YOUTH PULSE SURVEY 2019 Response: Name of the Respondent: Age: Sex : Male Female Hometown: Contact Information: Mobile/Telephon: Email Address: Social Media Account Occupation : Student Service Holder Business Home Maker Others (Specify) Educational Qualification: Level of Education/Degree Obtained: Major/Subject: Medium of Education : (Apply Tick) : General Education-Bangla version General Education-English version General Certificate of education (English Medium-O and A level) Madrasa Technical/Vocational Others (Specify) How many hours do you spend daily on education/job purpose? Do you have free time for yourself ? Yes No If yes, then how do you spend your leisure time ? Book reading Social media TV Part time jobs Others (Specify) Have you faced any problems in your childhood ? Yes No If yes, what kind of problems did you face ? What did you do to solve your problems ? Did you share your problems with anyone ? Yes No If yes, whom did you tell about your problems ? Did they listen to your problems/take you seriously ? What did they do to slove the problems that you faced ? According to your opinion, who should work towards solving the problems and issues of children ? Are you involved in any kind of community development work/voluntary work ? Yes No What kind of development related work/voluntary work are you involved in ? Teaching Raising social awareness Financial contribution Writing articles/journals Others (Specify) How many hours do you spend in voluntary work per week/per month/per year ? Are you interested to involve with any kind of voluntary/development related work ? Yes No Have you been to any village recently (within six months) ? Yes No How many times have you been to a village ? The purpose of visiting the village ? Travel Meeting relatives Field trip Others (Specify) Have you been to any slum recently (within six months) ? Yes No How many times have been to a slum ? Please write down the purpose of visiting a slum ?