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.
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
Pre-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.
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
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
How important are these things to you?
Helping people in my community.
Not at all
1
2
3
4
The most
5
1 is Not at all, 5 is The most
Protecting the environment
Not at all
1
2
3
4
The most
5
1 is Not at all, 5 is The most
Protecting liberty and justice for all
Not at all
1
2
3
4
The most
5
1 is Not at all, 5 is The most
Standing up for Constitutional rights
Not at all
1
2
3
4
The most
5
1 is Not at all, 5 is The most
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
It's important to buy products from businesses that protect the environment
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
How much do you agree with these statements about your school?
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
Read each statement and pick the answer that best describes you.
I meet the goals I set for myself.
Totally false
1
2
3
4
Totally true
5
1 is Totally false, 5 is Totally true
I try to find ways to solve problems in my community.
Totally false
1
2
3
4
Totally true
5
1 is Totally false, 5 is Totally true
I trust we can make things better by working together.
Totally false
1
2
3
4
Totally true
5
1 is Totally false, 5 is Totally true
Thank you for completing this survey!
We appreciate your honesty, self-awareness, and cooperation.
Submit
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