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Basic Information
Thank you for filling out the 2025 Family Survey! As a thank you for participating, we will be providing a $25 gift card to Market32 for each individual household. Be sure to let us know when you've completed it!
1.Your Name (Optional)
2. Your Email (Optional)
3. Phone Number (Optional)
4. Number of children attending King Street Center:
1
2
3
4
5
6
7
8
5. What programs are your children in? (check all that apply)
Preschool / Toddler
K-5
Teen: Middle School
Teen: High School
Mentor
6. Languages spoken at home (check all that apply)
English
Nepali
Somali
Maay Maay
Burmese
Swahili
French
Arabic
Nyingine (tafadhali bainisha)
General Experience
7. How long has your family been a part of King Street?
Less than 1 year
1-2 years
3-5 years
6-9 years
10+ years
8. Staff at King Street Center make me feel welcome.
Always
Sometimes
Never
9. If you answered sometimes or never for the above question, what would make you feel more welcome?
10. What has been the most valuable part of King Street Center for your child?
11. If you could change or add one thing to King Street Center, what would it be?
Programs & Improvement
12. Do you feel King Street Center’s programs are helping your child grow and develop?
Yes
No
13. What skills or opportunities do you hope your child gains from King Street Center?
14. What suggestions do you have to improve our programs?
15. What kind of weekend programming would you be interested in if offered? (Please drag to rank in order)
Childcare
Structured activities for youth
Structured activities for caregivers and children together
Structured activities for parents
Community events
Recreational activities
Informational session
16. Is there any other weekend programming you would like to participate in that is not listed above?
Operations & Communications
17. The hours of the program works for my family.
Never
Sometimes
Always
Does Not Apply
Preschool / Toddler
K-5
Teen: Middle School
Teen: High School
18. The current drop off/pick-up routine works for me and my family.
Never
Sometimes
Always
Does Not Apply
Preschool / Toddler
K-5
Teen
19. The staff keep me updated about what is going on at King Street Center.
Never
Sometimes
Always
Does Not Apply
Preschool / Toddler
K-5
Teen
20. Is there anything else you would like to share about program hours, drop off and pick up, or how our staff communicate with you about your child?
Family Wellbeing
21. How has King Street Center impacted your family’s wellbeing?
22. I feel supported as a caregiver by King Street Center.
Never
Sometimes
Always
What other ways could King Street Center support you?
23. Do you feel safe in your neighborhood? If no, why not?
24. Do you feel safe in Burlington? If no, why not?
25. Do you have any worries about your child? (ex. in the community, at school, at King Street Center, in the neighborhood)
26. In the past 12 months, I have been worried about having enough food to feed my family.
Never
Sometimes
Always
27. In the past 12 months, I've had difficulty paying my rent or mortgage.
Never
Sometimes
Always
28. In the past 12 months, reliable transportation has been a challenge.
Never
Sometimes
Always
29. In the past 12 months, I've had consistent housing.
Never
Sometimes
Always
30. In the past 12 months, I've had difficulty finding steady employment.
Never
Sometimes
Always
31. In the past 12 months, I have had access to a doctor when I needed one.
Never
Sometimes
Always
32. In the past 12 months, I have had access to a dentist when I needed one.
Never
Sometimes
Always
33. What are the biggest challenges your family faces right now? (Check all that apply)
Housing stability
Access to food
Transportation
Childcare
Healthcare
Employment opportunities
Language barriers
Finances
Mental Health
Safety
Nyingine (tafadhali bainisha)
34. Please select what areas you be interested in receiving support or resources from King Street Center in any of these areas (check all that apply)
Housing stability
Access to food
Transportation
Childcare
Healthcare
Employment opportunities
Language barriers
Finances
Mental Health
Safety
I do not need any support.
Nyingine (tafadhali bainisha)
35. Are there specific resources or services you wish King Street Center could help connect you to?
Anything else?
36. Is there anything else you would like to share with King Street Center?