2019 SOYL@ Suwa'lkh Pre-program Survey
Thanks for participating! Remember, there are no right or wrong answers, please fill out as much of this survey as possible. Your honest answers will help us to improve the SOYL program. All of your answers will remain private-the data will be kept anonymus and confidential.
Age *
Your answer
Gender *
Please self-describe
Your answer
Please chose a pseudonym *
A pseudonym is a name that someone uses instead of his/her/their real name. Please use one that is easy for you to remember.
Your answer
During the school year that just ended… *
Please check All of the options that apply to you
Required
Do you identify yourself as an immigrant or refugee? *
Do you identify yourself as Indigenous or Aboriginal? *
Do you identify yourself as having a disability? *
What did you do last summer? *
Your answer
How confident are you in the following food and garden skills? *
Please check the ONE option that best applies to you for each row
I would not feel confident to do this at all
I would only feel confident to do this if I had help
I would feel confident to do this by myself
I would feel confident teaching others how to do this
Preparing soil to grow food
Planting & Transplanting
Using garden tools effectively
Harvesting food
Preparing a meal from scratch using fresh ingredients
Ensuring food safety
Using kitchen tools safely and effectively
Prepare a nutritionally balanced meal
Preserving or canning food
How confident are you in the following communication and leadership skills? *
Please check the ONE option that best applies to you for each row.
I would not feel confident to do this at all
I sometimes feel confident to do this
I always feel confident to do this
I would feel confident teaching others how to do this
Working effectively in a team
Effectively resolve conflict
Participating in a group discussion
Public speaking
Giving feedback
Receiving feedback
Provide professional customer service
Performing cash transactions with customers
Meeting new people
How often have you participated in these activities in the past year? *
Please check the ONE option that best applies to you for each row.
I’ve never done it
I've done it once or twice
I do this sometimes
I do this regularly
Participating in an extracurricular club, group, or organization
Cooking for myself, friends, or family
Trying new foods
Considering the health impacts of what I choose to eat
Considering social and/or environmental impacts when I choose what to eat or buy
Engaging in conversation about social and/or environmental issues
Challenging myself to do things that I think are hard
Taking transit by myself
Yesterday, did you eat any vegetables? Count any vegetables that were cooked or uncooked, all salads, and boiled, baked and mashed potatoes. Do not count French fries or chips *
Please check the ONE option that best applies to you.
No, I didn’t eat any vegetables yesterday
Yes, I ate 1 vegetable yesterday
Yes, I ate 2 vegetables yesterday
Yes, I ate 3 vegetables yesterday
Yes, I ate 4 vegetables yesterday
Yes, I ate 5 or more vegetables yesterday
Vegetables
Yesterday, did you eat any fruit? Count any fruit that is fresh, frozen, dried, or canned. Do not count fruit juice or fruit snacks *
Please check the ONE option that best applies to you
No, I didn’t eat any fruit yesterday
Yes, I ate fruit 1 time yesterday
Yes, I ate fruit 2 times yesterday
Yes, I ate fruit 3 times yesterday
Yes, I ate fruit 4 times yesterday
Yes, I ate fruit 5 or more times yesterday
Fruits
How healthy do you think your diet is? Rate your diet on this scale. 1 means “not healthy at all,” 3 means “sometimes health and sometimes not healthy,” and 5 means “very healthy.” *
Please check the ONE option that best applies to you
1: My diet is not healthy at all
2
3
4
5
6: My diet is very healthy
Diet
Do you know where most of your food is grown and/or produced? If yes, please describe. *
Your answer
How many hours a week, on average, do you spend outdoors? *
Your answer
Thinking about how you feel right now, please tell us how much you agree with the following statements: Rate how strongly you feel the following qualities. 1 means “No, I don't feel that way at all” and 6 means “Yes, I strongly feel that way.” *
Please check the ONE option that best applies to you for each row
1 (No, I don't feel that way at all)
2
3
4
5
6 (Yes, I strongly feel that way)
I have goals for the future
Confident I can make progress towards my goals
Good about myself
I have a lot to contribute
I know where to go to get the help I need
People close to me help me work towards my goals
I have the kind of support I need to achieve my goals
I have a variety of useful skills
I sometimes find these activities challenging: *
Ckeck all of the options that apply to you.
Required
Thanks for your participation! :-)
If you are interested in the results of this program evaluation, please let us know, we will be happy to share the results with you.
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