Youth Portal Feedback

Thank you for your participation in the Safe At Home Youth Portal Resources Feedback Survey. Your feedback provides valuable information about how helpful our resources are supporting youth. The following questions are expected to take about 5 minutes to complete. Thank you for your feedback!

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* 1. What grade are you in? (Please select from below or fill in "Other")

5th Grade

6th Grade

7th Grade

8th Grade

9th Grade

10th Grade

11th Grade

12th Grade

Other (please specify)

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* 2. City, State

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* 3. Where did you hear about the Safe At Home Youth Portal (Check all that apply)

Safe At Home website

Social Media

A friend or peer

A parent or trusted adult

A counselor

A teacher

Other (please specify)

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* 4. Help us make this better! Have you learned anything new on the Safe At Home Youth Portal or Resource pages?

Yes

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* 5. How helpful has the information that you learned been for you?

Not helpful

Very helpful

Clear

i We adjusted the number you entered based on the slider’s scale.

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* 6. After using the resources available on the Safe At Home site, I now understand more around the following issues....

	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	N/A
How to help a friend	How to help a friend Strongly Disagree	How to help a friend Disagree	How to help a friend Neutral	How to help a friend Agree	How to help a friend Strongly Agree	How to help a friend N/A
Skills for building healthy relationships	Skills for building healthy relationships Strongly Disagree	Skills for building healthy relationships Disagree	Skills for building healthy relationships Neutral	Skills for building healthy relationships Agree	Skills for building healthy relationships Strongly Agree	Skills for building healthy relationships N/A
Coping skills	Coping skills Strongly Disagree	Coping skills Disagree	Coping skills Neutral	Coping skills Agree	Coping skills Strongly Agree	Coping skills N/A
Practicing self-care	Practicing self-care Strongly Disagree	Practicing self-care Disagree	Practicing self-care Neutral	Practicing self-care Agree	Practicing self-care Strongly Agree	Practicing self-care N/A

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* 7. After using the resources available on the Youth Portal site, I plan to apply my understanding of the following issues in my own life...

	Strongly Disagree	Disagree	Neutral	Agree	Strongly Agree	N/A
How to help a friend	How to help a friend Strongly Disagree	How to help a friend Disagree	How to help a friend Neutral	How to help a friend Agree	How to help a friend Strongly Agree	How to help a friend N/A
Skills for building healthy relationships	Skills for building healthy relationships Strongly Disagree	Skills for building healthy relationships Disagree	Skills for building healthy relationships Neutral	Skills for building healthy relationships Agree	Skills for building healthy relationships Strongly Agree	Skills for building healthy relationships N/A
Coping skills	Coping skills Strongly Disagree	Coping skills Disagree	Coping skills Neutral	Coping skills Agree	Coping skills Strongly Agree	Coping skills N/A
Practicing self-care	Practicing self-care Strongly Disagree	Practicing self-care Disagree	Practicing self-care Neutral	Practicing self-care Agree	Practicing self-care Strongly Agree	Practicing self-care N/A

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* 8. OPTIONAL: Please enter your email below for entry into a raffle for a $50 Amazon gift card. Emails will only be used for raffle purposes and will not be shared with any other entity for any other purpose.