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Student Survey Template
Please fill out this survey based on your experiences during the {_____ 202_} semester.
This survey is for research purposes only. All responses and identities will remain strictly confidential. Please do not put identifying information beyond what is requested on the form. Your completion of this survey implies your consent. Please do not complete the survey if you do not wish to participate in this study.
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* Indicates required question
Select Service-Learning Course
*
(Please be sure to select the correct section if your course has multiple sections)
Choose
Option 1
I have a good understanding of the needs and problems facing the community in which I live.
*
Strongly Disagree
1
2
3
4
Strongly Agree
If everyone works together, many of society's problems can be solved.
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Strongly Disagree
1
2
3
4
Strongly Agree
I have a responsibility to serve my community.
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Strongly Disagree
1
2
3
4
Strongly Agree
I learn course content best when connections to real-life situations are made.
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Strongly Disagree
1
2
3
4
Strongly Agree
The idea of combining course work with service to the community should be practiced in more courses at this university.
*
Strongly Disagree
1
2
3
4
Strongly Agree
I probably will NOT volunteer or participate in the community after this course ends.
*
Strongly Disagree
1
2
3
4
Strongly Agree
I have a clear understanding of the differences between volunteerism and service-learning.
*
Strongly Disagree
1
2
3
4
Strongly Agree
The service aspect of this course helped me to understand better the required lectures and readings.
*
Strongly Disagree
1
2
3
4
Strongly Agree
The service aspect of this course helped me to see how the subject matter I learned can be used in everyday life.
*
Strongly Disagree
1
2
3
4
Strongly Agree
The service aspect of this course made me aware of my own biases and prejudices.
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Strongly Disagree
1
2
3
4
Strongly Agree
The service aspect of this course showed me how I can become more involved in my community.
*
Strongly Disagree
1
2
3
4
Strongly Agree
As a result of my service-learning experience, I have a better understanding of my role as a citizen.
*
Strongly Disagree
1
2
3
4
Strongly Agree
The service I did through this course was NOT at all beneficial to the community.
*
Strongly Disagree
1
2
3
4
Strongly Agree
I would have learned more from this course if the time spent doing service in the community had been spent in the classroom.
*
Strongly Disagree
1
2
3
4
Strongly Agree
I plan to enroll in service-learning activities in another course if I am given the opportunity. If graduating leave blank.
*
Strongly Disagree
1
2
3
4
Strongly Agree
As a result of my service-learning experience, I would encourage other students to take courses that offer service learning.
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Strongly Disagree
1
2
3
4
Strongly Agree
The agency/site provided challenging, meaningful, and educational tasks for me to accomplish.
*
Strongly Disagree
1
2
3
4
Strongly Agree
I feel that my service-learning assignment was NOT adequately linked to the course.
*
Strongly Disagree
1
2
3
4
Strongly Agree
I received enough help in identifying and selecting service sites and opportunities.
*
Strongly Disagree
1
2
3
4
Strongly Agree
Additional Comments
(please share any comments or suggestions you have about the experience)
Your answer
This was my first Service-Learning experience.
*
Yes
No
Class
*
First Year
Sophomore
Junior
Senior
Other:
Gender
*
Female
Male
Non-binary or other
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