Charters Towers Youth After School Program Parent Feedback

Email (optional)

Postcode

Child/ren's Age

Child/ren's Gender

Do your child/ren identify as Aboriginal or Torres Strait Islander?

No

Yes- Aboriginal

Yes- Torres Strait Islander

Yes- Aboriginal and Torres Strait Islander

Between 1 and 10 how much has the program helped your child to be more physically active?

Please explain how.

Have you noticed a difference in your child’s Physical and/or Mental health since attending the program? Please explain?

Have you noticed a change in your child’s behaviour since attending the program? Please explain?

What were your child’s favourite activities?

Will your child continue with an activity outside of the program?

Yes

No

If not, what are the barriers to your child’s participation?

How did you find out about the program?

How would you rate the Move It NQ Youth After School Program?

Any other Feedback?

Do you consent to receiving emails about upcoming classes & program updates / news?

Yes

No

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