Community Place

Community Place TEEN / Young Adult Survey

This survey is brought to you by the Ryan Bartel Foundation. It is intended to be filled out by teens and young adults 13 - 21 years of age to guage the interest in a community space where teens and young adults can come together to connect and build strength and resilience together. If you are a parent, mentor or adult in the community and are interested in taking the adult version of this survey please use the following link: https://www.surveymonkey.com/r/8JCDJXX

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1. Would you be interested in helping shape a community place where teens and young adults who deal with stress, anxiety, depression etc come together to connect, share and create a unique space where they learn and grow through activities that enrich and strengthen their lives? (Required.)

Yes

Maybe

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2. If no, what type of place do you feel is missing in our community?

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3. What type of activities would you like to see at this place? Check all that apply and add your own in comment box: (Required.)

Group Sharing and discussions

Group games

Expressive arts (music, drama, dance, writing, photography)

Life Skills Workshops (Finding a job, Social Skills, Transitioning to college/Career

Technology Workshops

Training and working with comfort dogs

Mindfulness (breathing techniques, yoga, meditation)

Classes/Skill building on a variety of topics

Mentoring programs

Outdoor activities

Other (please specify)

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4. Please check all the locations you would be willing to travel to in order to participate in this community place: (Required.)

Purcellville

Downtown Leesburg

Lansdowne

Ashburn

Sterling

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5. What time during the week would this place fit with your schedule? (Required.)

Weekdays- during the school day

Weekdays- afternoons

Weekdays- evenings

Weekends

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6. How long would you like these sessions to last? (Required.)

2 hours

4 hours

Full day

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7. How often would you want to come? (Required.)

Multiple times per week

Once a week

Once every two weeks

Once a month

Once a quarter

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8. How would you get to this place? (Required.)

I have transportation

I would need transportation

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9. Would you be willing to pay to come to a place like this? (Required.)

Yes

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* 1. Would you be interested in helping shape a community place where teens and young adults who deal with stress, anxiety, depression etc come together to connect, share and create a unique space where they learn and grow through activities that enrich and strengthen their lives? (Required.)

Question Title

* 2. If no, what type of place do you feel is missing in our community?

Question Title

* 3. What type of activities would you like to see at this place? Check all that apply and add your own in comment box: (Required.)

Question Title

* 4. Please check all the locations you would be willing to travel to in order to participate in this community place: (Required.)

Question Title

* 5. What time during the week would this place fit with your schedule? (Required.)

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* 6. How long would you like these sessions to last? (Required.)

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* 7. How often would you want to come? (Required.)

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* 8. How would you get to this place? (Required.)

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* 9. Would you be willing to pay to come to a place like this? (Required.)

1. Would you be interested in helping shape a community place where teens and young adults who deal with stress, anxiety, depression etc come together to connect, share and create a unique space where they learn and grow through activities that enrich and strengthen their lives? (Required.)

2. If no, what type of place do you feel is missing in our community?

3. What type of activities would you like to see at this place? Check all that apply and add your own in comment box: (Required.)

4. Please check all the locations you would be willing to travel to in order to participate in this community place: (Required.)

5. What time during the week would this place fit with your schedule? (Required.)

6. How long would you like these sessions to last? (Required.)

7. How often would you want to come? (Required.)

8. How would you get to this place? (Required.)

9. Would you be willing to pay to come to a place like this? (Required.)