Camp Survey

Select the Boys and Girls Club that you attend:
Grady-White/E.R.Lewis Family Unit
Jarvis
Farmville
Jack Minges
Dr. Ledyard E. Ross/Ayden

Choose your age range:
7-10 years of age
11-14 years of age
15-18 years of age

Which level of school are you currently attending:
Elementary School
Middle School
High School

Select one:
Male
Female

Have you attended an outdoor hands-on educational/academic summer camp focused around math and science program?
Yes
No
Not sure

Do you enjoy school classes involving science, technology, engineering or math?
Not at all
A little bit
Somewhat, but they are hard and not that much fun
These are my favorite classes

Could you see yourself working in the science, technology, engineering or math fields when you grow up?
Not at all
Perhaps, a little bit
I would like to learn more about them
Yes, definitely

Did any of your immediate family graduate or attend college? Mark at that applies to your family.
Mom
Dad
Other family members
Unsure
I'll be the first in my family

What do you see yourself doing after high school?
A two year college
A four year college
A technical program
A job vocational program
Getting a job and going to work
Military

Do you recycle at home?
Yes
No
I would but we don't have a recycle bin
Unsure

Have you kayaked before?
Yes
No

Have you been snorkeling in the ocean?
Yes
No

Have you participated in a community trash pick-up or an outdoor project to help clean-up the Earth? Mark at that apply.
With my school
With the Boys & Girls Club
With my family on weekends
Never

Are you interested in attending an outdoor science and nature based summer camp?
Yes
No
Unsure

Have you heard about the summer camp program called The Upstream Downsteam Connection? Mark at that apply.
Yes
No
Unsure
Would you like to learn more?