Reaching Teens Survey
This survey is designed to gather information that will help adults be more effective when working with teenagers. The information will be incorporated into a book for teachers, therapists, coaches. medical practitioners, and other youth workers. Please do not identify others by name if you choose to leave comments. Thank you for contributing and helping to create a better world!
 
1.

What qualities are important for an adult in a helping role (teacher, coach, therapist, medical practitioner, etc.) to have? If there are other important qualities that are not listed, please list them in the comments box below.

 Least important         Most Important 
Honesty
Focus on problem solving
Accepting me as I am
Respectfulness towards me
Compassionate
Kindness
"Realness" (being true to the way they act)
Dependability
Nurturing
Predictability
  • Comment:

  • 500 characters left.
2.

To what extent does your relationship with a helping adult influence your INTEREST in the activity?

Weak influence         Strong influence  
 
  • Comment:

  • 500 characters left.
3.

To what extent does your relationship with a helping adult influence your PERFORMANCE in the activity?

Weak influence         Strong influence  
 
  • Comment:

  • 500 characters left.
4.

Think of a helping adult who had a POSITIVE impact on you. Please describe your experience and the role of the adult (teacher, coach, therapist, etc.) without identifying the adult by name.

 

1000 characters left.
5.

Now, think of a helping adult who had a NEGATIVE impact on you. Please describe your experience and the role of the adult (teacher, coach, therapist, etc.) without identifying the adult by name.

 

1000 characters left.
6.

How old are you?

 

50 characters left.
7.

What grade are you in?

 

50 characters left.
8.

What is your gender?

 

50 characters left.
9.
If you have anything else you would like to contribute, or would like a call or email from one of us, please provide your email address below:

By entering my personal information, I consent to receive email communications from the survey author's organization based on the information collected.

First Name:
Email Address:
emailaddress@xyz.com

By submitting this survey you are authorizing the information contained in it to be used in the development of a book for service providers. To comply with COPPA - Children's Online Privacy Protection Act, you also affirm that you are age 13 or older. All information will be presented either in aggregate, or by comments attributed to an adolescent of a particular age, grade, or gender.

Thank you!