Road to Doha 2012-2013: Baseline Student Survey Demographic Question Title * 1. Age: Question Title * 2. Grade: Question Title * 3. School: Question Title * 4. Gender: Question Title * 5. Country: Program Expectations Question Title * 6. How interested are you in learning about climate change and the scientific factors contributing to climate change? Extremely interested Interested Somewhat interested Not interested I do not believe climate change is occurring Why? Question Title * 7. How interested are you in learning about how climate change affects students in the US / Qatar? Extremely interested Interested Somewhat interested Not interested Why? Question Title * 8. From the exchanges, what do you hope to learn most about climate change? (select all that apply) How ecosystems worldwide are affected by climate change Causes and effects of climate change Water use and climate change Sustainable energy resources Global policies on climate change Other Not interested Why? Question Title * 9. How do you think this program will influence your perspectives or attitudes on climate change and its impact worldwide? Will influence my perspectives drastically Will influence my perspectives Will influence my perspectives somewhat Won't influence my perspectives In what way? Question Title * 10. In which ways are you comfortable expressing yourself? (select all that apply) In person In print Video Audio Virtually Other (please specify) Cultural Exchange Question Title * 11. Have you ever participated in a cultural exchange program before (for example: virtual exchange, physical exchange, experience with exchange students)? Yes No If yes, what program activity? How was the experience for you? Question Title * 12. How do you perceive your peers in the US / Qatar? (select as many as apply) Like strangers Like friends We have shared values We have different values We have shared traditions We have different traditions Don't know Other (please specify) Question Title * 13. To what extent do you think it is important to meet, interact and speak with your peers on climate change in the US / Qatar? Extremely important Important Somewhat important Not important Question Title * 14. To what extent are you familiar with the UN Climate Change Conference meetings? Extremely familiar, I know when the next conference meeting is and what the topics of discussion will focus on Familiar, I have heard of this before and am aware of when the next conference will be held Somewhat familiar, I have heard of this but am unsure what it means Not familiar, I did not know the UN Climate Change Conferences existed Science Content Skills Question Title * 15. How knowledgeable are you about issues related to climate change? Extremely knowledgeable Knowledgeable Somewhat knowledgeable Not knowledgeable Question Title * 16. How knowledgeable are you on climate change causes and effects in your home country? Extremely knowledgeable Knowledgeable Somewhat knowledgeable Not knowledgeable Question Title * 17. How knowledgeable are you on climate change causes and effects in your partner country? Extremely knowledgeable Knowledgeable Somewhat knowledgeable Not knowledgeable Question Title * 18. How knowledgeable are you on the following science topics? Extremely knowledgeable, I can teach my peers about this topic Knowledgeable, I can informally describe this topic to my peers Somewhat knowledgeable, I can identify 1 to 2 topics and explain them Not knowledgeable, I do not know anything about this topic Change and Sustainability in Ecosystems Change and Sustainability in Ecosystems Extremely knowledgeable, I can teach my peers about this topic Change and Sustainability in Ecosystems Knowledgeable, I can informally describe this topic to my peers Change and Sustainability in Ecosystems Somewhat knowledgeable, I can identify 1 to 2 topics and explain them Change and Sustainability in Ecosystems Not knowledgeable, I do not know anything about this topic Water Flows and Cycles Water Flows and Cycles Extremely knowledgeable, I can teach my peers about this topic Water Flows and Cycles Knowledgeable, I can informally describe this topic to my peers Water Flows and Cycles Somewhat knowledgeable, I can identify 1 to 2 topics and explain them Water Flows and Cycles Not knowledgeable, I do not know anything about this topic Sustainable Energy Resources Sustainable Energy Resources Extremely knowledgeable, I can teach my peers about this topic Sustainable Energy Resources Knowledgeable, I can informally describe this topic to my peers Sustainable Energy Resources Somewhat knowledgeable, I can identify 1 to 2 topics and explain them Sustainable Energy Resources Not knowledgeable, I do not know anything about this topic Cause and Effect of Pollution Cause and Effect of Pollution Extremely knowledgeable, I can teach my peers about this topic Cause and Effect of Pollution Knowledgeable, I can informally describe this topic to my peers Cause and Effect of Pollution Somewhat knowledgeable, I can identify 1 to 2 topics and explain them Cause and Effect of Pollution Not knowledgeable, I do not know anything about this topic Global Policies on Climate Change Global Policies on Climate Change Extremely knowledgeable, I can teach my peers about this topic Global Policies on Climate Change Knowledgeable, I can informally describe this