Your feedback is greatly appreciated!It helps us improve the program and obtain funding Survey: Series Parents "*" indicates required fields HiddenAre you completing this form for your Jr. Leader or K-3rd child?* K-3rd Grade 4th-5th Grade (Jr. Leader) HiddenWhat session did your child(ren) participate in?*Please Select...Arbor View ElementaryKingsley ElementarySpring Brook ElementaryHiddenWhat session did your child(ren) participate in?*Please Select...Abraham Lincoln ElementaryArbor View ElementaryBeebe ElementaryBriar Glen ElementaryBrookdale ElementaryElmwood ElementaryEmerson ElementaryHighlands ElementaryInside Out Club WorkshopKingsley ElementaryMaplebrook ElementaryNaper ElementaryOwen ElementarySpring Brook ElementaryWestfield ElementaryWhat grade is your child in? Select all that apply if you have more than one child that participated in Inside Out Club this session.* Kindergarten Grade 1 Grade 2 Grade 3 Grade 4 Grade 5 Where did your child(ren) participate in Inside Out Club?*Please Select...Inside Out Club WorkshopAbraham Lincoln ElementaryArbor View ElementaryBeebe ElementaryBriar Glen ElementaryBrookdale ElementaryElmwood ElementaryEmerson ElementaryHighlands ElementaryKingsley ElementaryMaplebrook ElementaryNaper ElementaryOwen ElementarySpring Brook ElementaryWestfield ElementaryWhat growth have you seen in your child(ren) since participating in Inside Out Club?Each category listed below is an Inside Out Club core character trait.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 Tell us about it! Do you have 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 Did your child(ren) develop an understanding of these social causes 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 Have you and your child(ren) had 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.* Our family has more conversations about character (kindness, perseverance, acceptance, gratitude, empathy, self-awareness, curiosity, collaboration) Our family understands more about the needs of our world and how we can help (supporting our troops and veterans, embracing humanity, being socially responsible, protecting our planet, meeting basic needs, developing our character) We have attended or plan to attend an Inside Out Club event as a family We are more likely to volunteer together Our perspective of the community has broadened We have not noticed an impact Would you sign your child(ren) up for an Inside Out Club Series again? Each Series features different lessons and nonprofits.* Yes No Maybe Why or why not? Tell us about it!What do you as an adult like about Inside Out Club for your child(ren) and/or for children in our community as a whole?Ask your child(ren): What was the best part of Inside Out Club? A particular lesson, game, craft...In what ways would you and/or your child(ren) like to see Inside Out Club improved for future years?HiddenIf 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.Is there anything else you'd like to share? HiddenInside Out Club relies on donations from the community, including local businesses and families. Do you know of a company that might be interested in supporting Inside Out Club? Sponsorship levels vary from $250-$5,000+. Please list the company's name: Inside Out Club relies on donations from the community, including local businesses and families. Do you know of a company that might be interested in supporting Inside Out Club? Sponsorship levels vary from $250-$5,000+. Yes No Company Contact Name First Last Company Contact Email Company Contact PhoneSelect 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 HiddenSelect the nonprofitWe'll donate $1 on behalf of your student to the nonprofit you select below. HiddenWhich nonprofit from our current series does your student wish to support? Trees that Feed Foundation People's Resource Center Easter Seals Blessings in a Backpack Δ
