Posts Tagged ‘survey’

05B. SIG PRE-TEST (HD Edition) InstructionsPlease complete this form as honestly and thoroughly as possible. The following questions ask demographic information about you. Circle your responses as necessary.Participant ID Today's DateMonth123456789101112Day12345678910111213141516171819202122232425262728293031Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Survey Questions1. How old are you?*Please enter a number from 13 to 19.2. What is your race?*American Indian or Alaskan NativeAsianBlackNative Hawaiian or other Pacific…

05.52 SIG POST-TEST Name Participant ID Date Test Type Pre-Test Post-Test Instruction: Please complete this form as honestly and thoroughly as possible. The following questions ask demographic information about you. Circle your responses as necessary.1. How old are you? 2. What is the highest grade of school that you have complted?No formal schoolingLess than a…

SIG PRE-TEST / POST-TEST Step 1 of 5 20% DirectionsPlease complete this form as honestly and thoroughly as possible. The following questions ask demographic information about you. Circle your responses as necessary.Particant ID* Enter here your birth month and birth day with no spaces. This is your anonymous Participant ID.Survey Type* Pre-Test Post-Test 1. How…

17 Saving Chasity – POST-TEST 1. Saving Chasity Session 1 ( Getting to Know You)a. The Getting to Know You session provided helpful general information about the curriculum and was a good use of my time.Strongly DisagreeDisagreeAgreeStrongly Agree2. Saving Chastiy Session 2 and 3 ( The Pressure) part 1 and 2a. The information presented helped…

16 Saving Chasity – PRE-TEST Saving Chastity Pre-course Questionnaire1.Please indicate how much you agree or disagree with each statementa) I believe people my age should wait until they are older to have sexStrongly DisagreeDisagreeNeither agree nor disagreeAgreeStrongly Agreeb) I believe having sex before marriage is wrongStrongly DisagreeDisagreeNeither agree nor disagreeAgreeStrongly Agreec) It is important for…

18 Saving Chasity – Satisfaction Survey 1. Saving Chasity Session 1 ( Getting to Know You)a. The Getting to Know You session provided helpful general information about the curriculum and was a good use of my time.Strongly DisagreeDisagreeAgreeStrongly Agree2. Saving Chastiy Session 2 and 3 ( The Pressure) part 1 and 2a. The information presented…

19 K2L Camper Satisfaction Survey Thank you for your participation this summer in our Keys 2 Life Performing Arts Summer Camp. It was our pleasure serving you. We want to know more about your experience and how we can serve you, and young people like you, better in the future. Please take a few minutes…

11 EYT Parent – POST TEST Introduction: You are being asked to fill out this survey because you are part of the Empowering Youth Program (EYT) through This survey asks you what you think about sexual risk avoidance and sex. You can choose to fill out this survey or not fill out this survey. You…

Client Satisfaction Survey for Parents & Guardians Consumer SurveyParent/Guardian VersionAgency First Last 1. I received an explanation of what services to expect from the Agency.Strongly agreeAgreeDisagreeStrongly disagree2. The Agency asked me questions about the needs of my family.Strongly agreeAgreeDisagreeStrongly disagree3. The Agency's staff had a good understanding of the problems my child faced.Strongly agreeAgreeDisagreeStrongly disagree4.…

10 EYT Survey B (Ages 14-15) IntroductionYou are being asked to fill out this survey because you are part of the [Empowering Youth Today (EYT) Program]. This survey asks you what you think about your relationships with other people, your future goals and beliefs. You can choose to fill out the survey or not fill…