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Youth Engagement
Your Name
Your Birthday
Full Address
Name(s) of Parent(s)
Your Email
Home Phone
Cell Phone
Do you prefer calls or texts?
---
Phone Call
Text Message
What area do you live in?
Are you currently a Woodview client?
---
Yes
No
If no, were you a Woodview client previously?
---
Yes
No
What experience do you have with mental health services?
Why would you like to be a part of Woodview's Youth Engagement Group?
How do you see yourself contributing?
What are some of your strengths and weaknesses?
Are you available to meet in the early evenings?
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Yes
No
Are you able to commit to one evening every few weeks for a year?
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Yes
No
Do you feel comfortable speaking in front of a group of people?
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Yes
No
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