LAHC Youth Voices Survey
Section 1: Demographics
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
How old are you?
14 to 15 years old
16 to 17 years old
18 to 20 years old
What is your gender? (Optional)
Male
Female
Other
What City/Community do you live in?
What School level are you at?
Middle School
High School
College
Not currently enrolled
What languages do you speak at home?
What race or races do you consider yourself to be? (You may choose more than one answer)
White
Black or African American
Middle Eastern or Arab American
Asian
American Indian or Alaska Native
Hispanic
Native Hawaiian or Other Pacific Islander
Do you identify as an immigrant or refugee, or child of immigrants/refugees?
Yes
No
Prefer not to say
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Section 2: Awareness & Engagement
How familiar are you with the following?
Very familiar
Somewhat familiar
A little bit familiar
Not at all familiar
Local Government
Philanthropic Organizations/Foundations
Nonprofits and Community Organizations
Private Businesses Supporting Communities
Have you ever participated in a Youth Leadership, Civic Engagement, or Service program? (In-Person or Virtual)
Yes
No
If yes, what type or types? (Please choose all that apply)
Student Government
Volunteering
Nonprofit Program
Faith-Based Program
Other
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Section 3: Interests & Aspirations
How interested are you in learning more about the following?
Very Interested
Interested
Somewhat Interested
A Little Bit Interested
Not Interested
Community Service
Philanthropy and Giving Back
Entrepreneurship/Business
Public Service/Government Careers
Social Justice and Advocacy
What issues matter the most to you? (Please select up to 3)
Education
Jobs/Careers
Mental Health
Immigration
Public Safety
Environment
Arts & Culture
Other
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Section 4: Barriers & Supports
What makes it hard for young people to participate in leadership programs? (Please select all that apply)
Time
Transportation
Family Responsibilities
Language Barriers
Cost
Not Knowing about Opportunities
Not Feeling Welcomed
Other
What issues could be remedied to better help you participate in leadership programs?
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Section 5: Program Design Preferences
What is your Preferred Program Format?
In-Person
Hybrid
Virtual
What are the best Days and Times for you to Participate?
What is your Preferred Length of the Program? (Number of Weeks or Months)
What would motivate you to join a fellowship like this? (Please choose all that apply)
Skills
Networking
Stipend
College/Career Prep
Community Impact
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Section 6: Final Reflections
What skills do you most want to build and improve?
How likely would you be to apply for a fellowship like this?
Very Likely
Likely
Somewhat Likely
A little bit Likely
Not Likely
Is there anything else you want program leaders to know about youth in your community?
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