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* 1. What is the name of your school?

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* 2. What grade are you in?

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* 3. How many years have you been in the CLF program?

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* 4. Please rate your level of agreement or disagreement with the following: By participating in this program, I improved my ability to

  Strongly disagree Disagree Neither agree nor disagree Agree Strongly agree
Manage my emotions and my behavior
Solve problems
Work with others
Resolve conflicts 
Be of service to the community
Act as a leader

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* 5. As a result of participating in this program, I have

  Strongly disagree Disagree Neither agree nor disagree Agree Strongly agree
Improved my study habits and become a better student
Improved my grades
Decided to drop out of school as soon as possible
Learned that I can and should speak up for myself and others
Contributed to improving my school or community
Learned how to avoid hard work
Learned about people and issues in my community
Gotten involved in more arguments and fights
Become more confident in my ability to learn difficult material or skills
Practiced treating people with respect and decency
Practiced compassion and wisdom
Thought about, reflected on, and/or discussed issues of unfair discrimination, inequality, and social injustice

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* 6. Please describe your project. Please include information about the problem or issue you were addressing, the people who were supposed to benefit from the project, and the challenges you faced in reaching your goals for the project.

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* 7. Please evaluate the project. Did you achieve your goals? Did people benefit? What could have been done more effectively? What do you think of your own contributions to the project?

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* 8. What did you think would happen in your future when the program started? Check as many as apply to you.

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* 9. What do you think will happen in your future now that the program is ending? Check as many as apply to you.

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* 10. Are there other predictions you'd like to make about your future? Use the box to add to the list from the previous question. Add as many as you'd like.

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* 11. Please tell a story about something that struck you as important, that changed your thinking in some interesting way, or that changed other people in some significant way. Imagine that you are telling this story to someone who did not participate in the program and doesn't understand why you did.

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* 12. Any other comments you'd like to make?

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