Name:

Date:

1. Do you feel safe at Genesis Hopeful Haven?

2. Do you enjoy school

3. Are you understanding all your classes?

4. Does staff or tutors assist you with homework?

5. Do you skip doing your homework?

6. How many F’s do you have?

7. How many D’s do you have?

8. Do you feel comfortable sharing your educational struggles with Genesis Hopeful Haven

staff?

9. What is your easiest class? Please explain.

10. What is your hardest class? Please explain.

11. Can you talk to your teacher to ask for help?

12. Do the tutors help you with your homework?

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13. Do you feel you are improving?

14. Do you feel GHH staff can speak for you at your school or with your teachers?

15. Do you enjoy afterschool care?

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