TOTAL PACKAGE PROGRAM: PARENT SURVEY

Thank you for your support and interest in the Total Package Program. In order to find ways to make the program better, we ask you to take a few moments to complete this survey. Your input will be greatly appreciated.

Date: _________________

Your Name _______________________ Child’s Name _______________

1. Has your child been in a mentorship program prior to this? Yes No

2. Does your child seem as if he or she enjoys the time spent in the mentorship activities? Yes No

3. Does your child (please check all that apply):

1. Seem happier? Yes No

2. Seem less angry? Yes No

3. Get along better with brothers/sisters? Yes No

4. Get along better with friends? Yes No

5. Listen better? Yes No

6. Feel better about him/her? Yes No

7. Work harder on homework? Yes No

8. Seem more responsible? Yes No

9. Have better school attendance? Yes No

10. Seem better behaved at home? Yes No

11. Do better in school? Yes No

12. Seem better behaved at school? Yes No

13. Have a better attitude about school? Yes No

4. What do you think are the greatest benefits your child will (has) receive as a result of having participated in the Total Package mentorship program?

5. What would you suggest as a possible activity for mentors, mentees and their families?