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 ElementaryBriar Glen ElementaryMaplebrook ElementarySteeple Run ElementaryWhat session did your child(ren) participate in?*Please Select...Abraham Lincoln ElementaryArbor View ElementaryBeebe ElementaryBriar Glen ElementaryElmwood ElementaryEmerson ElementaryHighlands ElementaryInside Out Club WorkshopNaper ElementaryOwen ElementarySpring Brook ElementaryWestfield ElementaryPost 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 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 are registered for a family Inside Out Club event 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? 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? Select the nonprofitWe'll donate $1 on behalf of your student to the nonprofit you select below. 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 Δ
