This convening focuses on the administration of surveys to youth in schools across Kansas. We would like to ask you a few quick questions to help plan for the event. To register for this event, please answer the following questions:

---

First Name *
Last Name *
Suffix (e.g.: Jr., Sr., M.P.H., Ph.D., etc.)
Email *
Role *
- Select a Value - Academia/Researcher Community Organizations Educator/School Staff Elected Official Medical or Allied Health Professional Parent or Legal Guardian State Agency/Local Health Department Other
Other
Organization
Title

---

• Do you know of any surveys that have been given to students in school? Please select a response.
  Yes No, I am not familiar with any surveys
• Please provide survey names or describe type of survey.
  Youth Risk Behavior Surveillance Survey (YRBS) Kansas Communities That Care (KCTC) Kansas Information for Communities (KIC) Kids Count KSDE Data Central
• What concerns you about surveys administered to students in school? Please check all that apply or provide additional concerns if not listed in "Other" section below.
  Invasion of privacy Data security and confidentiality Survey fatigue for students Potential for stigmatization Impact on curriculum or policies Data validity and community impact Survey content I do not have any concerns.
• Other concerns (please specify)
• What are some benefits of collecting information from students in school? Please check all that apply and describe any specific examples or applications in "Other" section below.
  Grants and funding opportunities Reflecting on the current state of student well-being and needs Program planning Program performance and evaluation Build coalition priorities Inform policy decision Identifying trends I do not see any benefits.
• Other benefits (please specify)

---

• What question(s) do you have going into the convening?
• What are you most interested in learning from this convening?

---

Residence County *
- Select a Value - Allen Anderson Atchison Barber Barton Bourbon Brown Butler Chase Chautaqua Cherokee Cheyenne Clark Clay Cloud Coffey Comanche Cowley Crawford Decatur Dickinson Doniphan Douglas Edwards Elk Ellis Ellsworth Finney Ford Franklin Geary Gove Graham Grant Gray Greeley Greenwood Hamilton Harper Harvey Haskell Hodgeman Jackson Jefferson Jewell Johnson Kearney Kingman Kiowa Labette Lane Leavenworth Lincoln Linn Logan Lyon McPherson Marion Marshall Meade Miami Mitchell Montgomery Morris Morton Nemaha Neosha Ness Norton Osage Osborne Ottawa Pawnee Phillips Pottawatomie Pratt Rawlins Reno Republic Rice Riley Rooks Rush Russell Saline Scott Sedgwick Seward Shawnee Sheridan Sherman Smith Stafford Stanton Stevens Sumner Thomas Trego Wabaunsee Wallace Washington Wichita Wilson Woodson Wyandotte
Residence State *
- Select a State - Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District Of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Puerto Rico Virgin Islands
Age Range *
Under 18 18-24 25-44 45-64 65 and over
Gender *
Male Female Prefer not to say
Ethnicity: Are you Hispanic, Latino/a or of Spanish origin? *
No Yes
Race (select all that apply) *
White Black/African American Asian American Indian/Alaska Native Hawaiian/Pacific Islander Other

• By registering to attend this educational event, you agree to receive emails from the Kansas Health Institute.

PLEASE NOTE: a confirmation email with more information should arrive shortly. The email may take up to 20 minutes to reach you, so if you do not receive it within that timeframe, please let us know.

Submit