Youth Virtual Program Survey
The purpose of this survey is to better understand the needs for Youth who are interested in attending our virtual programming.

The information collected through this survey is confidential and will help Empower Simcoe's Youth Program to plan for programming and activities of greatest interest for youth. We aim to better serve the community by providing top quality, accessible programming.
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I am a: *
Age of Youth? Please check all that apply: *
Required
Where are you located, and in what community would you be accessing services once in person programming begins? *
What activities are of greatest interest to you? Please check all that apply: *
Required
What days of the week would be best for attending a virtual program? Please check all that apply: *
Required
What hours would work best for attending virtual programming? Please select in preferred order, 1 being your first choice, 4 being your last choice. *
10:00 am - 12:00 pm
12:00 pm - 2:00 pm
2:00 pm - 4:00 pm
4:00 pm - 6:00 pm
1 (first choice)
2
3
4 (last choice)
Do you have access to an electronic device? *
Do you follow any of Empower Simcoe's social media outlets for news and upcoming events? If so, what platform(s) do you follow? *
Required
Please share any information you feel would be relevant to help us to improve you with the best opportunities for virtual programming.
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