Your well-being matters: Youth Impact Survey Pilot Phase

Get started on the youth impact survey!

The survey takes about 20 mins to complete. You’ll get one volunteer hour and a chance to win a prize!

The feedback form takes about 15 mins to complete. You’ll get another volunteer hour and 10 chances to win into the draw for a prize!  The survey closes on August 7, 2020, so make sure you have your say before that!

There are 3 steps…


Step 1:

Read the details in the “Everything you need to know” section below

Everything you need to know

What is the survey and where do you fit in?


The Children and Youth Planning Table (CYPT) is partnering with the Canadian Index of Wellbeing (CIW) at the University of Waterloo, UNICEF Canada, and the Ontario Trillium Foundation on this project. We have already been working with youth in Waterloo Region for the past several months and they have helped us identify the things that are important in your life – things like how you are feeling, what you do in your free time, and how you feel about school and your community.


Too often, decisions about children and youth are made without their involvement.  But no one understands your experiences better than you! So, we are inviting children and youth who are 9 to 18 years old to fill out the survey and tell us how you are really doing. That way, with your help, we can make better decisions and provide better services and programs.


What are you committing to?

We are asking you to complete the survey and your participation is completely voluntary. The survey should only take you about 20 minutes to complete. You don’t have to agree to participate in the survey. You can also change your mind and withdraw your participation simply by not submitting the survey. Once you complete the survey and submit it, we won’t be able to remove your answers because we won’t know which responses you submitted.

We would also love to know what you think about it! We are testing the survey out for the first time, and we want to hear from you. Share with us what you liked about the survey, and suggestions for what we can do to make this experience better with our feedback survey. Bonus: you get an extra volunteer hour and 10 extra entries into the prize draw for sharing your feedback!


What are we doing with the results?

Everyone’s responses to the survey will be combined to create a summary report, to give us a “big picture” of the experiences of youth in Waterloo Region. This report will be available to you, and CYPT partners, on the CYPT website. We hope our community can use the information in the report that you shared to make our communities better places for all children and youth.

Are there any risks?

The risks of participating are minimal. Although they aren’t intended to do so, some of the questions asked might make you feel uncomfortable. You don’t have to answer any questions you don’t want to. If at any point you feel uncomfortable, need to take a break, or decide you don’t want to do this anymore, that is okay. If any question does make you feel uncomfortable and you want to talk to someone about it, you can reach out to Front Door (in our community) or Kids Help Phone (call or text, 24/7) to talk.

Those options not what you’re looking for? Click here to find resources in our community!


What about your privacy?

All of the answers you provide in the survey are entirely anonymous because you are never asked for your name or address at any point. The CIW will keep the data file of survey responses for a minimum of 10 years. After that, all data are destroyed according to the University of Waterloo policy.


Consent and Information Release

This project has been reviewed and received ethics clearance through a University of Waterloo Research Ethics Committee (ORE #42266). If you have any questions for the Committee, please contact the University of Waterloo’s Chief Ethics Officer, Office of Research Ethics, at (519) 888-4567, ext. 36005, or by e-mail at

Before beginning the survey, please acknowledge that you have read the information in the “Everything You Need to Know” section, as well as the Consent and Information Release form (Step 2 at the top of this page) and understand and accept the proposed uses of the survey information you will be providing.


Connect with someone about the survey

Have questions about the survey or the project? Online not your thing and prefer a paper copy instead?

Reach out to Monika at


Step 2:

Fill out the consent form and launch the survey. Once you submit your consent, you’ll get the link to start the survey. Consent is available in several languages.

  • If you’re age 9-13 (you need a parent or guardian to consent with you.), CLICK HERE.
  • If you’re age 14-18 (you can consent for yourself) CLICK HERE


Other Important Stuff


Volunteer Hours and Prize Draw

After completing the survey, you’ll get 1 volunteer hour and be entered into a draw to win 1 of 5 $50 gift card, or 1 $100 gift card. If you complete the feedback form, it’s an extra volunteer hour and you’ll get another 10 entries into the prize draw. Be sure to take a screenshot of your “thank you page”! It’ll have the password to enter the draw, as well as act as the confirmation that you’ve completed the survey.

Prize Draw
After the survey, you’ll get the link and password to enter the draw on the last “thank you” page. If you want the 10 extra entries, fill out the feedback survey first before entering the draw!  The draw will take place on August 12, 2020, at 2:30 pm, live on Instagram.

The link and password to enter the draw will be on the feedback survey “Thank You” page as well.


Volunteer Hours

When entering the draw, you’ll have the chance to request a letter confirming your volunteer hours. (the letter is not automatically generated, we have someone behind the scenes making sure you get them, so please be patient with us….we’ll make sure you get it.)

Any questions? Connect with Monika (


Learn more about the project

The Children and Youth Planning Table (CYPT), the Canadian Index of Wellbeing (CIW) at the University of Waterloo, UNICEF Canada and the Ontario Trillium Foundation are working on a child and youth wellbeing project. We want to hear from you, to better understand what life is like for youth in our community, and how we can work together to make it better. We have been working with youth in Waterloo Region over the last 6 months to put together a survey. We are inviting youth ages 9-18 to help us test this survey, and give us your ideas on how to make it better. This survey is starting here, in Waterloo Region, but will eventually be used by communities across Canada.

Learn more about how the project started here!


Step 3:

Once you’ve completed the Youth Impact Survey, fill out the feedback form! You’ll receive a link and a password on the “thank you” page of the Youth Impact Survey to share your thoughts and ideas about how we can make it better. BONUS: You get one extra volunteer hours for giving us your feedback, and 10 extra entries into the draw!

Lost the feedback survey link? Check it out here! Don’t forget – you’ll need the password from the “thank you” page of your Youth Impact Survey submission to access the feedback form.

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