Boys & Girls Clubs Big Brothers Big Sisters of Edmonton & Area

Please take a few minutes to complete this survey. There are no right or wrong answers. Please answer all of the questions as truthfully and completely as you can. Everything you tell us will be kept private. Your answers will not be shared with your parents or your guardians. We are only interested in what youth as a group tell us and not your individual answers. For each question, decide how true the sentence is for you, then chose the answer that fits best. 

* 1. Date Survey Completed

* 2. The Club I go to is:

* 3. Gender

* 4. What is your age?

* 5. How long have you been coming to the Club?

* 6. How often do you come to the Club?

* 7. Being Healthy, Active & Safe

  Yes Not Sure No
I feel safe when I am at the Club
I know at least one Staff at the Club I can talk to about myself or my problems
Since you started coming to the Club, have you  met new people here that you could turn to for help if needed
Have you made new friends here at the Club
Since you started coming to the Club, do you have friends that help you make good choices
Since you started coming to the Club, are you able to disagree with your friends if they are doing/saying things that make you feel uncomfortable
Do you think you have the skills to resolve disagreements with your friends
The staff here at the Club help me to make healthy choices about things like eating and being active
I feel like I am in good health
I get to be active and play sports while I’m at the Club if I want to

* 8. Being Connected

  Yes Not Sure No
I like being at the Club
The staff at the Club treat me fairly
Staff include me in helping to decide what activities we do at the Club
Staff here at the Club really care about me
Staff at the Club help me to do my best
I have at least one friend to do things with at the Club
Things I’ve learned at the Club have helped me to get along with others at home

* 9. Learning New Things

  Yes Not Sure No
Staff at the Club encourage me to try new things
I can try new things at the Club that are difficult or challenging if I want to.
Attending the Club has helped me learn some new skills
If I choose, I have opportunities to be creative while I’m at the Club
I like most of the activities at the Club
Things I’ve learned at the Club have helped me to do well at school

* 10. Being Confident

  Yes Not Sure No
Staff will let me be the leader or team captain if I want to
Being at the Club has helped me to learn to work out problems with other kids
I feel confident at doing the things that I like to do
I usually feel good about myself
Being at the Club has helped me to be good at finishing the things I start
I have lots to be proud of

* 11. Can you name two or three adults that you can talk to or spend time with besides your family?

* 12. Why do you participate in the Club (check all that apply)

* 13. What is your favorite part about the Club?

* 14. Do you have any ideas to make the Club better?

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