Parents, we need your input!
Complete the survey below.
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What grade will your teen be in the fall of 2021? *
Gender identification
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Indicate the teen’s number of close friends (regular/weekly social interaction):
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Of the teen’s close friends, indicate the number TRUSTED without hesitation?
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When faced with a challenge, characterize the teens’ first thought or immediate reaction?
When faced with failure, characterize the teen’s resulting outlook or future mindset.
Clear selection
Rank the level of communication and trust shared with your teen.
Clear selection
Finish the statement: “Your teen ______ strives to be their best self.”
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Rate your teen's self-confidence level.
very low
extremely high
Clear selection
Regarding your teen, mark all the accurate descriptors:
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Rank the level of risk taking exhibited by your teen.
No Way!!!
YES!!!
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Rate your teens’ level of regular worry, stress, or anxiousness.
Clear selection
Rate your teen’s verbal communication skills?
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Rate your teen’s written communication skills?
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Describe the 3 top concerns regarding your teen's growth and development?
Describe your teen's strengths and educational areas at which they do well.
Indicate the skills to target and benefit your teen in GEE courses. (Check all that apply.)
Please leave any comments or things you believe we should address in the courses:
With our goal to:
empower teens to have confidence in themselves, GEE will employ compassion, gratitude and tenacity to develop each student’s purpose and maintain each student’s long-term clarity and life fulfillment using their individual talents to serve the world.

Thank you for your participation. GEE will use survey input to develop enrichment courses and all information will remain confidential.

Questions?  susan@grasshopperenrichment.com
*** GEE uses volunteer Beta Groups to pilot FREE introductory online courses (three-hours length). For an opportunity to participate in a teen Beta Group (4-8 teens) trial, please leave your contact information and GEE will provide more information.
Name:
Phone:
Teen's name:
Your email:
Why would you like your teen to particpate?
GrasshopperEnrichment.com
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