Kansas 4-H Youth Development

2014 Positive Youth DevelopmentEvaluation

For 10-12-Years-Olds

Dear Participant:

You are being given this survey because you are part of a 4-H program or project, and we are surveying young people like you to learn about your experiences.

This survey is voluntary. If you do not want to fill out the survey, you do not need to. However, we hope you will take a few minutes to fill it out because your answers are important.

This survey is private. No one at your school, home, or 4-H program or project will see your answers. Please answer all of the questions as honestly as you can. If you are uncomfortable answering a question, you may leave it blank.

This is not a test. There are no right or wrong answers, and your answers will not affect your participation or place in the program in any way.

Thank you for your help!

Section I: Tell us about your 4-H Experience

Please select the responses that best describe you.

  1. How many years have you been participating in 4-H? (Mark one box ☒.)

☐ / This is my first year
☐ / This is my second year
☐ / Three or more years
  1. Which one of the following best describes how many hours you typically spend in 4-H programs/projects each week? (Mark one box ☒.)

☐ / Less than one hour
☐ / Between one and three hours
☐ / More than three hours
  1. Which of the following best describes how you are involved in 4-H? (Mark each box ☒that applies to you.)

☐ / Clubs
☐ / Camps
☐ / After-school programs
☐ / In-school programs
☐ / Local fairs/events
☐ / Community service projects
☐ / Working on my projects at home
☐ / Other

(Continued on Next Page)

Thefollowing pairsof sentences aretalking abouttwokindsofkids. We‘dlike youtodecidewhetheryouaremorelikethe kidsontheleftside,oryouaremorelikethe kidsontheright side.Thenwewouldlikeyoutodecidewhetherthat is onlysortof true foryouorreallytrue foryouandmarkyouranswer.

Sample

FILLINONLYONECIRCLEFOREACH PAIR OFSENTENCES ON EACH LINE.

Really
Trueforme / Sortof
Trueforme / Am I More Like This?
Respond once per line. / Or / Am I More Like This? / Sortof
Trueforme / Really
Trueforme
(a) / ○ / ○ / Somekids wouldrather
playoutdoorsintheirspare time / BUT / Otherkidswouldrather
watchT.V. / ○ / ○
ReallyTrueforme[4] / SortofTrueforme[3] / Am I More Like This?
(Respond only once per line.) / Or / Am I More Like This? / SortofTrueforme
[2] / ReallyTrueforme[1]
4. / ○ / ○ / Somekids have a lot of friends. / BUT / Other kids don’t have very many friends. / ○ / ○
5. / ○ / ○ / Some kids are happy with their height and weight. / BUT / Some kids are not happy with their height and weight. / ○ / ○
6. / ○ / ○ / Some kids are happy with themselves most of the time. / BUT / Other kids are often not happy with themselves. / ○ / ○
7. / ○ / ○ / Some kids feel that they are better than others their age at sports. / BUT / Other kids don’t feel they can play as well.
8. / ○ / ○ / Some kids do very well at their class work. / BUT / Other kids don’t do very well at their class work. / ○ / ○
9. / Some kids do things they know they shouldn’t do. / BUT / Other kids hardly ever do things they know they shouldn’t do.

Howmuchdoyouagreeordisagreewiththefollowing?

  1. All in all, Iam gladIamme.○○○○ ○

Howimportantiseachofthe followingtoyouin
yourlife? / Not
important[1] / Somewhat
important[2] / Not
sure[3] / Quite
important[4] / Extremely
Important[5]
  1. Helpingtomaketheworldabetterplace tolive in.
/ ○ / ○ / ○ / ○ / ○
  1. AcceptingresponsibilityformyactionswhenImakea

mistake orget introuble. ○ ○ ○ ○ ○

(Continued on Next Page)

Thinkaboutthepeoplewhoknow youwell.Howdoyouthinkthey would rateyouon each ofthese?

Notatall
like me[1] / Alittle
like me[2] / Somewhat
like me[3] / Quitelike
me [4] / Very much
like me[5]
  1. Enjoying being with people who are of a

different race than I am.○ ○ ○ ○ ○

Howwelldo eachofthese statementsdescribeyou?

Not
well1 / 2 / 3 / 4 / Very
well5

14. WhenIseesomeone being takenadvantage of,I wanttohelpthem. ○ ○ ○ ○ ○

15. WhenIseesomeone beingpickedon,Ifeelsorryforthem. ○ ○ ○ ○ ○

16. WhenIseeanotherpersonwhoishurtorupset,Ifeelsorryforthem. ○ ○ ○ ○ ○

Howmuchdoyouagreeordisagreewiththefollowing?

17. I getalotofencouragement atmyschool.○○○ ○ ○

18. In myfamilyIfeelusefulandimportant.○○○ ○ ○

19. Adultsin mytownorcitymakemefeelimportant.○○ ○ ○ ○

Howtrueiseach ofthesestatementsforyou?

Always
true
[5] / Usually
true
[4] / Sometimes
true
[3] / Seldom
true
[2] / Almost never
true or never
true
[1]

20. Ifeelmyfriendsaregoodfriends. ○ ○ ○ ○ ○

(Continued on Next Page)

Section III: Tell us about You

Please select the responses that best describes you.

21. How old are you today?
☐ / 10
☐ / 11
☐ / 12

Please select the responses that best describes you.

22. What grade are you in?
☐ / 4th
☐ / 5th
☐ / 6th
☐ / 7th
☐ / 8th
23. Which of the following best describes your gender? (Mark one box ☒.)
☐ / Female
☐ / Male
24. Which of the following best describe your race? (Mark each box ☒that applies to you.)
☐ / American Indian or Alaskan Native
☐ / Asian
☐ / Black or African American
☐ / Native Hawaiian or Other Pacific Islander
☐ / White
25. Which of the following best describe your ethnicity? (Mark one box ☒.)
☐ / Hispanic or Latino
☐ / Not Hispanic or Latino
26. Which of the following best describes the primary place where you live? (Mark one box ☒.)
☐ / Farm
☐ / Rural (non-farm residence, pop. < 10,000)
☐ / Town or City (pop. 10,000 – 50,000)
☐ / Suburb of a City (pop. > 50,000)
☐ / City (pop. > 50,000)

THANK YOU!

Very Short Form (17items)

Last updated: 9-30-13

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