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* 1. Rate the following questions about you and your parent/ partner:

  Very Poor Poor Neutral Good Very Good
Communication with your parent/ partner
Relationship with your parent/ partner

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* 2. Do you look for opportunities to be with your family/ partner?

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* 3. How many hours per week do you spend per week with your parent/ partner?

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* 4. Rate the following questions about your likelihood to do the following:

  Very Unlikely Somewhat Unlikely Neutral  Somewhat Likely Very Likely
Learning a new skill
Trying new/ difficult tasks
Doing a task that requires working with others- cooperation
Saying you are confident in facing challenges

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* 5. At this time, how likely are you to spend time learning a new activity outdoors?

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* 6. What do you look forward to most during the CORE program?

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* 7. Have you participated in CYO's Core Program before? If so, how many semesters?

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