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1. Rate the need to address the following behavior in the youth of our community. Antisocial Behavior: A pervasive pattern of behavior that displays disregard for and violation of the rights of others, societal mores, or the law (such as deceitfulness, irritability, consistent irresponsibility, lack of remorse, failure to conform to social norms.)
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Low Need
Moderate Need
High Need
Please select one option
2. Rate the need to increase the following ability in the youth of our community. Social Competence: Defined as the ability to achieve personal goals in social interaction while maintaining positive relationships with others over time and across situations.
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Low Need
Moderate Need
High Need
3. Rate the need to provide education on Opioid addiction and prevention for the youth of our community.
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Low Need
Moderate Need
High Need
4. Rate your level of comfort for an organization such as our Club to provide Opioid addiction and prevention education to youth grades 4th - 6th for the youth of our community.
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Yes, I am comfortable
No, I am not comfortable
Unsure
5. Rate the need to provide education to the youth in our community about Career Opportunities.
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Low Need
Moderate Need
High Need
6. Rate the need to provide mentoring opportunites to the youth in our community.
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Low Need
Moderate Need
High Need
7. Rate the need to provide assistance to the youth of our community for family problems.
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Low Need
Moderate Need
High Need
8. Rate the need to provide assistance on Low Grade Point Averages and education on School Attendance to the youth of our community.
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Low Need
Moderate Need
High Need
9. Please describe any areas of service or gaps in services to the youth in our Community.
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10. If we could change one thing for the better for our youth, what would it be?
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