Civic Engagement Classes 2018 PRE-SURVEY

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* 1. This is a survey for participants in the Civic Engagement Classes 2018. Please answer the following questions with the first things that come to your mind. There are no right or wrong answers.

Your Name:

Age:

Race:

School:

Approximate grade point average:

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* 2. What does civic engagement mean to you?

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* 3. What do you think are the most important contributions you can make to help us have better government of and for the people?

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* 4. List some values that you believe are shared by most cultures.

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* 5. What is the best way to teach and learn those values?

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* 6. What are your strengths?

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* 7. Name some of the groups which you represent.

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* 8. What does it mean to you to be human?

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* 9. Name the three branches of government, and briefly state what they do.

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* 10. Rate the following in terms of its importance to you in your weekly routine.

	Not at all important	A little important	I'm neutral	Somewhat important	Very important
On a computer screen or video game	On a computer screen or video game Not at all important	On a computer screen or video game A little important	On a computer screen or video game I'm neutral	On a computer screen or video game Somewhat important	On a computer screen or video game Very important
Using my phone	Using my phone Not at all important	Using my phone A little important	Using my phone I'm neutral	Using my phone Somewhat important	Using my phone Very important
Talking to a family member	Talking to a family member Not at all important	Talking to a family member A little important	Talking to a family member I'm neutral	Talking to a family member Somewhat important	Talking to a family member Very important
Cooking a meal at home	Cooking a meal at home Not at all important	Cooking a meal at home A little important	Cooking a meal at home I'm neutral	Cooking a meal at home Somewhat important	Cooking a meal at home Very important
Talking to people I don't know	Talking to people I don't know Not at all important	Talking to people I don't know A little important	Talking to people I don't know I'm neutral	Talking to people I don't know Somewhat important	Talking to people I don't know Very important
Surfing the web	Surfing the web Not at all important	Surfing the web A little important	Surfing the web I'm neutral	Surfing the web Somewhat important	Surfing the web Very important
Reading	Reading Not at all important	Reading A little important	Reading I'm neutral	Reading Somewhat important	Reading Very important
Writing in a journal	Writing in a journal Not at all important	Writing in a journal A little important	Writing in a journal I'm neutral	Writing in a journal Somewhat important	Writing in a journal Very important
Get coaching on how I can change	Get coaching on how I can change Not at all important	Get coaching on how I can change A little important	Get coaching on how I can change I'm neutral	Get coaching on how I can change Somewhat important	Get coaching on how I can change Very important
Voting and getting others to vote	Voting and getting others to vote Not at all important	Voting and getting others to vote A little important	Voting and getting others to vote I'm neutral	Voting and getting others to vote Somewhat important	Voting and getting others to vote Very important
Cleaning my room	Cleaning my room Not at all important	Cleaning my room A little important	Cleaning my room I'm neutral	Cleaning my room Somewhat important	Cleaning my room Very important
Saying thank you to someone	Saying thank you to someone Not at all important	Saying thank you to someone A little important	Saying thank you to someone I'm neutral	Saying thank you to someone Somewhat important	Saying thank you to someone Very important
Speaking in public	Speaking in public Not at all important	Speaking in public A little important	Speaking in public I'm neutral	Speaking in public Somewhat important	Speaking in public Very important
Watch a TV show	Watch a TV show Not at all important	Watch a TV show A little important	Watch a TV show I'm neutral	Watch a TV show Somewhat important	Watch a TV show Very important
Working on changing something about myself	Working on changing something about myself Not at all important	Working on changing something about myself A little important	Working on changing something about myself I'm neutral	Working on changing something about myself Somewhat important	Working on changing something about myself Very important
Going to a community event	Going to a community event Not at all important	Going to a community event A little important	Going to a community event I'm neutral	Going to a community event Somewhat important	Going to a community event Very important
Being on a leadership body	Being on a leadership body Not at all important	Being on a leadership body A little important	Being on a leadership body I'm neutral	Being on a leadership body Somewhat important	Being on a leadership body Very important
Being part of an organization	Being part of an organization Not at all important	Being part of an organization A little important	Being part of an organization I'm neutral	Being part of an organization Somewhat important	Being part of an organization Very important
Going shopping	Going shopping Not at all important	Going shopping A little important	Going shopping I'm neutral	Going shopping Somewhat important	Going shopping Very important
Writing a letter to an elected official	Writing a letter to an elected official Not at all important	Writing a letter to an elected official A little important	Writing a letter to an elected official I'm neutral	Writing a letter to an elected official Somewhat important	Writing a letter to an elected official Very important

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* 11. Please put these in order of importance to you, number 1 being the most important and number 10 being the least important. Please read them all before putting them in order. If you don't know what something is, you can leave that one blank.

Having a good meal

Speaking up in a public setting

Learning about someone different from me

Using my phone

Learning about and practicing my culture

Being ethical

Helping someone in need

Wearing the shoes I want to wear

Getting someone to vote who otherwise wouldn't

Staying in my own comfort zone

Civic Engagement Classes 2018 PRE-SURVEY

Question Title

* 1. This is a survey for participants in the Civic Engagement Classes 2018. Please answer the following questions with the first things that come to your mind. There are no right or wrong answers.

Question Title

* 2. What does civic engagement mean to you?

Question Title

* 3. What do you think are the most important contributions you can make to help us have better government of and for the people?

Question Title

* 4. List some values that you believe are shared by most cultures.

Question Title

* 5. What is the best way to teach and learn those values?

Question Title

* 6. What are your strengths?

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* 7. Name some of the groups which you represent.

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* 8. What does it mean to you to be human?

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* 9. Name the three branches of government, and briefly state what they do.

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* 10. Rate the following in terms of its importance to you in your weekly routine.

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* 11. Please put these in order of importance to you, number 1 being the most important and number 10 being the least important. Please read them all before putting them in order. If you don't know what something is, you can leave that one blank.

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* 12. If you find yourself in a conversation with someone who says they don't vote because their vote doesn't matter, what would you say to them?

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* 13. What would you like to have accomplished in your lifetime?

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* 14. What would you like to change about yourself?