JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
ISU Business Survey
The Boys & Girls Club is actively looking to provide summer and after school programs in the Portneuf Valley. Your response to this survey will help us better understand your community, business and family needs as we work towards the goal of starting Boys & Girls Club programs in your area. The Boys & Girls Club is a youth development organization serving kids five to eighteen years old. We provide academic support and enrichment activities. To learn more, visit
https://www.portneufbgc.com/
.
Sign in to Google
to save your progress.
Learn more
* Indicates required question
What do you use for childcare (for Kindergarten to 5th grade) while you are at work?
*
Local Daycare
Older Siblings
Other Family Members
Home Alone (Latch Key)
Don't have children in this age range
Attends another summer or after-school program
Other:
Required
Would a program offering academic and enrichment support in Pocatello benefit your child during the summer?
*
Yes
No
Would a program offering academic and enrichment support in Pocatello benefit your child after-school?
*
Yes
No
Please check any barriers you believe may be preventing you from utilizing an afterschool or summer program for your child K-5th grade:
*
Lack of childcare options
Lack of transportation
Cost of childcare
Location of childcare
Hours of operation of childcare
Activities not interesting or engaging
Other:
Required
What is the biggest need for you at this time pertaining to childcare?
*
Your answer
How important are the following student services/activities for an afterschool program?
*
Very Important
Somewhat Important
Not Important
Homework help
Tutoring
Reading Enrichment
Writing Enrichment
Math & Science Enrichment
Arts & Music
Nutrition Education
Sports & Fitness Actvities
Drug & Violence Prevention
Anger Management/Positive Thinking
Community Service Projects
College Readiness
Career & Workforce Readiness
OTHER:
Very Important
Somewhat Important
Not Important
Homework help
Tutoring
Reading Enrichment
Writing Enrichment
Math & Science Enrichment
Arts & Music
Nutrition Education
Sports & Fitness Actvities
Drug & Violence Prevention
Anger Management/Positive Thinking
Community Service Projects
College Readiness
Career & Workforce Readiness
OTHER:
Would you use the Boys & Girls Club as an option for your child during the summer and afterschool?
*
Yes
No
If you wouldn't use the Boys & Girls Club as an option for your child during the summer and after-school please indicate why?
*
Your answer
I understand what the Boys & Girls Clubs is and what programs they have to offer?
*
Yes
No
Other:
I would like to learn more about Boys & Girls Club, their programs and what they have to offer.
*
Yes
No
Other:
Other/Comments:
Your answer
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Boys & Girls Club of Magic Valley.
Report Abuse
Forms
