Country School After School Enrichment Education Planning Survey: For Fall 2017
Dear Country School Families:
 
PLEASE COMPLETE THIS SURVEY BY Friday, Sept 15, 2017 AND 
GET ENTERED INTO A FREE DRAWING FOR A $100 GIFT CERTIFICATE THAT CAN BE USED TO PAY FOR OUR ENRICHMENT CLASSES DURING THE FALL 2017 SESSION (ONE ENTRY PER FAMILY).
  
We have been enriching the lives of Children for over 21 years.  We teach over 4000 Preschool and Elementary School Students in about 30 Schools and Parks throughout Los Angeles County.  When we begin teaching our After-School Enrichment Education Classes at a new School, we often request Families to complete our Planning Survey so that we can get feedback regarding The types of Classes that they would be interested in having us teach.  

We plan to teach our Enrichment Classes at the Country School during the 2017-2018 School Year, starting with this upcoming Fall Session. We would appreciate it if you would complete our Planning Survey below so that we can plan for our first session(s).

If you have any questions or suggestions beyond this Survey, please Email CoachStu@att.net or call 818-597-1550. Thank
 
1.
Please enter the information indicated below.

First Name:
Last Name:
Home Phone:
Email Address:
emailaddress@xyz.com
City:
Cell Phone*:

2.

What is the name of your Child's School? 
 

50 characters left.
3.
Child's Name or Children's Names
 

50 characters left.
4.
Child's/Children's Grade(s) in Fall 2017
 

50 characters left.
5.

Child's/Children's Age(s)
 

50 characters left.
6.
              SIGN-OUT PROCEDURES AFTER SCHOOL
Safety is our highest priority and so we have a rather strict Sign-Out Policy and Procedure after our Enrichment Classes are over. Some Parents have asked if we would offer a more liberal policy for their 4th-5th Grade Students so that they have the opportunity to "sign themselves out" after our classes/programs are completed.  This would allow them to walk to their Parents car or home and/or ride their bike home, etc. If we implement this, then we would ask Parents to sign an additional Authorization.

On a scale from 1 to 5, please rate how important this is to you.where 1 means that this is NOT Very Important to you and 5 means that it is VERY Important to you.  Any additional feedback in our Comments section below would be greatly appreciated.
 1=Not Very Important 2 3 4 5=Very Important 
How Important is it to have a more liberal Sign-Out Policy for 4th-8th Grade Students so that they can "sign themselves out" from our After-School Classes?
(PLEASE PROCEED TO THE NEXT SECTION
  • Comment:

  • 500 characters left.
Please complete the questions below to help us understand which Enrichment Education Classes that you might be interested in having us teach  during the 2017-2018 School Year.  NOTE:  You are under NO obligation to enroll in any of them.   We are simply trying to determine which ones to consider offering for the upcoming Sessions.
 
7.
                                                FOR ALL FAMILIES
In order to help us determine which Enrichment Classes that we may offer during the next session(s), please rate how likely you are to Enroll your Child in each of the Classes below on a scale from 1-5;  where 1 means that you are NOT very likely to Enroll in the Class and 5 means that you would Very Likely Enroll in this Class during at least the Fall 2017 Session:
 1=Not Very Likely to Enroll 2 3=Maybe would Enroll 4 5=Very Likely To Enroll 
Academic Enrichment-Fun with Math
Academic Enrichment-Science Fun
Acting/Improv
Art (Cartooning)
Art (Drawing/Painting)
Building Fun-Lego, Knex, and other building materials
Building Fun-Lego Engineering
Cheerleading
Chess
(PLEASE PROCEED TO THE NEXT SECTION)
  • Comment:

  • 500 characters left.
8.
Possible After-School Enrichment Classes for Fall 2017 (Cont.) 
 1=Not Very Likely to Enroll 2 3=Maybe would Enroll 4 5=Very Likely to Enroll 
Dance-Ballet
Dance-Creative Dance
Dance-Dances from Around the World: A Multi-Cultural Experience
Dance-Hip Hop
Dance-Jazz
Dance-Latin (similar to "Zumba")
Dance-Modern
Dance-Musical Theater
(PLEASE PROCEED TO THE NEXT SECTION)
  • Comment:

