Hello!
Florida 4-H would like to invite you to take part in an evaluation about what you have learned in 4-H this past year. In this study, we want to know what you gained from your 4-H program experience specifically in the areas of citizenship, communications and getting ready for the world of work. Your parents have been informed of your possible involvement in this evaluation.
If youdo not want to fill out the survey that is okay or if you want to skip questions that is alright as well. If you decide to participate in the survey, you can stop at any time. Although we hope you will complete it!
It will take you about 20 minutes to complete the survey. If you have any questions at any time, please ask one of our leaders or your county 4-H agent if available.
Your county 4-H agent may send out a message or two reminding you about completing the survey through Facebook, email, Instagram or Twitter. These are just reminders. The survey will close on September 15.
Thank you very much!
Judy Levings, State 4-H Educational Design Specialist
State 4-H Headquarters
2142 Shealy Drive
Gainesville, Florida 32611
1. What county are you from? ______
2. Please read each of the statements and check your level of agreement.
In 4-H, I:
Strongly Disagree Disagree AgreeStrongly Agree
Use information to make decisions / / / / Set goals for myself / / / /
Take responsibility for my actions / / / /
Can explain why my decision is a good one / / / /
Consider the consequences of my choices / / / /
Resist negative social pressure / / / /
Listen well to others / / / /
Respect others / / / /
Have confidence to speak in front of groups / / / /
Can resolve differences with others in positive ways / / / /
Work well with other youth / / / /
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3. As a result of my experience in 4-H:
Strongly Disagree Disagree Agree Strongly Agree
I am comfortable making my own decisions / / / / I am comfortable sharing my thoughts and feelings with others / / / /
I have a plan for reaching my goals / / / /
I know how to deal with stress in positive ways / / / /
I can make alternative plans if something does not work / / / /
I can use technology to help me express my ideas / / / /
I know who I can go to if I need help with a problem / / / /
I am willing to consider the ideas of others even if they are different than mine / / / /
I can stand up for things that are important to me / / / /
I have friends who care about me / / / /
I have community leaders who support me / / / /
I have adults in my life who care about me and are interested in my success / / / /
I am someone who wants to help others / / / /
I like to work with others to solve problems / / / /
I know who I can go to if I need help with a problem / / / /
I have talents I can offer to others / / / /
I learn things that helped me make a difference in my community / / / /
I led a project that made a difference in my community / / / /
4. In 4-H:
Strongly Disagree Disagree Agree Strongly Agree
I pay attention to news events that affect my community / / / / I am aware of the important needs in my community / / / /
I really care about my community / / / /
I talk to friends about issues affecting my community, state, or world. / / / /
I am interested in others opinions about public issues (5) / / / /
I listen to everyone’s views whether I agree or not / / / /
When I hear about an issue, I try to figure out if they are just telling one side of the story / / / /
I explore cultural differences / / / /
I value learning about other cultures / / / /
I respect people from different cultures / / / /
I have learned about people who are different from me / / / /
I can make a difference in my community through community service / / / /
I can apply knowledge in ways that solve real-life problems through community service / / / /
I gained skills through serving my community that will help me in the future / / / /
I treat everyone fairly and equally when I am in charge of a group / / / /
I am able to lead a group in making a decision / / / /
I help make sure everyone gets an opportunity to say what they think / / / /
5. As a result of my experience in 4-H:
Strongly Disagree Disagree Agree Strongly Agree
Definitely Not (1) / Probably Not (2) / Maybe (3) / Definitely (4)I plan to work on projects to better my community / / / /
I am encouraged to volunteer / / / /
I would enjoy hosting someone from a different culture / / / /
I can contact someone I have never met before to get their help with a problem / / / /
I plan to work on projects to better my community / / / /
I am encouraged to volunteer more / / / /
After high school I will continue to work to better my community / / / /
I am interested in a career that helps others / / / /
I am interested in working in government (such as a school board, director of parks, legislative aide or intern) / / / /
6. How many years have you participated in 4-H?
This is my first year (1)
This is my second year (2)
Three or more years (3+)
7. Which of the following best describes how you are involved with 4-H? (you may select more than one answer)
4-H Club
4-H camps
4-H afterschool program
In-school programs
Local fairs/events
Community Service projects
Working on projects at home
Other
8. Which one of the following best describes how many hours you typically spend in 4-H programs/projects each week? (Check one)
Less than 1 hours
Between one and three hours
More than three hours
9. How old are you? ______(Write in your answer)
10. What grade are you in?______(last year) (Write in your answer)
11. Which of the following best describes your gender? (Check one)
Male
Female
12. Which of the following best describes your race? (Check one)
Black or African American
Asian
American Indian
Native Hawaiian or Other Pacific Islander
White
Other
13. Which of the following best describes your ethnicity?
Hispanic or Latino
Not Hispanic or Latino
14. Which of the following best describes the primary place where you live?
Farm
Rural (non-farm residence/town under 10,000)
Suburb of a City over 50,000
City over 50,000 people
15. What would we need to change about 4-H to attract more of your friends to join? (Please answer in the space below)
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