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<form class="userform-form" action="" method="post" name="form_7341408" id="7341408" accept-charset="utf-8"><input type="hidden" name="formID" value="7341408" /><div class="form-all dir_ltr" dir="ltr"><ul class="form-section"><li class="form-line" id="id_4"><div id="cid_4" class="form-input-wide"> <div id="text_4" class="form-html"><p class="SectionTitle_Orange" style="text-align:left; margin-bottom:15px"><span style="font-size:14px"><span style="box-sizing:inherit"><span style="--text-with-annotation-weight:bold"><span style="--text-annotation-weight:normal"><span style="font-family:Muli, sans-serif"><span style="color:#343333"><span style="line-height:25.2px"><span style="font-style:normal"><span style="font-variant-ligatures:normal"><span style="font-weight:400"><span style="white-space:normal"><span style="background-color:#ffffff"><span style="text-decoration-thickness:initial"><span style="text-decoration-style:initial"><span style="text-decoration-color:initial"><font size="3"><font style="box-sizing:inherit">Dear Parents</font></font></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></p>

<p class="SectionTitle_Orange" style="text-align:left; margin-bottom:15px"><span style="font-size:14px"><span style="box-sizing:inherit"><span style="--text-with-annotation-weight:bold"><span style="--text-annotation-weight:normal"><span style="font-family:Muli, sans-serif"><span style="color:#343333"><span style="line-height:25.2px"><span style="font-style:normal"><span style="font-variant-ligatures:normal"><span style="font-weight:400"><span style="white-space:normal"><span style="background-color:#ffffff"><span style="text-decoration-thickness:initial"><span style="text-decoration-style:initial"><span style="text-decoration-color:initial"><font size="3"><font style="box-sizing:inherit">We appreciate you taking a few moments of your time to assist us in identifying the means for improvement and growth in our Hebrew school. The information provided in this survey will help us to develop and expand our curriculum.</font></font></span></span></span></span></span></span></span></span></span></span></span></span></span></span></span></p>
</div> </div></li><li class="form-line" id="id_3"><div class="form-label-left" id="label_3"><label for="input_3"> Your Name </label><label class="label-message" for="input_3"> </label></div><div id="cid_3" class="form-input"> <input type="text" class=" form-textbox" data-type="input-textbox" id="input_3" name="q3_input3" size="20" value="" /> </div></li><li class="form-line" id="id_5"><div class="form-label-left" id="label_5"><label for="input_5"> 1. Overall, how has your child’s experience at JUDA been this year? </label><label class="label-message" for="input_5"> </label></div><div id="cid_5" class="form-input"> <div class="form-single-column"><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_5_0" name="q5_input5" value="Excellent" /><label id="label_input_5_0" for="input_5_0"><span>Excellent</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_5_1" name="q5_input5" value="Very Good" /><label id="label_input_5_1" for="input_5_1"><span>Very Good</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_5_2" name="q5_input5" value="Good" /><label id="label_input_5_2" for="input_5_2"><span>Good</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_5_3" name="q5_input5" value="Fair" /><label id="label_input_5_3" for="input_5_3"><span>Fair</span></label></span><span class="clearfix"></span><span class="form-radio-item clear-left"><input type="radio" class="form-radio" id="input_5_4" name="q5_input5" value="Needs Improvement" /><label id="label_input_5_4" for="input_5_4"><span>Needs Improvement</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_6"><div class="form-label-left" id="label_6"><label for="input_6"> 2. What has your child enjoyed most about JUDA? </label><label class="label-message" for="input_6"> </label></div><div id="cid_6" class="form-input"> <textarea id="input_6" class="form-textarea" name="q6_input6" cols="30" rows="3"></textarea> </div></li><li class="form-line" id="id_7"><div class="form-label-left" id="label_7"><label for="input_7"> 3. In what ways have you seen JUDA impact your child? </label><label class="label-message" for="input_7"> </label></div><div id="cid_7" class="form-input"> <textarea id="input_7" class="form-textarea" name="q7_input7" cols="30" rows="3"></textarea> </div></li><li class="form-line" id="id_8"><div class="form-label-left" id="label_8"><label for="input_8"> 4. What would you love to see more of next year? </label><label class="label-message" for="input_8"> </label></div><div id="cid_8" class="form-input"> <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_8_0" name="q8_input8[]" value="More hands-on activities" /><label id="label_input_8_0" for="input_8_0"><span>More hands-on activities</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_8_1" name="q8_input8[]" value="More Hebrew reading" /><label id="label_input_8_1" for="input_8_1"><span>More Hebrew reading</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_8_2" name="q8_input8[]" value="More holiday programs" /><label id="label_input_8_2" for="input_8_2"><span>More holiday programs</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_8_3" name="q8_input8[]" value="More social/friend time" /><label id="label_input_8_3" for="input_8_3"><span>More social/friend time</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_8_4" name="q8_input8[]" value="More family involvement" /><label id="label_input_8_4" for="input_8_4"><span>More family involvement</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox-other form-checkbox validate[other]" name="q8_input8[other]" id="other_8" value="" /><span><input type="text" class="form-checkbox-other-input form-textbox form-checkbox validate[other]" name="q8_input8[other][text]" data-otherhint="Other" size="15" id="input_8" disabled="disabled" /></span><br /></span></div> </div></li><li class="form-line" id="id_9"><div class="form-label-left" id="label_9"><label for="input_9"> 5. Would you be interested in more opportunities to connect with other JUDA families? </label><label class="label-message" for="input_9"> </label></div><div id="cid_9" class="form-input"> <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_9_0" name="q9_input9[]" value="Yes, definitely" /><label id="label_input_9_0" for="input_9_0"><span>Yes, definitely</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_9_1" name="q9_input9[]" value="Maybe" /><label id="label_input_9_1" for="input_9_1"><span>Maybe</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_9_2" name="q9_input9[]" value="Not really" /><label id="label_input_9_2" for="input_9_2"><span>Not really</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_10"><div class="form-label-left" id="label_10"><label for="input_10"> 6. What types of family or community events would you be most excited about? </label><label class="label-message" for="input_10"> </label></div><div id="cid_10" class="form-input"> <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_10_0" name="q10_input10[]" value="Shabbat dinners" /><label id="label_input_10_0" for="input_10_0"><span>Shabbat dinners</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_10_1" name="q10_input10[]" value="Holiday celebrations" /><label id="label_input_10_1" for="input_10_1"><span>Holiday celebrations</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_10_2" name="q10_input10[]" value="Family workshops/activities" /><label id="label_input_10_2" for="input_10_2"><span>Family workshops/activities</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_10_3" name="q10_input10[]" value="Social gatherings (BBQs, outings, etc.)" /><label id="label_input_10_3" for="input_10_3"><span>Social gatherings (BBQs, outings, etc.)</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_10_4" name="q10_input10[]" value="Parent learning/discussions" /><label id="label_input_10_4" for="input_10_4"><span>Parent learning/discussions</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox-other form-checkbox validate[other]" name="q10_input10[other]" id="other_10" value="" /><span><input type="text" class="form-checkbox-other-input form-textbox form-checkbox validate[other]" name="q10_input10[other][text]" data-otherhint="Other" size="15" id="input_10" disabled="disabled" /></span><br /></span></div> </div></li><li class="form-line" id="id_11"><div class="form-label-left" id="label_11"><label for="input_11"> 7. Which days of the week would generally work best for your family for JUDA? </label><label class="label-message" for="input_11"> </label></div><div id="cid_11" class="form-input"> <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_11_0" name="q11_input11[]" value="Monday" /><label id="label_input_11_0" for="input_11_0"><span>Monday</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_11_1" name="q11_input11[]" value="Tuesday" /><label id="label_input_11_1" for="input_11_1"><span>Tuesday</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_11_2" name="q11_input11[]" value="Wednesday" /><label id="label_input_11_2" for="input_11_2"><span>Wednesday</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_11_3" name="q11_input11[]" value="Thursday" /><label id="label_input_11_3" for="input_11_3"><span>Thursday</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_11_4" name="q11_input11[]" value="Sunday" /><label id="label_input_11_4" for="input_11_4"><span>Sunday</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_12"><div class="form-label-left" id="label_12"><label for="input_12"> 8. What time range is most convenient for your child to attend? </label><label class="label-message" for="input_12"> </label></div><div id="cid_12" class="form-input"> <div class="form-single-column"><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_12_0" name="q12_input12[]" value="4:00-6:00" /><label id="label_input_12_0" for="input_12_0"><span>4:00-6:00</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_12_1" name="q12_input12[]" value="4:15-6:15" /><label id="label_input_12_1" for="input_12_1"><span>4:15-6:15</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_12_2" name="q12_input12[]" value="4:30-6:30" /><label id="label_input_12_2" for="input_12_2"><span>4:30-6:30</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_12_3" name="q12_input12[]" value="Sunday Mornings" /><label id="label_input_12_3" for="input_12_3"><span>Sunday Mornings</span></label></span><span class="clearfix"></span><span class="form-checkbox-item clear-left"><input type="checkbox" class="form-checkbox" id="input_12_4" name="q12_input12[]" value="Flexible" /><label id="label_input_12_4" for="input_12_4"><span>Flexible</span></label></span><span class="clearfix"></span></div> </div></li><li class="form-line" id="id_13"><div class="form-label-left" id="label_13"><label for="input_13"> 9. Any additional comments or suggestions to help us make JUDA even better? </label><label class="label-message" for="input_13"> </label></div><div id="cid_13" class="form-input"> <textarea id="input_13" class="form-textarea" name="q13_input13" cols="30" rows="3"></textarea> </div></li><li class="form-line" id="id_2"><div id="cid_2" class="form-input-wide"> <div style="text-align: center; text-indent:156px;" class="form-buttons-wrapper button-align-auto"><button id="input_2" type="submit" class="form-submit-button  form-submit-button-none;">Submit</button></div> </div></li><li style="display:none">Should be Empty: <input type="text" name="website" value="" /></li></ul></div><input type="hidden" id="simple_spc" name="simple_spc" value="7341408" /><script type="text/javascript">document.getElementById("si"+"mple"+"_spc").value = "7341408-7341408";</script></form></div>
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