Yunion Program Participant Survey Yunion Program Youth Participant SurveyThank you for your participation in the S.W.A.G. program. We would like to know what you liked, did not like, or would change about the program. Please read each question below carefully and provide an answer. DO NOT WRITE YOUR NAME ON THIS SURVEY. Thank you!1. What Program did you participate in (S.W.A.G., PURE or Saving Chastity)? 2. What is your current grade? (i.e. 6th grade, 7th grade, 8th grade): 3. What is your age: 4. What is your biological gender (i.e. Male or Female): 5. What Race/Ethnicity do you identify with? Check all that apply. Black or African American White American Indian or Native American Asian or Pacific Islander Hispanic Mexican 6. Currently (right now), which adults live with you? Check all that apply. Mother Stepmother Father Stepfather Grandparent(s) Aunt or uncle Other I live in a group home or other residential facility 7. How many siblings live with you?Brothers and/or stepbrothers: Younger Brothers Older Brothers Sisters and/or stepsisters: Younger Sisters Older Sisters 8. What is the highest grade in school your mother completed? Did not finish high school High school graduate Attended college or trade school but did not graduate Graduated from college or trade school Don’t know 9. What is the highest grade in school your father completed? Did not finish high school High school graduate Attended college or trade school but did not graduate Graduated from college or trade school Don’t know 10. Do you have a weekend curfew? Circle One: Yes OR No (If yes, answer question 10. If no, skip to question 11). Yes No Untitled 11. What time do you have to be in? (Write the time: a.m. or p.m.) a.m. p.m 12. How strict are your parents about your friends? Very strict Somewhat strict Not very strict Not strict at all 13. How strict are your parents about you spending time away from home? Very strict Somewhat strict Not very strict Not strict at all 14. Do your parents talk with you about sex? Yes, regularly Sometimes Mentioned it a couple times Never 15. Do your parents talk with you about boy/girl relationships? Yes, regularly Sometimes Mentioned it a couple times Never 16. How helpful was the SWAG abstinence education program to you? Circle the answer that is closest to what you think.Not at all helpfulOnly a little helpfulSomewhat helpfulVery helpful17. How much did you like these parts of S.W.A.G.? Circle the answer that is closest to what you think for a through d.a. ActivitiesDid Not Like at AllLiked a LittleLikedReally LikedNot Sureb. Day & Time of the programDid Not Like at AllLiked a LittleLikedReally LikedNot Surec. Facilitators/TeachersDid Not Like at AllLiked a LittleLikedReally LikedNot Sured. Classroom DiscussionsDid Not Like at AllLiked a LittleLikedReally LikedNot Sure18. What did you LIKE MOST about S.W.A.G., PURE or Saving Chastity? Place an x next to any of the items listed below. Learning about the dangers of STDs and pregnancy Being able to talk to about sex. Activities Classroom Discussions Facilitators/Teachers Becoming more confident about saying “no” Nothing Other (Please write in your comment): Untitled 19. What did you LIKE LEAST about S.W.A.G., PURE or Saving Chastity? Place an x next to any of the items listed below. Learning about the dangers of STDs and pregnancy Being able to talk to about sex. Activities Classroom Discussions Facilitators/Teachers Becoming more confident about saying “no” Nothing Other (Please write in your comment): 20. Did you have fun in S.W.A.G., PURE or Saving Chastity?NO!Not ReallyI Don’t KnowWas Kind of FunYES!21. Using a scale of 1 to 5, how well did you like your facilitators? (Circle One)Really Did Not Like My Facilitators at allI Did Not Like My FacilitatorsMy Facilitators Were OkayI Liked My FacilitatorsI Really Liked My Facilitators22. Would you recommend S.W.A.G., PURE or Saving Chastity to your friends?Definitely NoProbably NotMaybeProbably YesDefinitely Yes23. What would you do to make S.W.A.G., PURE or Saving Chastity better? (Please write your response below)
