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Influences on My Life

When I think of what makes me choose and do the things I do, when I think of how I view myself and reflect about my core values and my view of life and the world, I have to wonder about what influences me. Here is a list to prioritize, putting the highest or strongest influence first or number 1, and putting the lowest or weakest influence last  or lowest at bottom of your list (20). We’re trying to determine what most and what least shapes and influences who we are, what we choose, and what we do. Number from 1 (highest influence) to 20 (lowest influence). You’ll soon be able to find results of this ongoing survey on our site.  Please take this survey with great care and thoughtfulness. Thank you for your time and sharing your opinions. We’re doing this for yours and our discussion and understanding.


Mother (biological or step, whoever’s the most important)
Father  (biological or step, whoever’s the most important)
Siblings (brothers or sisters, biological or step-)
Grandparents
Other Relatives (aunts, uncles, cousins…)
Closest Friends (those closest to you and with whom you spend most
                                   time or communicate with the most)
Other Peers (classmates, teammates, special activities, neighborhood,
                                   church or school)
Celebrities (popularized performers and entertainers from any field)
Neighborhood  (your community, your immediate neighborhood, streets,
                                   park, center/club and what goes on there)
School and Teachers
Sports and Coaches
Music (listening, collecting/down-loading, playing, producing, performing)
Job, coworkers and bosses
Doctors, medical workers, counselors
Religious faith (Church, Mosque, or Synagogue, youth group, camps, etc.)
Advertisements  (commercial in any form, on screens, billboards, in
                               magazines, etc., all around us everywhere)
Media (Movies, TV, Radio, Internet, Magazines)
Books  (comics, young adult reading, novels, etc.)
Video Games (of all kinds and sources)
Pornography (all sexually explicit sources, designed to arouse sexual desire)


Further Information for this Anonymous/Confidential Survey

Age   


Grade
  or check out of school 

Female    Male

Country  




Further opinions, questions, or suggestion:

What criticisms of this survey do you have?



Any important influence left out?



What’s your reaction or response to this questionnaire?



As we gather hundreds of responses from around the world, how do you think we could best use the results of these surveys?




Soon you will find results gathered from this survey at www.centerforyouth.org under Encyclopedia>Teenagers>Research:  We want you to know that we value your opinions and really appreciate your time and effort.