4-H Program Assessment: Club and County

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1. I am involved in the 4-H program in (check one)

I am involved in the 4-H program in (check one)   Allamakee County Chickasaw County Clayton County Fayette County Howard County Winneshiek County

2. I am (check one)

I am (check one)   Male Female Family completing together

3. I am a (check all that apply)

I am a (check all that apply)   4-H Member Parent or Guardian Club Leader Youth Committee Member Extension Council Member Other

4. My age range is (check one)

My age range is (check one)   4th-6th grade 7th-8th grade 9th-12th grade Over 18 years old Family completing together