Student Survey: Community Needs Assessment

I. Instructions:
In this activity, your group will be creating a survey to evaluate the needs and preferences of your school
peers. Follow the instructions mentioned below to create the survey using Microsoft Forms.

Once completed, share the link with your instructors.

Creating the Survey:

- Use Microsoft Forms to create a survey with three sections: Demographic Information, Community
Needs Assessment, and Suggestions/Comments.

- Include the questions provided below in each section, making sure to format them as multiple-choice
or rating questions.

Sharing the Link:

- Once the survey is created, copy the shareable link provided by Microsoft Forms.

- Share the link with your instructors via Blackboard. Please note that it is going to be one link per group.

Completing the Survey:

- Please do not fill out the survey until your instructors provide you with the assigned per student.

Data Analysis:

- After collecting responses, analyze the survey data to identify trends, preferences, and areas for
improvement within our school community.

- Submit the data collected to your instructor.

- Review and consolidate all data collected by your group and other groups in your CRN in one Excel
sheet.

Building a Report:

- Based on the consolidated data from all groups, create one community action plan.

_________________________________________________________
II. Survey Questions
You can start the survey by an introduction as the example below:
 Dear Peers,

Thank you for taking the time to participate in this survey. Your input is crucial in helping us understand the needs
and preferences of students enrolled in this course. This survey is designed to gather anonymous feedback to
better plan and develop future community services in the College of Health Science. The survey will take from 5-
10 minutes. Your honest feedback will guide us in identifying areas where additional support, resources, or
services may be beneficial to enhance your learning experience and overall well-being.

Sincerely,

Your peers in Group 1 JF

Demographic Information:
1. School Branch: Which branch of the school do you attend?
- Riyadh
- Dammam
- Jeddah
- Madinah
- Qasim
- Abha
- Tabuk
- Jazan
- Alahsa
- Najran
- Hail
- Aljubail
- Yanbu

2. Gender:
- Male
- Female

3. Age Group:
- 18-24 years old
- 25-29 years old
 - 30 years or older

4. Marital Status:
- Single
- Married
- Divorced
- Widowed

5. Number of Children:
- None
-1
-2
- 3 or more

6. Employment Status:
- Employed full-time
- Employed part-time
- Unemployed
- Other (please specify) __________

Community Needs Assessment:

1. Physical Environment and Infrastructures:

How would you rate the following aspects of our school's physical environment and
infrastructures?

Excellent Good Fair Poor Not sure

- a. Playground and recreational

 facilities
- b. Classroom spaces and
learning environments
- c. Restrooms and hygiene
facilities
- d. Safety and security measures

2. Academic Life and Social Activities:

Which of the following academic and social activities would you like to see more of in our
school?

Very Interested Neutral Not very Not

interested interested interested
at all

- a. Tutoring and academic

support programs
- b. Sports teams and physical
education classes
- c. Art, music, and creative
expression activities
- d. Clubs and extracurricular
activities
- e. social events and
community gatherings

3. Awareness about Health Topics:

A. How much do you know about the following health topics?

A lot Some A Nothing at Not

little all sure

- a. Road injuries and safety precautions

- b. Substance abuse and its effects
- c. Obesity and healthy eating habits
- d. Chronic diseases like diabetes and
asthma
- e. ischemic heart disease
 - f. Stroke
- g. Lower respiratory infections
- h. Cancers
- i. Alzheimer's disease

B. Preferred Health Awareness Activities:

Rate the following health awareness activities from the most interesting to the least
interesting for you:
Workshops
Presentations
Discussions
role-plays
Cooking classes and nutrition education sessions
Fitness challenges and exercise programs

C. Would love to participate in Extracurricular Activities?

a. Might participate
b. Not sure
c. Probably won't participate
d. Definitely won't participate

D. Preferred Timing for Extracurricular Activities:

When would you prefer extracurricular activities to be scheduled?
- a. Early morning
- b. Afternoon, before classes
- c. No preference

E. Preferred Days for Extracurricular Activities:

- a. On weekends
- b. On weekends
 - c. No preference

F. Preferred Format of Activities:

How would you prefer extracurricular activities to be conducted?
- On-site (in-person)
- Virtual (online)
- No preference

Suggestions and Comments:

Is there anything else you would like to share or suggest to improve our school community
and activities offered by the community service committee?

[Open-ended text box]

Thank you for your participation! Your input is valuable to us.