Parent Survey (10 and under) for Westlake Chaps Connect

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We would love to hear what type of environment and activities your child thrives in. We encourage you to ask your child (10 and under) on their opinions about these questions. They're the ones participating in the program, and we are organizing everything around what they want and need from us. Please make sure that the answers you provide are a true representation of what will make your kids have the most fun!

First name *

Last name *

Contact info *

Which age/type of group does your child spend time with? *

One-on-one conversations (just your child and a leader from our team)

Ages 10 and under

Ages 11-13

Ages 14-18

Smaller groups (with 2-4 other kids)

Larger groups (with up to 7 other kids)

Which days and hours are they available to meet? *refer to WCC's volunteers availibility* *

How often do you think you would want to meet? *

Do you have good internet connection to help meetings run smoothly via Zoom? If not, is there an easier way for us to reach your child? *

Do they have access to resources like art supplies or creative tools we may use during meetings? *

Yes

Which topics are potentially triggering for your child? We want to make this is a safe environment, it's really important to us that we don't say something unknowingly hurtful that will ruin our connection with them. *

What are some of your child's favorite things to do to relax and have fun? *

What do they not enjoy doing?

What kind of person does your child get along with best? Extrovert or introvert? *this information will help us find a volunteer who can help create a fun relationship with your kid* *

What are your child's hobbies/passions?

Below there is a list of ideas our team came up with on what to do during meetings. This is not set-in-stone, so please explain what projects or activities they would actually enjoy. Check of the boxes if it is something your kid would have fun doing. *

Do online games like Scribbl.io, Quick Draw, Scattergories, Charades, Mad Libs or Game of Life

Show and Tell

Freeze Dance and dress up days

Make up stories (we can tell them one and they can tell us some)

Watch art videos and follow along or freestyle art

Name that song

Required

What is something they would looking forward to doing that is not on that list? We are open to anything, so please elaborate! *

What is the best way to reach you? Provide an email or phone number that you would prefer that we contact you with.

Is there anything you'd like for us to know? *

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