ecoEXPLORE Registration, Year 1 Survey

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* 1. Please choose an ecoEXPLORE username. This should NOT include your last name and should be easy to remember.
Examples: dragonflydana; turtletracker07; wildadventurer.

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* 2. How did you hear about ecoEXPLORE?

From my local library

At The NC Arboretum

From a visitor to my school

From the ecoEXPLORE website

From a friend in the program

From a teacher or youth leader

From the ecoEXPLORE Facebook Page

Other (please specify)

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* 3. Provide an email address (should be an account managed by an adult).

Email Address

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* 4. What grade level are you in?

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* 5. Are you a boy or girl?

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* 6. Which of the following best describes you?

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* 7. Please complete the following statements.

	Never	Not often	Sometimes	Most of the Time	Always
Science is easy for me.	Science is easy for me. Never	Science is easy for me. Not often	Science is easy for me. Sometimes	Science is easy for me. Most of the Time	Science is easy for me. Always
I have a good feeling toward science.	I have a good feeling toward science. Never	I have a good feeling toward science. Not often	I have a good feeling toward science. Sometimes	I have a good feeling toward science. Most of the Time	I have a good feeling toward science. Always
Science is one of my favorite subjects.	Science is one of my favorite subjects. Never	Science is one of my favorite subjects. Not often	Science is one of my favorite subjects. Sometimes	Science is one of my favorite subjects. Most of the Time	Science is one of my favorite subjects. Always
I like to read books about science.	I like to read books about science. Never	I like to read books about science. Not often	I like to read books about science. Sometimes	I like to read books about science. Most of the Time	I like to read books about science. Always

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* 8. Do scientists want your help?

Yes

I don't know

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* 9. How interesting do you think a job as a scientist would be?

Not interesting

Somewhat interesting

Interesting

Very interesting

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* 10. Do you think you would like being a scientist?

Maybe

Yes

ecoEXPLORE Registration, Year 1

ecoEXPLORE Registration Form

Question Title

* 1. Please choose an ecoEXPLORE username. This should NOT include your last name and should be easy to remember.
Examples: dragonflydana; turtletracker07; wildadventurer.

Question Title

* 2. How did you hear about ecoEXPLORE?

Question Title

* 3. Provide an email address (should be an account managed by an adult).

Question Title

* 4. What grade level are you in?

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* 5. Are you a boy or girl?

Question Title

* 6. Which of the following best describes you?

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* 7. Please complete the following statements.

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* 8. Do scientists want your help?

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* 9. How interesting do you think a job as a scientist would be?

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* 10. Do you think you would like being a scientist?

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* 11. Which library do you live closest to?

Question Title

* 1. Please choose an ecoEXPLORE username. This should NOT include your last name and should be easy to remember.Examples: dragonflydana; turtletracker07; wildadventurer.

Question Title

* 2. How did you hear about ecoEXPLORE?

Question Title

* 3. Provide an email address (should be an account managed by an adult).

Question Title

* 4. What grade level are you in?

Question Title

* 5. Are you a boy or girl?

Question Title

* 6. Which of the following best describes you?

Question Title

* 7. Please complete the following statements.

Question Title

* 8. Do scientists want your help?

Question Title

* 9. How interesting do you think a job as a scientist would be?

Question Title

* 10. Do you think you would like being a scientist?

Question Title

* 11. Which library do you live closest to?

* 1. Please choose an ecoEXPLORE username. This should NOT include your last name and should be easy to remember.
Examples: dragonflydana; turtletracker07; wildadventurer.