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Service Learning Pre-Survey

Course Section and Number:___________

Major:____________________ Date:_______________

Please respond as honestly as possible, relying on your current beliefs or attitudes toward the particular issues raised. Indicate your level of agreement with each statement by circling the appropriate choices.

            4= Strongly Agree 3= Agree 2= Disagree 1= Strongly Disagree

1. I have a good understanding of the needs and problems facing the community in which I live. 4 3 2 1
2. If everyone works together, many of society's problems can be solved. 4 3 2 1
3. I have a responsibility to serve my community. 4 3 2 1
4. I learn course content best when connections to real life situations are made. 4 3 2 1
5. The idea of combining course work with service to the community should be practiced in more courses at Loyola. 4 3 2 1
6. I have a clear understanding of the differences between Service Learning and volunteerism. 4 3 2 1
7. I probably won't volunteer or participate in the community after this course ends. 4 3 2 1

8. This will be my first Service Learning experience. (Please circle) Yes / No

9.How many service hours will be required to complete this course assignment? ________

10. Where will you carry out your assignment? _____________

 

Thank you for completing this survey. Please turn the completed form in to your instructor or mail the completed form to the Office of Service Learning, Campus Box 115.


Updated October 3, 2006

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