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English (US)
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Recreational Activities and Interests
1. What kind of activities would you like to do outside of school? (Check all that apply)
Educational (i.e. Tutoring, SAT/ACT Prep, Vocational Classes)
Sports
Extra-Curricular Clubs (i.e. Scouts, Faith Based, 4-H, etc.)
Library or Community Centers
Video Gaming
Agricultural (i.e. Farming, Livestock, Gardening)
Arts (i.e. Music, Dance, Theater, Photography, Crafts, Poetry, Writing, etc.)
Outdoor Activities (Hiking, Biking, Equestrian, etc.)
Other
2. Rank in order, how you most often interact with your friends? (1 = Most, 4 = Least)
3. What activities do we not have in Loudoun County?
4. What keeps you from participating in an activity? (Check all that apply)
I don't know about them
Lack of transportation
Cost
My friends don't do it
My parents won't let me
I have disabilities or impairments that are not accommodated
I don't feel safe
Other
If you selected "I have disabilities or impairments that are not accommodated", please list:
5. Is there anything else you would like to tell us about activities in Loudoun County?
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Mental Health and Stress Management
6. Where do you feel you have the most stress in your life?
School
Home/Family
Friends
Peers
Online/Social Media
7. On a scale from 1 to 5, how often do you feel overwhelmed by stress? (1 = rarely, 5 = very often)
8. If school is a source of stress, which are the main causes? (Check all that apply):
I am not stressed by school
Academic workload/tests
College/career pressure
Pressure to succeed
Peer relationships
Teacher relationships
Balancing school & activities
Safety concerns
9. Do you feel you have strategies to manage your stress?
Yes
No
10. Over the last 12 months have you felt any of the following? (Check all that apply)
Difficulty managing stress
Anxiety
Depression
Suicidal thoughts
None of the above
11. When it comes to mental health, do you know what services are available to you in Loudoun County and how to access them?
Yes
No
12. Would you know what to do if a friend expressed suicidal thoughts?
Yes
No
Unsure
13. Do you have a safe place to go after school?
Yes
No
14. I feel physically safe at ____ (Check all that apply)
School
Home
With friends
In my neighbourhood
At community events
15. I feel emotionally safe at ____ (Check all that apply)
School
Home
With friends
In my neigbourhood
At community events
16. Do you feel you have a trusted support network (i.e. people you would go to if you needed help)?
Yes
No
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Online Access and Activity
17. What social media apps do you use? (Check all that apply)
Facebook
Snapchat
Discord
Twitch
Twitter
Instagram
TikTok
YouTube
None
Other
18. Do you feel social media has a positive, neutral, or negative effect on your wellbeing?
Positive
Neutral
Negative
19. On average, how many hours per day do you spend online outside of school?
Less than 1 hour
1-2 hours
3-4 hours
5-6 hours
7+ hours
20. What online activities or resources do you wish we had in Loudoun County?
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Drug and Alcohol Use
21. Have you used any of the following in the last 12 months? (Check all that apply)
Vaping - E-cigarettes
Weed - Marijuana
Alcohol
Prescription drugs not prescribed to you
Other
None of the above
22. If you wanted to, could you easily obtain tobacco, vaping or e-cigarettes products?
Yes
No
23. If you wanted to, could you easily obtain drugs?
Yes
No
24. If you wanted to, could you easily obtain alcohol?
Yes
No
25. Where are you most likely to get drugs, alcohol, tobacco, or vapes/e-cigarettes?
General
26. What is the biggest challenge for youth in Loudoun County today?
Submit
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