Student Leadership Team Survey

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EventID
ID*
As part of evaluating SpeakUp!’s impact, it is important for us to administer this Leadership Team survey in a way that links an individual’s pre- and post- surveys while protecting your confidentiality. Therefore, we ask that you provide us with your school initials and last 4 digits of your cell phone on both surveys. For example: GVHS1234
# years participating in SpeakUp!, including this year*
Your high school (not middle school) graduation year*
What do you identify as?*
What is your race/ethnicity?*

How much do you agree with the following statements?*

	Not at all	A little bit	Somewhat	Quite a bit	Very Much
I have the same feelings and experiences as others.
I have one or more adults I can talk to about challenges I experience.
I feel comfortable talking to my parent/guardian about challenges I experience.
I feel comfortable talking to a friend about challenges I experience.
I feel comfortable talking to an adult at school about challenges I experience.
If I have a problem, I feel comfortable talking to a professional (Family Doctor, Counselor, Psychologist) about it.

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