Connected Youth Initiative

Welcome to the Connected Youth Initiative Survey!

We are so glad you have decided to sign up for Connected Youth Initiative services!

Thank you for completing the Common Referral Form! The next step is to complete this survey, which will help us learn a little more about how you're currently doing in the areas of education, housing, employment, parenting, health, social support, transportation, and financial well-being. It should take you 10-15 minutes to complete this survey. You will be asked to fill this survey out every 6 months (in April and October) so we can make sure our services are truly helping young people in Nebraska. A $10 gift certificate will be provided for completing all required parts of the survey.

If you would like more info or want to find out about the results of the survey, please feel free to contact Catherine at

Again, welcome! We appreciate you taking this survey!

To complete the survey online, click here.

Print a hardcopy of the survey

Site Map        Log In