Community Schools: Parent Needs Assessment Survey
Sycamore Junior High School and Anaheim High School are working to develop new programs and services for students, parents, and community members. The data that is gathered will help to identify the needs of students and families. Please answer the following questions about programs for you and your child(ren). ALL RESPONSES ARE ANONYMOUS!
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Which school(s) do your children attend?
Which grades are your children in?
Clear selection
Access to Technology
Does your family have access to the following at home? Please select all that apply. *
Required
Education
How likely are you to use the following education services if offered at your child's school?
Very Unlikely
Unlikely
Possibly
Likely
Very Likely
After School Programs
Tutoring
Reading Support for Students
Parenting Classes
Mentorship Opportunities
Adult Education/GED or HS Diploma
English Language Classes for Adults
Computer Classes for Adults
Parent Book Club
How to support my child's college dreams
Clear selection
Employment
How likely are you to use the following employment services if offered at your child's school?
Very Unlikely
Unlikely
Possibly
Likely
Very Likely
Interview Preparation
Resume building
Dressing for success
Job Search
Clear selection
Health and Safety
How likely are you to use the following health services if offered at your child's school?
Very Unlikely
Unlikely
Possibly
Likely
Very Likely
Healthcare
Dental care
Vision Care
Family Planning
Addiction prevention
Addiction rehabilitation
Gang Prevention and Intervention
Nutrition
Clear selection
Mental Health and Wellness
How likely are you to use the following mental health services if offered at your child's school?
Very Unlikely
Unlikely
Possibly
Likely
Very Likely
Healthy Relationships
Stress Management
Mindfulness and Meditation
Depression and Anxiety Support
Marriage and Family Counseling
Individual Counseling
Fitness (Zumba, Yoga, running club)
Clear selection
Social Services
How likely are you to access the following social services?
Very Unlikely
Unlikely
Possibly
Likely
Very Likely
Housing
Food
Clothing
Government Assistance Programs (CalFresh, CashAid, Medi-Cal
Clear selection
Other Services
How likely are you to access the following services?
Very Unlikely
Unlikely
Possibly
Likely
Very Likely
Money Management
Citizenship courses
Tax Preparation
Legal Aid
Recreation (Photography, Art, Sewing, etc.)
Clear selection
What other services would you like to see offered at your child's school?
What day(s) of the week are you most likely to seek out these services?
What time(s) are you most likely to seek out these services?
At what community school are you more likely to seek out these resources?
Clear selection
Would you like to volunteer to help at one of the community schools?
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If 'Yes', please leave your name, email or phone number, and which community school location you prefer.
Do you currently access any of these services at a community resource center?
Clear selection
If you answered ‘Yes’, which center do you currently use?
If you answered ‘No', what keeps you from accessing theses services?
Please list any additional questions or comments below:
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