Teen Program Quiz

1
Has your child ever experienced bullying at school or online?* This field is required.
Never
Sometimes
Often
2
Does you child spend over 3 hours of screen time per day either playing video games or on social media?* This field is required.
Never
Sometimes
Often
3
On a scale of 1 to 10, with 10 being the highest, how would you rate your child's emotional and social intelligence?* This field is required.
Please Select
Please Select
1
2
3
4
5
6
7
8
9
10
4
On a scale of 1 to 10, with 10 being the highest, how would you rate your child's circle? (friends, school, family, church, community)* This field is required.
Please Select
Please Select
1
2
3
4
5
6
7
8
9
10
5
Does you child have clear career path and goal that best fits their personality and strengths?* This field is required.
Yes
No
Not Sure
6
Overall Score
7
Your Name* This field is required.
First Name
Last Name
8
Email* This field is required.
example@example.com
9
Please verify that you are human* This field is required.
Should be Empty: