* 1. What year did you complete the Rites of Passage program?

* 2. In what year were you born? (enter 4-digit birth year; for example, 1976)

* 3. What is your current level of education?

* 4. Are you presently pursuing higher education? If so, please explain

* 5. 5) Participation in the Rites of Passage program improved my self-concept/self-esteem.
(Select only one response)

* 6. After completing the Rites of Passage program how would you rate your overall satisfaction? (Select only one response)

* 7. The goals & objectives of the Rites of Passage program were clearly explained and
accomplished? (Select only one response)

* 8. What would you change about the ROP leadership and management?

* 9. What would you change about ROP classroom lessons?

* 10. What was the most positive experience you had during your ROP participation?

* 11. What was the most negative experience you had during your ROP participation?

* 12. The Rites of Passage program contributed to my academic performance and overall achievement? (Select only one response)

  Strongly disagree Disagree Somewhat disagree Neither agree or disagree Somewhat agree Agree Strongly agree
Level of Agreement

* 13. What affect did the leaders of the Rites of Passage have on your participation in the program? (Select only one response)

* 14. How much did the ROP program influence the following?

  not at all influential slightly influential somewhat influential very influential extremely influential
High School Graduation
Higher Education
Personal Development
Role as Mentor to others
Relationship with your parents
Relationship with teachers

* 15. On a scale from 1 to 6 choose the number that best describes how you feel:

  Strongly disagree Disagree Undecided Agree Strongly agree
ROP program leaders were helpful, supportive, and effective
ROP participation resulted in better grades in school
More outgoing and social as a result of participation in ROP
Greater level of confidence and self-esteem a result of participation in ROP
Greater appreciation for African American History a result of participation in ROP
Greater sense of social responsibility a result of participation in ROP
Greater sense of community involvement a result of participation in ROP

* 16. What memorable experience has most impacted your participation in the Rites of Passage program?

* 17. In an effort to continue the Rites of Passage program, in what way can you commit?

* 18. Contact Information

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