  • 500 characters left.
9.
Possible After-School Enrichment Classes for Fall 2017 (Cont.) 
 1=Not Very Likely to Enroll 2 3=Maybe would Enroll 4 5=Very Likely to Enroll 
Engineering (Learn about Motors, Gears, Pulleys, etc. using Lego, Erector Sets, Knex and/or other building materials)
Filmmaking Workshop (Wrtie a script, act, direct and produce a short film)
Fitness Fun (Jumping Ropes, Relay Races with Obstacles Courses, Health/Nutrition Discussions and more)
Fitness Fun with Skill Development, Sports and Games, etc.
Gymnastics (Artistic including tumbling, bars, spring board, balance beam, etc.)
(PLEASE PROCEED TO THE NEXT SECTION)
  • Comment:

  • 500 characters left.
10.
Possible After-School Enrichment Classes for Fall 2017 (Cont.)  
 1=Not Very Likely to Enroll 2 3=Maybe would Enroll 4 5=Very Likely to Enroll 
Language-Spanish
Martial Arts (can include Karate, Tang Soo Do, Tai Kwon Do, etc.)
Musical Theatre-Singing
Musical Theater-Singing and Dancing
Music-Guitar
Music-Piano
Music-Singing with or without Karaoke
PLEASE PROCEED TO THE NEXT SECTION
  • Comment:

  • 500 characters left.
11.
  Possible After-School Enrichment Classes for Fall 2017 (Cont.) 
 1=Not Very Likely to Enroll 2 3=Maybe would Enroll 4 5=Very Likely to Enroll 
Science-FUNdamentals (Scientific Method, Experiments and more)
Science (Chemistry, Physics, etc)
Science (Energy and Green Energy including Solar, Wind and more)
Science (Environmental, Conservation)
Sports Classes for Girls Only (Please specify the Sport(s) of interest in the Comments section below)
Sports (Coed)-Baseball/TBall or Softball
Sports (Coed)-Basketball
Sports-Coed-Dynamic Sports (Work on Speed, Agility, Skill Development, etc with Games such as various Dodgeball Games, Capture the Flag, Relay Races, etc.)
Sports (Coed): Flag Football
(PLEASE PROCEED TO THE NEXT SECTION)
  • Comment:

  • 500 characters left.
12.
Possible After-School Enrichment Classes for Fall 2017 (Cont.) 
 1=Not Very Likely to Enroll 2 3=Maybe would Enroll 4 5=Very Likely to Enroll 
Sports (Coed)-Golf
Sports (Coed): Masters of the Playground (Playground games including Dodgeball, Handball, Kickball, Jumping Rope, etc)
Sports (Coed)-Racquet Mania (Tennis, Badminton, Paddle Tennis, etc)
Sports (Coed)-Soccer
Sports (Coed)-Tennis
Sports (Coed)-Ultimate Frisbee
Sports (Coed)-Volleyball
Sports Mania (Coed) (Multi-Sports that can include Baseball/T-Ball, Basketball, Flag Football, Soccer, Tennis & possibly other Sports and Games requested by the Students))
(PLEASE PROCEED TO THE NEXT SECTION)
  • Comment:

  • 500 characters left.
13.
Possible After-School Enrichment Classes for Fall 2017 (Cont.)  
 1=Not Very Likely to Enroll 2 3=Maybe would Enroll 4 5=Very Likely to Enroll 
Theater: Acting/Improv
Theater: Let's Put On A Play (Musical Theater, etc.)
Theater: Shakespeare
Woodworking
Yoga
Other Enrichment Classes-Please document other Enrichment Classes of interest in the Comments Section below.
PLEASE PROCEED TO THE NEXT SECTION
  • Comment:

  • 500 characters left.
14.
ASSESSING INTEREST IN SOME POSSIBLE UNIQUE ENRICHMENT CLASSES
Which "unique" classes below might you be interested in for your Child during the next session(s)?  On a scale from 1 to 5, please rate how likely you are to Enroll in each of our classes below;  where 1 means that you are NOT very likely to Enroll in the Class and 5 means that you would Very Likely Enroll in this Class during at least one of the sessions during the next School Year. 
 1=Not Very Likely to Enroll 2 3=Maybe would Enroll 4 5=Very Likely to Enroll 
Critical Thinkers: Students develop Critical Thinking Skills, Problem Solving Skills and Teamwork with FUN Activities and Games
Cards and Games: Students learn to play various popular Card Games and Board Games
Career Exploration (Professionals in the Community are invited to discuss their Job/Career)
Entrepreneurship (Students learn various aspects of running a small business & create their own, pretend business)-for 4th-8th Grades only
Learning Spanish Through Art (Spanish Immersion model)
Learning Spanish through Dance (Spanish Immersion model)
Learning Spanish through Sports (Spanish Immersion model)
Other Unique Enrichment Classes-Please document other unique Enrichment Classes of interest in the Comments Section below.
PLEASE PROCEED TO THE NEXT SECTION FOR WISH-FIYA PROGRAMS
  • Comment:

  • 500 characters left.
15.

