Retrospective Survey

PLEASE DO NOT WRITE YOUR NAME ON THIS FORM!!!

Directions: The purpose of this survey is to determine if your participation in Excellence Girls’ Club, Inc. © (EGC) has had long term effects which have assisted you after you graduated from high school. Please be as honest as possible when answering the following questions. Your answers will allow us evaluate the multiple aspects of EGC and allow us to improve the program where possible. Please DO NOT put your name on this form. This survey is to be completely anonymous.

PART I





Yes    No   






PART II

Please answer the following questions by circling the response that best describes the amount of agreement you feel for each statement.


Strongly Disagree    Disagree    Neutral    Agree    Strongly Agree   

Strongly Disagree    Disagree    Neutral    Agree    Strongly Agree   

Strongly Disagree    Disagree    Neutral    Agree    Strongly Agree   

Strongly Disagree    Disagree    Neutral    Agree    Strongly Agree   

Strongly Disagree    Disagree    Neutral    Agree    Strongly Agree   

Strongly Disagree    Disagree    Neutral    Agree    Strongly Agree   

Strongly Disagree    Disagree    Neutral    Agree    Strongly Agree   

Strongly Disagree    Disagree    Neutral    Agree    Strongly Agree   

Strongly Disagree    Disagree    Neutral    Agree    Strongly Agree   

Strongly Disagree    Disagree    Neutral    Agree    Strongly Agree   

Strongly Disagree    Disagree    Neutral    Agree    Strongly Agree   

Strongly Disagree    Disagree    Neutral    Agree    Strongly Agree   

Strongly Disagree    Disagree    Neutral    Agree    Strongly Agree   

Strongly Disagree    Disagree    Neutral    Agree    Strongly Agree   

Strongly Disagree    Disagree    Neutral    Agree    Strongly Agree   

Strongly Disagree    Disagree    Neutral    Agree    Strongly Agree   

Strongly Disagree    Disagree    Neutral    Agree    Strongly Agree   

Strongly Disagree    Disagree    Neutral    Agree    Strongly Agree   

Strongly Disagree    Disagree    Neutral    Agree    Strongly Agree   

Strongly Disagree    Disagree    Neutral    Agree    Strongly Agree   

Strongly Disagree    Disagree    Neutral    Agree    Strongly Agree   

Strongly Disagree    Disagree    Neutral    Agree    Strongly Agree   

Strongly Disagree    Disagree    Neutral    Agree    Strongly Agree   

Strongly Disagree    Disagree    Neutral    Agree    Strongly Agree   

Strongly Disagree    Disagree    Neutral    Agree    Strongly Agree   

Strongly Disagree    Disagree    Neutral    Agree    Strongly Agree   

Strongly Disagree    Disagree    Neutral    Agree    Strongly Agree   

Strongly Disagree    Disagree    Neutral    Agree    Strongly Agree   

Strongly Disagree    Disagree    Neutral    Agree    Strongly Agree   

PART III






Thank you!!!



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