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* 1. Please enter today's date.

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* 2. Please create your personal code.

Your personal code allows us to make sure results are not duplicated while preserving your anonymity.

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* 3. I know a lot about the history of democracy in Florida and the United States.

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* 4. I understand what “civic engagement” is and the role it plays in our democracy.

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* 5. I know a lot about the freedoms and responsibilities of citizens.

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* 6. I understand the impact of historical documents such as the Declaration of Independence, the United States Constitution, the Bill of Rights and the Florida Constitution.

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* 7. I understand the importance of a free press in a democracy.

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* 8. I understand the importance of allyship, advocacy, activism, protest and civil disobedience in a democracy.

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* 9. I understand the importance of civic engagement in a democracy and can give several examples of how citizens can be civically involved.

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* 10. Indicate HOW OFTEN you were involved in each activity IN THE LAST YEAR.

  Never did this Once or twice Once every few months At least once a month At least once a week
Participated in a discussion about a social or political issue
Signed an email or written petition about a social or political issue
Wrote a letter to a school or community newspaper about a social or political issue
Contacted a public official to tell them how you felt about a social or political issue
Volunteered at a community organization whose cause is important to you
Donated to a community organization whose cause is important to you
Registered (or pre-registered) to vote or voted
Participated in a civil rights group or organization
Participated in a political party, club or organization
Joined in a protest march, political demonstration or political meeting

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* 11. Indicate HOW LIKELY YOU ARE to be involved in each activity in the NEXT year.

  Never did this Once or twice Once every few months At least once a month At least once a week
Participated in a discussion about a social or political issue
Signed an email or written petition about a social or political issue
Wrote a letter to a school or community newspaper about a social or political issue
Contacted a public official to tell them how you felt about a social or political issue
Volunteered at a community organization whose cause is important to you
Donated to a community organization whose cause is important to you
Registered (or pre-registered) to vote or voted
Participated in a civil rights group or organization
Participated in a political party, club or organization
Joined in a protest march, political demonstration or political meeting
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