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After-School Initiative's Toolkit for Evaluating

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Section 3: Youth Background and Program Participation<br />

Program staff should include questions in the survey pertaining to youth participants’ background. However, programs should not include<br />

this question set if they are concerned about surveying only a small number of youth; in small numbers, youth respondents may feel they<br />

can be identified by age, gender or race/ethnicity (e.g., if only two girls are surveyed and one of the girls identifies herself as Latina).<br />

ASI requirement: All background in<strong>for</strong>mation questions are required <strong>for</strong> advanced-level programs. Basic-level programs may choose not<br />

to ask the question on race/ethnicity. In addition, programs may choose to ask when a participant started coming to the program in<br />

seasons or in months. Younger audiences may not yet understand the concept of months.<br />

How often do you come to<br />

[this program]?<br />

Every day or almost every day<br />

(4 to 5 times a week)<br />

2 to 3 times a week<br />

Once a week<br />

A couple times a month<br />

Less than once a month<br />

When did you start coming<br />

to [this program]?<br />

This fall (this spring)<br />

Over the summer<br />

Last spring (last fall)<br />

More than 1 year ago<br />

OR<br />

Background In<strong>for</strong>mation<br />

How old are you?<br />

6 years or younger<br />

7 years<br />

8 years<br />

9 years<br />

10 years<br />

11 years<br />

12 years<br />

13 years<br />

14 years<br />

15 years or older<br />

Within the last 3 months<br />

4 to 6 months ago<br />

7 to 12 months ago<br />

Last year or longer ago than that<br />

What grade are you<br />

in? ______________<br />

Are you a girl/female or a<br />

boy/male?<br />

Girl/female<br />

Boy/male<br />

Which best describes you?<br />

Caucasian/White<br />

African American/Black<br />

Asian/Pacific Islander<br />

Latino/Hispanic<br />

Native American<br />

Bi-racial/Multi-racial<br />

Other ______________<br />

<strong>Toolkit</strong> <strong>for</strong> <strong>Evaluating</strong> Positive Youth Development 33

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