Form 27 ATTACHMENT C28: Youth Demographic Survey (16 plus years)

Youth Demographic Supplement (ages 16+)

Public reporting burden of this collection of information is estimated to average 5 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and
maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information
unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this information, including suggestions for reducing this burden to
CDC/ATSDR Information Clearance Officer, 1600 Clifton Road NE, MS D-24, Atlanta, Georgia 30333 ATTN: PRA (OMB No: 0920-0747).

Educational Plans/Aspirations
1. What are your plans for next year?

O Still in (middle or high) school
O Get a job
O Go to college
O Go to tech school
O Go in the military
O Other (please specify)
___________________
2. What are your long terms plans for education?
Please choose the highest level of education you
plan to reach.

O Drop out of high school and get a job
O Drop out of high school and join the
military

O Finish high school and get a job
O Finish high school and join the military
O Go to a junior college for an associate
degree

O Go to a tech or trade school to get the
kind of job I want

O Finish college
O Get a professional degree (doctor, lawyer,
dentist, minister, etc)

O Get a graduate degree (master’s degree or

4. How much education or training will you need to do
that?

O None
O Nothing beyond high school
O Tech or trade school
O Apprenticeship
O At least some college
O A college degree
O A graduate degree (professional or
academic)

O Training from the military
O On the job training
O Other (please specify)
___________________
5. How sure are you of your career path?

O Very sure
O Somewhat sure
O A little unsure
O Very unsure
6. Do you think you are choosing a more “realistic”
career path or an “ideal” path?

O Realistic
O Ideal

PhD)

O Other (please specify)
___________________
3. What do you want to do as a career?

7. Have you spoken with your guidance counselor or
parent about your plans for work or higher
education?

O Yes
O No

_________________________________
8. Have you taken the SAT/ACT?

O Yes
O No
9. Have you taken advanced placement classes?

O Yes
O No