| 1. |
What is you current age? |
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| 2. |
What grade are you in (or recently completed)? |
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| 3. |
What is your gender? |
Male
Female |
| 4. |
How many years have you been in Scouting? |
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| 5. |
How many years have you been in Venturing? |
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| 6. |
Which other emblems have you been awarded (if any)? |
Light of Christ
Parvuli Dei
Ad Altari Dei |
| 7. |
How many participants were in the Pope Pius XII program with you? |
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| 8. |
How many weeks did it take to complete the program? |
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| 9. |
How many meetings did it take to complete the program? |
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| 10. |
What was the average length of each meeting? |
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| 11. |
How many years of education did you complete in each of the following? |
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| 12. |
Which sacraments have you received?
(Check all that you have received) |
Baptism
Reconciliation
Eucharist
Confirmation |
Program Rating:
Please answer all questions using the numbers in the following scale.
5 – Excellent 4 – Very Good 3 – Good 2 – Fair 1 – Poor 0 – Very Poor |
| 13. |
How would you rate the overall content of this program? |
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| 14. |
How well did you enjoy working through this program? |
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| 15. |
How would you rate the introduction in explaining the requirements, procedure, and purpose of the program? |
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| 16. |
How well did each chapter achieve its
state goal? |
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Chapter 1 - In the Beginning |
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Chapter 2 - God and You |
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Chapter 3 - Life Choices |
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Chapter 4 - 9 to 5 |
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Chapter 5 - Here I Am |
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Chapter 6 - A Melting Pot |
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Chapter 7 - Putting It All Together |
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| 17. |
How helpful, or useful, were the interviews that you conducted? |
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| 18. |
How well did your facilitator do in sharing his / her faith life with you? |
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| 19. |
How well do you think this program is designed for high school age youth? |
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| 20. |
How useful was the program in helping you understand, more clearly, what God is calling you to be or to do, as a baptized Catholic? |
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| Please answer the following questions with as much information
as possible. |
| 21. |
Which chapter, section or requirement did you find least beneficial. Why?
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| 22. |
Which chapter, section or requirement did you find most beneficial. Why?
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| 23. |
Did this program help you in the growth of your faith life? Please share your thoughts.
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| 24. |
From your experience, what specific changes would you recommend to
improve the program? Explain!!
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Diocese: |
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BSA Council: |
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Optional contact information |
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Name: |
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Address: |
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City: |
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State: |
Zip Code:
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Home Phone: |
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Email: |
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