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Middle School Survey- Richland Boys & Girls Club
1.
What school do you attend?
Carmichael
Chief Jo
2.
What grade are you in?
6th grade
7th grade
8th grade
3.
We are exploring options for opening a Teen Center in Richland. Out of the two options, which one would you be more likely to attend?
A new building on a middle school campus (most likely Chief Jo due to space available)
A storefront location with a coffee shop feel (such as the Uptown Shopping Center for example)
Comments
4.
What should we take into consideration when choosing the program location?
5.
Would there be any barriers for you to be able to attend a Teen Center after school?
Yes (Please tell us what barriers in the comment box)
No
I don't know
Please enter a comment.
6.
What programs or activities would you be interested in participating in? Choose as many as you'd like.
Academic support/homework assistance
Leadership programs
Volunteer opportunities (in the Boys & Girls Club and in the Community with a Leadership Club)
Wellness program for the mind, body and soul
Art or STEM Program
Sports or intramurals
Technology program (i.e. coding, digital arts, lego robotics, etc.)
Money management program
College and career prep
Cooking program
Social recreation
Other (please specify)
7.
Are there any needs in your life that the Club could help with?
Food
Access to resources in the community
Mental health
Bullying
Help with relationships
Other (please specify)
8.
Anything else we should consider or would like us to know as we explore options for a teen program in Richland?
9.
If you would like to be entered into a drawing for a $100 Amazon gift card, please leave your contact information below. This information will not be used for any other purpose. Thank you for your time and input!
Name
Address
City/Town
State/Province
ZIP/Postal Code
Email Address
Phone Number
Current Progress,
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