Afterschool Survey 2022 Afterschool Survey 2022 Name * First Last Name * Last Email * Which afterschool programs are of interest to your family? Check all that apply. * Program at 4-H Acres (no transportation) Program at 4-H Acres (transportation from school and guardian pickup from CCE or 4-H Acres) Program at 4-H Acres (with transportation from and back to school) Traveling to different locations daily (with transportation from school and guardian pickup from CCE) Traveling to different locations daily (with drop-off and pickup from CCE) A program at my child's school (if one does not exist see next question) If you would like to connect with us about a program at your child's school, please give us some details. How likely are you to join us for an afterschool program on a... * Extremely Unlikely Unlikely Neutral Likely Extremely Likely Wednesday Afternoon * Extremely Unlikely Unlikely Neutral Likely Extremely Likely Thursday Afternoon * Extremely Unlikely Unlikely Neutral Likely Extremely Likely Friday Afternoon * Extremely Unlikely Unlikely Neutral Likely Extremely Likely If you are human, leave this field blank. Submit
