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Youth Leadership & Action Survey

Welcome! The goal of this survey is to help you reflect on your growth and the skills you've gained over the past 6 months while being a part of California Youth Connection. There are no right or wrong answers, and your honest feedback is incredibly important.

The survey is in three parts:

Part 1: About Your Experiences asks for some basic information about your background.
Part 2: Youth Leadership & Action Self-Assessment asks you to rate your own skills. Please think about your personal experiences over the past 6 months as you answer these questions.
Part 3: Open-Ended Questions gives you a chance to share more details about your journey.

Take your time and reflect on your experiences. Thank you for your leadership and for helping us learn!

Part 1: About Your Experiences
Instructions: Please answer the following questions to help us better understand your experiences.

1.Full Name

2.Email

3.How long have you been involved with California Youth Connection (CYC)?

Less than 6 months

6 months to 1 year

More than 1 year

More than 5 years

4.In the PAST 6 months, how often have you participated in CYC’s advocacy events or meetings?

Always

Often

Sometimes

Not very often

Never

5.Which of the following describes your race/ethnicity? (You may select more than one.)

American Indian / Alaskan Native

Asian / Pacific Islander

Black / African American

Hispanic / Latino

Middle Eastern / North African

White / Caucasian

Multiple ethnicities / Other (please specify)

Other (please specify)

6.Which of the following best describes your current foster care status?

Currently in foster care (under age 18)

Currently in extended foster care

Aged-out of foster care

Adopted

Not currently in foster care

Other (please specify)

7.What is your current living situation / foster care placement?

Foster home (living in a non-relative family foster home)

Kinship care (living with a relative as a foster care placement)

Group home

Living with relative(s)

Living with biological parent(s)

Living in transitional housing

Living in a shelter

Homeless

Renting an apartment

Own a home

College dorm

Residential program

Other (please specify)

8.Do any of the following describe your identity or experiences that you have had? (You may select all that apply.)

Lesbian, gay, bisexual, transgender, queer (LGBTQ)

Parenting while in foster care

Mental or behavioral health systems

Psychotropic medications

Juvenile justice

Separation from siblings

Concern about immigration status

Physical disability

Part 2: Youth Leadership & Action Self-Assessment

Instructions: Please rate your ability to do the following, reflecting on your experiences in the past 6 months. There are no right or wrong answers.

Our Survey Scale:

1 = Not at all (I don't know anything about this.)
2 = A little bit (I have a small idea but need a lot of help.)
3 = Getting there (I understand it and can do it with some help.)
4 = Got it (I understand it and can do it by myself.)
5 = Totally got it (I understand it so well I could teach someone else.)

9.I can use my own experiences and knowledge to help our group's work.

1 = Not at all (I don't know anything about this.)

2 = A little bit (I have a small idea but need a lot of help.)

3 = Getting there (I understand it and can do it with some help.)

4 = Got it (I understand it and can do it by myself.)

5 = Totally got it (I understand it so well I could teach someone else.)

10.I can help our group make a plan to solve a problem we care about

1 = Not at all (I don't know anything about this.)

2 = A little bit (I have a small idea but need a lot of help.)

3 = Getting there (I understand it and can do it with some help.)

4 = Got it (I understand it and can do it by myself.)

5 = Totally got it (I understand it so well I could teach someone else.)

11.I feel I can share what I've learned with others so we can all get better as a group.

1 = Not at all (I don't know anything about this.)

2 = A little bit (I have a small idea but need a lot of help.)

3 = Getting there (I understand it and can do it with some help.)

4 = Got it (I understand it and can do it by myself.)

5 = Totally got it (I understand it so well I could teach someone else.)

12.I understand how our work helps a bigger plan to make changes across the state.

1 = Not at all (I don't know anything about this.)

2 = A little bit (I have a small idea but need a lot of help.)

3 = Getting there (I understand it and can do it with some help.)

4 = Got it (I understand it and can do it by myself.)

5 = Totally got it (I understand it so well I could teach someone else.)

13.I feel confident teaching others in our group what I've learned.

1 = Not at all (I don't know anything about this.)

2 = A little bit (I have a small idea but need a lot of help.)

3 = Getting there (I understand it and can do it with some help.)

4 = Got it (I understand it and can do it by myself.)

5 = Totally got it (I understand it so well I could teach someone else.)

14.I feel that I am building strong and lasting relationships with others in our group.

1 = Not at all (I don't know anything about this.)

2 = A little bit (I have a small idea but need a lot of help.)

3 = Getting there (I understand it and can do it with some help.)

4 = Got it (I understand it and can do it by myself.)

5 = Totally got it (I understand it so well I could teach someone else.)

15.I can speak to people in authority (like lawmakers or other adults).

1 = Not at all (I don't know anything about this.)

2 = A little bit (I have a small idea but need a lot of help.)

3 = Getting there (I understand it and can do it with some help.)

4 = Got it (I understand it and can do it by myself.)

5 = Totally got it (I understand it so well I could teach someone else.)

16.I can use big opportunities, like events or conferences, to make our work stronger in my community.

1 = Not at all (I don't know anything about this.)

2 = A little bit (I have a small idea but need a lot of help.)

3 = Getting there (I understand it and can do it with some help.)

4 = Got it (I understand it and can do it by myself.)

5 = Totally got it (I understand it so well I could teach someone else.)

17.I know when to lead, when to follow, and when to step back in our group.

1 = Not at all (I don't know anything about this.)

2 = A little bit (I have a small idea but need a lot of help.)

3 = Getting there (I understand it and can do it with some help.)

4 = Got it (I understand it and can do it by myself.)

5 = Totally got it (I understand it so well I could teach someone else.)

18.I can check in on my own progress and figure out what I need to do to keep moving forward.

1 = Not at all (I don't know anything about this.)

2 = A little bit (I have a small idea but need a lot of help.)

3 = Getting there (I understand it and can do it with some help.)

4 = Got it (I understand it and can do it by myself.)

5 = Totally got it (I understand it so well I could teach someone else.)

Part 3: Open-Ended Questions

Please take a moment to answer these two questions to help us learn more.

19.Thinking about a time in the last 6 months where you worked on something with our group, what was one specific action you took that you feel had a real impact on making a change?

20.Reflecting on the last 6 months, Describe a moment when you had to change your plan because of a challenge. What did you learn from that experience that you will use to help yourself and others in the future?

Thank You
You have now completed your survey. To process your 4th quarter stipend please email Kate Burch, our Director of Finance, at kateb@calyouthconn.org to let her know you have finished.

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