Series Survey | Inside Out Club

Your feedback is greatly appreciated!

It helps us improve the program and obtain funding

Survey: Series Parents

"*" indicates required fields

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Are you completing this form for your Jr. Leader or K-3rd child?*

K-3rd Grade

4th-5th Grade (Jr. Leader)

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What session did your child(ren) participate in?*

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What session did your child(ren) participate in?*

What grade is your child in?*

Kindergarten

Grade 1

Grade 2

Grade 3

Grade 4

Grade 5

Select all that apply if you have more than one child that participated in this Inside Out Club series.

Where did your child(ren) participate in Inside Out Club?*

What 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

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?

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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.

Is there anything else you'd like to share?

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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+. Please list the company's name:

Yes

Company Contact Name

First Last

Company Contact Email

Company Contact Phone

Select your household size from the choices below:*

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

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Select the nonprofit

We'll donate $1 on behalf of your student to the nonprofit you select below.

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Which 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