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

  Always Most of the time Sometimes Not at all
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
Staff at the Club support me to make healthy choices for my life and my future
I have opportunities to be active or to play sports while I'm at the Club

* 8. In general, how would you say your health is?

* 9. Being Connected

  Always Most of the time Sometimes Not at all
I feel like I really fit in when I'm here at the Club
The staff at the Club respect me and treat me fairly
Since you started coming to the Club, have you met new people here that you could turn to for help if needed
Staff include me in helping to decide what activities we do at the Club
I feel like I can relate to the Staff I know at the Club
The Staff I know at the Club seem to care about me
The Staff at the Club really want me to do my best
Have you made new friends here at the Club
Since coming to the Club, do you have friends that help you make good choices
I have at least one friend to hang out with or do things with at the Club
Since 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 feel you have the skills to resolve disagreements with your friends
Things I’ve learned at the Club have helped me to get along with others at home
the skills I've learned at the Club have helped me to get along out in the community

* 10. Learning New Things

  Always Most of the time Sometimes Not at all
Staff at the Club encourage me to try new things
I have opportunities to challenge myself when I'm at the Club if I choose to
I've learned new skills and abilities at the Club that I can use elsewhere
If I choose, I have opportunities to be creative while I'm at the Club
I like the things we get to do at the Club
Things I've learned at the Club have helped me to do well at school
I'm able to do the work that the teachers at school ask me to do

* 11. Being Confident

  Always Most of the time Sometimes Not at all
I feel like I have a lot to be proud of
I have the opportunity to be a leader or take on a new responsibilities at the Club if I choose to
Being at the Club has helped me to learn how to work out problems with others
Being at the Club has helped me to work on and achieve my own goals
In general, I think positively about myself
I feel confident at doing the things that I like to do

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

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

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

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

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