2017 Camp Achieve Survey–Grades 3-6 2017 Camp Achieve Survey - Grades 3-6 What is the name of the summer camp you are attending?*What grade will you be in at school this year?*Kindergarten1st grade2nd grade3rd grade4th grade5th grade6th grade7th grade8th grade9th grade10th grade11th grade12th gradeAre you a boy or a girl?*GirlBoyWhat is your race/ethnicity?*Mark all that apply Black/African American Latino/Latina Asian or Pacific Islander American Indian/Native Alaskan White Middle Eastern Multiracial Other I choose not to answer How often do you come to summer camp?*Every dayOne or two times a weekOne or two times a monthNot very oftenWhy are you going to this summer camp?*Mark 1 or 2 reasons only. I want to learn new things My parents want me to go Me family members and friends go here There are interesting things to do here I had nothing else to do Other Please tell us your "other" reason for going to this summer camp:*In this summer camp...There is an adult who pays attention to me and my life.*YesNoThere is an adult who encourages me to do my best.*YesNoThere is an adult who I can go to for help.*YesNoThe staff are kind and respectful to me.*YesNoIn this summer camp...I feel like I belong.*YesNoOther youth treat me nicely most of the time.*YesNoI feel safe when I am here.*YesNoIn this summer camp...I try new activities.*YesNoI learn new skills.*YesNoI learn about new topics.*YesNoCamp ExperienceThis camp will help me do a good job in school.*YesNoThis camp makes learning fun.*YesNoThe activities in this camp really make me think.*YesNoThis camp helps me to make friends.*YesNoIn this summer camp...I have been pushed, shoved, slapped, hit or kicked by someone who wasn't just kidding around.*Yes, all of the timeYes, many timesYes, a few timesNo, neverI have been made fun of because of my looks or the way I talk.*Yes, all of the timeYes, many timesYes, a few timesNo, neverOther kids at this camp have spread mean rumors or lies about me.*Yes, all of the timeYes, many timesYes, a few timesNo, neverStudent/Youth SatisfactionWould you recommend this camp to a friend?*YesNoCamp AttendanceThis summer, did you attend another camp besides this one?*If you attended another camp, please type in the name in the "Other" box.NoOptional QuestionsWhat was your favorite part about summer camp?If you could change one thing about this summer camp/program, what would it be?What did you learn at this summer camp/program?