335-001 SERIES Junior POST-Individual Survey (8/13) POST

1. POST Data entry

Data entry instructions - Please assign a unique number to each completed survey record before beginning. This will assist us if we need to track a particular answer to the original survey.

In addition, you may notice that your region's version of the survey may not ask an item. If your region's participants have not been asked about an item or if it is blank, just leave the response blank.

Please verify that this is NOT a "Pre" survey.

Thank you!

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* Survey ID#

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* Middle Initial, Favorite animal? (compares pre/post)

Middle Initial @post

Favorite animal @post

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* Meeting place (drop down menu)

Other (please specify)

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* Topic? (drop down menu-ask staff if you don't know)

Other (If not listed, ask Laura B to add it to drop-down.)

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* Type of Series?

In-school

Community Collaboration

Volunteer-Led

Camp

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* Grade

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* Date (Please use numbers. November 12, 2008 = 11/12/2008)

(This is the date that the participant responded to the survey.)

Today's date @post

Date

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* Region

Cincinnati

Dayton

Lima

Toledo

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* Pre? or Post? (All should be POST.)

Opening Survey (pre)

Closing Survey (post)

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* County (Data entry: Please enter the county where the meeting place is located.)

Allen

Auglaize

Brown

Butler

Champaign

Clark

Clermont

Clinton

Darke

Defiance

Fulton

Greene

Hamilton

Hancock

Hardin

Henry

Logan

Lucas

Mercer

Miami

Montgomery

Ottawa

Paulding

Preble

Putnam

Sandusky

Seneca

Shelby

Van Wert

Warren

Williams

Wood

Other (please specify)

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* United Way?
(Please use drop-down menu.)

Ask staff if you don't know.

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* Special funder or grant?
If yes, please describe. (See list below.)

Ask staff if you don't know.

Yes

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* Special Funder or Grant Name?

Other (please specify)

Question Title

* How often do you …?

	1 Never	2 Hardly ever	3 Sometimes	4 A lot of the time	5 Always	? Not sure or don't want to say
post-I eat healthy foods like fruits & vegetables.	post-I eat healthy foods like fruits & vegetables. 1 Never	post-I eat healthy foods like fruits & vegetables. 2 Hardly ever	post-I eat healthy foods like fruits & vegetables. 3 Sometimes	post-I eat healthy foods like fruits & vegetables. 4 A lot of the time	post-I eat healthy foods like fruits & vegetables. 5 Always	post-I eat healthy foods like fruits & vegetables. ? Not sure or don't want to say
post-I like to try new things, even if they might not do too well at first.	post-I like to try new things, even if they might not do too well at first. 1 Never	post-I like to try new things, even if they might not do too well at first. 2 Hardly ever	post-I like to try new things, even if they might not do too well at first. 3 Sometimes	post-I like to try new things, even if they might not do too well at first. 4 A lot of the time	post-I like to try new things, even if they might not do too well at first. 5 Always	post-I like to try new things, even if they might not do too well at first. ? Not sure or don't want to say
post-When I have to make a decision, I listen to other people's ideas before I make up my mind.	post-When I have to make a decision, I listen to other people's ideas before I make up my mind. 1 Never	post-When I have to make a decision, I listen to other people's ideas before I make up my mind. 2 Hardly ever	post-When I have to make a decision, I listen to other people's ideas before I make up my mind. 3 Sometimes	post-When I have to make a decision, I listen to other people's ideas before I make up my mind. 4 A lot of the time	post-When I have to make a decision, I listen to other people's ideas before I make up my mind. 5 Always	post-When I have to make a decision, I listen to other people's ideas before I make up my mind. ? Not sure or don't want to say
post-I work well with others as a team.	post-I work well with others as a team. 1 Never	post-I work well with others as a team. 2 Hardly ever	post-I work well with others as a team. 3 Sometimes	post-I work well with others as a team. 4 A lot of the time	post-I work well with others as a team. 5 Always	post-I work well with others as a team. ? Not sure or don't want to say
post-I set goals for themselves to achieve.	post-I set goals for themselves to achieve. 1 Never	post-I set goals for themselves to achieve. 2 Hardly ever	post-I set goals for themselves to achieve. 3 Sometimes	post-I set goals for themselves to achieve. 4 A lot of the time	post-I set goals for themselves to achieve. 5 Always	post-I set goals for themselves to achieve. ? Not sure or don't want to say
post-I ask an adult for help when I need it.	post-I ask an adult for help when I need it. 1 Never	post-I ask an adult for help when I need it. 2 Hardly ever	post-I ask an adult for help when I need it. 3 Sometimes	post-I ask an adult for help when I need it. 4 A lot of the time	post-I ask an adult for help when I need it. 5 Always	post-I ask an adult for help when I need it. ? Not sure or don't want to say
post-When I see someone being picked on, I try to help.	post-When I see someone being picked on, I try to help. 1 Never	post-When I see someone being picked on, I try to help. 2 Hardly ever	post-When I see someone being picked on, I try to help. 3 Sometimes	post-When I see someone being picked on, I try to help. 4 A lot of the time	post-When I see someone being picked on, I try to help. 5 Always	post-When I see someone being picked on, I try to help. ? Not sure or don't want to say
post-I speak up for what is right, even if it is not popular.	post-I speak up for what is right, even if it is not popular. 1 Never	post-I speak up for what is right, even if it is not popular. 2 Hardly ever	post-I speak up for what is right, even if it is not popular. 3 Sometimes	post-I speak up for what is right, even if it is not popular. 4 A lot of the time	post-I speak up for what is right, even if it is not popular. 5 Always	post-I speak up for what is right, even if it is not popular. ? Not sure or don't want to say
post-I tell people what I think needs to be done to make my community a better place.	post-I tell people what I think needs to be done to make my community a better place. 1 Never	post-I tell people what I think needs to be done to make my community a better place. 2 Hardly ever	post-I tell people what I think needs to be done to make my community a better place. 3 Sometimes	post-I tell people what I think needs to be done to make my community a better place. 4 A lot of the time	post-I tell people what I think needs to be done to make my community a better place. 5 Always	post-I tell people what I think needs to be done to make my community a better place. ? Not sure or don't want to say
post-When I read or hear about other people's problems, I think of ways I can help.	post-When I read or hear about other people's problems, I think of ways I can help. 1 Never	post-When I read or hear about other people's problems, I think of ways I can help. 2 Hardly ever	post-When I read or hear about other people's problems, I think of ways I can help. 3 Sometimes	post-When I read or hear about other people's problems, I think of ways I can help. 4 A lot of the time	post-When I read or hear about other people's problems, I think of ways I can help. 5 Always	post-When I read or hear about other people's problems, I think of ways I can help. ? Not sure or don't want to say
post-I am good at getting others to work with me.	post-I am good at getting others to work with me. 1 Never	post-I am good at getting others to work with me. 2 Hardly ever	post-I am good at getting others to work with me. 3 Sometimes	post-I am good at getting others to work with me. 4 A lot of the time	post-I am good at getting others to work with me. 5 Always	post-I am good at getting others to work with me. ? Not sure or don't want to say
post-I think that learning new things is fun. [Toledo required]	post-I think that learning new things is fun. [Toledo required] 1 Never	post-I think that learning new things is fun. [Toledo required] 2 Hardly ever	post-I think that learning new things is fun. [Toledo required] 3 Sometimes	post-I think that learning new things is fun. [Toledo required] 4 A lot of the time	post-I think that learning new things is fun. [Toledo required] 5 Always	post-I think that learning new things is fun. [Toledo required] ? Not sure or don't want to say

