Task Force Questionnaire
Campferences will be virtual in Summer 2021 and we need your help to make it awesome!
This questionnaire is anonymous and will help our team start thinking about what's important to you. Thanks for helping us be there for you!
Please Indicate Your Community *
Required
What devices do you have available to join Virtual Campferences? (Check all that apply) *
Required
Do you have a safe, quiet place with a door that you could be in to attend a Virtual Campference? *
Knowing that Next Step will find a way to explore all of these topics, which one is most important to you at this point of your life? *
What information do you wish you had regarding MANAGING YOUR HEALTH? (Ex: how to build a medical resume) *
What information do you wish you had regarding SCHOOL AND/OR EDUCATION? (Ex: Asking for accommodations, financial aide, etc.) *
What information do you wish you had regarding MEDICAL ADVOCACY? (Ex: Learning how to voice issues with your providers or care team) *
What information do you wish you had regarding MENTAL HEALTH? (Ex: Recognizing stress, developing healthy coping skills, etc.) *
What information do you wish you had regarding COVID 19 and CHRONIC ILLNESS? (Ex: Questions about vaccines) *
What information do you wish you had regarding BUILDING RELATIONSHIPS? (Ex: maintain friendships virtually) *
What's one thing you've learned this year that you're excited to share with your community? *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Next Step. Report Abuse