Health Professions Schools in Service to the Nation
Service Learning Student Survey
The College of Health Professions Nicaragua Project faculty team would to better understand the impact
that service-learning has had on students. We particularly want to know how these experiences have
influenced your perspective on learning, your view of service, your choice of career/specialization and your
perspectives on working in a diverse community. This survey is a validated outcome measure that was
developed by a group called Community-Campus Partnerships for Health. The information collected in this
survey is anonymous and will only be reported in aggregate.
Several questions refer to a "course" or "courses." For our purposes, these terms refer to the aggregate of all
of our pre-trip orientation meetings, pre-trip fundraising, the actual trip to Nicaragua, and any formal or
informal meetings you had with a Nicaragua faculty member before or after the trip. "Community
participaton" refers to all activities performed in Nicaragua (not pre- or post-trip activities).
I. First we would like to know some information about you.
1. What is your age group?
Under 20 yrs.
20-24 yrs.
2. What is your gender?
Male
Female
3. What program are you in?
Allied Health
Pharmacy
25-29 yrs
35+
Dentistry
Medicine
Nursing
Physician Asst
Public Health
Other please specificy:
4. Name of your university/college:
5. What is your racial background?
African American
Asian American
Hispanic/American
Native American
Caucasian/White
Other please specificy:
6. In what kind of agency did you have your service learning experience? (check all that apply)
Community Clinic
Hospital or Health System
School
Community Center
Social Service Agency
Homeless Shelter
Other please specificy:
7. What community needs did you address in your service learning experience? (check all that apply)
AIDS/HIV
Disability issues
Elderly Care
Homelessness
Mental Health
Substance Abuse
Victim Assistance
Women's Health
Youth Issues
Other please specificy:
8. In addition to school, I have a paying job that requires me to work:
1-10 hours/week
11-20 hours/week
41+ hours/week
I do not have a job
21-30 hours/week
31-40 hours/week
II. Next, we would like to gain your perspective about service-learning courses in which you participated.
Please indicate you level of agreement with the following statements.
9. The community participation aspect of the courses helped me to see how course material I learned can be used in everyday life.
Strongly disagree
Disagree
Neutral
Agree
Strongly Agree
10. Participation in service-learning helped me to better understand the material from my lectures and readings.
Strongly disagree
Disagree
Neutral
Agree
Strongly Agree
11. I feel I would have learned more from the course if more time was spent in the classroom instead of in the community.
Strongly disagree
Disagree
Neutral
Agree
Strongly Agree
Agree
Strongly Agree
Agree
Strongly Agree
12. Service-learning should be implemented in to more classes at my school.
Strongly disagree
Disagree
Neutral
13. My service-learning experience was not directly linked to building clinical skills.
Strongly disagree
Disagree
Neutral
14. Participation in service-learning made me take more responsibility for my own learning.
Strongly disagree
Disagree
Neutral
Agree
Strongly Agree
Agree
Strongly Agree
15. Community service should be a voluntary activity rather than a course requirement.
Strongly disagree
Disagree
Neutral
16. Service-learning made me more aware of the roles of health professionals in other disciplines besides my own.
Strongly disagree
Disagree
Neutral
Agree
Strongly Agree
17. I would like to enroll in additional service learning courses offered through my degree program.
Strongly disagree
Disagree
Neutral
Agree
Strongly Agree
III. The next set of questions relates to your attitude toward community involvement.
Please indicate you level of agreement with the following statements.
18. I was already volunteering before this service-learning experience.
Strongly disagree
Disagree
Neutral
Agree
Strongly Agree
19. The community participation aspect of service-learning showed me how I can become more involved in my community.
Strongly disagree
Disagree
Neutral
Agree
Strongly Agree
Agree
Strongly Agree
Agree
Strongly Agree
Agree
Strongly Agree
Neutral
Agree
Strongly Agree
Neutral
Agree
Strongly Agree
20. I will continue involvement specifically with my service-learning site.
Strongly disagree
Disagree
Neutral
21. I feel that the work I did through service learning benefited the community.
Strongly disagree
Disagree
Neutral
22. I probably won't volunteer or continue community involvement after this course.
Strongly disagree
Disagree
Neutral
23. Service-learning helped me to become more aware of the needs in the community.
Strongly disagree
Disagree
24. I have a responsibility to serve the community.
Strongly disagree
Disagree
IV. Next, we would like to know the influence of your service-learning on your future professional work.
Please indicate you level of agreement with the following statements.
