Teen Post-Internship Survey
Instructions: This survey is to be completed by the teen, NOT by their parent/guardian. Choose whichever answer seems best for how you’ve felt in the last seven days.
Date
*
-
Month
-
Day
Year
Date
Name
*
First Name
Last Name
Internship Placement
*
Select the type of BRF experience that you participated in:
Internship
Small Group Program
School Small Group
Other
Name one agricultural career that might interest you.
Which of the following choices is NOT a desirable trait of an employee?
Being on time to work
Dressing appropriately for work
Using a phone to catch up on social media
Positive collaboration with you team
After your BRF experience, do you feel more comfortable working with animals or gardening (depending on whether you worked on animals or gardening at your location)
Yes
No
Would you recommend Ben's Ranch Foundation programs to a friend?
Yes
No
How would you describe your experience in the BRF program?
*
What did you enjoy most about your program with BRF?
*
What did you enjoy least about your program with BRF?
*
Is there anything else you would like to tell us about your experience with BRF?
*
Rosenberg Self-Esteem Scale
1. On the whole, I am satisfied with myself.
*
Strongly Agree
Agree
Disagree
Strongly Disagree
2. At times I think I am no good at all.
*
Strongly Agree
Agree
Disagree
Strongly Disagree
3. I feel that I have a number of good qualities.
*
Strongly Agree
Agree
Disagree
Strongly Disagree
4. I am able to do things as well as most other people.
*
Strongly Agree
Agree
Disagree
Strongly Disagree
5. I feel I do not have much to be proud of.
*
Strongly Agree
Agree
Disagree
Strongly Disagree
6. I certainly feel useless at times.
*
Strongly Agree
Agree
Disagree
Strongly Disagree
7. I feel that I'm a person of worth, at least on an equal plane with others.
*
Strongly Agree
Agree
Disagree
Strongly Disagree
8. I wish I could have more respect for myself.
*
Strongly Agree
Agree
Disagree
Strongly Disagree
9. All in all, I am inclined to feel that I am a failure
*
Strongly Agree
Agree
Disagree
Strongly Disagree
10. I take a positive attitude toward myself.
*
Strongly Agree
Agree
Disagree
Strongly Disagree
PROMIS SF 8a- Anxiety
I felt fearful.
*
never
rarely
sometimes
usually
always
I found it hard to focus on anything other than my anxiety.
*
never
rarely
sometimes
usually
always
My worries overwhelm me.
*
never
rarely
sometimes
usually
always
I felt uneasy.
*
never
rarely
sometimes
usually
always
I felt nervous.
*
never
rarely
sometimes
usually
always
I felt like I needed help for my anxiety.
*
never
rarely
sometimes
usually
always
I felt anxious.
*
never
rarely
sometimes
usually
always
I felt tense
*
never
rarely
sometimes
usually
always
PROMIS SF 4a- Meaning and Purpose
I feel hopeful about my future.
*
not at all
a little bit
somewhat
quite a bit
very much
I can reach my goals in life.
*
not at all
a little bit
somewhat
quite a bit
very much
My life is filled with meaning
*
not at all
a little bit
somewhat
quite a bit
very much
My life has purpose
*
not at all
a little bit
somewhat
quite a bit
very much
PROMIS SF 8a- Positive Affect
I felt happy.
*
never
rarely
sometimes
usually
always
I felt great.
*
never
rarely
sometimes
usually
always
I felt cheerful.
*
never
rarely
sometimes
usually
always
I felt joyful.
*
never
rarely
sometimes
usually
always
I was in a good mood.
*
never
rarely
sometimes
usually
always
I felt refreshed.
*
never
rarely
sometimes
usually
always
I felt calm.
*
never
rarely
sometimes
usually
always
I felt peaceful
*
never
rarely
sometimes
usually
always
Type a question
Type option 1
Type option 2
Type option 3
Type option 4
Submit
Should be Empty: