Lesson 4: Youth Advisory Committee in Action
Handout 2

Let’s Look Around Survey

Directions: As a class, list the topics to be surveyed in the far left column. When conducting the survey, put a check mark in the appropriate column each time a person selects a topic as their main area of concern for which something needs to be done. In the far right column, briefly describe the interviewee’s concern.

 
Topic
Responses
Specific Concern
Environment
X X X              
Litter on school grounds
Animals
X                  
Resources for animal shelter
Health
X X X              
Smoking
Education
X                  
Need for special field trips
Social
X                  
Lack of activities for youth
                   
                   
                   
                   
                   
                   
                   
                   
                   
                   
                   
                   
                   
                   
                   
                   
                   
                   
                   

 

Note to Teacher: Delete the samples before use with your class.