Asheboro / Randolph Youth Court Student Survey

Please take a moment to fill out this survey honestly and completely. Your answers will be confidential.
This survey will only be used to evaluate the program. Thank you, in advance for your cooperation.

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* Are you:

Male

Female

What grade are you in?

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* What was your offense/violation?

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* What were you required to do? (Please check all that apply)

Cognitive Behavioral Therapy

Face to Face Apology

Letter of Apology

Written Essay

Community Service

If you selected yes for Community Service - what agency and how many hours?

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* We appreciate any comments you have (positive or negative) about the requirements checked above.

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* Did you feel your disposition:

	Yes	No
Increased your understanding of who was harmed?	Increased your understanding of who was harmed? Yes	Increased your understanding of who was harmed? No
Helped you repair the harm caused?	Helped you repair the harm caused? Yes	Helped you repair the harm caused? No
Helped you become more involved in your community?	Helped you become more involved in your community? Yes	Helped you become more involved in your community? No
Helped you to learn and grow from this experience?	Helped you to learn and grow from this experience? Yes	Helped you to learn and grow from this experience? No

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* Did Youth Court explain what they expected of you?

Yes

If no, please tell us what was unclear to you.

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* Do you think your disposition/contract was:

Too Lenient

Fair

Too Harsh

Please explain

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* Has your behavior changed since attending Youth Court?

	Behavior is worse	No change	Behavior is better	Doesn’t apply
School attendance	School attendance Behavior is worse	School attendance No change	School attendance Behavior is better	School attendance Doesn’t apply
School grades	School grades Behavior is worse	School grades No change	School grades Behavior is better	School grades Doesn’t apply
Relationship with family	Relationship with family Behavior is worse	Relationship with family No change	Relationship with family Behavior is better	Relationship with family Doesn’t apply
Relationship with friends	Relationship with friends Behavior is worse	Relationship with friends No change	Relationship with friends Behavior is better	Relationship with friends Doesn’t apply
Smoking	Smoking Behavior is worse	Smoking No change	Smoking Behavior is better	Smoking Doesn’t apply
Drug and/or Alcohol use	Drug and/or Alcohol use Behavior is worse	Drug and/or Alcohol use No change	Drug and/or Alcohol use Behavior is better	Drug and/or Alcohol use Doesn’t apply
Sense of responsibility	Sense of responsibility Behavior is worse	Sense of responsibility No change	Sense of responsibility Behavior is better	Sense of responsibility Doesn’t apply
Respect for community/neighborhood	Respect for community/neighborhood Behavior is worse	Respect for community/neighborhood No change	Respect for community/neighborhood Behavior is better	Respect for community/neighborhood Doesn’t apply
Feelings about them self & their goals	Feelings about them self & their goals Behavior is worse	Feelings about them self & their goals No change	Feelings about them self & their goals Behavior is better	Feelings about them self & their goals Doesn’t apply

Asheboro / Randolph Youth Court Student Survey

Question Title

* Are you:

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* What was your offense/violation?

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* What were you required to do? (Please check all that apply)

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* We appreciate any comments you have (positive or negative) about the requirements checked above.

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* Did you feel your disposition:

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* Did Youth Court explain what they expected of you?

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* Do you think your disposition/contract was:

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* Has your behavior changed since attending Youth Court?

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* What did you like about Youth Court?

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* What changes could we make to improve Youth Court?