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Making the Connection Youth Feedback Survey
1.
Today's Date:
2.
How old are you?
12 or younger
13
14
15
16
17
18
19 or older
Adult or professional
3.
What grade are you in?
6th
7th
8th
9th
10th
11th
12th
Ungraded or other
4.
Are you:
Female
Male
Non-Binary/Genderfluid/Transgender
5.
How do you describe yourself? (Select one or more responses.)
American Indian or Alaskan Native
Asian or Asian American
Black or African-American
Hispanic or Latino/Latina
Native Hawaiian or other Pacific Islander
White or Caucasian
6.
What is your school district?
Battle Ground Public Schools
Camas School District
Evergreen Public Schools
Hockinson School District
La Center School District
Ridgefield School District
Stevenson-Carson School District
Vancouver School District
Washougal School District
Other District (please specify)
7.
Who shared the lesson with you today?
8.
Have you ever heard about ACEs or toxic stress before today?
Yes, I have
No, I haven’t
9.
Have you heard of Youth Now or Weed Can Wait before today?
Youth Now
Weed Can Wait
Neither
Both
10.
Did today’s information feel more like they were talking WITH you or more like they were teaching you something?
It felt more like a conversation with us.
It felt more like they were teaching us something.
11.
Did today’s discussion show you how toxic stress can affect brain development?
Yes, it did
No, it didn't
12.
Did today’s discussion show you how toxic stress can make your brain less protected from substances?
Yes it showed me how my brain is less protected.
No it didn't show me that.
13.
Did today’s discussion help you understand why it’s so important to stay away from substances if you’ve experience trauma or toxic stress?
Yes, I think I get it
No, it wasn’t clear
14.
Did today’s discussion make you want to build your own resilience?
Yes, it did
No, it didn't
15.
This information can help me...(Check all that apply)
Connect better with people
Find help when I need it
Understand how toxic stress can affect me
Stay away from substances
Build my own resilience
Help my friends/family resilience
Understand how my brain works
It isn't very helpful to me
16.
Can you see yourself using this information to help friends/family?
Yes
No
17.
If we HAVE to talk with youth about toxic stress, coping, and substance abuse, what else should we do to make it more interesting and helpful to you?
Thank you for helping us improve this toolkit! Your feedback is welcomed and listened to!
