ConneQT Youth Survey

WE NEED YOUR INPUT

In order for us to improve ConneQT, we need your feedback. Whether you are currently in a host home, soon to move out, or have already moved out (regardless of how long ago), we ask you to tell us what you think by completing this survey. Individual responses will not be seen by the ConneQT staff. Responses will be grouped together without identifying information to better inform our work. Responses/quotes may be used anonymously by Avenues communications team.

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* 1. Are you currently living in a host home?

Yes

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* 2. How did you first learn about ConneQT?

HHP Case Manager (Ashley or Rosie)

Other Avenues youth worker / case manager

Youth worker / case manager from another agency / organization

Friend

Family member

I was already living with my host(s) 'informally' and we decided to join ConneQT

Other

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* 3. How long was it between the time you first applied to be in ConneQT and when you moved into a host home?

Less than a month

1 to 3 months

4 to 6 months

More than 6 months

I was already living with them

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* 4. If you lived in more than one host home, how many host homes did you live in, and how long did you live in each one (approximately)?
If you lived in only one host home, please skip this question.

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* 5. At the time you entered ConneQT, what were the issues that caused you the most stress? Please check all that applied to you and/or your family.

Mental health issues

Poverty

Lack of resources / support

Family conflict

Family rejection

Physical health issues

School

Lack of employment

Lack of stable or affordable housing

Involvement in the criminal justice system

Immigration status

Foster care or other out-of-home placements

Violence in community

Other

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* 6. At the time you entered ConneQT, what brought you the most joy?

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* 7. Please tell us how you feel or what you think at this time (there are NO right or wrong answers).

	Yes, definitely true	Somewhat true	Not true	N/A
I think my case manager referred me to ConneQT at the right time for me.	I think my case manager referred me to ConneQT at the right time for me. Yes, definitely true	I think my case manager referred me to ConneQT at the right time for me. Somewhat true	I think my case manager referred me to ConneQT at the right time for me. Not true	I think my case manager referred me to ConneQT at the right time for me. N/A
I think I applied to be in ConneQT at the right time for me.	I think I applied to be in ConneQT at the right time for me. Yes, definitely true	I think I applied to be in ConneQT at the right time for me. Somewhat true	I think I applied to be in ConneQT at the right time for me. Not true	I think I applied to be in ConneQT at the right time for me. N/A
I think my first host home is / was a good match for me.	I think my first host home is / was a good match for me. Yes, definitely true	I think my first host home is / was a good match for me. Somewhat true	I think my first host home is / was a good match for me. Not true	I think my first host home is / was a good match for me. N/A
The check-ins with my Host(s) and ConneQT staff were/are helpful.	The check-ins with my Host(s) and ConneQT staff were/are helpful. Yes, definitely true	The check-ins with my Host(s) and ConneQT staff were/are helpful. Somewhat true	The check-ins with my Host(s) and ConneQT staff were/are helpful. Not true	The check-ins with my Host(s) and ConneQT staff were/are helpful. N/A
I feel safe in my host home.	I feel safe in my host home. Yes, definitely true	I feel safe in my host home. Somewhat true	I feel safe in my host home. Not true	I feel safe in my host home. N/A
I feel safer in my community.	I feel safer in my community. Yes, definitely true	I feel safer in my community. Somewhat true	I feel safer in my community. Not true	I feel safer in my community. N/A
I am / was able to make decisions about my own life while in ConneQT.	I am / was able to make decisions about my own life while in ConneQT. Yes, definitely true	I am / was able to make decisions about my own life while in ConneQT. Somewhat true	I am / was able to make decisions about my own life while in ConneQT. Not true	I am / was able to make decisions about my own life while in ConneQT. N/A
I care about people in my life.	I care about people in my life. Yes, definitely true	I care about people in my life. Somewhat true	I care about people in my life. Not true	I care about people in my life. N/A
My relationship with my family of origin is important to me.	My relationship with my family of origin is important to me. Yes, definitely true	My relationship with my family of origin is important to me. Somewhat true	My relationship with my family of origin is important to me. Not true	My relationship with my family of origin is important to me. N/A

Question Title

* 1. Are you currently living in a host home?

Question Title

* 2. How did you first learn about ConneQT?

Question Title

* 3. How long was it between the time you first applied to be in ConneQT and when you moved into a host home?

Question Title

* 4. If you lived in more than one host home, how many host homes did you live in, and how long did you live in each one (approximately)?If you lived in only one host home, please skip this question.

Question Title

* 5. At the time you entered ConneQT, what were the issues that caused you the most stress? Please check all that applied to you and/or your family.

Question Title

* 6. At the time you entered ConneQT, what brought you the most joy?

Question Title

* 7. Please tell us how you feel or what you think at this time (there are NO right or wrong answers).

* 4. If you lived in more than one host home, how many host homes did you live in, and how long did you live in each one (approximately)?
If you lived in only one host home, please skip this question.