Kohl's and Children's Mercy S.T.A.R. Power Program Parent Survey

Welcome to the Parent Survey! Parents and guardians can submit a survey following each of the S.T.A.R. Power sessions: Healthy Eating, Movement, Relaxation & Body Image/Self-Esteem.

* Your name:

* Relationship to child:

* E-mail address:

Child's name:

School attended by your child:

* Which of the following sessions was presented to your child:

Healthy Eating
Movement
Relaxation
Body Image/Self-Esteem
Please comment on your child's behavior since the presentation:
  *

Strongly Agree

Somewhat Agree

Disagree
My child demonstrates a better understanding of this topic
I have observed my child discussing this topic with peers and other members of the household
I have noticed positive changes in my child's behavior related to this topic

Other comments or suggestions to improve the S.T.A.R. Power program: