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Exit Survey
 
 
Girl Scouts Beyond Bars Enrollment Survey


Please click continue to move forward and answer all of the questions to the best of your ability.
 
 
 
* What is today's date?
   
 
 
 
* How old are you?
   
 
 
 
What is your race? (Select all that apply)
 
Asian
 
Black
 
Native American
 
Hispanic/Latino
 
White
 
Other

 
 
 
Were you living with your mom before she was incarcerated?
 
 
 
* What grade are you in?