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* 1. I am a: (Select all that apply)

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* 2. I have children: (select all that apply)

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* 3. My children are:

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* 4. I live in:

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* 5. How familiar are you with the Assets program?

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* 6. What Assets programs are you familiar with? (Select all that apply)

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* 7. The more Developmental Assets our youth have, the more successful they can be in many different areas of life, from education to risk and resiliency.

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* 8. Rank by importance the assets you believe the community needs to focus on most: (Drag and Drop)

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* 9. I am aware that Assets offers free presentations for all ages related to:

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* 10. I feel that I have an impact on the youth of my community.

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* 11. I would like to see our local Assets program do the following:

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* 12. Which of the following media resources do you utilize?

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* 13. How familiar are you of the work of the Juvenile Justice Advisory Board?

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