YSEALI

The Young Southeast Asian Leaders Initiative (YSEALI) is shaped by people like you. Please take a few minutes to fill out this survey that will help us learn more about you and how we can create the kind of programs you want. Your answers are confidential and no results will be attributed to you as an individual. Thanks for helping to build the YSEALI community.

Please start with the survey now by clicking on the Continue button below.

What country are you from?

What is your birth year?

Have you ever participated in a U.S. Government sponsored program in the United States?

Yes

No

Please drag and rank (1st to 4th) the following YSEALI tracks in order of your interest in each.

	Drag your choices here to rank them
Increasing Prosperity Protecting the Environment Education Civic Engagement

Have you ever been to the United States?

Yes

No

Why did you visit the United States? (Check all that apply)

Tourism/holiday

Business

Visit Family

Education

If you have ever visited any of these countries, please tell us why. (Check as many as apply for each country you have visited)

How do you access the internet? (Check all that apply)

Desktop/laptop computer

Tablets (iPad for example)

Smart phone (iPhone for example)

Mobile Phone

Where do you access the internet from? (Check all that apply)

How often do you access each of these online platforms? (Check all that apply)

Have you ever taken an online course?

Yes

No

Have you ever taken part in a video chat?

Yes

No

What online chat platforms have you used?

Google Hangout

Skype

Other

If times of day would work best for you to participate in an online event? Pick up to three ranges

Start Time

End Time

First Choice

Second Choice

Third Choice

If YSEALI Network members in your city or country wanted to meet up, would you be willing to organize and host that meeting?

Yes, but only as organizer

Yes, as both organizer and host

I'd attend, but prefer not to organize or host

I doubt I'd attend