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Parent Survey (6 Months Out)


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PERSONAL INFORMATION
 
 
Your name: (optional)
   
 
 
Your child's name: (optional)
   
 
 
OA semester your child attended:
 
 
Name of your child's sending school:
   
Sending school's city:
   
 
 
Sending school's state:
 
 
INTELLECT
 
 
Please rate OA's impact on your child's...
 
 
Extremely negative Very negative Somewhat Negative Neutral Somewhat Positive Very positive Extremely positive
Enthusiasm for/investment in his/her education
 
 
Comments:
   
 
 
Extremely negative Very negative Somewhat Negative Neutral Somewhat Positive Very positive Extremely positive
Awareness of personal academic strengths and weaknesses
 
 
Comments:
   
 
 
Extremely negative Very negative Somewhat Negative Neutral Somewhat Positive Very positive Extremely positive
Study skills and strategies
 
 
Comments:
   
 
 
Extremely negative Very negative Somewhat Negative Neutral Somewhat Positive Very positive Extremely positive
Academic preparedness for returning to his/her sending school
 
 
Comments:
   
 
 
COMMUNITY
 
 
Please rate OA's impact on your child's...
 
 
Extremely negative Very negative Somewhat Negative Neutral Somewhat Positive Very positive Extremely positive
Recognition and development of leadership skills
 
 
Comments:
   
 
 
Extremely negative Very negative Somewhat Negative Neutral Somewhat Positive Very positive Extremely positive
Confidence in leading groups of people
 
 
Comments:
   
 
 
Extremely negative Very negative Somewhat Negative Neutral Somewhat Positive Very positive Extremely positive
Motivation to take on leadership roles
 
 
Comments:
   
 
 
Extremely negative Very negative Somewhat Negative Neutral Somewhat Positive Very positive Extremely positive
Public speaking skills
 
 
Comments:
   
 
 
Please rate OA's impact on your child's...
 
 
Extremely negative Very negative Somewhat Negative Neutral Somewhat Positive Very positive Extremely positive
Knowledge of self/development of personal identity
 
 
Comments:
   
 
 
Extremely negative Very negative Somewhat Negative Neutral Somewhat Positive Very positive Extremely positive
Integrity/personal accountability
 
 
Comments:
   
 
 
Extremely negative Very negative Somewhat Negative Neutral Somewhat Positive Very positive Extremely positive
Motivation to volunteer
 
 
Comments:
   
 
 
Extremely negative Very negative Somewhat Negative Neutral Somewhat Positive Very positive Extremely positive
Ability to respect differences in others
 
 
Comments:
   
 
 
Extremely negative Very negative Somewhat Negative Neutral Somewhat Positive Very positive Extremely positive
Ability to effectively give and receive feedback
 
 
Comments:
   
 
 
Please rate OA's impact on your child's...
 
 
Extremely negative Very negative Somewhat Negative Neutral Somewhat Positive Very positive Extremely positive
Recognition and development of tools for creating community
 
 
Comments:
   
 
 
Extremely negative Very negative Somewhat Negative Neutral Somewhat Positive Very positive Extremely positive
Motivation to build/participate in community
 
 
Comments:
   
 
 
Extremely negative Very negative Somewhat Negative Neutral Somewhat Positive Very positive Extremely positive
Ability to collaborate/cooperate with others
 
 
Comments:
   
 
 
Extremely negative Very negative Somewhat Negative Neutral Somewhat Positive Very positive Extremely positive
Ability to connect with peers
 
 
Comments:
   
 
 
Extremely negative Very negative Somewhat Negative Neutral Somewhat Positive Very positive Extremely positive
Ability to connect with adults
 
 
Comments:
   
 
 
ENVIRONMENTAL AWARENESS
 
 
Please rate OA's impact on your child's...
 
 
Extremely negative Very negative Somewhat Negative Neutral Somewhat Positive Very positive Extremely positive
Awareness and knowledge of environmental issues
 
 
Comments:
   
 
 
Extremely negative Very negative Somewhat Negative Neutral Somewhat Positive Very positive Extremely positive
Motivation to learn more about environmental issues
 
 
Comments:
   
 
 
Extremely negative Very negative Somewhat Negative Neutral Somewhat Positive Very positive Extremely positive
Motivation to take action about environmental issues
 
 
Comments:
   
 
 
In what ways, if any, is he/she taking action?
(Feel free to add specific examples or additional details in the “Comments” box below for any items you check).
 
Intentional lifestyle choices
 
Membership in environmental advocacy groups
 
Participation in efforts to raise environmental awareness
 
Participation in community sustainability initiatives
 
Involvement in environmental policy (at the community, school administration, state, or federal level)
 
Other:
 

 
 
Comments:
   
 
 
WILDERNESS EDUCATION
 
 
Please rate OA's impact on your child's...
 
 
Extremely negative Very negative Somewhat Negative Neutral Somewhat Positive Very positive Extremely positive
Respect for the natural world
 
 
Comments:
   
 
 
Extremely negative Very negative Somewhat Negative Neutral Somewhat Positive Very positive Extremely positive
Enthusiasm to spend time outdoors
 
 
Comments:
   
 
 
Extremely negative Very negative Somewhat Negative Neutral Somewhat Positive Very positive Extremely positive
Outdoor adventure skills (backpacking, canoeing, climbing, caving, etc.)
 
 
Comments:
   
 
 
TRANSITION
 
After your child's semester at OA, how has his/her transition been with regard to the following:
Extremely difficult Very difficult Somewhat difficult Neutral Somewhat easy Very easy Extremely easy
Home/family life
Academics (at his/her sending school)
Social life
Athletics/extracurricular pursuits
 
 
Comments:
   
 
 
Do you have any suggestions for ways that OA could help make the transition easier?
   
 
 
FINAL QUESTIONS
 
 
In two to four sentences, can you describe what OA’s overall impact has been on your child's life?
   
 
 
Any final suggestions about how we can improve OA?
   
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