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* How much do you AGREE...

	1 Disagree a lot	2 Disagree a little	3 Agree a little	4 Agree a lot	? Not sure or don't want to say
post-When other people want me to do something I think is wrong, I don't do it.	post-When other people want me to do something I think is wrong, I don't do it. 1 Disagree a lot	post-When other people want me to do something I think is wrong, I don't do it. 2 Disagree a little	post-When other people want me to do something I think is wrong, I don't do it. 3 Agree a little	post-When other people want me to do something I think is wrong, I don't do it. 4 Agree a lot	post-When other people want me to do something I think is wrong, I don't do it. ? Not sure or don't want to say
post-I try to talk problems out calmly instead of yelling.	post-I try to talk problems out calmly instead of yelling. 1 Disagree a lot	post-I try to talk problems out calmly instead of yelling. 2 Disagree a little	post-I try to talk problems out calmly instead of yelling. 3 Agree a little	post-I try to talk problems out calmly instead of yelling. 4 Agree a lot	post-I try to talk problems out calmly instead of yelling. ? Not sure or don't want to say
post-I like who I am, even when other people make fun of me or tease me.	post-I like who I am, even when other people make fun of me or tease me. 1 Disagree a lot	post-I like who I am, even when other people make fun of me or tease me. 2 Disagree a little	post-I like who I am, even when other people make fun of me or tease me. 3 Agree a little	post-I like who I am, even when other people make fun of me or tease me. 4 Agree a lot	post-I like who I am, even when other people make fun of me or tease me. ? Not sure or don't want to say

Question Title

* How much LIKE YOU is...?

