Quarter1 Students Name, Mentors Name

Parent/Guardians Name
Community
Date

Sanovia Garrett

Draw the way you view

your community.
Quarter 1

Draw the way your community

views you.

Introduce
Yourself
1. Who are you?

2. Who do you want to be?

3. How is your relationship with your parent/guardian?

4. Do you have siblings? How old are they?

5. Are you talented?

Date/Meeting

Feelings Today

Feelings When Left

Daily Meeting Emotions Chart

Event

Who Attended?

Parental Involvement

Community Survey (online & On-grounds)

1. Is this your first time visiting with thePAGESproject?
2. What is your perception of teens in the Muncie community?
3. In what ways have you seen social, emotional or educational
improvements in your child since September? **If your child is in the
program please explain its significance.**
4. Does your child help around the house?
5. Do you believe that thePAGESproject is a safe place for your children?
6. If you said yes to the previous question, can you share why? If you
said no, can you explain why you responded in this manner?
7. Which feeling do you most identify with when it comes to your
children? HOPE or CONCERN. Please explain why.
8. In what way do you believe there is something you can do to change
the actions, attitudes and values of teens in Muncie, IN?
9. Would you return to another event in the future?
10.
Any ideas, concerns or suggestions?
For those who this would not be there first visit, they would be led to a
slightly different version of these questions.
A community listening project would also occur biannually to
gather feedback on the greater community issues and hopes.