2014/15 Vet Corps Reintegration/Civic Involvement Pre-survey

This pre-survey will be compared with a post-survey (given at the end of your service term) to determine any increase in civic involvement and successful reintegration indicators. Please print a copy of your completed survey for your records.

Name


  1. Before you began your AmeriCorps service, how often did you volunteer your time without compensation for community service activities?
    0 hours per month
    1-5 hours per month
    6-10 hours per month
    11 or more hours per month


  1. Are you registered to vote?
    Yes
    No


  1. Rate your current voting behavior.
    never
    rarely
    sometimes
    frequently
    always


  1. Do you keep up to date on local, national, and global issues?
    Yes
    No


  1. If so, how often?
    seldom
    somewhat
    regularly
    almost always


  1. If so, how do you keep informed?
    TV
    radio
    internet
    family/friends
    newspaper
    membership in organizations
    other (describe below)


  1. Please explain how you keep informed.


  1. Have you contributed financially or volunteered time to a political cause, campaign, protest, rally, or event?
    Yes
    No


  1. If you answered yes to the previous question, please describe.


  1. I have a purpose in life.
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I have good relationships with my family.
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I have developed strong friendships.
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I am able to effectively deal with stress.
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I have a great appreciation of the value of life.
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I have personal goals.
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I have professional goals.
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I believe skills I gained during my deployment will be useful in my future career.
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I am applying job-related skills I learned during my deployment.
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I have researched career possibilities.
      1 2 3 4 5  
    Strongly agree   Strongly disagree


  1. I feel like I belong in civilian society.
      1 2 3 4 5  
    Strongly agree   Strongly disagree