Model Questionnaire for an After-school Club



Survey to determine the need for a breakfast club/after-school club/holiday playscheme at xx Primary School

1. Do you already use childcare?

( No (please move to question 2)

( Yes (please tick the types of childcare you use)

| | |

|( Childminder |( Holiday playscheme |

|( Breakfast club |( Friends and family |

|( After-school club |( Other (please describe) |

|( Nanny | |

|Comments |

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| |

2. Would more suitable local childcare help you to:

|( Extend your working hours |( Return to, or start training |

|( Return to or start work |( Other (please specify) |

|Comments |

| |

| |

Please tell us about your childcare needs:

3.

( I would not need a breakfast club (please move to question 4)

I would use a new breakfast club on these days:

( Monday ( Tuesday ( Wednesday ( Thursday ( Friday

( I might use a new breakfast club occasionally

Number of children who would attend ……………… Age(s) of child(ren) ………………………

What time would you need a breakfast club to open? (please choose one option)

( 7.30am until the start of the school day ( 8am until the start of the school day

|Comments |

| |

| |

4.

( I would not need an after school club (please move to question 5)

( I might use a new after-school club but I would like to evaluate a new provision first

and understand how it may work for me. I am therefore interested but not decided yet

I would use a new after-school club on these days:

( Monday ( Tuesday ( Wednesday ( Thursday ( Friday

( I might use a new after-school club occasionally

Number of children who would attend ……………… Age(s) of child(ren) ………………………

I would need an after-school club to run until: ( 5.30pm ( 6pm

Children may want to attend their existing school-based activities (football, choir, etc.) and then go into the after-school club. Please note that the after-school childcare club will probably still need to charge you the full cost of the session when this happens, because the necessary staffing levels must be maintained at all times.

|Comments |

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| |

5.

( I would not need a holiday playscheme (please move to question 6)

( I might use a new holiday playscheme but I would like to evaluate a new provision first and understand how it may work for me. I am therefore interested but not decided yet

During which holidays would you need and use a playscheme?

( October holiday ( Christmas holiday

( February holiday ( April holiday

( Late Spring holiday (May) ( Summer holiday

Which days would you need a holiday playscheme?

( Monday ( Tuesday ( Wednesday ( Thursday ( Friday

Number of children who would attend ……………… Age(s) of child(ren) ………………………

What times would you need a playscheme to open and close? …………………………………

|Comments |

| |

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Off-site Provision

6. Sometimes the only viable option is to share provision with another local school/provision.

Would you be willing for your child to be taken to an after-school club at another school/provision in the area?

( Yes ( No

Would you use a holiday playscheme at another school/location in the area?

( Yes ( No

7. Would you consider changing your current childcare arrangements if this new xx club opened?

( Yes ( No ( Not applicable

If yes, it would be helpful to know why …………………………………………………………….....

……………………………………………………………………………………………………………..

8. Would you be interested in helping with / supporting the running of a xx club?

( Yes ( No

If yes, please give your name below, so we can contact you

|If ‘Yes’, in what capacity? For example, relief staff, playworker, helping with administration, part of the management committee, out of school parent|

|representative on School Governing body. |

| |

| |

9. Have you any further comments?

…………………………………………………………………………….………………….…………..

………………………………………………………………………………………..….……………….

………………………………………………………………………………….…………………………

Name ……………………………………………………………….……..…………………………….

Address ………………………………..…………………………….………………..………..……….

Telephone ……………………………. ………email address ………….……………………………

Please return this form by xx to xx

THANK YOU

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Breakfast Club

(Approximate cost would be £x - £x per day depending on opening hours

After School Club

(Approximate cost would be £x - £x per day depending on opening hours

Holiday Playscheme

The approximate cost would be £xx - £xx per day depending on opening hours

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