To be filled out by boys and men from 11 years of age to 21 (or 8 to 21). Answer all questions thoughtfully, on your own, and as you now know and feel.

Personal Facts

Date

1. Name ............................................

Date of Birth...................Race..............

Address ..........................................

R.F.D. and Box Post Office Street (if any) County State

2. Grade in School.......Name of School..............

3. What church do you attend.........................

Are you a member?.........Sunday School?.........

Yes or No Yes or No

Name of Minister, Priest or Rabbi...................

P. O. Address

4. Are you a Boy Scout?........Are you a member of

Troop, Tribe, Neighborhood Patrol or a Lone Scout?

....... .If not a member, do you want to be?........

Do your parents want you to be a Scout?..........

If they object, tell why?...........................

5. Parents' name ....................................

Father's Business..................................

6. Guardian's name..................................

Business .........................................

Other Organizations

1. Are you a member of 4-H Club?..........Future

Farmer Club...........Pioneers...........Juvenile

Grange..........Boys' Club..........or what other organization? .....................................

Best Man: Leadership

1. Whom do you believe to be the best and most outstanding man in your neighborhood?......................

2. Why do you think this man is the most outstanding man in your neighborhood?..............................

A) In what ways is he a leader now?...............

B) Has he ever led a group of boys in his neighborhood ? .......................................

Reading Program

1. What newspapers do you read?.....................

2. Which one do you like best of all?...................

3. What books have you read recently?................

4. Which book do you like best?........................

5. Which magazines do you read?.....................

6. Which one do you like best?.........................

A Cub Craft Window Display Minnesota

A CUB CRAFT WINDOW DISPLAY-MINNESOTA.

Using The Facts

Just as important as "getting the facts" about boys, parents, institutions, man-power and reading habits- is "doing something" about them or making proper use of these facts. It is unfair to country boys to "whet" their appetites by holding out hope of Scouting and then doing nothing about it. Where boys have been asked and have recorded their desire-it is the job of the District Organization and its Committees to study the survey facts to try to find out what kind of Scouting plan or group is best suited to each boy.

1. Some can form a town or rural Troop.

2. Some could carry on as a rural Patrol of the town Troop.

3. Some would be best served by a simple neighborhood Patrol making it easy for a farm or village boy to start Scouting.

4. Some should have opportunities as Lone Scouts, working with the man leader, known as "friend and counselor" to the one boy.

Boy's 150 Bushels Of Corn I Acre Illinois

BOY's 150 BUSHELS OF CORN-I ACRE-ILLINOIS.

5. When five or more of these Lone Scouts live in a district or along a school bus route, they can form a Patrol of the larger Lone Scout Tribe of the district or council.

6. All the Lone Scouts of a convenient area may form a Lone Scout Tribe to meet monthly.

The job of the Extension and Organization Committee, with help of the various Commissioners they have, is to see that these boys get Scouting in one of the above ways, and do this without delay.

Dropped Scout Survey

There is another type of survey which will prove very valuable and that is-to get the facts from Scouts who have dropped out in order to aid them. Studies have shown that most rural Scouts who drop out, do so because of factors beyond their control- so there exists a splendid chance to serve them by helping them into a type of rural Scouting which "fits" their new situation.

The following blank lays the foundation for rendering such a service to them:

Dropped Scout Questionnaire

(Please answer all questions and return right away to John D. Coats, Scout Executive, B.S.A., P. O. Box No. 894, Tuscaloosa, Alabama.)

1. Name ...........................................

2. Address .........................................

3. Age.............. 4. Grade in School.............

5. Member of what church...........................

6. Former member of Troop No.....of...............

(Name of Town)

7. How long were you a Scout?.......................

8. What rank did you reach?.........................

9. Did your parents want you to be a Scout?..........

If they objected, state why:........................

10. Why did you drop out of Scouting? Please explain fully, giving a frank answer; your reply will be held in confidence:..................................

11. What are your chief hobbies at present?............

12. What would make Scouting more interesting for you?

13. Would it be better for you to become a Lone Scout or member of a Neighborhood Patrol (as explained by the attached material) than to belong to a Troop?.......

14. What benefits did you receive from Scouting?........

15. Would you like to know about the new Senior Programs-Explorers, Sea Scouts or Rovers?...........

16. Would you be interested in becoming a Scout again? ............A Senior?............

If not, why not?..................................

17. What boys do you know who want to or might become Scouts-please write their names and addresses, and ages in the space below: