Youth Community Needs Survey Form
Help us understand and prioritize the most important needs of youth in your community. Your input is anonymous and will shape local programs and initiatives.
Which age group do you belong to?
*
Please Select
12-14
15-17
18-21
22-25
Prefer not to say
How involved do you feel in your local community?
*
Very involved
Somewhat involved
Not very involved
Not involved at all
What are the top issues or needs you see for youth in your community? (Select up to 3)
*
Mental health support
Job training & employment
Affordable housing
Safe public spaces
Education & tutoring
Recreation & sports
Access to technology
Substance abuse prevention
Other
How would you rate the availability of the following resources for youth in your community?
*
Rows
Excellent
Good
Fair
Poor
Not sure
Mental health services
1
2
3
4
5
Job opportunities
6
7
8
9
10
Public transportation
11
12
13
14
15
After-school programs
16
17
18
19
20
Safe places to gather
21
22
23
24
25
How safe do you feel in your community?
*
Not safe at all
1
2
3
4
Very safe
5
1 is Not safe at all, 5 is Very safe
How satisfied are you with opportunities for youth to participate in decision-making in your community?
*
1
2
3
4
5
Which communication channels do you prefer to receive information about youth programs and events? (Select all that apply)
Social media
Text messages
Email
Community website
School announcements
Flyers/posters
Other
Rank the following community priorities for youth from most important to least important.
What is one thing you wish could be improved for youth in your community?
Any additional comments or suggestions?
Submit Survey
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