Club Owner)[ ][ ][ ][ ]
35Other: (please specify): 
36From your point of view, what are your childs favorite subjects in school? 
About the Program
37Do you have any comments or suggestions about the program?