2017 4-H Program Youth Assessment Thank you for being willing to take part in this important study about 4-H! We are inviting you to participate in a study to help us understand the impact that 4-H has on kids. Before you start, though, we want to be sure we share a few important things with you.This information will help us make sure future programs are really good, and also help us tell the story of how 4-H impacts kids like you in a positive way. This will take you about 30-40 minutes to complete. We know it is pretty long, but we have a lot of information that we need to ask! So thanks for taking the time to fill it out.You don’t have to do this if you don’t want to, and you can leave any questions you don’t want to answer blank, and you can stop any time you want. There are no right or wrong answers, we just want you to answer each question as honestly as you can. Thanks for your help!!If your parent did not share the study with you, you should wait until you can talk to them about it before you continue. Question Title * 1. Which are you? An intermediate in 4-H A senior in 4-H Question Title * 2. Which are you? A girl A boy Question Title * 3. How old are you? 13 14 15 16 17 18 Over 18 Question Title * 4. What county are you from? Baker Benton Clackamas Clatsop Columbia Coos Crook Curry Deschutes Douglas Gilliam Grant Harney Hood River Jackson Jefferson Josephine Klamath Lake Lane Lincoln Linn Malheur Marion Morrow Multnomah Polk Sherman Tillamook Umatilla Union Wallowa Wasco Washington Wheeler Yamhill Warm Springs other Question Title * 5. In what ZIP code is your home located? (enter 5-digit ZIP code; for example, 00544 or 94305) Question Title * 6. Which of the following best describes you? (Check the one most like you) White - For example, German, Irish, English, Italian, Polish, French, Scandinavian, etc. Hispanic, Latino, or Spanish Origin- For example, Mexican, or Mexican-American, Puerto Rico, Cuban, Salvadoran, Dominican, Columbian, etc. Black of African American - For example, African American, Jamaican, Haitian, Nigerian, Ethiopian, Somalian, etc. Asian - For example, Chinese, Filipino, Asian Indian, Vietnamese, Korean, Japanese, etc. American Indian or Alaska Native - For example, Navajo Nation, Blackfeet Tribe, Mayan, Aztec, Native Village of Arrow Inupiat, Traditional Government, Nome Eskimo Community, etc. Middle Eastern or North African, For example: Lebanese, Iranian, Egyptian, Syrian, Moroccan, Algerian, etc. Native Hawaiin or Other Pacific Islander - For example: Native Hawaiin, Samoan, Chamorro, Tongan, Fijian, Marshallese, etc. Some other race, ethnicity or origin Prefer not to answer Next