Student Service Learning Course Pre-Survey

Name Name * First Last
Email *
Student ID *
Age *
Academic Class *

Academic Class Freshman Sophomore Junior Senior Graduate
Instructor’s Name (for this course) *
Course title and course number *
Semester you took this class *

Semester you took this class Fall Wintermester Spring Maymester Summer
Year you took this class

Year you took this class 2021 2022 2023
How would you describe your level of community service/volunteer involvement during the last four years? *

How would you describe your level of community service/volunteer involvement during the last four years? Very involved in service/volunteer activities Sometimes involved in service/volunteer activities Rarely involved in service/volunteer activities Never involved in service/volunteer activities
I know that I can make a difference in the lives of others. *

I know that I can make a difference in the lives of others. Strongly Agree Agree Neutral Disagree Strongly Disagree
I think it is very important to involve myself in helping other people. *

I think it is very important to involve myself in helping other people. Strongly Agree Agree Neutral Disagree Strongly Disagree
I am very likely to participate regularly in community service/volunteer activities in the future. *

I am very likely to participate regularly in community service/volunteer activities in the future. Strongly Agree Agree Neutral Disagree Strongly Disagree
Why did you enroll in this course? *

Why did you enroll in this course? It was required as part of my major/minor. I was interested in the subject matter. I wanted to participate in community service. Someone recommended this course. It fit into my schedule. I wanted to have a community service experience on my resume. Other
I wanted to have a service experience for my resume/graduate school application *

I wanted to have a service experience for my resume/graduate school application A Major Reason A Minor Reason Not a Reason
I feel that I have a good understanding of what service learning is. *

I feel that I have a good understanding of what service learning is. Strongly Agree Agree Neutral Disagree Strongly Disagree
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