Teens Inc Survey 2022

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Section 1

What is your age? *

What gender to identify with? *

Male

Female

Both

Neither

Please list all the languages that you speak proficiently. *

Please indicate your relationship status. *

Single

Committed relationship

Married

Divorced

Please indicate from the choices below that which you think best describes your socioeconomic status. *

Upper Class

New Money

Middle Class

Working Class

Working Poor

Poverty

What is your current employment status? *

Employed - Full time

Employed - Part time

Unemployed - Looking for work

Unemployed - Not looking for work

What is your parent's current employment status? *

Employed - Full time with at least one job on the side

Employed - Full time

Employed - Part time

Unemployed - Looking for work

Unemployed - Not looking for work

Please indicate what kind of academic student you are by selecting a grade below. *

Please indicate what kind of student you are? *

High Effort, Mediocre Grades

High Effort, High Grades

Low Effort, High Grades

Low Effort, Low Grades

Please indicate what kind of motivation you would prefer? *

Need a Push to be Motivated

Need to feel Challenged to be Motivated

Self Motivating

Where have you traveled (personal travel) prior to your upcoming Teens Inc. service learning trip? *

Where have you traveled (service learning) prior to your upcoming Teens Inc. service learning trip? *

From all of your personal travels, please share the most meaningful experience you had. *

From all of your service learning travels, please share the most meaningful experience you had. *

What "communities" do you belong to? (For example: Sports, Religious, Music, Teens Inc., etc.) *

What neighborhood do you live in? *

"Culture consists of learned and shared behaviors amongst members of a society group that you were raised in." ---- Please list what culture(s) you are connected to and/or engage in. *

I consider myself to be free from illness or injury? *

Strongly Disagree

Strongly Agree

I consider myself to be spiritually healthy? *

Strongly Disagree

Strongly Agree

My immediate family members are healthy. (For example: Parents/Guardians/People that you live with, etc.) *

Strongly Disagree

Strongly Agree

Illegal drugs are drugs that carry a criminal penalty for use or distribution. This includes the misuse/abuse of prescription drugs, marijuana, underaged alcohol consumption, etc. Are there "illegal" drugs in your social "community"? *

Yes

Does drug and alcohol addiction impact your social community? *

Yes

Does drug and alcohol addiction impact your physical neighborhood? *

Yes

Economic poverty is the state of lacking a usual or socially acceptable amount of money and/or resources. Please rate the effect of economic poverty in your physical neighborhood.

No Effect

Severe Effects

Clear selection

Economic poverty is the state of lacking a usual or socially acceptable amount of money and/or resources. Please rate the effect of economic poverty in your social communities.

No Effect

Severe Effects

Clear selection

Please indicate how many days a week you complete your chores. *

I don't have chores.

Please indicate how many days a week you eat meals with your family. *

I don't eat meals with my family.

Please define "quality" time with family. *

Please indicate how many times a week you have "quality" time with your family. *

I don't have quality time with anyone

Indicate your level of agreement with the following statement. I "help" at home without being asked to help. *

Strongly Disagree

Strongly Agree

Indicate your level of agreement with the following statement. I am a good communicator. *

Strongly Disagree

Strongly Agree

Indicate your level of agreement with the following statement. I am good at conflict resolution. *

Strongly Disagree

Strongly Agree

Please list 5 things that you are most grateful for. *

What are the important details of the service project that you are involved in. *

Whom exactly are you helping? *

How much "help" do you think the persons that you are helping need? *

No need for help at all

Strong need for help

How helpful do you expect yourself to be during your service trip? *

Unhelpful

Very helpful

Please read the following definition of Cultural norms and keep this definition in mind when answering the questions that follow below.

"Cultural norms are expectations that exist in a particular culture. In addition to norms, cultures also have pre-defined folkways or customs, and taboos which are considered unacceptable cultural violations."

Please indicate your level of comfort with eating with your family. *

Very uncomfortable

Very comfortable

Please indicate your level of comfort with respecting adults and authority. *

Very uncomfortable

Very comfortable

Please indicate your "work ethic" *

Not very strong

Very strong

Please indicate your "acceptance" of persons that identify as LGBTQ. *

Not very strong

Very strong

Please indicate your "acceptance" of persons that identify as a race different from your own. *

Not very strong

Very strong

Please indicate your "acceptance" of persons that identify as a gender different from your own. *

Not very strong

Very strong

Please indicate your "acceptance" of persons that have been arrested. *

Not very strong

Very strong

Please indicate your "acceptance" of persons that have been in prison. *

Not very strong

Very strong

Please indicate your "acceptance" of persons that are unemployed. *

Not very strong

Very strong

Please indicate your "acceptance" of persons that present with poor hygiene. *

Not very strong

Very strong

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