West Chester Online Survey

NOTE: This data will only be used in an aggregate form and will not be used to identify individual responses.

Please indicate how well your service learning project in this class provided you with the following educational
experiences with 1 being not at all and 7 being very much so. Please check your response to each of
the following 21 questions.

Note: All questions require an answer and all fields must be completed unless indicated otherwise

 Instructor's First Name:
Instructor's Last Name: :
 Class: Semester:
Year:
wwwwww
 Personal Growth
Not at all
Very much so
  1 2 3 4 5 6 7  
 Ability to Work Well With Others
Not at all
Very much so
  1 2 3 4 5 6 7  
 Leadership Skills
Not at all
Very much so
  1 2 3 4 5 6 7  
 Communication Skills
Not at all
Very much so
  1 2 3 4 5 6 7  
 Understanding Cultural and Racial Differences
Not at all
Very much so
  1 2 3 4 5 6 7  
 Problem Analysis and Critical Thinking
Not at all
Very much so
  1 2 3 4 5 6 7  
 Social Responsibility and Citizenship Skills
Not at all
Very much so
  1 2 3 4 5 6 7  
 Community Involvement
Not at all
Very much so
  1 2 3 4 5 6 7  
 Applying Knowledge to "Real World"
Not at all
Very much so
  1 2 3 4 5 6 7  
 Social Self-Confidence (Demonstrates ease and comfort in unfamiliar settings)
Not at all
Very much so
  1 2 3 4 5 6 7  
 Conflict Resolution
Not at all
Very much so
  1 2 3 4 5 6 7  
 Ability to Assume Personal Responsibility
Not at all
Very much so
  1 2 3 4 5 6 7  
 Development of Caring Relationships
Not at all
Very much so
  1 2 3 4 5 6 7  
 Gaining the Trust of Others
Not at all
Very much so
  1 2 3 4 5 6 7  
 Empathy and Sensitivity to the Plight of Others
Not at all
Very much so
  1 2 3 4 5 6 7  
 Workplace Skills (Competence in "real world" skills)
Not at all
Very much so
  1 2 3 4 5 6 7  
 Ability to Make a Difference in the Community
Not at all
Very much so
  1 2 3 4 5 6 7  
 Skills in Learning From Experience (Learning by doing)
Not at all
Very much so
  1 2 3 4 5 6 7  
 Organizational Skills (Organizing your time productively)
Not at all
Very much so
  1 2 3 4 5 6 7  
 Connecting Theory to Practice
Not at all
Very much so
  1 2 3 4 5 6 7  
 Overall Experience
Not at all
Very much so
  1 2 3 4 5 6 7  
 
Now we would like to ask a few additional questions:
 
 
Comments:
(Optional)
   
 
 In how many courses have you been involved with a service learning project?
 
 Current Age:    Gender: Male Female
 
 Major
 
 
 
 
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