Pre-Engagement Survey
For students and teachers to submit at the beginning of their class's relationship with CEC for the school year.
Name
First Name
Last Name
Email
example@example.com
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
Do you agree to receive communications about opportunities with CEC?
Yes
Graduation year
School Name
Teacher/Advisor Name
Teacher/Advisor email address
Are you interested in joining the Youth Service Council? Join other passionate high school students to share ideas, and have fun!
Yes
No
Maybe, if I knew more about it
Post-Survey Questions - Please be as honest as you can. This information is for accurate data collection, not to judge you! Thank you for your participation.
Youth Voice
If there was a problem in your community (like students planning a fight or illegal drugs near school), how confident are you that you could...
Contact a teacher or school staff about the problem.
Definitely CAN'T
1
2
3
4
Definitely CAN
5
1 is Definitely CAN'T, 5 is Definitely CAN
Contact an elected official about the problem.
Definitely CAN'T
1
2
3
4
Definitely CAN
5
1 is Definitely CAN'T, 5 is Definitely CAN
Get other people to care about the problem.
Definitely CAN'T
1
2
3
4
Definitely CAN
5
1 is Definitely CAN'T, 5 is Definitely CAN
Express your views to a group of people.
Definitely CAN'T
1
2
3
4
Definitely CAN
5
1 is Definitely CAN'T, 5 is Definitely CAN
Values - How much do you agree with these statements?
I think it’s important to help people in need.
Totally disagree
1
2
3
4
Totally agree
5
1 is Totally disagree, 5 is Totally agree
I think people should follow rules and laws
Totally disagree
1
2
3
4
Totally agree
5
1 is Totally disagree, 5 is Totally agree
I think it’s important to challenge unfair things in the world.
Totally disagree
1
2
3
4
Totally agree
5
1 is Totally disagree, 5 is Totally agree
I believe I can make my community better by working with others.
Totally disagree
1
2
3
4
Totally agree
5
1 is Totally disagree, 5 is Totally agree
Your School - How much do you agree with these statements?
Students trust teachers and staff.
Totally disagree
1
2
3
4
Totally agree
5
1 is Totally disagree, 5 is Totally agree
Students care about each other, even if they don’t know them well.
Totally disagree
1
2
3
4
Totally agree
5
1 is Totally disagree, 5 is Totally agree
Students are encouraged to share their opinions.
Totally disagree
1
2
3
4
Totally agree
5
1 is Totally disagree, 5 is Totally agree
In your classes, how much do you agree with these?
We talk about different opinions in a respectful way.
Totally disagree
1
2
3
4
Totally agree
5
1 is Totally disagree, 5 is Totally agree
We learn about problems in our society and how we can solve them.
Totally disagree
1
2
3
4
Totally agree
5
1 is Totally disagree, 5 is Totally agree
We learn about our Constitutional rights and responsibilities.
Totally disagree
1
2
3
4
Totally agree
5
1 is Totally disagree, 5 is Totally agree
We discuss how democracy works.
Totally disagree
1
2
3
4
Totally agree
5
1 is Totally disagree, 5 is Totally agree
The Civic Project
Read each statement and pick the answer that best describes you.
How confident do you feel now about your understanding of civic values (e.g., responsibility, justice, participation)?
Not at all confident
1
2
3
4
Extremely confident
5
1 is Not at all confident, 5 is Extremely confident
How clearly do you now see the connection between civic values and community issues?
Not at all
1
2
3
4
Absolutely
5
1 is Not at all, 5 is Absolutely
How clearly do you now understand the importance of considering different perspectives on a community issue?
Not at all
1
2
3
4
Very
5
1 is Not at all, 5 is Very
How much would you say your research skills improved through this program?
Not at all
1
2
3
4
Significantly
5
1 is Not at all, 5 is Significantly
How confident are you feeling to contact and collaborate with community members or decision makers?
Not at all
1
2
3
4
Significantly
5
1 is Not at all, 5 is Significantly
How much more aware are you now of how community partners can support civic projects?
Not at all
1
2
3
4
Significantly
5
1 is Not at all, 5 is Significantly
How confident are you now in your ability to lead or organize a civic project?
Not at all
1
2
3
4
Very Confident
5
1 is Not at all, 5 is Very Confident
How confident are you now when speaking or presenting in front of a group?
Not at all
1
2
3
4
Very confident
5
1 is Not at all, 5 is Very confident
How proud do you feel now about the work you did on your civic project?
Not at all
1
2
3
4
Extremely
5
1 is Not at all, 5 is Extremely
After you graduate High School How likely will you?
Vote regularly
Not at all
1
2
3
4
Totally
5
1 is Not at all, 5 is Totally
Volunteer to help people in need
Not at all
1
2
3
4
Totally
5
1 is Not at all, 5 is Totally
Work with a group to solve a community problem
Not at all
1
2
3
4
Totally
5
1 is Not at all, 5 is Totally
Get involved in activities like protests or meetings to solve problems
Not at all
1
2
3
4
Totally
5
1 is Not at all, 5 is Totally
Thank you for completing this survey!
We appreciate your honesty, self-awareness, and cooperation.
Submit
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