Camp Questions-We know that the Country School already hosts Summer Camps.  However, we also offer at some locations Thanksgiving (Monday-Wednesday only), Winter and Spring Camps..
 1=Not likely to Enroll  3=Maybe would Enroll  5=Very likely to Enroll 
If we offered a Camp during Thanksgiving Week (Monday-Wednesday), would you consider enrolling your Child?
If we offered a Camp during the Winter Break,, would you consider enrolling your Child?
If we offered a Camp during Spring Break, would you consider enrolling your Child?
What type of Camp would you be interested in (e.g., Sports, Dance, Engineering, Filmmaking, Theater or others? Please document the type of Camp that you would be interested in, in the Comments Section Below.
Camps: 9 am to 3 pm only
Camps: Need extended hours (before 9 am)-Please specify time needed in the Comments section
Camps: Need extended hours (after 3 pm)-Please specify time needed in the Comments section
Camps: Please share what made prior Camps that your Child enrolled in so great (in the Comments section)
PLEASE PROCEED TO THE NEXT SECTION
  • Comment:

  • 500 characters left.
16.

We have envisioned that our After-School Sports Classes can provide a significant role with respect to enhancing your Kindergarten/TK through 3rd grade Child's Sports Skills, Fitness and Teamwork, etc (to help prepare them to play more competitive Sports in the future.  To what extent would you value this?  Any comments below about this will be greatly appreciated.
1-Wouldn't value this  3=Value this  5=Strongly Value this       
      
  • Comment:

  • 500 characters left.
17.
When making decisions about enrolling your Child in our Enrichment Classes, how important is it that you know which other Children enrolled?  Any comments about this would also be appreciated.
1=Not Very Important  Doesn't matter to us  5-Very Important       
      
  • Comment:

  • 500 characters left.
18.

Do you have any questions or suggestions for us beyond what you responded to in our survey? 
 

350 characters left.
19.
Please share any other information that would motivate you to enroll your Child/Children in our 5 Star Enrichment Classes and/or Camps so that we can design ours to meet your family's needs/interests?
 

1000 characters left.
20.
For families with at least one child who will be in K-2nd Grade during the 2017-2018 School Year:  Would you be interested in participating in a Focus Group to help us develop/refine Classes, Camps and/or other Programs, with features and benefits that may be of interest for your Child/Family?   On a scale from 1 to 5, please rate how likely you are to participate in a Focus Group,  where 1 means that you are NOT very interested in participating and 5 means that you would be Very Interested in Participating  in a Focus Group.
1=Not Very Interested in Participating 2 3-Maybe Interested in Participating 4 5=Very Interested in Participating       
      
  • Comment:

  • 500 characters left.
21.
For Families with at least one Child who will be in 3rd-5th grade during the 2017-2018 School Year:   Would you be interested in participating in a Focus Group to help us develop/refine Classes, Camps and/or other Programs, with features and benefits that may be of interest for your Child/Family?   On a scale from 1 to 5, please rate how likely you are to participate in a Focus Group,  where 1 means that you are NOT very interested in participating and 5 means that you would be Very Interested in Participating in a Focus Group.
1=Not Very Interested in Participating 2 3=Maybe Interested in Participating 4 5=Very Interested in Participating       
      
  • Comment:

  • 500 characters left.
22.
For Families with at least one Child who will be in 6th-8th grade during the 2017-2018 School Year:  Would you be interested in participating in a Focus Group to help us develop Classes, Camps and/or other Programs, with features and benefits that may be of interest for your Child/Family?   On a scale from 1 to 5, please rate how likely you are to participate in a Focus Group,  where 1 means that you are NOT very interested in participating and 5 means that you would be Very Interested in Participating  in a Focus Group.
1=Not Very Interested in Participating 2 3=Maybe Interested in Participating 4 5=Very Interested in Participating       
      
  • Comment:

  • 500 characters left.
23.

Would you be interested in having us provide the "Birthday Party Entertainment" at your Child's next Birthday Party?  These can include Sports, Games, Dance, Gymnastics and Lego Engineering.  If interested, please let us know your Child's Birthday and we will contact you at least 2 months before to offer our services.
 

350 characters left.
THANK YOU FOR COMPLETING THIS SURVEY.  

If you have any questions or further thoughts about this and/or suggestions for Programs/Services that you would be interested in for your Child, please Email CoachStu@att.net or call (818) 597-1550. Thank you.