Student Pre-Survey
This survey is designed to measure general attitudes and perceptions of college students. As part of this study, we would like to know about your experiences and opinions now as well as at a later date. This information will be useful in understanding and later enhancing service-learning programs on campus.
Please respond as honestly as possible, relying on your current feelings of the particular issues raised. Your responses will be kept confidential. Your name will not be connected to specific results of the survey. All parts of the survey should be completed.

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 Section I


1. Write your birthdate in numbers in the space below:

2. Write your initials (first and last) in the space below:

3. Your gender:



4. Your ethnicity (please check all those that apply): [Optional]







5. Year in School (1st, 2nd, 3rd, 4th, etc.):


6. Major(s)

7. Are you participating or are you planning to participate in the community service/service-learning component of this course (e.g. 97/197 field studies)?




Section II
Please indicate how strongly you agree or disagree with each statement at this point in time. Select the radio button that best describes your response (strongly disagree, disagree, agree, strongly agree).
8. I find the content in school courses intellectually stimulating





9. The extent of my achievement is often determined by chance.





10. I have a realistic understanding of the daily responsibilities involved in the jobs (careers) in which I am interested.





11. Being involved in a program to improve my community is important.





12. I learn more when courses contain hands-on activities.





13. I am concerned about local community issues.





14. It is important for me to find a career that directly benefits others.





15. I can make a positive difference in my life





16. I like it when I get to make decisions in my work





17. I feel that I have little control over the things that happen to me.





18. The things I learn in school are useful in my life.





19. I have definite career plans





20. It is not necessary to volunteer my time to help people in need.





21. Courses in school make me think about real-life in new ways





22. What happens to me is my own doing.





23. I intend to work in a career that will make contributions to society.





24. I possess the necessary personal qualities (e.g., responsibility, manners, initiative, etc.) to be a successful career person.





25. Sometimes I am not as reliable as I should be.





26. Giving some of my income to help those in need is something I should do.





27. I feel that I can have a positive impact on local social problems.





28. I enjoy learning in school when course materials pertain to real-life.





29. I think that people should find time to contribute to their community.





30. When I am put in charge of a project, I sometimes wonder whether I can succeed at it.





31. I feel well-prepared for my future career.





32. I do not find courses in school relevant to my life outside of school.





33. I am the person who makes decisions regarding what to do with my life.





34. I plan to improve my neighborhood in the near future.





35. I am not sure about what skills are necessary for my career.





36. It is important that I work toward equal opportunity (e.g., social, political, vocational) for all people.





Section III
Where appropriate, please indicate the number of hours.
If not applicable, please fill the blank with a "0."

37. I am employed ___ hours per week

38. I spend ___ hours per week in non-academic, school-related activities (e.g. sports, band, choir, newspaper, clubs, student government, etc.)

39. I am engaged in non-school related, volunteer work ___ hours per week (e.g. religious activities, tutoring, mentoring, big brother, big sister,girls/boys scout leaders, health-care provider, etc.)

40. Please identify your non-school related, volunteer activity or organization.

41. Please indicate the primary reason that you are taking this course. (Check one).












http://www.olc.edu/~cdelong/perseus.htm