EMPOWER SURVEYThis survey is to be completed by the student served or the caregiver. Please complete our Empower Survey if you are working with one of our Advocates OR if the Foundation has recently approved a funding request for you.We truly appreciate your feedback and we hope our program has left a positive impact! Submitter InformationWho is filling out this survey?*StudentCaregiverCase ManagerWe truly appreciate your feedback and we hope our program has left a positive impact. After completing this survey we will send you a $5 Amazon e-gift card as a thank you! Please make sure to put a valid email address. Supplies are limited at FFC discretion. One survey per person.* I understandSubmitter InformationSubmitter Name* First Last Submitter Email* Submitter Phone*Student InformationStudent Name* First Last Student Phone*Student Email* County where student resides* Orange Seminole Osceola Service InformationService Provided by the Foundation*Advocacy Program (Student working with an advocate)Transition to Adulthood Funding (FFC helped me with a funding request)Please indicate your Advocate's Name* Would this request have been possible without the assistance of FFC?* Yes No We would love to know more about you!On the whole, I am satisfied with myself.* Strongly Agree Agree Disagree Strongly Disagree I often think I am good enough.* Strongly Agree Agree Disagree Strongly Disagree I feel that I have a number of good qualities.* Strongly Agree Agree Disagree Strongly Disagree I am able to do things as well as most people.* Strongly Agree Agree Disagree Strongly Disagree I feel I have a lot to be proud of.* Strongly Agree Agree Disagree Strongly Disagree I often feel I am valuable.* Strongly Agree Agree Disagree Strongly Disagree I feel I am just as important as everyone else.* Strongly Agree Agree Disagree Strongly Disagree I wish I could have more respect for myself.* Strongly Agree Agree Disagree Strongly Disagree All in all, I feel that I can succeed.* Strongly Agree Agree Disagree Strongly Disagree I have a positive attitude toward myself.* Strongly Agree Agree Disagree Strongly Disagree About the Empower ProgramI am satisfied with the Empower Program* Yes No Would you recommend this program to a friend?* Yes No The thing I like about the Empower program or the assistance that I received is...*If you'd like, Attach a picture here!Max. file size: 50 MB.About AdvocacyWhat I like about advocacy is My Advocate The Workshops The Life Skills Library