Teen Post-Program Survey
Instructions: This survey is to be completed by the teen, NOT by their parent/guardian.
Date
*
-
Month
-
Day
Year
Date
Name
*
First Name
Last Name
Internship/Small Group Location
*
Select the type of BRF experience that you participated in:
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Internship
Small Group
School Based Small Group
Other
Name one agricultural career that might interest you.
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Which of the following choices is NOT a desirable trait of an employee?
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Being on time to work
Dressing appropriately for work
Using a phone to catch up on social media
Positive 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)
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Yes
No
Would you recommend Ben's Ranch Foundation programs to a friend?
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Yes
No
Teen Survey
How would you describe your experience in the BRF program?
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What did you enjoy most about your experience in the BRF program?
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What did you enjoy least about your experience in the BRF program?
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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.
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Rows
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...
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Rows
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.
*
Rows
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...
*
Rows
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.
Submit
Should be Empty: