Your feedback is greatly appreciated!It helps us improve the program and obtain funding Inside Out Club Series Survey "*" indicates required fields Are you completing this form for your Jr. Leader or K-3rd child?* K-3rd Grade 4th-5th Grade (Jr. Leader) What session did your child(ren) participate in?*Please Select...Arbor View Elementary, Jr. Leader, Wednesdays, 3:45pm - 5:00pm, 10/13, 10/27, 11/10, 12/1, 12/15Briar Glen Elementary, Jr. Leader, Tuesdays, 3:45 - 4:45 PM, 10/26, 11/2, 11/9, 11/16Zoom, Jr. Leader, Mondays, 4:30-5:30pm, 10/25, 11/1, 11/8 and 11/15What session did your child(ren) participate in?*Please Select...Beebe Elementary, K-3, Tuesdays, 2:30 - 3:30 PM Mrs. Barett's RoomEmerson Elementary, K-3, Wednesdays, 3:00 - 4:00 PMMaplebrook Elementary, K-3, Thursdays, 2:35 - 3:35 PMWestfield Elementary, K-3, Thursdays, 12:00 - 12:50PMFrontier Sports Complex East Pavilion, Outside, K-3, Tuesdays, 4:30 - 5:30 PMSeager Park Pavilion, Outside, K-3, Tuesdays, 4:00 - 5:00 PMZoom with Ms. DianeZoom with Ms. EmilyPost AssessmentPlease indicate your child(ren) growth and understanding of the Inside Out Club character traits listed below.Acceptance* No Change Noticeable Growth Significant Growth Collaboration* No Change Noticeable Growth Significant Growth Curiosity* No Change Noticeable Growth Significant Growth Empathy* No Change Noticeable Growth Significant Growth Gratitude* No Change Noticeable Growth Significant Growth Kindness* No Change Noticeable Growth Significant Growth Perseverance* No Change Noticeable Growth Significant Growth Self-Awareness* No Change Noticeable Growth Significant Growth Can you give an example of how your child(ren) demonstrated one of these traits as a result of participating in Inside Out Club?Acceptance, Collaboration, Curiosity, Empathy, Gratitude, Kindness, Perseverance, Self-Awareness Please indicate which of the following social causes your child(ren) further developed as a result of participating in Inside Out Club? (Select all that apply) Embracing Humanity Protecting Our Planet Meeting Basic Needs Developing Self-Awareness / Character Being Socially Responsible Supporting Troops & Veterans Did you and your child(ren) have conversations at home about what they learned in Inside Out Club?* Yes, many conversations took place Yes, a conversation took place a couple of times We did not have the opportunity for a conversation after the lessons Has your child mentioned anything they learned in Inside Out Club days or weeks after learning it?* Yes, they've mentioned and/or applied what they have learned No, they've not mentioned and/or applied what they learned. How has your child(ren)'s participation in Inside Out Club impacted your family? Select all that apply.* We are more likely to volunteer Our perspective of the community has broadened We have volunteered outside the club as a result of our children's participation We have attended or are registered for a weekend Inside Out Club event We have not noticed an impact If you participated virtually, did you experience any technical issues during Inside Out Club? Check all that apply. Occasionally voices would echo or cut out The sound and/or video quality was poor We could not access the Inside Out Club Live Zoom (once) Other Would you sign your child(ren) up for the Inside Out Club 4 Week Series again?* Yes No Maybe Why or why not? We'd love to know your thoughts about Inside Out Club. Please share what you liked and/or ways we can make it better next year. (Positive comments may be used to promote the club and will be credited to an anonymous parent, unless you'd like your name included - if so, please list it below.)If your child is nearby, we'd love to hear what they think about Inside Out Club. What was their favorite part or the best thing they learned? Share their response below.Select your household size from the choices below:* 1 2 3 4 5 6 7 Select your total household income from the choices below: Below $52,200 $52,201 - $59,650 $59,651 - $67,100 $67,101 - $74,550 $74,551 - $80,550 Above $80,551 I prefer not to disclose Do you know a company that might want to sponsor the Inside Out Club? Enter the best contact information here and we will reach out to them. Company Contact Name First Last Company Contact Email Company Contact PhoneIs there anything else you'd like to share? Δ
