Teen Post-Program Survey

Teen Post-Program Survey

Instructions: This survey is to be completed by the teen, NOT by their parent/guardian.
Date*

MonthDayYear
Date
Name*

First NameLast Name
Internship/Small Group Location*
Select the type of BRF experience that you participated in:*

InternshipSmall GroupSchool Based Small GroupOther
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 workDressing appropriately for workUsing a phone to catch up on social mediaPositive collaboration with your 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)*

YesNo
Would you recommend Ben's Ranch Foundation programs to a friend?*

YesNo
Teen Survey
How would you describe your experience in the BRF program?*
What did you enjoy most about your experience in the BRF program?*
What did you enjoy least about your experience in the BRF program?*
Is there anything else you would like to tell us about your experience with BRF?

Below is a list of statements dealing with your general feelings about yourself. Please indicate how strongly you agree or disagree with each statement.*

	Strongly disagree	Disagree	Agree	Strongly agree
On the whole, I am satisfied with myself.
At times I think I am no good at all.
I feel that I have a number of good qualities.
I am able to do things as well as most other people.
I feel I do not have much to be proud of.
I certainly feel useless at times.
I feel that I'm a person of worth, at least on an equal plane with others.
I wish I could have more respect for myself.
All in all, I am inclined to feel that I am a failure.
I take a positive attitude toward myself.

Please respond to each question by marking one box per row. In the past 7 days...*

	Never	Rarely	Sometimes	Often	Always
I felt fearful.
I found it hard to focus on anything other than my anxiety.
My worries overwhelmed me.
I felt uneasy.
I felt nervous.
I felt like I needed help for my anxiety.
I felt anxious.
I felt tense.

Please respond to each question or statement by marking one box per row.*

	Not at all	A little bit	Somewhat	Quite a bit	Very much
I feel hopeful about my future.
I can reach my goals in life.
My life is filled with meaning.
My life has purpose.

Please respond to each question or statement by marking one box per row. In the past 7 days...*

	Never	Rarely	Sometimes	Often	Always
I felt happy.
I felt great.
I felt cheerful.
I felt joyful.
I was in a good mood.
I felt refreshed.
I felt calm.
I felt peaceful.

Should be Empty:

Teen Post-Program Survey

Teen Survey