Camp Fire 6th-12th Grade Youth Survey

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* 1. Today's Date:

Date

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* 2. How old are you?

10 years or less

11 years

12 years

13 years

14 years

15 years

16 years

17 years

18 years or more

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* 3. What grade are you in?

6th grade

7th grade

8th grade

9th grade

10th grade

11th grade

12th grade

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* 4. I am a:

Girl

Boy

Other

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* 5. What is your ethnicity/Race? (Please select all that apply)

African American/Black

Alaskan Native/American Indian

Asian

Hispanic/Latino/a

Native Hawaiian/Pacific Islander

White/Caucasian

Other

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* 6. Did you participate in Camp Fire before this school year?

Yes

Not sure

How much do you agree with the following statements?

	Strongly Agree	Agree	Disagree	Strongly Disagree	I Don't Know
I tried to get along with other kids even if they were different.	I tried to get along with other kids even if they were different. Strongly Agree	I tried to get along with other kids even if they were different. Agree	I tried to get along with other kids even if they were different. Disagree	I tried to get along with other kids even if they were different. Strongly Disagree	I tried to get along with other kids even if they were different. I Don't Know
I thought through my decisions before I acted on them.	I thought through my decisions before I acted on them. Strongly Agree	I thought through my decisions before I acted on them. Agree	I thought through my decisions before I acted on them. Disagree	I thought through my decisions before I acted on them. Strongly Disagree	I thought through my decisions before I acted on them. I Don't Know
I tried to understand other people's points of view.	I tried to understand other people's points of view. Strongly Agree	I tried to understand other people's points of view. Agree	I tried to understand other people's points of view. Disagree	I tried to understand other people's points of view. Strongly Disagree	I tried to understand other people's points of view. I Don't Know
If I was mad at someone, I tried to talk to that person about how I felt.	If I was mad at someone, I tried to talk to that person about how I felt. Strongly Agree	If I was mad at someone, I tried to talk to that person about how I felt. Agree	If I was mad at someone, I tried to talk to that person about how I felt. Disagree	If I was mad at someone, I tried to talk to that person about how I felt. Strongly Disagree	If I was mad at someone, I tried to talk to that person about how I felt. I Don't Know
I wanted to make a difference in the world.	I wanted to make a difference in the world. Strongly Agree	I wanted to make a difference in the world. Agree	I wanted to make a difference in the world. Disagree	I wanted to make a difference in the world. Strongly Disagree	I wanted to make a difference in the world. I Don't Know
I believed that I can be good at anything I set out to do.	I believed that I can be good at anything I set out to do. Strongly Agree	I believed that I can be good at anything I set out to do. Agree	I believed that I can be good at anything I set out to do. Disagree	I believed that I can be good at anything I set out to do. Strongly Disagree	I believed that I can be good at anything I set out to do. I Don't Know

Strongly Agree

Agree

Disagree

Strongly Disagree

I Don't Know

I tried to get along with other kids even if they were different.

I tried to get along with other kids even if they were different. Strongly Agree

I tried to get along with other kids even if they were different. Agree

I tried to get along with other kids even if they were different. Disagree

I tried to get along with other kids even if they were different. Strongly Disagree

I tried to get along with other kids even if they were different. I Don't Know

I thought through my decisions before I acted on them.

I thought through my decisions before I acted on them. Strongly Agree

I thought through my decisions before I acted on them. Agree

I thought through my decisions before I acted on them. Disagree

I thought through my decisions before I acted on them. Strongly Disagree

I thought through my decisions before I acted on them. I Don't Know

I tried to understand other people's points of view.

I tried to understand other people's points of view. Strongly Agree

I tried to understand other people's points of view. Agree

I tried to understand other people's points of view. Disagree

I tried to understand other people's points of view. Strongly Disagree

I tried to understand other people's points of view. I Don't Know

If I was mad at someone, I tried to talk to that person about how I felt.

If I was mad at someone, I tried to talk to that person about how I felt. Strongly Agree

If I was mad at someone, I tried to talk to that person about how I felt. Agree

If I was mad at someone, I tried to talk to that person about how I felt. Disagree

If I was mad at someone, I tried to talk to that person about how I felt. Strongly Disagree

If I was mad at someone, I tried to talk to that person about how I felt. I Don't Know

I wanted to make a difference in the world.

I wanted to make a difference in the world. Strongly Agree

I wanted to make a difference in the world. Agree

I wanted to make a difference in the world. Disagree

I wanted to make a difference in the world. Strongly Disagree

I wanted to make a difference in the world. I Don't Know

I believed that I can be good at anything I set out to do.

I believed that I can be good at anything I set out to do. Strongly Agree

I believed that I can be good at anything I set out to do. Agree

I believed that I can be good at anything I set out to do. Disagree

I believed that I can be good at anything I set out to do. Strongly Disagree

I believed that I can be good at anything I set out to do. I Don't Know

Camp Fire 6th-12th Grade Youth Survey - Spring 2016

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* 1. Today's Date:

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* 2. How old are you?

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* 3. What grade are you in?

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* 4. I am a:

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* 5. What is your ethnicity/Race? (Please select all that apply)

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* 6. Did you participate in Camp Fire before this school year?

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* 7. How I felt before being in this Camp Fire program