Teen Summit Questionnaire: Understanding Experiences and Perspectives on Gun Violence

Teen Summit Questionnaire: Understanding Experiences and Perspectives on Gun Violence

Your voice matters! Please take a few moments to share your experiences and insights on gun violence in your community. Your responses will help inform efforts to address this critical issue and create safer environments for all. Please take 12-15 minutes to fill this form out.
Age*
Gender*

MaleFemalePrefer Not To Say
Grade Level*
School you attend*
(ex. Annapolis, Broadneck, etc)
Have you personally experienced or witnessed gun violence in your community?*

YesNoA friend or associate has
Do you believe that gun violence can be influenced or exacerbated by social media posts or online interactions?*

Strongly AgreeAgreeNeutralDisagreeStrongly Disagree
Do you feel safe from violence while at school?*

All the timeMost of the timeSometimesNever
Do you feel safe from violence while on your way to and from school?*

All the timeMost of the timeSometimesNever
Have you ever observed instances where conflicts on social media escalated into real-life violence involving firearms?*

YesNoA friend or associate has
How do you believe social media can contribute to the perpetuation of gun violence in communities?*

YesNoNot Sure
Generally, do you believe there is violence at your school?*

No ViolenceVery little violenceA moderate amount of violenceA lot of violence
In the past 30 days have you tried to stop a fight or calmed someone down as they were threatening to commit an action?*

NeverOnce or twiceSeveral timesOften
In the past 30 days have you intervened to protect a victim of physical violence, sexual harassment or bullying?*

NeverOnce or twiceSeveral timesOften

Rate how concerned you are of the following?*

	Very Concerned	Somewhat Concerned	A Little Concerned	Not Concerned
Verbal threat/attack from students
Verbal threat/attack from parents
Physical threats or attacks from students
Physical threats or attacks from parents
Online threat/attack from students
Online threat/attack from parents

Rate where do you believe violent events are most likely to occur.*

	High Risk	Moderate Risk	Low Risk	No Risk
Hallways
Cafeterias
Classrooms
Buses
Athletic Events/ After School Activites
Gym Areas
Restrooms
Outside / In Neighborhoods

What are some of the immediate and long-term effects you have observed or experienced as a result of gun violence in your community?*
In your opinion, what are some of the factors that contribute to the continuation of gun violence in communities?*
Have you or someone you know reached out for support or counseling following exposure to gun violence?*

YesNoUnsure

If you were a victim of violence, assault or bullying, who would you go to for help?*

	Yes	No	Maybe
Your Parents / Guardians
Teacher / Coach
Counselor
Friends
Siblings
Police
Personal Therapist
Church / Pastor

If yes, did you find the support services to be adequate and helpful?*

YesNoUnsure
What additional resources or support do you believe are needed to address the root causes of gun violence and support individuals affected by it in your community?*
In your opinion, what types of community events or activities have the potential to bring together residents from different neighborhoods and promote a sense of unity?*
Have you participated in any initiatives or programs in the past that aimed to bridge divides between neighborhoods or promote peace and understanding?*

YesNoUnsure

In the past 30 days, how often have you observed other students from your school engaging in violence or bullying on social media?*

	Never	Once or twice	Several times	Often
Threats of engaging in a fight or physically hurting someone.
Threatened someone with a weapon online. (Knife, gun, etc)
Verbally threatened another student with violence or other actions to intimidate him/her on social media (cyber-bullying)
Humiliated another student with lies, rumors, or insults on social media (cyber-bullying)
Sexually harassed another student online

How do you believe social media platforms can be leveraged to promote unity and bridge divides between communities, especially in the context of addressing issues such as gun violence and fostering positive relationships?*
Is there anything else you would like to share about your experiences with gun violence or your thoughts on how to prevent it in the future?*
After submitting this form, you will be redirected to another page to request your complimentary game ticket for completing the survey.
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