Your Name
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If anonymous, write "A"
First Name
Last Name
Zip Code
If you wish to remain anonymous, we ask that you submit your zip code for tracking purposes.
Program Year
2025
2026
2027
Name of Partner Organization (If Applicable)
Your college or church name; if you are part of an open-enrollment program just write "none."
1. How well can you articulate your personal values? Scale: 1 (Not Well) to 10 (Very Well)
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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)
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3. To what degree do you believe you can make a change in the world? Scale: 1 (Not at All) to 10 (Very Much)
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4. How often do you experience a sense of meaning and fulfillment in your daily life? Scale: 1 (Rarely) to 10 (Very Often)
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5. How confident do you feel when expressing your opinions or ideas in a group setting? Scale: 1 (Not Confident) to 10 (Very Confident)
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6. How comfortable are you when meeting new people or engaging in social situations? Scale: 1 (Not Comfortable) to 10 (Very Comfortable)
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7. How confident are you in your ability to handle challenging tasks or problems? Scale: 1 (Not Confident) to 10 (Very Confident)
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8. To what extent do you feel comfortable stepping out of your routine? Scale: 1 (Not Comfortable) to 10 (Very Comfortable)
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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)
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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)
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11. To what extent do you believe in your capacity to bounce back from setbacks? Scale: 1 (Not at All) to 10 (Very Much)
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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)
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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)
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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)
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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)
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16. How connected do you feel to God, a higher power, or a sense of something greater in your day-to-day life? (Scale: 1 = Not Connected to 10 = Very Connected)
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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)
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18. How often do you experience a sense of awe, wonder, or transcendence in your daily life? Scale: 1 (Rarely) to 10 (Very Often)
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19. How optimistic are you about your future and your ability to make a positive impact? Scale: 1 (Not Optimistic) to 10 (Highly Optimistic)
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20. To what extent do you believe that positive change is possible in the world? Scale: 1 (Do Not Believe) to 10 (Strongly Believe)
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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)
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22. How excited are you for your Compass experience? Scale: 1 (Not At All) to 10 (Very)
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What are you most excited about as you begin this Compass experience?
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Is there anything you are nervous or unsure about?
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In one sentence, how would you describe where you are in life right now?
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