topic to my peers Global Policies on Climate Change Somewhat knowledgeable, I can identify 1 to 2 topics and explain them Global Policies on Climate Change Not knowledgeable, I do not know anything about this topic Please answer the below multiple-choice questions to the best or your ability. If you do not know the answer to a question please select "I don't know." Question Title * 19. Which practice would most likely deplete a nonrenewable natural resource? Harvesting trees on a tree farm Limiting water usage during a period of water shortage Building a dam and a power plant to use water to generate electricity Burning coal to generate electricity in a power plant I don't know Question Title * 20. Which condition would cause an ecosystem to become unstable? A slight increase in the number of both plants and animals occurs A variety of nonliving factors are used by the living factors No plants remain after a change in the environment Biotic and abiotic resources interact I don't know Question Title * 21. What is the water cycle? The storing of water under, on or above the Earth's surface The removal of water under, on or above the Earth's surface The continuous movement of water under, on or above the Earth's surface The creating of water under, on or above the Earth's surface I don't know Question Title * 22. Which statement illustrates how human activities can most directly change the balance of an ecosystem? A hurricane causes a stream to overflow its banks Increased wind increases water evaporation from a plant Water pollution causes a decrease in fish populations in a river The ozone shield helps prevent harmful radiation from reaching the surface of Earth I don't know Community Involvement Question Title * 23. What is your experience with the following activities? Have done, as a participant Have done, as a leader of organizer Have not done Have not done, but would like to do Volunteering Volunteering Have done, as a participant Volunteering Have done, as a leader of organizer Volunteering Have not done Volunteering Have not done, but would like to do Community Service Community Service Have done, as a participant Community Service Have done, as a leader of organizer Community Service Have not done Community Service Have not done, but would like to do Advocacy Advocacy Have done, as a participant Advocacy Have done, as a leader of organizer Advocacy Have not done Advocacy Have not done, but would like to do Teaching Teaching Have done, as a participant Teaching Have done, as a leader of organizer Teaching Have not done Teaching Have not done, but would like to do Community Organizing Community Organizing Have done, as a participant Community Organizing Have done, as a leader of organizer Community Organizing Have not done Community Organizing Have not done, but would like to do Other (please specify): Other (please specify): Have done, as a participant Other (please specify): Have done, as a leader of organizer Other (please specify): Have not done Other (please specify): Have not done, but would like to do Other (please specify): Other (please specify): Have done, as a participant Other (please specify): Have done, as a leader of organizer Other (please specify): Have not done Other (please specify): Have not done, but would like to do Question Title * 24. To what extent are you aware of opportunities (such as those above) to be involved in your community? To a very great extent To a great extent To some extent To a little extent Not at all Question Title * 25. Which of the following best describes your attitude toward community involvement / global citizenship? (select a many as apply) I am involved because I think I am capable and can make a positive difference I am involved because there is a need in my community that other people aren't addressing I am involved because I gain satisfaction from it personally I am involved because I am told to be I am not involved, but I would like to be I am not involved Other (please specify) Question Title * 26. What, if anything, prevents your from being more engaged in your community? (select as many as apply) Lack of knowledge Lack of skills Lack of opportunities Lack of time Lack of confidence Lack of interest I am as engaged as I would like to be Other (please specify) Question Title * 27. How confident do you feel speaking in front of a group? Extremely confident Confident Somewhat confident Not confident Question Title * 28. How confident do you feel expressing your opinions to others? Extremely confident Confident Somewhat confident Not confident Question Title * 29. Overall, what do you hope to gain from the Road to Doha program? Ideas for Future Programming Question Title * 30. What subjects/topics should GNG programs cover? (Select all that apply) Global Citizenship Media Literacy Cultural Exchange Social Entrepreneurship Science Agriculture Peacebuilding Other (please specify) Question Title * 31. GNG programs connect youth to peers in other parts of the world. With which parts of the world would you most want to be connected? (Please list top 4 choices) Question Title * 32. Are you interested in participating in other programs similar to Road to Doha? Yes No Maybe Please Explain Question Title * 33. Are you interested in participating in other programs similar to Road to Doha? Yes No Maybe Please Explain Done