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WE WANT TO HEAR FROM YOU!
This survey is for anyone who is between the ages of 13-25 whether you have or have not access our resources or for those who consider themselves alumni of the living rock. Disclaimer: This information will be kept confidential and will be used by the Living Rock to improve services and your experience here!
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* Indicates required question
Tell us about you!
Tell us about who you are & what makes you unique? (Personality,languages, pronoun preference, quirks, skills, beliefs, culture, etc.)
Your answer
What supports could we help you with?
*
Chaplaincy & Spiritual Care
Computer & WIFI access
Educational support
Emotional health/Mental Health
Employment skills
Housing support
Learning new skills
Life-Skills (cooking, maintenance etc.)
Mentorship Support
More access to food
One-to-one support
Pregnancy & parenting support
Recreational activities and programs
Support groups
Substance use concerns
Clothing & Hygine
Transportation Support
Sanitization Kits
Other:
Required
SPORTS & FITNESS
Aerobics/Zumba
Swimming
Basketball
Floor Hockey
Dodgeball
Working out in a gym
Cycling/hiking
Other:
RECREATION
Computers/wifi
Video Games
Movie/TV
Board Games
Name that Tune
Cooking
Sewing
Arts & Crafts
Other:
What makes you happy?
Your answer
What worries you most?
Your answer
What areas could you use support?
Your answer
What best describes your living situation:
*
Homeless
Couch surfing
Trouble finding affordable housing
Staying in shelter
Living alone
Living with family
Living with room mates
Other:
Required
How do you most often feeling?
*
Angry
Anxious/worried
Depressed
Happy
Hopeful
Sad
Other:
Required
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