Elite Teams Questionnaire -

Introduction

Introduction: Welcome to Elite Teams! We are thrilled to have you as a part of our program. This assessment is designed to help us understand your unique needs, challenges, and strengths so that we can tailor our support to best meet your requirements. Your honest and open responses will assist us in creating a safe and nurturing environment for your personal growth and development.

All enrollees for Elite Teams are expected to volunteer a minimum of 12 hours per week.

Section 1: Personal Information

Full Name:(Required)

First Last

Email(Required)

Phone

Address

Street Address City State / Province / Region ZIP / Postal Code Country

Age

Gender

Male

Female

Other

Date of Birth

Race/Ethnicity

Status of Parents in the Home

Both Parents

Mother Only

Father Only

Other

Number of Siblings

Guardian/Relative (Specify: Relationship)

Section 2: Educational Background

Current School Attending

Grade/Year

Any Specific Learning Needs or Challenges? (e.g., learning disabilities, language barriers)

Section 3: Living Environment

Describe your living situation (e.g., own home, foster care, group home):

How would you describe your relationship with your family or guardians?

How many hours a day do you spend a day in front of a digital device ( cellphone, tv, gaming, iPad)?

How many hours of sleep do you get a night?

Are there any specific challenges at home that we should be aware of?

Section 4: Emotional Well-being

What triggers strong emotions or stress for you?

How do you typically cope with stress or difficult situations?

Section 5: Social and Cultural Information

What activities or interests do you enjoy outside of school?

How do you feel about your cultural or ethnic background?

Section 6: Meaning of Teamwork

In your own words, what does "teamwork" mean to you?

Can you provide an example of a positive experience working with others towards a common goal?

Section 7: Additional Information

Is there anything else you would like us to know about you, your interests, or your needs?

Confidentiality: Please note that all information provided will be kept confidential and will only be used to better support you within our program. Your privacy is of the utmost importance to us.

Thank you for taking the time to complete this assessment. We are excited to work with you and are committed to helping you achieve your goals. If you have any questions or concerns, please feel free to discuss them with a staff member.