Thank you for participating in the Indiana Donor Network youth online survey. By completing the online survey you are entered to win one of 10 $50 Amazon gift cards.

About the survey:

Indiana Donor Network wants to hear from you. We request your help by completing the below online survey. As you complete the survey, you will review images, videos and advertisements and be asked to provide feedback. This information will be used to inform decisions on advertising to promote organ donation and transplantation in the state of Indiana.

The survey will take 5-10 minutes to complete. All answers will be kept anonymous and your information will never be shared with outside organizations or entities.

Youth Survey Form
Are you between 14 and 18 years old?

This survey is to be completed by those 14 to 18 years of age only. Thank you.

Section 1 - Background Information

Name
Name
First
Last
If you are old enough to get your driver’s license or learner’s permit, have you?
Are you signed up to be an organ donor?
Of the following, which one do you spend the most of your free time doing? Select one.
What do you do for fun? Select all that apply.
When you want to listen to music, where do you go to do so? Select all that apply.
Do you pay for a subscription so that you do not get ads when you listen to music?
Do you listen to podcasts?
0 of 200 max characters
When you want to look up something like a fact or the name of a show or actor, where do you search? Select all that apply.
Do you play online or video games?
When you want to watch a show, where do you watch it? Select all that apply.
Do you watch videos on YouTube?
What type(s) of YouTube videos do you watch?
0 of 200 max characters
On which social media platform(s) do you have a personal account? Select all that apply.
Do you have any social media accounts not listed here?
0 of 200 max characters
Of the following, on which social media platform do you spend the most time? Select one.
0 of 200 max characters

Section 2 - Concept Feedback

Post 1
If you saw this post:

Click image to see in full screen.

What would you do?
Then, what would you do? Select all that apply.

Post 2
If you saw this post:

Click image to see in full screen.

What would you do?
Then, what would you do? Select all that apply.

Post 3
If you saw this post:

Click image to see in full screen.

What would you do?
Then, what would you do? Select all that apply.

Post 4
If you saw this post:

 

Click image to see in full screen.

What would you do?
Then, what would you do? Select all that apply.

Post 5
If you saw this post:

Click image to see in full screen.

What would you do?
Then, what would you do? Select all that apply.

Post 6
If you saw this post:

Click image to see in full screen.

What would you do?
Then, what would you do? Select all that apply.

Post 6
If you saw this video:

What would you do?
Then, what would you do? Select all that apply.

Post 7
If you saw this video:

Click image to see in full screen.

What would you do?
Then, what would you do? Select all that apply.

Section 3

Of all the posts and videos in this survey, which one did you like the most? Select one.
Please scroll up to reference the posts and videos as needed.
Of all the posts and videos in this survey, would any of them make you want to learn more about organ and tissue donation?
Please scroll up to reference the posts and videos as needed.
Which ones? Select all that apply.
Of all the posts and videos in this survey, would any of them make you want to sign up to be an organ and tissue donor?
Please scroll up to reference the posts and videos as needed.
Which ones? Select all that apply.