Children: Our Ultimate Investment USA (COUI) - Teens & Toddlers Follow-up Questionnaire - 2013
Answers marked with a * are required.
 

Teens & Toddlers Follow-up Questionnaire - 2013

Thank you for completing this questionnaire.  We are very interested in your views and opinions – there are no right or wrong answers.  Your name and privacy will be respected and kept confidential.


 
 
 
1. Please enter the name you were using at the time that you were participating in the Teens & Toddlers Program as well as your birth date.
PLEASE INSERT YOUR BIRTH DATE IN THIS FORMAT: MM/DD/YYYY
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Full Name
Birth Date (MM/DD/YYYY)
 
 
 
2. How do you define your ethnicity?
PLEASE SELECT ALL THAT APPLY
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3. What was your age when you participated in the Teens & Toddlers Program?
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4. What school did you attend when you participated in the Teens & Toddlers Program?
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5. When did you participate in the Teens & Toddlers Program?  Please select your best guess if you know the year but are unsure of the semester.
-Note that the Fall semester runs from Sept of one year through the end of that year and the Spring semester runs from after the 1st of the next year through to the last day of school in June-
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6. Please select all the answers that best describe your situation BEFORE you entered the T&T program.
*PLEASE CHECK ALL ANSWERS THAT APPLY TO YOU*
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7. Please select the one answer the best describes your situation AFTER completing the Teens & Toddlers program.
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8. Please give date(s) of any and all pregnancies or births (MM/DD/YYYY).
(If you have NOT been pregnant / impregnated or become a parent, please enter "NEVER" in the text box.)
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9. How much do you feel the T&T program has influenced your decision about the age at which you would like to have children?
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10. How much do you feel the T&T program affected your practice of safe sex (using condoms)?
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11. How much do you feel that doing the T&T program made a positive difference in your life?
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12. Overall how useful would you say the T&T program would be to other teenagers? *
 
 
 
13. What do you think would be the ideal age for you to become a parent?
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14. What was the most important thing(s) you learned from Teens & Toddlers?
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15. Are there any other thoughts or comments that you would like to make?
 
 
 
 
 

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