Take Home Box Questionnaire

Box Title: _______________________________________

1. What day(s) did you do the activities in this box?
Thursday Friday Saturday Sunday
2. How much time did you devote to these activities? _________________________
3. Did your child enjoy these activities? Yes No
4. Did you enjoy doing these activities with your child? Yes No
5. Please write down a few of your childs reaction/responses to these activities.
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6. Please write down a few of your reaction/responses to doing these activities with your
child.
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7. Please write down any questions you may have about this activity.
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