25. Doing work in the community helped me to define my personal strengths and weaknesses.
Strongly disagree
Disagree
Neutral
Agree
Strongly Agree
26. Performing work in the community helped me to clarify my career/specialization choice.
Strongly disagree
Disagree
Neutral
Agree
Strongly Agree
Agree
Strongly Agree
27. I will integrate community service into my future career plans.
Strongly disagree
Disagree
Neutral
V. Finally we would like some personal reflections on your service-learning experience.
Please indicate you level of agreement with the following statements.
28. I developed a good relationship with my service-learning instructor(s) because of the community work.
Strongly disagree
Disagree
Neutral
Agree
Strongly Agree
29. During this experience, I became more comfortable with working with people different from myself.
Strongly disagree
Disagree
Neutral
Agree
Strongly Agree
30. Service-learning made me more aware of some of my own biases and prejudices.
Strongly disagree
Disagree
Neutral
Agree
Strongly Agree
Agree
Strongly Agree
31. Participant in the community helped me enhance my leadership skills.
Strongly disagree
Disagree
Neutral
32. The work I performed in the community enhanced my ability to communicate my ideas in a real world context.
Strongly disagree
Disagree
Neutral
Agree
Strongly Agree
Neutral
Agree
Strongly Agree
33. I can make a difference in the community.
Strongly disagree
Disagree
34. Please add any other
comments you have about your
service-learning experience.
Thank you for your insights regarding service-learning.
Citation: Anu F. Shinnamon, Sherril B. Gelman, Barabara A. Holland. Methods and Strategies for Assessing Service Learning in the
Health Professions. San Francisco: Community-Campus Partnerships for Health, 1999.
© 2001, Community-Campus Partnerships for Health.
Please continue on to the next survey on page 5.
College of Health Professions Pacific University
Nicaragua Course & Trip Evaluation
Date/Year of Travel:
In which School are you enrolled?
DHS
OT
PT
PA
PHARM
OPTOM
By virtue of participation in this survey, I give permission to Pacific University to quote from from the responses I provide solely for the
purposes of education and/or marketing purposes. All responses will remain anonymous.
1. Rate the level of value or benefit of each of the following characgteristics as it relates to your participation in the
Nicaragua program.
Improved skills/knowledge in my own discipline
Not a benefit
Some benefit
Great benefit
Improved knowledge of skills of other disciplines
Not a benefit
Some benefit
Great benefit
Improved ability to work in an interprofessional
team
Not a benefit
Some benefit
Great benefit
Enhanced knowledge of issues in developing
countries
Not a benefit
Some benefit
Great benefit
Enhanced knowledge of people in a country other
than my country of origin
Not a benefit
Some benefit
Great benefit
Greater understanding of what it's like to be elderly
Not a benefit
Some benefit
Great benefit
Greater understanding of coordinating community
resources
Not a benefit
Some benefit
Great benefit
Greater understanding of issues surrounding povety
Not a benefit
Some benefit
Great benefit
Opportunity to get to know other students
Not a benefit
Some benefit
Great benefit
Opportunity to get to work closely with faculty
Not a benefit
Some benefit
Great benefit
Greater comfort with donation gathering and
fundraising activities
Not a benefit
Some benefit
Great benefit
Greater passion or interest to be involved in
future work or volunteerism to promote social
justice for marginalized populations
Not a benefit
Some benefit
Great benefit
Other
(please explain):
2. How have cultural differences
made you more aware of your own
culture, of its benefits, limitations,
strengths or biases?
3. How does this experience affect
your future, whether in academic,
social, career or personal choices?
4. Write a story about a particular
incidence that had a great impact on
you.
(Optional, but greatly appreciated as your
stories help future student participants
understand the potential benefits of
participation in the program).
5. If you had to do it all over again, would you participate in this program?
Definitely not
Probaby not
Maybe
Probably
Definitely Yes
Probably
Definitely Yes
Probably
Definitely Yes
5a. Why or why not?
6. Would you recommend this program to other students?
Definitely not
Probaby not
Maybe
6a. Why or why not?
7. How intersted are you in future activities related to aging in Nicaragua?
Definitely not
Probaby not
Maybe
5a. Why or why not?
9. Please add any other
comments that you'd like
to make.
Thank you for your feedback!
Please return this survey by February 10, 2012, by email to Becca Reisch, reischra@pacificu.edu