	1 Not at all like me	2 Not much like me	3 A little like me	4 A lot like me	? Not sure or don't want to say
post-I like being a girl.	post-I like being a girl. 1 Not at all like me	post-I like being a girl. 2 Not much like me	post-I like being a girl. 3 A little like me	post-I like being a girl. 4 A lot like me	post-I like being a girl. ? Not sure or don't want to say
post-If I get into an argument with friends, I am able to think of more than one way to make things better.	post-If I get into an argument with friends, I am able to think of more than one way to make things better. 1 Not at all like me	post-If I get into an argument with friends, I am able to think of more than one way to make things better. 2 Not much like me	post-If I get into an argument with friends, I am able to think of more than one way to make things better. 3 A little like me	post-If I get into an argument with friends, I am able to think of more than one way to make things better. 4 A lot like me	post-If I get into an argument with friends, I am able to think of more than one way to make things better. ? Not sure or don't want to say
post-I look for ways to meet kids who are from cultures different than mine.	post-I look for ways to meet kids who are from cultures different than mine. 1 Not at all like me	post-I look for ways to meet kids who are from cultures different than mine. 2 Not much like me	post-I look for ways to meet kids who are from cultures different than mine. 3 A little like me	post-I look for ways to meet kids who are from cultures different than mine. 4 A lot like me	post-I look for ways to meet kids who are from cultures different than mine. ? Not sure or don't want to say

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* "I can't wait to __________________."

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* Have you felt welcomed by your Girl Scout leaders?

Yes@post

No@post

Maybe@post

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* What is the name of the adult who participates with you?

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* Can you do this type of activity anywhere else? [skip item if different wording]

Yes

Maybe

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* In this GS experience, I was able to do things I could not do in other places.

Yes

Maybe

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* Answer only if Topic is Financial Literacy (if other skip to next question)

Would you want to sell Girl Scout Cookies at school again next year?

Yes

Maybe

Why?

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* Would you participate in an activity like this again?

Yes

Maybe

Why?

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* Would you recommend an activity like this to your friends?

Yes

Maybe

Why?

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* When you think about your time as a Girl Scout, what makes you feel best?

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* When you think about your time as a Girl Scout, what would make it better?

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* [Cincinnati required. If other regions provide answers, please enter data.]
In each week, how many weekdays (Mon-Fri) are you involved in activities such as GS, sports, clubs, other organizations or lessons in "after-school hours," before 6 pm?

No days

1 day

2 days

3 days

4 days

5 days

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* Please use this space for anything else you want to share.

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* Other comments...

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* Originator of Data entry work order (Name of Staff member)

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* Work Order# ("335-_ _ _ - r _ _")

Thank you.

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* Survey ID#

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* Middle Initial, Favorite animal? (compares pre/post)

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* Meeting place (drop down menu)

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* Topic? (drop down menu-ask staff if you don't know)

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* Type of Series?

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* Grade

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* Date (Please use numbers. November 12, 2008 = 11/12/2008)(This is the date that the participant responded to the survey.)

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* Region

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* Pre? or Post? (All should be POST.)

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* County (Data entry: Please enter the county where the meeting place is located.)

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* United Way?(Please use drop-down menu.)Ask staff if you don't know.

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* Special funder or grant?If yes, please describe. (See list below.)Ask staff if you don't know.

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* Special Funder or Grant Name?

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* How often do you …?

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* How much do you AGREE...

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* How much LIKE YOU is...?

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* "I can't wait to __________________."

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* Have you felt welcomed by your Girl Scout leaders?

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* What is the name of the adult who participates with you?

Question Title

* Can you do this type of activity anywhere else? [skip item if different wording]

Question Title

* In this GS experience, I was able to do things I could not do in other places.

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* Answer only if Topic is Financial Literacy (if other skip to next question)Would you want to sell Girl Scout Cookies at school again next year?

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* Would you participate in an activity like this again?

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* Would you recommend an activity like this to your friends?

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* When you think about your time as a Girl Scout, what makes you feel best?

Question Title

* When you think about your time as a Girl Scout, what would make it better?

Question Title

* [Cincinnati required. If other regions provide answers, please enter data.]In each week, how many weekdays (Mon-Fri) are you involved in activities such as GS, sports, clubs, other organizations or lessons in "after-school hours," before 6 pm?

Question Title

* Please use this space for anything else you want to share.

Question Title

* Other comments...

Question Title

* Originator of Data entry work order (Name of Staff member)

Question Title

* Work Order# ("335-_ _ _ - r _ _")

* Date (Please use numbers. November 12, 2008 = 11/12/2008)

(This is the date that the participant responded to the survey.)

* United Way?
(Please use drop-down menu.)

Ask staff if you don't know.

* Special funder or grant?
If yes, please describe. (See list below.)

Ask staff if you don't know.

* Answer only if Topic is Financial Literacy (if other skip to next question)

Would you want to sell Girl Scout Cookies at school again next year?

* [Cincinnati required. If other regions provide answers, please enter data.]
In each week, how many weekdays (Mon-Fri) are you involved in activities such as GS, sports, clubs, other organizations or lessons in "after-school hours," before 6 pm?