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* 1. Where do you reside in Moffat County?

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* 2. Please specify your age:

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* 3. Please specify your ethnicity:

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* 4. Please rank your level of interest in the following program areas offered by CSU Extension - Moffat County:

  1 (highest) 2 3 4 (lowest) N/A
Agriculture / Natural Resources
Family & Consumer Sciences
Horticulture
4-H Youth Development Program

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* 5. AGRICULTURE / NATURAL RESOURCES

Please rank your level of interest in the following potential program areas:

  1 (highest) 2 3 4 5 (lowest) N/A
Agricultural Business Succession Planning
Livestock Management
Rangeland & Pasture Management
Wildlife Management
Assistance Programs and Loan Opportunities

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* 6. FAMILY & CONSUMER SCIENCES

Please rank your level of interest in the following potential FCS program offerings:

  1 (highest) 2 3 4 5 (lowest) N/A
Food Preservation
Repurposed Closet - reconstructed clothing, garment mending & tailoring
Cottage Food Production & Safety
Honoring Moffat County's Farm to Table Heritage - education on local food system, food preparation, food waste
Household Planning, Budgeting & Management

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* 7. HORTICULTURE

Please rank your level of interest in the following potential horticulture program offerings:

  1 (highest) 2 3 4 5 (lowest) N/A
All About Soil - An In-Depth Look at Growing Mediums
High Tunnel Greenhouse Construction - Extend your Vegetable Garden Season!
Xeriscape Landscape Design
Moffat County Master Gardner Program
Greenhouse Management & Hydroponic Growing Systems

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* 8. 4-H YOUTH DEVELOPMENT

How do you rank the importance of the following youth development benefits provided by the 4-H program?

  Unimportant Somewhat Unimportant Neutral, Unknown, N/A Somewhat Important Important
Developing Confidence, Leadership, and Life Skills
Encouraging community pride and community service
Developing Personal and Business Finance Skills (project budgeting, record keeping, financial return on investment, etc.)
Encouraging youth socialization and community building
Providing the opportunity to demonstrate work ethic
Developing Science, Technology, Engineering, and Math (STEM) Knowledge and Skill
Developing project knowledge, skills, and mastery
Participation in the Moffat County Fair and/or Colorado State Fair
Providing eligibility for personal fund-raising opportunities through the Junior Livestock Auction and/or college scholarship opportunities
Creating a challenging and competitive extra-curricular environment
Creating a friendly and inclusive extra-curricular environment
Providing an enriching and awarding environment for adult volunteers
Providing an enriching environment for children to grow and learn from positive adults

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* 9. 4-H YOUTH DEVELOPMENT

How do you rank the current success of Moffat County's 4-H Program in supporting these youth development areas?

  Unsuccessful Somewhat Unsuccessful Neutral, Unknown, N/A Somewhat Successful Successful
Developing Confidence, Leadership, and Life Skills
Encouraging community pride and community service
Developing Personal and Business Finance Skills (project budgeting, record keeping, financial return on investment, etc.)
Encouraging youth socialization and community building
Providing the opportunity to demonstrate work ethic
Developing Science, Technology, Engineering, and Math (STEM) Knowledge and Skill
Developing project knowledge, skills, and mastery
Participation in the Moffat County Fair and/or Colorado State Fair
Providing eligibility for personal fund-raising opportunities through the Junior Livestock Auction and/or college scholarship opportunities
Creating a challenging and competitive extra-curricular environment
Creating a friendly and inclusive extra-curricular environment
Providing an enriching and awarding environment for adult volunteers
Providing an enriching environment for children to grow and learn from positive adults

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* 10. Please provide any additional comments:

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