Overall, has your experience with AHAS helped you do better in school?
 Yes No

Have you learned specific skills while attending AHAS that have made you a better student?
 Yes No

In which of the following areas has AHAS helped you in school?
PLEASE MARK ALL THAT APPLY
 Reading Writing  Math Science Social Studies Art Physical Education Making Friends Getting along with teachers/adults Other

How often do you use things you learned from AHAS when doing your school work?
 Always Usually Sometimes Rarely Never

How often do you feel you learned something when attending AHAS events?
 Always Usually Sometimes Rarely Never

Has your time with AHAS helped you become more confident when talking to teachers?
 Yes No

Has your time with AHAS helped you become more confident when talking to other students?
 Yes No

Since you began AHAS, has your behavior in school improved?
 Yes Stayed the same

Since you began AHAS, has your attendance at school improved?
 Yes Stayed the same

Overall, has your time with AHAS helped you overcome challenges you face in school?
 Yes No

Overall, would you recommend AHAS to other students?
 Yes No

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The final questions ask you to report some basic information about yourself and your background. By providing this information, you will help ensure that the program is meeting the needs of all students.
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Are you currently a student?
 Yes No

If you are currently a student, what school do you attend and what is your current grade level?
School:
Grade Level:

How old are you?
(years old)

Are you female or male?
 Female Male

What is your racial/ethnic backgroud? Check all that apply
 American Indian Asian Black/African American Hispanic/Latino White/Caucasian Native Hawaiian Other

If "Other," please enter here:

Do you often speak a language other than English at home?
 Yes No

Would you like to volunteer to be interviewed further about AHAS?
 Yes No

Your Name (optional):

Your Email (optional):

Additional Comments or Feedback (optional):