JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
We would like to hear from you!
Please share your experience regarding your last Alaska 4-H/Alaska FFA program.
We want to ensure that your family feels safe during programming. We welcome your input.
* Indicates required question
Name (first and last)
*
Your answer
Email
*
Your answer
4-H District or FFA Chapter
*
Choose
Anchorage Bowl
Bethel/Kuskokwim
Bristol Bay/Dillingham
Kenai Peninsula
Kodiak Island
Mat-Su/Copper River
Northwest AK
Southeast
Tanana
North Pole FFA
Delta Junction FFA
Palmer FFA
Hutchison FFA
Midnight Sun FFA: Kenai
Midnight Sun FFA: MatSu
Midnight Sun FFA: Anchorage
Tok FFA
Iron Mountain FFA
Ninilchik FFA
Northern Sky
Silent Springs
If a 4-H Club, what is your club name? or describe the event in which you/your youth participated, please.
Your answer
Was hand sanitizer available during your program activity?
*
1 point
I am not sure
No
Yes
Did a volunteer or staff member explain COVID-19 personal safety?
*
1 point
no
yes
I am not sure
Did you wear a face covering if you were working close with other youth on a project?
*
yes
no
not applicable
Please tell us what you liked or didn't like about the youth development program you participated in!
Your answer
Is there anything else you would like to share? Anything that we can do better?
Your answer
Thank you!
Your answers will be kept confidential and only will be seen by State 4-H/FFA staff. Your input is appreciated as we continue to work to keep our youth development programs safe.
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of UA.
Report Abuse
Forms
