Screen Reader Mode Icon Check SCREEN READER MODE to make this survey compatible with screen readers. Youth Empowerment Survey: for Youth Please tell us about you! OK Question Title * 1. What is your age? 13 to 14 15 to 16 17 to 18 19 to 21 22 to 24 Other (please specify) OK Tell us about where you would go for information or help. OK Question Title * 2. Where would you go for help or information about your education or other things like family issues, food, clothing, transportation, housing, etc.? School/Education Family Issues Other supports (food, clothing, transportation, housing, etc.) A Person (adult, friend, teacher, counselor etc.) A Person (adult, friend, teacher, counselor etc.) School/Education A Person (adult, friend, teacher, counselor etc.) Family Issues A Person (adult, friend, teacher, counselor etc.) Other supports (food, clothing, transportation, housing, etc.) A Website A Website School/Education A Website Family Issues A Website Other supports (food, clothing, transportation, housing, etc.) An App An App School/Education An App Family Issues An App Other supports (food, clothing, transportation, housing, etc.) A Place / Physical Location A Place / Physical Location School/Education A Place / Physical Location Family Issues A Place / Physical Location Other supports (food, clothing, transportation, housing, etc.) A Teacher A Teacher School/Education A Teacher Family Issues A Teacher Other supports (food, clothing, transportation, housing, etc.) A School Administrator A School Administrator School/Education A School Administrator Family Issues A School Administrator Other supports (food, clothing, transportation, housing, etc.) Other Agency Other Agency School/Education Other Agency Family Issues Other Agency Other supports (food, clothing, transportation, housing, etc.) Don’t know Don’t know School/Education Don’t know Family Issues Don’t know Other supports (food, clothing, transportation, housing, etc.) Other (please specify) OK Question Title * 3. Where would you go if you were concerned about a friend or other student and their education or other things like family issues, food, clothing, transportation, housing, etc.? School/Education Family Issues Other supports (food, clothing, transportation, housing, etc.) A Person (adult, friend, teacher, counselor, etc.) A Person (adult, friend, teacher, counselor, etc.) School/Education A Person (adult, friend, teacher, counselor, etc.) Family Issues A Person (adult, friend, teacher, counselor, etc.) Other supports (food, clothing, transportation, housing, etc.) A Website A Website School/Education A Website Family Issues A Website Other supports (food, clothing, transportation, housing, etc.) An App An App School/Education An App Family Issues An App Other supports (food, clothing, transportation, housing, etc.) A Place / Physical Location A Place / Physical Location School/Education A Place / Physical Location Family Issues A Place / Physical Location Other supports (food, clothing, transportation, housing, etc.) A Teacher A Teacher School/Education A Teacher Family Issues A Teacher Other supports (food, clothing, transportation, housing, etc.) A School Administrator A School Administrator School/Education A School Administrator Family Issues A School Administrator Other supports (food, clothing, transportation, housing, etc.) Other Agency Other Agency School/Education Other Agency Family Issues Other Agency Other supports (food, clothing, transportation, housing, etc.) Don’t know Don’t know School/Education Don’t know Family Issues Don’t know Other supports (food, clothing, transportation, housing, etc.) Other (please specify) OK NEXT
