Parent Questionnaire

Are your children members of the H. Fletcher Brown Boys & Girls Club?
______________________________________________________________
If so, for how long?
______________________________________________________________
If not, have you ever received an advertisement inviting you to the B&G Club?
______________________________________________________________
How did you hear about the B&G Club?
______________________________________________________________
What services would your children benefit from if offered by the B&G Club?
______________________________________________________________
How many children are in your family?
___________ ___________
Elementary School Middle/High School

If life skills classes (ex: coping with stress, resume writing, interviewing techniques, nutrition,
fitness) were offered will you support your children participating in this effort?
______________________________________________________________
As a parent what would you be more interested in attending, sessions related to:
Parenting skills
Financial management
Navigating your childs education
Stress management
Job interviewing techniques/resume assistance
College information
Parent child communication strategies
What publications would you like to have access to at the club (dictionaries, employment
resource guides, college test preparation, community resource materials)?
______________________________________________________________
How do you feel that your children could benefit from a program that teaches cultural awareness,
and offers a better understanding of their cultural values, beliefs, and perceptions?
______________________________________________________________
What are your childrens post high school goals?
______________________________________________________________
What types of family focused events are you interested in?
______________________________________________________________
Are there any household barriers that would keep your children from regularly attending the club
(ex: babysitting, transportation)?
______________________________________________________________
What types of events do you feel would attract 16-18 year old men & women?
______________________________________________________________
What types of programs do you feel would attract more female teens to the club?
______________________________________________________________
Are you a TANF or Medicaid recipient?
______________________________________________________________
How effective do you believe a predisposition program in connection with parole/probation
authorities would be?
______________________________________________________________
How beneficial do you feel offering GED, college test preparation classes, or resources would
be?
______________________________________________________________
____________________________________________ ___________________
Name Date

Thank you for participating in this questionnaire

(BGCHFB002)