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After-School Initiative's Toolkit for Evaluating

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[Sense of Self – For ASI grantees choosing this domain, all questions are required.]<br />

11) Coming to [this program] has helped me to …<br />

Yes Kind of Not Really<br />

a) Feel better about myself <br />

b) Feel I have more control over things that happen to me <br />

c) Feel that I can make more of a difference <br />

d) Learn I can do things I didn’t think I could do be<strong>for</strong>e <br />

e) Feel better about my future <br />

f) Feel I am better at handling whatever comes my way <br />

[Optional]<br />

12) What do you like best about coming to [this program]?<br />

___________________________________________________________________________<br />

___________________________________________________________________________<br />

___________________________________________________________________________<br />

___________________________________________________________________________<br />

[Optional]<br />

13) If you could change one thing at [this program] what would it be?<br />

___________________________________________________________________________<br />

___________________________________________________________________________<br />

___________________________________________________________________________<br />

___________________________________________________________________________<br />

[Demographic questions 14-20 are required.]<br />

14) How often do you come to [this<br />

program]?<br />

Every day or almost everyday<br />

(4-5 times per week)<br />

Two to three times a week<br />

Once a week<br />

A couple times a month<br />

Less than once a month<br />

15) When did you start coming to [this<br />

program]?<br />

Within the last 3 months<br />

4 to 6 months ago<br />

7 to 12 months ago<br />

More than 1 year ago<br />

[FOR BASIC ONLY as an alternative to<br />

#15.]<br />

15a) When did you start coming to<br />

[this program]?<br />

This fall<br />

Over the summer<br />

Last spring<br />

Last year or longer ago than that<br />

16) How old are you?<br />

6 years or younger<br />

7 years<br />

8 years<br />

9 years<br />

10 years<br />

11 years<br />

12 years<br />

13 years<br />

14 years<br />

15 years or older<br />

<strong>Toolkit</strong> <strong>for</strong> <strong>Evaluating</strong> Positive Youth Development 84

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