L.E.A.D. Pre- Survey 2021-2022

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Read the question and circle the answer that best describes you. There is no right or wrong answer.
Girl Scouts asks these questions to learn more about you and make Girl Scouts even better! Thank you! We are proud of you for being a Girl Scout and you should be proud of yourself!

Girl Name *

Troop Number *

Grade in School? *

Girl Scout Level? *

Daisy (K-1)

Brownie (2-3)

Junior (4-5)

Cadette (6-8)

Senior (9-10)

Ambassador (11-12)

Do you like school? *

I love school

I like school

I do not like school

Do you feel confident and good about yourself? *

I feel confident or good most of the time

I feel confident or good sometimes

I never feel confident or good

Do you feel like you make decisions to help you live a healthy lifestyle like eat healthy and exercise? *

I always make decisions to live a healthy life

I sometimes make decisions to live a healthy life

I rarely make decisions to live a healthy life

Are you happy with your social life? *

Yes- I have a great social life

Kind of - I have an okay social life

No - I am not happy with my social life

Do you have an adult in your life who you can ask for advice? *

Yes

I Don't know

Do you try to do things to help the environment like recycling and not littering ? *

I almost always do things to help the environment

I sometimes do things to help the environment

I almost never do things to help the environment

I know how to identify money like dollar bills and quarters, dimes, nickels, and pennies. *

Always

Sometimes

Never

Do you like to read? *

I really like to read

I like to read

I do not like to read

Do you do all of your homework and try and make good grades? *

Yes it is very important to me to do well in school

It is somewhat important to me to do well in school

It is not important to me to do well in school

Do you like science and math? *

I like science

I like math

I like science and math

I do not like science or math

Do you want to go to college? *

Yes I want to go to college

I may want to go to college

No I don't want to go to college

What do you want to learn this year as a Girl Scout? *

I want to read more

I want to learn about math and science

I want to learn how to be more confident and feel good about myself

I want to get better grades in school

I want to learn how to eat healthy and do more exercise

I want to learn about how I can go to college

other

Being with my Girl Scout troop makes me feel safe:

Always

Sometimes

Rarely

Never

Clear selection

I like doing activities with my Girl Scout troop:

Always

Sometimes

Rarely

Never

Clear selection

I can talk about my feelings with my Girl Scout troop:

Always

Sometimes

Rarely

Never

Clear selection

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