Cheshire Youth Services Needs and Facility Assessment (Youth Survey)

This survey is intended for YOUTH to answer each question to provide their valuable feedback.  Please take a few minutes to fill out this survey to help Cheshire Youth Services gain a better understanding of what activities and programs are of interest to you.  This helps us plan seasonal activities that YOU want to do.

By completing this survey you will also help to identify ways in which we might improve and expand our Yellow House facility to better meet the needs of the youth in the community.

Your opinion is valued by our department, so please be honest and tell us what you think. Please also include your ideas, suggestions and comments when asked.

PARENTS: Some children may need help answering the questions. 

Thank you.
Cheshire Youth Services

Question Title

* 1. What grade are you in?

Question Title

* 2. How old are you?

Question Title

* 3. What school do you attend?

Question Title

* 4. How involved in the community and with activities do you feel you ARE CURRENTLY? (rate on a scale from 1-5, 1 = Extremely Active and 5 = Not Active at All)

  Extremely Active Active Somewhat Active Occasionally Not Active at All
How Involved Currently?

Question Title

* 5. How involved in the community and activities would you LIKE TO BE?  (rate on a scale from 1 - 5, 1 = Extremely Active and 5 = Not Active at All)

  Extremely Active Active Somewhat Active Occasionally Active Not Active at All
How involved do you want to be?

Question Title

* 6. What Cheshire Youth Services & Yellow House programs/activities have you been a part of? (check all that apply)

Question Title

* 7. Many students participate in extra-curricular activities.  Please indicate what types of activities you participate in, if any. (check all that apply)

Question Title

* 8. What is the MOST important thing about a club/activity you decide to participate in? (please rank in order of your priority (1 = most important / 2 = second most important and so on, 7 = not important at all).  If you are not in a club or activity rank "Not Applicable" = 1

Question Title

* 9. Which of the following do YOU think is the MOST important issue to young people? (1 = the Most Important and 6 = Not Important at all)

Question Title

* 10. What services are MOST important to YOU?  (please order in priority (e.g. 1 = MOST important, 2 = second most important and so on, 8 = not important at all)

Question Title

* 11. Do you prefer activities/groups that are:

Question Title

* 12. What would MOST prohibit you from attending a youth club or activity? (check the 2 that would most affect your decision)

Question Title

* 13. In your own words: Give reasons why you would not/could not participate in activities for youth.

Question Title

* 14. On the WEEKENDS when are YOU usually free and looking for something fun to fill your time?  (select all that apply)

  Mornings 10:00am-1:00pm Afternoons 2:00-5:00pm Evenings 6:00-9:00pm I am usually VERY BUSY this day I'm usually FREE ALL DAY
Friday
Saturday
Sunday

Question Title

* 15. Where do YOU spend MOST of your free time / recreational time?  (check all that apply)

Question Title

* 16. Tweens (5th-7th gr.):  What days/times of the week do YOU think are BEST for TWEEN groups/activities? please select all that apply.  (if you are not in gr. 5th-7th please select the last option for each day.)

  After School 3:00-5:30pm Evening 6:00-8:00pm I am Not currently in 5th-7th Gr.
Monday
Tuesday
Wednesday
Thursday
Friday

Question Title

* 17. Teens (8th-12th gr.):  What days/times of the week do YOU think are the BEST for TEEN clubs/programs?  Check all that apply (if you are not in gr. 8th-12th please select the last option for each day).

  After School 2:30-5:30pm Evenings 6:00-8:00pm I am NOT currently in 8th-12th gr.
Monday
Tuesday
Wednesday
Thursday
Friday

Question Title

* 18. Please read the following list and check off all the SKILL DEVELOPMENT activities that interest YOU:

Question Title

* 19. Please read the following list and check off all the ART/MUSIC activities that interest YOU:

Question Title

* 20. Please read the following list and check off all the GENERAL activities you would participate in:

Question Title

* 21. Please read the following list and check off all the OUTDOOR ACTIVITIES that interest YOU:

Question Title

* 22. Please read the following list and check off all the INDOOR activities that interest YOU:

Question Title

* 23. In addition to seasonal and weekly events, what special events or clubs might YOU like to see offered? check all that you might be interested in and ADD YOUR ideas in the "other" box below...

Question Title

* 24. Which types of FIELD TRIPS interest YOU? check all that apply.

Question Title

* 25. Youth Services is trying to gauge what types of things Cheshire youth would want at a youth facility/teen center. 
From the list below pick the TOP 5 things YOU would like and use the MOST:

Question Title

* 26. In your own words describe the TOP 3 things YOU would like to see at a youth facility.   This could be anything and does not have to be included in the list above.

Question Title

* 27. When would YOU use a youth center/facility the most?

Question Title

* 28. During the SCHOOL YEAR I would most likely use a youth facility/center during:

Question Title

* 29. During the SUMMER I would most likely use a youth facility/center during:

Question Title

* 30. Which of the following activities would YOU like to see at a youth facility? check all that apply.

Question Title

* 31. select the statement that BEST describes how YOU FEEL about a youth facility/center in Cheshire.

Question Title

* 32. How often do you think you would come to a youth facility/teen center that had all the services and activities that interest YOU?

Question Title

* 33. Which of the following statements do you agree with the most?

Question Title

* 34. What is the BEST way to communicate what is happening to youth in Cheshire? (check all that apply)

Question Title

* 35. On the topic of a youth center/facility, please share any additional ideas, comments or concerns that you may have here...

Question Title

* 36. On the topic of programs, services and groups that you feel are important to offer youth in the community please add any additional ideas, comments, or concerns you have here...

T