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  1. Surveys
  2. 2016
  3. September
  4. C
  5. Community Needs
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Exit Survey
 
 
We developed this survey to determine if there is a need in our community for additional youth programs/activities that could be provided by a Boys and Girls Club. Thank you for your time. Your feedback is very important to us.
Please start the survey by clicking on the Next button below.
 
 
Contact Information
First, Last Name : 
Organization Name : 
Phone and Email : 
Community Service Provided : 
 
 
 
Which of the following youth issues affect your community? (Select all that apply)
 
Having a safe, affordable, positive place for youth to engage in activities and programs
 
Finding a high quality, diverse program activities for youths 5-12
 
Finding a high quality, diverse program activities for youths 13-18
 
Lack of places for youths and quality activities on week day mornings/evenings
 
Lack of places for youths and quality activities in the weekends/summer
 
Other

 
 
 
Is there a need for a before or after school, weekend or summer program for youth ages 5-18 in your community, to keep youth safe and occupied?
 
Yes
 
No
 
Unsure
 
 
 
Are there any youth programs, excluding paid youth activities, in the community, available on an on going basis before and after school, in summer or on weekends, in the following subjects? (Select all the subjects available) If any available please let us know organization.
 
Charter and Leadership
 
Education and Career
 
Health and Life Skills
 
Financial Skills
 
The Fine Arts and Music
 
Sports, Fitness, and Recreation
 
Special Programs
 
None of the above

 
 
 
What are you concerned about with the youth in your community? (Select all that apply)
 
Drug, tobacco, and alcohol use
 
Teen pregnancy and teen fatherhood
 
Youth crime
 
Youth safety while parents are at work
 
School dropout
 
Lack of cultural awareness and acceptance of others or bullying
 
Youth abuse and neglect
 
Foster parent support
 
Children in crisis or foster child programs, activities and support
 
Other
 

 
 
 
How satisfied are you with the current level of opportunities for youth to participate in programs and activities in your community?
 
Very satisfied
 
Somewhat satisfied
 
Somewhat dissatisfied
 
Very dissatisfied
 
 
 
How satisfied are you with the current level of opportunities for youth to voluenteer and give back to the community?
 
Very satisfied
 
Somewhat satisfied
 
Somewhat dissatisfied
 
Very dissatisfied
 
 
 
What can we do to help gain your support for a local Boys and Girls Club? (Select all that apply)
 
More information about Boys and Girls Club Organization
 
More information about Boys and Girls Club Programs and Activities
 
A positive community impact
 
Highly effective youth programs and activities
 
Other

 
 
 
Are there any community issue or needs that you hope the Boys and Girls Club can help with. Or any community members or programs we should contact.