Longitudinal Youth Survey Form
Please complete this survey to help us track your experiences and progress over time. Your responses are valuable for understanding youth development.
Participant Identifier or Code
*
Survey Wave / Round
*
Please Select
Wave 1
Wave 2
Wave 3
Wave 4
Wave 5
Age or Grade Level
*
Please Select
11 or younger
12
13
14
15
16
17
18 or older
Grade 6
Grade 7
Grade 8
Grade 9
Grade 10
Grade 11
Grade 12
School or Program Affiliation
*
How often have you attended or participated in program activities since the last survey?
*
Every session
Most sessions
Some sessions
Rarely
Not at all
How would you describe your study habits or learning engagement recently?
*
Very engaged
Somewhat engaged
Neutral
Somewhat disengaged
Very disengaged
How have you been feeling overall since the last survey?
*
Very negative
1
2
3
4
Very positive
5
1 is Very negative, 5 is Very positive
How much support do you feel from your peers or friends?
*
1
2
3
4
5
What has been your main challenge or change since the last survey?
Please Select
Academic workload
Family situation
Friendships or social life
Extracurricular commitments
Personal motivation
Other
Any additional notes or reflections you’d like to share?
Submit Survey
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