Next Level Scholars Winter 2021 Check-in Survey

The Next Level Scholars Program and Staff are here to support you! Please complete this survey by Tuesday 2/23 to help us better understand what your school schedule looks like. This will help us plan for future programming and determine additional ways we can support you in your high school education.

Contact Information

First Name

Last Name

High School

Has your address recently changed?

YesNo

Address Line

City

State

Zip Code:

Support & Motivation for Academic Milestones

	Strongly Disagree	Disagree	Agree	Strongly Agree	N/A
I feel academically prepared for next school year.
I have felt overwhelmed or “burnt-out” with school or other responsibilities in the past year.
I have strategies to help me when I am feeling overwhelmed or “burnt-out.”

Is there anything (supplies etc.) that you don’t have right now that you need to be academically successful this year?

If you are returning to in person learning, what would be helpful or make that easier?

If you are learning virtually, what would be helpful or make that easier?

What would motivate you to really finish strong this year?

Is there anything else you'd like to share with DRDFS?

Contact Information