#LifeGoals Lab Registration Question Title * 1. Your Info: Full Name Nickname Email Address Phone Number (text only) Name of School State Current Grade OK Question Title * 2. Have you ever participated in an Inspiring Minds program? No Not Sure Yes! (Please share the programs/events you've participated in the space below): OK Question Title * 3. What are you interested in exploring in the #LifeGoals Lab? (check as many as you want!) Goal Setting Adjusting to Change Time Management Grief/Sadness/Depression Worry/Anxiety How to get/stay Motivated Friendships/ Social Life Family Academics/ School Work Ways to stay calm and focused Physical Health Creativity/ Art/ Special Hobbies Planning for the future OK Question Title * 4. What technology do you have access to? (check all that apply) I can get online/ i have internet access I can video chat (via Zoom) I have a phone I can print stuff if I need to I have email I don't have any of these. OK Question Title * 5. Be honest- Can you commit to meeting with your#Lifegoals Lab via Zoom for 30 minutes a week, for 6 weeks? Yes! I'll be there! Yes... but I might need reminders. No... that's too much for me right now. OK Question Title * 6. The #LifeGoals Labs meets on Tuesday afternoons. There are two sections- one at 3pm and one at 4pm. Can you participate at one of these times? Yes, both times work for me! I CANNOT participate at 3pm I CANNOT participate at 4pm If we open another section, what time would work BEST for you? OK Question Title * 7. How do you identify? (Choose All that Apply) Male Female Non-binary Cis-Gender Gender Fluid Transgender Not Sure/ Don't Know None of these OK Question Title * 8. If you join us, we will need to contact your parent or guardian to let them know about your participation in the #Lifegoals Lab. Parent/Legal Guardian Full Name Phone Number Email OK DONE