FutureNow Student Survey

JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.

How did you like the show?!! This is your chance to tell us what YOU thought about FutureNow!!!

School Name *

City *

Gender *

Male

Female

Prefer not to say

Ethnicity/Race *

What is your grade level? *

Select any issues below that you believe to be prevailing problems at your school. Please select ALL that apply. *

Drug Abuse

Alcohol Abuse

Gang Activity

Fighting/Violence

Sexual activity among students

Students wanting to drop out of school

Lack of parental involvement

Poverty

Quality of school facilities and resources

Other:

Required

Please score the following parts of the FutureNow DAYTIME event at your school. *

Excellent

Good

Needs serious improvement

Terrible – remove it from your show

Don't Know– Did not attend

Music

Drama/Skits

Videos/Media

Lights and Effects

Importance of Message

Overall, how would you rate the event? *

Very Unsatisfactory

Very Satisfactory

Please select ALL CHOICES that best describe your view. You can choose more than one answer. "I heard or saw something in the FutureNow event that... *

encouraged me to believe that I can succeed in life."

encouraged me to avoid drugs and alcohol."

encouraged me to respect my parents and teachers."

encouraged me to avoid having sex before marriage."

encouraged me to avoid fighting and violence."

encouraged me to ask my parents/teachers/other adults for help."

encouraged me to pursue and earn good grades."

I did not hear or see anything during the event that make a significant, positive difference in my life."

I did not hear or see anything because I was not able to attend the event."

Required

How did you first hear about FutureNow? *

At School

Newspaper

Radio

Television

Family/Friends that have seen FutureNow

Church

Other:

Please select the choice that best describes your view. *

I already know what I want to do in life, and I am doing my best in school/work/activities to prepare for my future.

I'm not sure what I want to do in life, but I am doing my best in school/work/activities to prepare for my future.

I don't know what I want to do in life, I haven't been doing my best in school/work/activities, and I want someone to help me do better.

I have no plans, and I don't care what happens in my life.

I don't expect to succeed in anything.

What was the MAIN reason you did OR did not go to the FutureNow NIGHT EVENT? *

I WENT BECAUSE my family wanted me to go.

I WENT BECAUSE my church youth group went together.

I WENT BECAUSE I liked the daytime event.

I WENT BECAUSE I wanted to win one of the prizes.

I DID NOT GO BECAUSE I wasn't interested.

I DID NOT GO BECAUSE I didn't have a ride.

I DID NOT GO BECAUSE I had another activity that night.

Did the FutureNow event inspire you or give you new hope for your future? Please explain.

Additional comments or thoughts you may have for the FutureNow team.

Submit

Clear form

Never submit passwords through Google Forms.

This content is neither created nor endorsed by Google. Report Abuse - Terms of Service - Privacy Policy

Forms