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A Coalition of partners in Johnson County has created a county-wide vision for out-of-school time. We are collecting information on the need for programs and services. Your responses and perspective will be very helpful to us as we identify the gaps for out-of-school time.
Please complete this survey if you have a school-aged child in Johnson County.
The survey information will be anonymous. The survey is for informational purposes only and is an opportunity for us to learn more about the out-of-school time needs of families.
If you would like to talk with a coalition member about the survey or would like more information about out-of-school time options, please indicate this on the question that asks if you would like more information and we will make sure someone gets in touch with you.
Thank you very much for your time and support. Please start the survey by clicking on the Continue button below.
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| * The school that my youngest, school-aged child attends is: | | |
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* I am a parent with ___ school-aged children:
(In order to provide information for each of your children, please select all numbers that apply. For example, if you have three school-aged children, you would select 1, 2 and 3 in order to enter your information, if you have 5 school-aged children, you would select 1, 2, 3, 4 and 5.)
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| ${piping_text} attends after school programs or activities_____ days a week. |
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| Where does ${piping_text} go after school? (select all that apply) |
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| Are the after school needs for ${piping_text} met with your current arrangements? |
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| Which of the following are challenges you experience with after school care, programs or activities for ${piping_text}? (Select all that apply) |
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| How often does ${piping_text} participate in summer programs or activities? |
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| Are your childcare needs for ${piping_text} fulfilled for the entire summer? |
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| If ${piping_text} doesn’t participate in a summer program, where do he/she go? (select all that apply) |
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| Which of the following are challenges you experience with summer care, programs or activities for ${piping_text}? (Select all that apply) |
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| Ethnicity of ${piping_text} is: (optional, information used for planning purposes only) |
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| My household is eligible for the Free and Reduced Lunch program (optional, information used for planning purposes only and will not affect your child’s participation in the program: |
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| * In the last year, I had to change my schedule (miss work, change hours etc) on multiple occasions due to childcare challenges: |
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| * Would you like more information/assistance in regards to after school or summer programming? |
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| If Yes, please provide your name and how we may contact you with information. | | |
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| What else would you like us to know about afterschool, summer or other student programming? | | |
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