CommUniverCity (CUC) Student Post-Project Survey
Spring 2010
Principal Investigator: Dr. Melinda Jackson, Research Director
Survey & Policy Research Institute, San José State University
INFORMATION
1. You have been asked to participate in an evaluation study of student experiences in CommUniverCity
San José.
2. You will be asked to complete a short survey evaluating your experiences participating in a
CommUniverCity San José project this semester.
3. The survey should take no more than ten minutes to complete.
4. This survey is confidential, but not anonymous. You received a unique link to this online survey that is
linked to your email address, and your IP address is also recorded when you complete the survey in
order to track your participation. The survey does not ask for any other identifying information,
however, and email addresses and IP addresses will be removed from the final dataset before any
analysis takes place. No identifying information will be used in any part of the analysis or reporting of
results from this survey.
RISKS
There is a risk that some of the questions may be on topics you do not feel comfortable answering
questions about. You may skip any question that makes you uncomfortable. There are no penalties for
skipping questions.
BENEFITS
There are no anticipated benefits to participating in this study. However, your participation in this
research will help in our ongoing evaluation and improvement of CommUniverCity San José programs.
CONFIDENTIALITY
The information in the study records will be kept strictly confidential. Data will be stored securely and
will be made available only to persons conducting the study unless you specifically give permission in
writing to do otherwise. No reference will be made to your identity in oral or written reports which
could link you to the study.
COMPENSATION
There is no compensation for participating in this study.
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CONTACT
If you have any questions at any time about the study or the procedures, you may contact the
researcher, Dr. Melinda Jackson, Research Director, Survey & Policy Research Insitute, San José State
University, 408-924-5293, or Melinda.Jackson@sjsu.edu. Complaints about this survey may be
presented to Dr. Dayana Salazar, Executive Director, CommUniverCity San José, and Professor,
Department of Urban & Regional Planning, Dayana.Salazar@sjsu.edu. Questions about a research
subject’s rights, or research-related injury may be presented to Pamela Stacks, Ph.D., Associate Vice
President, Graduate Studies and Research, at 408-924-2480.
PARTICIPATION
Your participation in this study is voluntary. You may refuse to participate in the entire study or in any
part of the study. You do not have to answer any questions that you do not want to answer. If you
decide to participate in the study, you are free to withdraw at any time without any negative effect on
your relations with San José State University or with any other participating institutions or agencies.
CONSENT
I have read and understand the above information. I may print and keep a copy of this page. By checking
the line below, I agree to participate in this study.
___ “Consent”
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FEEDBACK SURVEY
1. What was the most enjoyable or rewarding aspect of the CommUniverCity project you
participated in this semester?
2. What was the most challenging aspect of the CommUniverCity project you participated in this
semester?
3. What did you learn about yourself, the community and the subject of the class through your
participation in the CommUniverCity project?
4. How much did the CommUniverCity project you participated in contribute to your learning in
this class?
1
2
3
4
5
Not at all
Very little
Somewhat
Quite a bit
A great deal
5. How much attention do you pay to local politics and current affairs in your community?
1
2
3
4
5
None
Very little
Some
Quite a bit
A great deal
Please indicate how much you AGREE or DISAGREE with the following statements:
6. Individuals have a responsibility to help solve our social problems.a
1
2
3
4
5
Strongly
Slightly
Neither Agree Slightly
Strongly
Disagree
Disagree
nor Disagree
Agree
Agree
7. Voting is the only real obligation that is placed on a citizen living in a democracy.a
1
2
3
4
5
Strongly
Slightly
Neither Agree Slightly
Strongly
Disagree
Disagree
nor Disagree
Agree
Agree
8. I plan to become involved in my community.b
1
2
3
Strongly
Slightly
Neither Agree
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4
Slightly
5
Strongly
Disagree
Disagree
nor Disagree
Agree Agree
a: Civic Responsibility Scale - Scott Myers-Lipton (1994)
b: Civic Action Scale (Moely et al. 2002)
9. Please indicate which (if any) of the following things you have done in the past year. Check all
that apply.
___ Worked with others to solve a community problem
___ Helped to form a new community group
___ Contacted local, state, or national government about something you wanted
changed
___ Attended a political meeting, rally, speech, protest, or other political event
___ Joined a Facebook group or other online social network related to a political issue,
group, or candidate
___ Other civic or political activity (please describe)
10. Anything else you’d like to tell us about your CommUniverCity experience? (open-ended
comment box)
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