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* 1. Organization:

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* 2. Organization website:

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* 3. Program name (if applicable):

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* 4. Age of youth who experienced Respect 360 (select all that apply):

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* 5. How often did you lead a Respect 360 session?

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* 6. How long did you meet during each session?

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* 7. How many Respect 360 activities did you utilize?

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* 8. What outcomes do you think you achieved by integrating Respect 360 into your youth development framework?

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* 9. Please select the choice that best describes how you feel about each of the following statements right now.

  Strongly Agree Agree Disagree Strongly Disagree
The Respect 360 training I received (in-person or online) was helpful.
I practice The Respect Basics for myself.
I can describe the difference between self-esteem and self-respect.
The Respect 360 program (toolkit, journal, training, etc) is valuable to me, my program/site and the youth we serve.
I will continue to use Respect 360 at my site (or personally).

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