IDM Pre Assessment Survey

1
What is the name of your Program?* This field is required.
SistaPreneurs
DominateSTL
SistaKeeper STL
IDM Nat'l Chapters
2
What is your name?* This field is required.
First Name
Last Name
3
Which school do you attend?* This field is required.
Please Select
Please Select
Southeast Middle School
Parkway South Middle School
Parkway South High School
Hazelwood East High School
Hazelwood Northeast Middle School
Hazelwood East Middle School
Hazelwood West Middle School
IDM Nat'l Chapter- Drew Charter (ATL)
IDM Nat'l Chapter- Warren, IL
IDM Nat'l Chapter- Lexington, KY
IDM Nat'l Chapter- Nash County
IDM Nat'l Chapter- Fayette County
4
Gender:* This field is required.
Please Select
Please Select
Girl
Boy
Non-binary
5
Class Hour/Period?* This field is required.
Please Select
Please Select
1st period
2nd period
3rd period
4th period
5th period
6th period
7th period
8th period
Homeroom
6
How old are you?* This field is required.
Please Select
Please Select
12
13
14
15
16
17
18
7
Complete the Pre-Assessment below. Be as honest as possible. Your information will be private and will NOT be discussed with the class.
8
Have you participated in a mentor program before?* This field is required.
Please Select
Please Select
YES
NO
9
How would you rate that mentoring experience?* This field is required.
Please Select
Please Select
A waste of time - 1
It was just OK - 2
It was something to do - 3
It was fun - 4
I had a blast! - 5
10
Do you have high self-esteem and self-confidence?* This field is required.
NOYES
11
Do you control your feelings well and know ways to make yourself feel better when you're having a bad day or having strong emotions?* This field is required.
NOYES
12
Are you good at fixing problems and disagreements with friends, family, or classmates?* This field is required.
NOYES
13
Do you understand what it means to have healthy relationships and how to tell someone if something makes you feel uncomfortable?* This field is required.
NOYES
14
Do you care and understand the risks and consequences of using drugs?* This field is required.
NOYES
15
Do you know how to set meaningful goals and develop action plans to achieve those goals?* This field is required.
NOYES
16
Do you know effective anger management techniques that you can use when angry?* This field is required.
NOYES
17
Do you feel supported and encouraged by your teachers and school staff?* This field is required.
NOYES
18
How would you rate your current understanding of basic entrepreneurial concepts:?* This field is required.
19
Today, how confident are you in your ability to start a business in a real world scenario?* This field is required.
20
Reflect on the following entrepreneurial skills below, which of these skills do you feel you currently possess?* This field is required.Check all that apply
Creativity
Resilence
Financial Literacy
Leadership
Marketing/Branding
Communication
21
Do you currently have an idea for a business or product in mind?* This field is required.
NOYES
22
From the list below, select all the qualities you think are important for an entrepreneur to have:* This field is required.
Innovation
Avoiding Risks
Persistence
Problem Solving
Marketing & Branding
Visionary Thinking
Perfectionism
Adaptability
23
What are your expectations for this program? What are some topics that you would like to discuss? Where would you suggest for a fieldtrip?
Huge
Large
Normal
Small
Ok
Ok
Should be Empty: