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* 1. How old are you?

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* 2. What grade are you in?

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* 3. What school do you attend?

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* 4. Are you currently enrolled in a Jewish religious school?

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* 5. Are you currently enrolled in a Jewish day school?

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* 6. What congregation are you affiliated with?

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* 7. What was/or is the highest grade of Jewish school that you attended?

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* 8. How would you describe your Jewish identity?

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* 9. How often have you participated in Jewish youth programs in the past 12 months?

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* 10. Have you participated in any informal Jewish programs in the past 12 months? Check all that apply.

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* 11. Have you attended an overnight Jewish camp in the past 12 months?

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* 12. How often have you participated in Jewish youth programs in the past 12 months?

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* 13. Have your ever traveled to Israel? Check all that apply.

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* 14. How many hours per week do you spend on the following activities?

  0 hrs/wk 1-3 hrs/wk 4-5 hrs/wk 6-7 hrs/wk 8-9 hrs/wk 10+ hrs/wk
Sports
Homework
Jewish activities
Inter-active games
Job (employment)
Volunteer
Mitzvah project
Madrichim (religious school assistant)

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* 15. How important is it to you to have Jewish friends?

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* 16. Why do you participate in Jewish activities? Select up to 3 choices.

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* 17. What prevents or discourages you from participating in more Jewish activities? Select up to 3 choices.

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* 18. What do you like most about being Jewish?

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* 19. Please list your top 3 either existing programs/ events or newly created programs/events that you would like to see for teens in the Detroit area.

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* 20. What is your e mail address?

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