Southwestern High School YSC Student Survey

The results of this survey will be used in program planning for your school’s Youth Service Center.

If you have questions or need help with any of these issues, please see your school’s Youth Service Center coordinator, Kathy Hall. The Youth Service Center is located in the hall past the guidance office.

Question Title

* 1. I am in

9th Grade

10th Grade

11th Grade

12th Grade.

Question Title

* 2. Which of the following do you think you or teens that you personally know need help with? (Check all that apply

 Counseling for teens

 Tobacco use

 Teen sexuality

 Abuse in the home

 Assistance with having enough food at home

 Self esteem issues

 Dealing with the death of a close relative or friend

 Girlfriend/boyfriend issues

 Dealing with anger

 Emergency assistance: clothing, housing, medical needs, etc

 Violence in school

 Alcohol use/Drug use

 Suicide issues

 Diet/exercise

 Vision and/or health problems

 Assistance with school supplies

 English as a Second Language

 I am a teen parent/parent-to-be and am interested in the Parent As Teacher's Program

Bullying Behaviors

 After school or summer enrichment activities

 Youth need assistance with planning for the future

 I am confident in my skills to fill out a job application

 I am confident in my skills to fill out a college application

 I am confident in my skills to fill out a resume’

 I am confident in my skills to go on a job interview

Question Title

* 3. What do you think are the top 3 social or emotional issues among teens today?

Depression

Peer Relationships

Substance Abuse/Use

Lack of Resources

Lack of Support at home

Other (please specify)

Question Title

* 1. I am in

Question Title

* 2. Which of the following do you think you or teens that you personally know need help with? (Check all that apply

Question Title

* 3. What do you think are the top 3 social or emotional issues among teens today?

Question Title

* 4. List the top 3 things you need in order to make good decisions about your future career and/or college plans?