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Pope Pius XII Candidate Feedback

1. What is you current age?
2. What grade are you in (or recently completed)?
3. What is your gender? Male
Female
4. How many years have you been in Scouting?
5. How many years have you been in Venturing?
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?
8. How many weeks did it take to complete the program?
9. How many meetings did it take to complete the program?
10. What was the average length of each meeting? (in hours)
11. How many years of education did you complete in each of the following?
Catholic Elementary School
Catholic High School
CCD/Parish Religious Program
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?
14. How well did you enjoy working through this program?
15. How would you rate the introduction in explaining the requirements, procedure, and purpose of the program?
16. How well did each chapter achieve its stated goal?
Chapter 1 - In the Beginning
Chapter 2 - God and You
Chapter 3 - Life Choices
Chapter 4 - 9 to 5
Chapter 5 - Here I Am
Chapter 6 - A Melting Pot
Chapter 7 - Putting It All Together
17. How helpful, or useful, were the interviews that you conducted?
18. How well did your facilitator do in sharing his / her faith life with you?
19. How well do you think this program is designed for high school age youth?
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?
Please answer the following questions with as much information as possible.
21. Which chapter, section or requirement did you find least beneficial. Why?
22. Which chapter, section or requirement did you find most beneficial. Why?
23. Did this program help you in the growth of your faith life? Please share your thoughts.
24. From your experience, what specific changes would you recommend to improve the program? Explain!!
  Diocese:
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  Optional contact information
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