Youth Prevention Survey

Tell us what young people need.

For youth ages 11–18. This anonymous survey asks young people what they think is happening in their community and what kinds of prevention, support, and wellness programs would be most helpful. Please do not write your name — you may skip any question you do not want to answer.

What are the biggest problems affecting young people in your community right now?

Select all that apply

Which services or programs do you think young people need MOST?

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What makes it difficult for young people to get help?

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If you needed help with stress, substance use, violence, family problems, or another concern, who would you be most comfortable talking to?

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Where do young people get information they TRUST?

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If you checked "Other social media," which one(s)?
What would make young people MORE likely to participate in prevention or wellness programs?

Select all that apply

How safe do you usually feel in the following places?
Very SafeMostly SafeSometimes UnsafeVery UnsafeN/A
At home
At school
In your neighborhood
Traveling to/from school
Parks/recreation areas
Online/social media
What age groups do you think need the MOST prevention and support services?

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How would you prefer to receive prevention information or support?

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Do you have reliable access to the following?

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Which things do you think help PROTECT young people from substance use, violence, stress, and other problems?

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What is ONE thing adults should understand better about young people in your community?
What programs or services would you most like to see for young people?
If you could change ONE thing about your neighborhood or community to make life better for young people, what would it be?
About You
Age
Grade
ZIP Code
Gender
Race

Select all that apply

Are you Hispanic, Latino/a/e, or of Spanish origin?
Which best describes you?
Optional closing statement

The help you need, right here.

Confidential mental health and substance use care for Chicago's southwest side. Medicaid, Medicare, and uninsured welcome — appointments within 24–48 hours.