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NET Evaluation
Fall 2010/Spring 2011 SLICE Pre-Test
Description: The outcomes that I will upload are the learning outcomes for a group of student leaders. Their title is Student Leaders in Civic Engagement. I would
also like to involve diversity. Please give me your input on the outcomes I have developed.
Date Created: 8/26/2010 7:27:37 PM
Date Range: 10/25/2010 12:00:00 AM - 2/4/2011 11:59:00 PM

Page - Fall 2010/Spring 2011 SLICE Pre-Test

Q1 When did you first join SLICE?

Fall 2010 [Code = 1]

Spring 2011 [Code = 2]


Required answers: 1 Allowed answers: 1

Please indicate your level of agreement with the following statements:

Q2 I am able to persuade other students to get involved in service opportunities.

Strongly agree [Code = 5]

Moderately agree [Code = 4]

Neither agree nor disagree [Code = 3]

Moderately disagree [Code = 2]

Strongly disagree [Code = 1]

No basis to judge [Code = 0]


Required answers: 1 Allowed answers: 1

Q3 I involve other students in service opportunities.

Strongly agree [Code = 5]

Moderately agree [Code = 4]

Neither agree nor disagree [Code = 3]

Moderately disagree [Code = 2]

Strongly disagree [Code = 1]

No basis to judge [Code = 0]


Required answers: 1 Allowed answers: 1

Q4 I have research skills necessary to take action on social issues.

Strongly agree [Code = 5]

Moderately agree [Code = 4]

Neither agree nor disagree [Code = 3]

Moderately disagree [Code = 2]

Strongly disagree [Code = 1]

No basis to judge [Code = 0]


Required answers: 1 Allowed answers: 1

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Q5 I know how to identify resources to address social issues.

Strongly agree [Code = 5]

Moderately agree [Code = 4]

Neither agree nor disagree [Code = 3]

Moderately disagree [Code = 2]

Strongly disagree [Code = 1]

No basis to judge [Code = 0]


Required answers: 1 Allowed answers: 1

Q6 I have a sense of personal confidence in my abilities to take action on social issues.

Strongly agree [Code = 5]

Moderately agree [Code = 4]

Neither agree nor disagree [Code = 3]

Moderately disagree [Code = 2]

Strongly disagree [Code = 1]

No basis to judge [Code = 0]


Required answers: 1 Allowed answers: 1

Q7 I am concerned about the inequalities of opportunities and resources available in my community.

Strongly agree [Code = 5]

Moderately agree [Code = 4]

Neither agree nor disagree [Code = 3]

Moderately disagree [Code = 2]

Strongly disagree [Code = 1]

No basis to judge [Code = 0]


Required answers: 1 Allowed answers: 1

Q8 I am comfortable interacting with people who are different from me.

Strongly agree [Code = 5]

Moderately agree [Code = 4]

Neither agree nor disagree [Code = 3]

Moderately disagree [Code = 2]

Strongly disagree [Code = 1]

No basis to judge [Code = 0]


Required answers: 1 Allowed answers: 1

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Q9 I understand what issues local community agencies are working to address.

Strongly agree [Code = 5]

Moderately agree [Code = 4]

Neither agree nor disagree [Code = 3]

Moderately disagree [Code = 2]

Strongly disagree [Code = 1]

No basis to judge [Code = 0]


Required answers: 1 Allowed answers: 1

Q10 Please list the top five most critical issues addressed by nonprofits in our community. Please be specific:

1. [Code = 1] [TextBox]

2. [Code = 2] [TextBox]

3. [Code = 3] [TextBox]

4. [Code = 4] [TextBox]

5. [Code = 5] [TextBox]
Required answers: 0 Allowed answers: 5

Please indicate your level of agreement with the following statements:

Q11 I am involved in political issues.

Strongly agree [Code = 5]

Moderately agree [Code = 4]

Neither agree nor disagree [Code = 3]

Moderately disagree [Code = 2]

Strongly disagree [Code = 1]

No basis to judge [Code = 0]


Required answers: 1 Allowed answers: 1

Q12 I am comfortable taking the lead in organizing people or projects.

Strongly agree [Code = 5]

Moderately agree [Code = 4]

Neither agree nor disagree [Code = 3]

Moderately disagree [Code = 2]

Strongly disagree [Code = 1]

No basis to judge [Code = 0]


Required answers: 1 Allowed answers: 1

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Q13 When I advocate, I use my communication skills.

Strongly agree [Code = 5]

Moderately agree [Code = 4]

Neither agree nor disagree [Code = 3]

Moderately disagree [Code = 2]

Strongly disagree [Code = 1]

No basis to judge [Code = 0]


Required answers: 1 Allowed answers: 1

Q14 I have global empathy and a sense of respect for others.

Strongly agree [Code = 5]

Moderately agree [Code = 4]

Neither agree nor disagree [Code = 3]

Moderately disagree [Code = 2]

Strongly disagree [Code = 1]

No basis to judge [Code = 0]


Required answers: 1 Allowed answers: 1

Q15 I help peers resolve problems or differences peacefully.

Strongly agree [Code = 5]

Moderately agree [Code = 4]

Neither agree nor disagree [Code = 3]

Moderately disagree [Code = 2]

Strongly disagree [Code = 1]

No basis to judge [Code = 0]


Required answers: 1 Allowed answers: 1

Q16 I have a good understanding of social problems.

Strongly agree [Code = 5]

Moderately agree [Code = 4]

Neither agree nor disagree [Code = 3]

Moderately disagree [Code = 2]

Strongly disagree [Code = 1]

No basis to judge [Code = 0]


Required answers: 1 Allowed answers: 1

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Q17 I feel I can make a difference in my community.

