County of DinwiddieBoard of Supervisors, William D. Chavis, Daniel D. Lee, Brenda Ebron-Bonner, Harrison A. Moody, Dr. Mark E. Moore; County Administrator, W. Kevin Massengill; Founded 1752

October 2, 2019

Dear Parents:

The Office of Children’s Services administers the Children’s Services Act (CSA) function for Dinwiddie County. The mission of CSA is to create a collaborative system of services and funding that is child-centered, family-focused and community-based when addressing the strengths and needs of troubled and at-risk youth and their families. As such, the Commonwealth of Virginia requires that each CSA locality conduct a Community Needs Assessment every five years. Information gleaned from this needs assessment identifies needs with regard to youth and provides guidance on the development of programs and services to address those needs.

As part of the Community Needs Assessment, the Dinwiddie Office of Children’s Services has collaborated with Dinwiddie County Public Schools to administer a survey to all students in grades six through twelve. This survey, the Youth Risk Behavior Surveillance System (YRBSS), available through the Centers for Disease Control and Prevention, monitors six categories of health-related behaviors that contribute to the leading causes of death and disability among youth and adults.

The multiple-choice survey will be administered to Dinwiddie County students between October 19 and November 8, 2019, during their Gen Block. There are different versions of the survey for middle and high school students. A copy of the survey will be available for review in the main office of Dinwiddie Middle School and Dinwiddie High School.

Any parent wishing to “opt out” of the survey may do so by signing and returning the form below to the main office of your child’s school.

We hope that you will allow your child to participate in this very important survey, as the information is critical to ensuring the health, safety and success of children throughout Dinwiddie County.

Please feel free to contact me at 804-469-5391 if you have questions or concerns.


Angel Young-Gill
Angel Young-Gill, Director
Department of Children’s Services


P. O. DRAWER 70 • DINWIDDIE, VIRGINIA 23841 • TELEPHONE (804) 469-4500 • FAX (804) 469-4503

2020 Opt-Out Form for Student Survey

Opt Out Form Student Survey Spanish

National Youth Risk Behavior Survey