21st CCLC Early Childhood
Best
Practices Study
Staff Survey
(Grades Preschool-Grade 3)
After-school Program/Center ________________________ Date ___________________
Thank you for taking part in this survey. Please answer each of the following questions about your experience working in this after-school program. Please return the survey as soon as possible. Your responses will be kept confidential and will not be shared with any after-school program staff or leadership.
Please fill in the bubbles completely. Correct mark = 
Overall Program
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Curriculum and Academic Support Activities
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			 | Always | Usually | Sometimes | Never | Don’t know/Not Applicable | 
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Staffing Issues
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				 | Always | Usually | Sometimes | Never | Don’t know/Not Applicable | 
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Health and Safety Policies and Procedures
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			 | Always | Usually | Sometimes | Never | Don’t know/Not Applicable | 
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Other Issues
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			 | Always | Usually | Sometimes | Never | Don’t know/Not Applicable | 
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Please add any additional comments you may have:
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| File Type | application/msword | 
| File Title | Parent/Guardian Survey | 
| File Modified | 2010-10-06 | 
| File Created | 2010-10-06 |