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TOTAL PACKAGE PROGRAM: PARENT SURVEY


Thank you for your support and interest in the Total Package Program. In order to find ways to make the
program better, we ask you to take a few moments to complete this survey. Your input will be greatly
appreciated.

Date: _________________

Your Name _______________________                    Child’s Name _______________

    1. Has your child been in a mentorship program prior to this?
         Yes No

    2. Does your child seem as if he or she enjoys the time spent in the mentorship activities?
         Yes No

    3. Does your child (please check all that apply):

        1. Seem happier?                                Yes No

        2. Seem less angry?                             Yes No

        3. Get along better with brothers/sisters?     Yes No

        4. Get along better with friends?              Yes No

        5. Listen better?                              Yes No

        6. Feel better about him/her?                  Yes No

        7. Work harder on homework?                    Yes No

        8. Seem more responsible?                      Yes No

        9. Have better school attendance?              Yes No

        10. Seem better behaved at home?               Yes No

        11. Do better in school?                       Yes No

        12. Seem better behaved at school?             Yes No

        13. Have a better attitude about school?       Yes No

    4. What do you think are the greatest benefits your child will (has) receive as a result of having
       participated in the Total Package mentorship program?


    5. What would you suggest as a possible activity for mentors, mentees and their families?

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Evaluation Tools Parent Survey

  • 1. TOTAL PACKAGE PROGRAM: PARENT SURVEY Thank you for your support and interest in the Total Package Program. In order to find ways to make the program better, we ask you to take a few moments to complete this survey. Your input will be greatly appreciated. Date: _________________ Your Name _______________________ Child’s Name _______________ 1. Has your child been in a mentorship program prior to this? Yes No 2. Does your child seem as if he or she enjoys the time spent in the mentorship activities? Yes No 3. Does your child (please check all that apply): 1. Seem happier? Yes No 2. Seem less angry? Yes No 3. Get along better with brothers/sisters? Yes No 4. Get along better with friends? Yes No 5. Listen better? Yes No 6. Feel better about him/her? Yes No 7. Work harder on homework? Yes No 8. Seem more responsible? Yes No 9. Have better school attendance? Yes No 10. Seem better behaved at home? Yes No 11. Do better in school? Yes No 12. Seem better behaved at school? Yes No 13. Have a better attitude about school? Yes No 4. What do you think are the greatest benefits your child will (has) receive as a result of having participated in the Total Package mentorship program? 5. What would you suggest as a possible activity for mentors, mentees and their families?