Dear Student: Please answer the following questions. We appreciate your honest opinion and look forward to using it to continue to improve Horizons! Thank you!

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* 1. Student Identifier (This is the first two letters of your first name + the first two letters of your last name, and your birthday; example: fnln0615)

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* 5. Young people might describe themselves in many ways. We have listed some things youth might say or think about themselves. How true is each statement for you? Choose the answer that is most true for you for each statement.

  Not at all True Somewhat True Mostly True Completely True
On the whole, I am satisfied with myself
I feel that I have a good number of qualities
I take a positive attitude toward myself
I feel like I have much to be proud of

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* 6. Please tell us how easy or difficult each of the following are for you. Choose the answer that is most true for you for each statement.

  Very Difficult Difficult Easy Very Easy
Controlling my temper
Handling stress
Calming myself down when I am excited or upset
Stopping myself from doing something I know I shouldn't do
Finding a new solution when my solution to a problem is not working

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* 7. Please tell us how easy or difficult each of the following are for you. Choose the answer that is most true for you for each statement.

  Very Difficult Difficult Easy Very Easy
Staying Positive when things don't go my way
Trying things even if I might fail
Finishing tasks even if they are hard for me
Reaching goals that I set for myself
Taking action to reach my goals
Setting goals for myself
Thinking through the steps it will take to reach my goal

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* 8. Thinking about the Horizons staff you connected with this summer, how true are these statements for you? There is a Horizons staff member, like a teacher, …

  Not at all True Somewhat True Mostly True Completely True
Who is interested in what I think about things
Who helps me when I have a problem
Who I enjoy connecting with
Who has helped me find a special interest or talent (something I am good at)
Who asks me about my life and goals
Who helps me feel good about myself
Who makes learning fun

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* 9. Please indicate if you have had the following experiences when participating in Horizons activities. Did Horizons provide you with things to do that...

  Not at all Some Days Most Days Every Day
You were interested in
You enjoyed
You needed to concentrate to do

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* 10. Please indicate if you have had the following experiences when participating in Horizons activities. Did Horizons provide you with things to do that...

  Not at all Some Days Most Days Every Day
Were important to you
Were important to your future goals
You could see using outside of this program

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* 11. Please indicate if you have had the following experiences when participating in Horizons activities. Did Horizons provide you with things to do that...

  Not at all Some Days Most Days Every Day
Helped you feel connected to other youth
Helped you feel connected to adults that care about you
Challenged you

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* 12. Please indicate if you have had the following experiences when participating in Horizons activities. Did Horizons provide you with things to do that...

  Not at all Some Days Most Days Every Day
Helped you learn new things
Involved practicing skills you learned in school
Helped you get better at something
Helped you stay active

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* 13. How has this program helped you specifically? Check the top three areas where you think the program has helped you the most. This program has helped me… (pick three)

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* 14. Overall, how do you feel about Horizons? (Check one)

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* 15. What do you value most about your experiences with Horizons this summer?

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* 16. What did you NOT like about the activities you participated in at Horizons this summer? What would you want to see changed if activities need to be provided like this in the future?

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* 17. What kinds of activities would you like to participate in at Horizons during the school year?

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* 18. Do you want to return to Horizons next year?

0 of 18 answered
 

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