Life Launch HOPE Survey - page 1

INSTRUCTIONS: The purpose of this survey is to better understand your views and attitudes, helping us measure the overall impact of our program on the client population that we are serving. All responses will remain confidential and there is no obligation for you to take the survey, it is voluntary. It is important that you answer all of the questions, otherwise the survey analysis results could be invalidated. Please read each item and select the best response that reflects your answer.

Date *

First Name *

Last Name *

City *

DEMOGRAPHIC INFORMATION

What is your gender? *

Male
Female

What is your age in years? *

What was the last grade you completed in school? *

9th grade or below
10th grade
11th grade
12th grade
Technical school
Some college

What is your race/ethnicity? *

White
African American
American Indian
Asian
Hispanic or Latino
Other

QUESTIONS ABOUT GOALS

The six sentences below describe how people think about themselves and how they do things in general. Read each sentence carefully. For each sentence, please think about how you are in most situations. Mark the circle that describes YOU the best. There are no right or wrong answers.

1. I think I am doing pretty well. *

None of the time
A little of the time
Some of the time
A lot of the time
Most of the time
All of the time

2. I can think of many ways to get the things in life that are most important to me. *

None of the time
A little of the time
Some of the time
A lot of the time
Most of the time
All of the time

3. I am doing just as well as other youth my age. *

None of the time
A little of the time
Some of the time
A lot of the time
Most of the time
All of the time

4. When I have a problem, I can come up with lots of ways to solve it. *

None of the time
A little of the time
Some of the time
A lot of the time
Most of the time
All of the time

5. I think the things I have done in the past will help me in the future. *

None of the time
A little of the time
Some of the time
A lot of the time
Most of the time
All of the time

6. Even when others want to quit, I know that I can find ways to solve the problem. *

None of the time
A little of the time
Some of the time
A lot of the time
Most of the time
All of the time

FEELINGS ABOUT SELF

Below is a list of statements dealing with your general feelings about yourself. Please answer every question<br>by putting a mark in one of the circles. There are no right or wrong answers.

1. Generally, I am satisified with myself. *