Participant Name
*
If anonymous, write "A"
First Name
Last Name
Zip Code
If someone requests to remain anonymous, we ask that they submit their zip code for tracking purposes.
Is this a pre-program or post-program survey?
*
Pre
Post
Program Year
2023
2024
2025
Name of Partner Organization (If Applicable)
I.e. Gordon College, Rise Above, etc.
1. How well can you articulate your personal values? Scale: 1 (Not Well) to 10 (Very Well)
*
2. Do you believe you have a vision for your future that is both personally fulfilling and has a positive impact on others? Scale: 1 (Do Not Believe) to 10 (Strongly Believe)
*
3. To what degree do you believe you can make a change in the world? Scale: 1 (Not at All) to 10 (Very Much)
*
4. How often do you experience a sense of meaning and fulfillment in your daily life? Scale: 1 (Rarely) to 10 (Very Often)
*
5. How confident do you feel when expressing your opinions or ideas in a group setting? Scale: 1 (Not Confident) to 10 (Very Confident)
*
6. How comfortable are you when meeting new people or engaging in social situations? Scale: 1 (Not Comfortable) to 10 (Very Comfortable)
*
7. How confident are you in your ability to handle challenging tasks or problems? Scale: 1 (Not Confident) to 10 (Very Confident)
*
8. To what extent do you feel comfortable stepping out of your routine? Scale: 1 (Not Comfortable) to 10 (Very Comfortable)
*
9. To what degree do you feel your peers view you as someone capable and smart? Scale: 1 (Not at All) to 10 (Very Much)
*
10. To what degree do you feel a sense of belonging within a community of peers? Scale: 1 (Not at All) to 10 (Very Much)
*
11. To what extent do you believe in your capacity to bounce back from setbacks? Scale: 1 (Not at All) to 10 (Very Much)
*
12. To what extent do you engage with diverse perspectives or other opinions, whether they be religious, political, or social disagreements? Scale: 1 (Not at All) to 10 (Very Much)
*
13. How likely are you to participate in activities such as volunteering for a local non-profit, attending a community meeting, or advocating for policy changes to support social justice? Scale: 1 (Not Likely) to 10 (Highly Likely)
*
14. How motivated are you to make personal changes, such as sacrificing time, committing financial support, or participating in voting or protests, to support a cause you care deeply about? Scale: 1 (Not Motivated) to 10 (Highly Motivated)
*
15. To what extent do you believe that part of your life's purpose is to fight for justice on behalf of others? Scale: 1 (Not at All) to 10 (Strongly Believe)
*
16. How connected do you feel to God or a higher power in your day-to-day life? Scale: 1 (Not Connected) to 10 (Very Connected)
*
17. To what extent do you engage in regular reflective practices (e.g., prayer, meditation, journaling, counseling, or similar)? Scale: 1 (Not at All) to 10 (Very Much)
*
18. How often do you experience a sense of awe, wonder, or transcendence in your daily life? Scale: 1 (Rarely) to 10 (Very Often)
*
19. How optimistic are you about your future and your ability to make a positive impact? Scale: 1 (Not Optimistic) to 10 (Highly Optimistic)
*
20. To what extent do you believe that positive change is possible in the world? Scale: 1 (Do Not Believe) to 10 (Strongly Believe)
*
21. Do you believe you have the ability to bring hope, healing, and justice into difficult situations? Scale: 1 (Do Not Believe) to 10 (Strongly Believe)
*
22. How excited for/ grateful are you for your Compass experience? Scale: 1 (Not At All) to 10 (Very)
*
Is there anything from the evaluation that we should be aware of/make note?
(POST ONLY) Anything to note regarding their least favorite or favorite part of the experience?
(POST ONLY) Input any good quotes for promotional or fundraising material.
