WY5 Pre & Post Survey

Thank you for taking the time to take this survey! Your answers will help us understand more about how WY5 can help you. There are 16 questions. Please try your best to answer them as truthfully as possible. Your answers are completely anonymous. Thanks again!

1) What is your gender?

Male

Female

Prefer not to answer

2) How old are you?

3) What grade are you in?

4) How often do you use social networking sites (for example, Facebook) to:

	Never	Occasionally (one or two times, every couple of weeks)	Regularly (every day in the week, but only once a day)	Frequently (every day in the week, but more than once a day)
Socialize (chat with friends, make plans with friends)?

Blog (Tumblr, Wordpress)?

Get help with school assignments?

Look for a job?

Learn more about colleges?

Explore careers?

Explore hobbies or interests?

Other

For the other category, please describe:

5) How many mentors do you have that provide regular guidance and help you? A mentor is a person who you trust, who supports and advises you. It can be a teacher, your after school instructor, your parents and other family members, a school counselor, a neighbor, a coach, a tutor, an older student, etc.

6) When you're interested in something (career, college, hobby, etc.) how do you learn more about it?

For the other category, please describe:

7) Do you set goals?

Yes

No

8) How often do you set:

9) Who helps you set your goals?

For the other category, please describe:

10) Who helps you plan out the tasks you need to accomplish your goals: (check all that apply)

For the other category, please describe:

11) How often do these individuals help you plan out the tasks to meet your goals?

12) How do you keep track of your goals? (Check all that apply)

I write them down on scraps of paper

I write them in my planner or calendar

I write them on my hand

I mentally keep track of them

Other

For the other category, please describe:

13) When you need help with school who do you ask?

For the other category, please describe:

14) There are people in my life...

15) How many after school activities are you involved in (for example sports teams, clubs, music, art, community service, tutoring, etc.)?

16) How accurate are the following questions in describing yourself?