Jade Pearson

BSA HWS PSLO + Assessment Tool

Program Student Learning Outcomes
Domain 1:
1. Students who participate in the Black Student Association Holistic Wellness & Success
(BSA-HWS) program will be able to describe holistic wellness.
Domain 2:
2. Students who participate in the BSA-HWS program will feel connected to the campus
community.
Domain 3:
3. Students who participate in the BSA-HWS program will be able to demonstrate
self-efficacy. (rubric)
4. Students who participate in the BSA-HWS program will be able to demonstrate
self-confidence. (rubric)
Domain 4:
5. Students who participate in the BSA-HWS program will be able to describe one
educational, career, or personal goal.

Methodology
The methodology for data collection will be mixed methods. Students who participate in the
BSA-HWS program will serve as the sample population. Assessment surveys will be directly
emailed to the student upon entry into the program and then at the end of the academic year.
Qualitative and quantitative survey questions will be asked in scaling, open-ended, and
closed-ended formats at the beginning and end of the program.

Pre-survey questions
Name
Major
(Domain 4)
Education Plans (i.e. achieve bachelor’s degree, post-graduate school etc.)
Career Goal (if not sure, list “unsure”)

(Domain 3)
● Which ethnicity do you identify with?
African American
Black
African
Mixed-ethnicity
Not sure
I don’t identify with any of the options listed (provide comment box)

Please rate your answer to these statements:

● I feel confident in successfully completing my bachelor’s degree

1. Strongly agree 2. Agree 3. Neutral 4. Disagree 5. Strongly disagree

Jade Pearson
BSA HWS PSLO + Assessment Tool
● I feel confident in achieving my career goals

1. Strongly agree 2. Agree 3. Neutral 4. Disagree 5. Strongly disagree

● I have a strong sense of personal identity

1. Strongly agree 2. Agree 3. Neutral 4. Disagree 5. Strongly disagree

● I feel of equal value to other people, regardless of my performance, looks, IQ,
achievements, or possessions.

1. Strongly agree 2. Agree 3. Neutral 4. Disagree 5. Strongly disagree

● I believe in myself and my abilities.

1. Strongly agree 2. Agree 3. Neutral 4. Disagree 5. Strongly disagree

● I feel I am a person of worth.

1. Strongly agree 2. Agree 3. Neutral 4. Disagree 5. Strongly disagree

● I learn and grow from my mistakes rather than deny them or use them to confirm
my unworthiness.

1. Strongly agree 2. Agree 3. Neutral 4. Disagree 5. Strongly disagree

● I engage in kind, supportive self-talk.

1. Strongly agree 2. Agree 3. Neutral 4. Disagree 5. Strongly disagree

● I feel comfortable asking for help from my instructors

1. Strongly agree 2. Agree 3. Neutral 4. Disagree 5. Strongly disagree

● I feel comfortable asking for help from my peers and mentors

1. Strongly agree 2. Agree 3. Neutral 4. Disagree 5. Strongly disagree

(Domain 2)
I feel connected to my peers on-campus even though we are in a virtual setting.

1. Strongly agree 2. Agree 3. Neutral 4. Disagree 5. Strongly disagree

I am aware of clubs, organizations, and extracurricular activities on campus, even if they

are online

1. Strongly agree 2. Agree 3. Neutral 4. Disagree 5. Strongly disagree

I plan to participate in one or more extracurricular activities on campus such as clubs

and organizations even if they are online

1. Strongly agree 2. Agree 3. Neutral 4. Disagree 5. Strongly disagree

Jade Pearson
BSA HWS PSLO + Assessment Tool
(Domain 1)
I have participated in leadership activities on-campus
Yes
No

I plan to participate in leadership activities on-campus

Yes
No

Please rate the importance of participating in on-campus leadership opportunities on a

scale of 1-5
1- Not important at all 2.Fairly important 3.Somewhat important 4. Important 5. Very important

(Domain 3)
Please explain how you expect the BSA-HWS Program will help you grow:

Post-Survey Question
Please explain how the BSA-HWS Program helped you grow, if at all:

Approximately how many meetings did you attend?

1-2

3-5

6-7

As a result of participating in the BSA Holistic Wellness & Success program, I feel that I
more clearly understand my strengths

1. Strongly agree 2. Agree 3. Neutral 4. Disagree 5. Strongly disagree

As a result of participating in the BSA Holistic Wellness & Success program, I am able to
use my strengths to improve my chances of academic success

1. Strongly agree 2. Agree 3. Neutral 4. Disagree 5. Strongly disagree

As a result of participating in the Black Excellence Program, I feel more connected to

COC, even if it’s online

1. Strongly agree 2. Agree 3. Neutral 4. Disagree 5. Strongly disagree

Jade Pearson
BSA HWS PSLO + Assessment Tool

Please rate your answer to these statements:

● I feel confident in successfully completing my bachelor’s degree

1. Strongly agree 2. Agree 3. Neutral 4. Disagree 5. Strongly disagree

● I feel confident in achieving my career goals

1. Strongly agree 2. Agree 3. Neutral 4. Disagree 5. Strongly disagree

● I have a strong sense of personal identity

1. Strongly agree 2. Agree 3. Neutral 4. Disagree 5. Strongly disagree

● I feel of equal value to other people, regardless of my performance, looks, IQ,
achievements, or possessions.

1. Strongly agree 2. Agree 3. Neutral 4. Disagree 5. Strongly disagree

● I believe in myself and my abilities.

1. Strongly agree 2. Agree 3. Neutral 4. Disagree 5. Strongly disagree

● I feel I am a person of worth.

1. Strongly agree 2. Agree 3. Neutral 4. Disagree 5. Strongly disagree

● I learn and grow from my mistakes rather than deny them or use them to confirm
my unworthiness.

1. Strongly agree 2. Agree 3. Neutral 4. Disagree 5. Strongly disagree

● I engage in kind, supportive self-talk.

1. Strongly agree 2. Agree 3. Neutral 4. Disagree 5. Strongly disagree

● I feel comfortable asking for help from my instructors

1. Strongly agree 2. Agree 3. Neutral 4. Disagree 5. Strongly disagree

● I feel comfortable asking for help from my peers and mentors

1. Strongly agree 2. Agree 3. Neutral 4. Disagree 5. Strongly disagree

(Domain 2)
I feel connected to my peers on-campus even though we are in a virtual setting.

1. Strongly agree 2. Agree 3. Neutral 4. Disagree 5. Strongly disagree

I am aware of clubs, organizations, and extracurricular activities on campus, even if they

are online
Jade Pearson
BSA HWS PSLO + Assessment Tool

1. Strongly agree 2. Agree 3. Neutral 4. Disagree 5. Strongly disagree

I plan to participate in one or more extracurricular activities on campus such as clubs

and organizations even if they are online

1. Strongly agree 2. Agree 3. Neutral 4. Disagree 5. Strongly disagree

(Domain 1)
I have participated in leadership activities on-campus
Yes
No

I plan to participate in leadership activities on-campus

Yes
No

Please rate the importance of participating in on-campus leadership opportunities on a

scale of 1-5
1- Not important at all 2.Fairly important 3.Somewhat important 4. Important 5. Very important

(Domain 3)
Please explain how you expect the how BSA-HWS Program helped you grow:

Identify two reasons why it is important to be involved on campus

Identify two reasons why leadership participation is important

Explain the definition of holistic wellness

Notes:
If measures of leadership were low, then explain in report why; or can take it out and
explain why- including for next time
Include rubric for self-efficacy, self-confidence,