Deadly Dreamers Pre-Program Survey
Deadly Dreamers is a leadership and mentoring program using sport as a vehicle to engage youth. The program is designed and facilitated by qualified Korin Gamadji Institute staff and supported by AFL stars Marlion Pickett, Shane Edwards and Xavier Clarke who are engaged as program mentors and coaches.
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Email *
What is your full name? *
What is your age? *
What is your current address? (To send out prizes) *
Are you currently enrolled in school (including TAFE or further education)? *
If yes to the above, please explain: *
What are you hoping to take out of this program? *
How do you feel about being part of this program? *
Why do you feel this way? *
The following statements are about how you're feeling about your life journey. We're interested in how much you agree with each of the following statements.  Please use the following scale to indicate how strongly you agree or disagree with each statement.   *
Strongly Disagree
Disagree
Slightly Disagree
Neither Agree or Disagree
Slightly Agree
Agree
Strongly Agree
I feel like I need more guidance in my life
I feel isolated and alone
I feel like I don't have anyone to talk to about how I feel
I feel frustrated when people make assumptions about me
I want to make changes to my life but I feel like I don't have enough support
I want to be a good role model for my friends, family and community
I feel like I could work or study harder if I had more help
I think having a mentor in my life will make a difference in my life
Being a leader is important to me
Of the following areas, which do you feel are most important to your ongoing personal development?
Unimportant
Somewhat Unimportant
Neutral
Somewhat Important
Important
Communication
Storytelling
Decision Making
Career Pathway
Identity
Education
Connection to Culture
Clear selection
Do you have any heroes or role models? If yes, who are they and why? *
What size T-Shirt/Jumper are you? *
How have you found the communication from Program Coordinator prior to the program? *
A copy of your responses will be emailed to the address you provided.
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