Pen Pals Survey

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Pen Pals Survey

This is just to get to know you a little bit better and pair you with a pen pal! :) All information that goes into this survey will be kept confidential within Youth2Youth.

Please note that the letters sent might be used in part or in whole by United Way Hastings & Prince Edward. All identifying information (name, address) will be kept confidential.

What name would you like to go by? *

What is your age? *

How do you identify your gender? *

Do you practice self-care? *

Yes

Sometimes

What are some of your interests? *

What are some things you want us to know about you? *

What are you looking to get out of the Pen Pal program? *

Please provide your email address. *

If you are under the age of 18 you will be required to return a consent form that is signed by your parent or guardian. This will be kept confidential and will only be used by Youth2Youth.

Please provide your address or an address you would like it sent to. *

This will be kept confidential and will only be shared with Youth2Youth, we will be your connection point for letters.

Would you be interested in writing an additional letter specifically for Youth2Youth about your perfect day after COVID? *

These letters will be published on a public forum to capture the moment of time that we are in. Please use first names only when writing these letters.

Yes

Maybe

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