DISCOVERY QUESTIONNAIRE Please take 2 minutes to complete this brief survey so we may better support your needs. Question Title * 1. How can we reach you or an authorized representative of your organization? Full Name * Job Title * School/Organization Name * School/Organization Address * ZIP/Postal Code * Phone Number (Direct Line) Email Address * OK Question Title * 2. What skills do your participants need to develop? Emotional Intelligence (self-management, motivation, social skills, etc.) Executive Functioning (organizing, planning, time management, etc.) Career Management (networking, developing, advancing, etc.) Financial Literacy & Well-Being (budgeting, saving, investing, etc.) Other (please specify) OK Question Title * 3. Which age groups do you serve? Kids (Ages 6Y-8Y) Tweens (Ages 9Y-13Y) Teens (Ages 14Y-18Y) Young Adults (Ages 19Y-24Y) Adults (Ages 25Y-59Y) Seniors (Ages 60Y+) OK Question Title * 4. HOW MANY PARTICIPANTS WOULD YOU LIKE US TO TEACH? Private Session (1 on 1) Intimate Group (up to 5) Small Group (up to 10) Medium Group (up to 30) Large Group (31+) Other None of the above OK Question Title * 5. When is your ideal start date? Desired Start Date Date Time AM/PM - AM PM OK Question Title * 6. How did you hear about us? Website School/Organization Friend/Relative/Cowoker LinkedIn FaceBook Instagram Flyer/Postcard NEON Alliance Member Other (please specify) OK Question Title * 7. What space and/or equipment is available? Classroom Conference Room Auditorium Cafeteria Outdoor Space TV Projector Computer/Laptop Speakers Whiteboard/Chalkboard Table + Chairs Audiovisual Equipment Smart Board Other (please specify) OK Question Title * 8. Which of the following will most help you create impact for your school or organization? Funding Resources Marketing Recruitment Parent Collaboration/Cooperation Enrichment + Community-Building Sports + Athletics Language Instruction Community Involvement/Advocacy Health & Wellness Other OK Question Title * 9. Which of the following social determinants of health are affecting your community as a whole? (According to the CDC, "They are the conditions in which people are born, grow, work, live, and age, and the wider set of forces and systems shaping the conditions of daily life. These forces and systems include economic policies and systems, development agendas, social norms, social policies, racism, climate change, and political systems.") Equitable Housing, Safe Neighborhoods, and Nourishing Built-Environments Access to a Quality Education Access to Quality Healthcare Economic Stability through Self-Sustaining Employment Opportunities Emotionally Intelligent Relationships and Support Systems Other OK DONE