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* 1. What is your age?

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* 2. What is your gender?

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* 3. How would you describe yourself? (Select one or more
responses.)

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* 4. Do you live part of the year in another state? If so, which state and how months per year?

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* 5. How long have you been a member of Looking Ahead?

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* 6. Are you in Leadership council?

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* 7. Participating in Looking Ahead has given me more confidence

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* 8. I would feel comfortable contacting Looking Ahead staff if I had a problem and needed someone to talk to.

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* 9. The Looking Ahead program has had a positive impact on me in the following ways:

  Strongly Agree Agree Neutral Disagree Strongly Disagree
Improved my communication skills
Developed leadership skills
Increased awareness of people in need in the community (i.e. homeless, seniors, etc.)
Increased self-esteem

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* 10. I recommend Looking Ahead to other young performers and their families.

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* 11. How often do you check the Looking Ahead website?

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* 12. Please rate the following items regarding the staff members of Looking Ahead 

  Strongly Agree Agree Neutral Disagree Strongly Disagree
I feel supported by the staff.
I trust the staff
Do you feel like staff understands you
Do you feel comfortable talking to the Looking Ahead staff about concerns you may have
 Looking Ahead staff create a welcoming and comfortable environment.

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* 13. I look forward to going to Looking Ahead events?

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* 14. What was your favorite event you attended in 2014 and why?

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* 15. In the last year, I have made new friends in the Looking Ahead program?

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* 16. Please provide any other specific feedback you would like us to know:

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* 17. Do you have any specific changes you feel would improve Looking Ahead?

If you have ideas for an event or activity you hope could happen in Looking Ahead, please list them
below.

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