RVCC NYI

Age:

Gender:


Male		Female

I am

a morning person

Left-handed

Normal

a night person

Right-handed

Abnormal

Do you like school?


	Yes		No

Favorite Group:		Favorite Movie:

Candy Bar:

Pizza:

If I could change my appearance without worrying about what anyone else said or thought, I would...

Too many people are hung up about...

Most parents are		Most adults are

Most kids are		Favorite Quote:

My philosophy of life is

Comments, questions, suggestions, etc:

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Are you a Christian?		Yes		No		I don't know

How do you define "Christian"?

How did you find our site?

In your opinion, what could we do to help teens?

What could we do to help you?

Other comments

Would you like to be contacted?
		No, thanks
		Yes, by adult
		Yes, by teen