Strongly agree [Code = 5]

Moderately agree [Code = 4]

Neither agree nor disagree [Code = 3]

Moderately disagree [Code = 2]

Strongly disagree [Code = 1]

No basis to judge [Code = 0]


Required answers: 1 Allowed answers: 1

Q18 I motivate others to work collaboratively.

Strongly agree [Code = 5]

Moderately agree [Code = 4]

Neither agree nor disagree [Code = 3]

Moderately disagree [Code = 2]

Strongly disagree [Code = 1]

No basis to judge [Code = 0]


Required answers: 1 Allowed answers: 1

Q19 I believe leadership is a collaborative process.

Strongly agree [Code = 5]

Moderately agree [Code = 4]

Neither agree nor disagree [Code = 3]

Moderately disagree [Code = 2]

Strongly disagree [Code = 1]

No basis to judge [Code = 0]


Required answers: 1 Allowed answers: 1

Q20 I can have a dialogue with people, even if we disagree.

Strongly agree [Code = 5]

Moderately agree [Code = 4]

Neither agree nor disagree [Code = 3]

Moderately disagree [Code = 2]

Strongly disagree [Code = 1]

No basis to judge [Code = 0]


Required answers: 1 Allowed answers: 1

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Q21 I am comfortable trying new things.

Strongly agree [Code = 5]

Moderately agree [Code = 4]

Neither agree nor disagree [Code = 3]

Moderately disagree [Code = 2]

Strongly disagree [Code = 1]

No basis to judge [Code = 0]


Required answers: 1 Allowed answers: 1

Q22 I seek information about social issues.

Strongly agree [Code = 5]

Moderately agree [Code = 4]

Neither agree nor disagree [Code = 3]

Moderately disagree [Code = 2]

Strongly disagree [Code = 1]

No basis to judge [Code = 0]


Required answers: 1 Allowed answers: 1

Q23 If you found out that some students at your college were homeless, would you know which community service agencies could help?

Yes [Code = 1]

Maybe [Code = 2]

No [Code = 3]
Required answers: 1 Allowed answers: 1

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Q24 Please list three organizations that have resources for the homeless population:

1. [Code = 1] [TextBox]

2. [Code = 2] [TextBox]

3. [Code = 3] [TextBox]
Required answers: 0 Allowed answers: 3
( Q23='Yes' OR Q23='Maybe' )

Q25 Please write the name of your community's mayor:

[Code = 1] [TextBox]
Required answers: 0 Allowed answers: 1

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Q26 Have you ever written a letter to a newspaper or government official to express your opinion about an issue?

Yes, within the last 12 months [Code = 1]

Yes, but not within the last 12 months [Code = 2]

No [Code = 3]

I don't remember [Code = 4]


Required answers: 1 Allowed answers: 1

Q27 Have you ever signed a written or online petition related to a political or social issue that was important to you?

Yes, within the last 12 months [Code = 1]

Yes, but not within the last 12 months [Code = 2]

No, I've been asked to sign but declined [Code = 3]

No, I've never been asked to sign [Code = 4]

I don't remember [Code = 5]


Required answers: 1 Allowed answers: 1

Q28 Have you ever attended a meeting of your town, city, or neighborhood council?

Yes, within the last 12 months [Code = 1]

Yes, but not within the last 12 months [Code = 2]

No [Code = 3]

I don't remember [Code = 4]


Required answers: 1 Allowed answers: 1

Q29 Are you registered to vote in the U.S.?

Yes [Code = 1]

No [Code = 2]

I don't remember [Code = 3]

I'm not eligible to vote [Code = 4]


Required answers: 1 Allowed answers: 1

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Q30 How often do you vote in local elections?

Always [Code = 5]

Often [Code = 4]

Sometimes [Code = 3]

Rarely [Code = 2]

Never [Code = 1]

Not applicable - I haven't had an opportunity to vote. [Code = 0]


Required answers: 1 Allowed answers: 1
Q29='Yes' OR Q29='I don't remember'

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Q31 How often do you vote in national elections?

Always [Code = 5]

Often [Code = 4]

Sometimes [Code = 3]

Rarely [Code = 2]

Never [Code = 1]

Not applicable - I haven't had an opportunity to vote. [Code = 0]


Required answers: 1 Allowed answers: 1
( Q29='Yes' OR Q29='I don't remember' )

Q32 If you had an opportunity to participate with a group of people and some of those people were of a different race, gender, ethnicity, sexual
orientation, or religion than you are, to what extent would these differences make you less likely to participate in that group?

Completely [Code = 5]

Considerably [Code = 4]

Moderately [Code = 3]

Slightly [Code = 2]

Not at all [Code = 1]


Required answers: 1 Allowed answers: 1

Q33 If you found out that there was a problem in your community but there was no group or service agency to help, would you be the one to organize
a group to address the problem?

Definitely yes [Code = 4]

Probably yes [Code = 3]

Probably no [Code = 2]

Definitely no [Code = 1]
Required answers: 1 Allowed answers: 1

Q34 If an issue that you cared about surfaced in your community, would you contact any local, state, or national officials to address the issue?

Definitely yes [Code = 4]

Probably yes [Code = 3]

Probably no [Code = 2]

Definitely no [Code = 1]
Required answers: 1 Allowed answers: 1

Q35 Which of the following best describes your volunteer activity in the last 12 months?

I volunteered on a regular basis [Code = 3]

I volunteered once in a while [Code = 2]

I did not volunteer [Code = 1]


Required answers: 1 Allowed answers: 1

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