Module H: District After-School Module (DASM)

District After-School Module for districts with After-School Programs

The items in this module are for schools and districts which have any students attending an after-school program. This may be a program run in conjunction with the school or as a separate entity.

These questions can be answered in the DASM section of the answer sheet.

The questions assess how students spend their time after school, if they attend an ASP and issues related to safety. Answers should be entered under DASM for middle and high school and from question 65 for elementary.

Note: This module is part of the regular Healthy Kids Survey, given in school. It is not the After-School Program Survey, which is administered in after-school programs. If you are looking for the After-School Program Survey it is available for download on the ASPS Website.

Download District After-School Module:

Elementary School Version (4 items):
Call your CHKS Regional Center for instructions on how to properly administer these questions.
English(PDF) or Bilingual(PDF)

Middle School Version (5 items):
English(PDF) or Spanish (PDF)

High School Version (5 items):
English(PDF) or Spanish (PDF)