The following instrument is in ascii text format and permission is granted
for anyone to copy this instrument for their use.
Please direct questions and comments to:
Will Barratt
Evaluation of Student Services Volunteer Services Survey
Indiana State University
George C. Widenor
Student Volunteer Services Survey
Please respond to the following questions. Circle only one
answer to each question. This survey is anonymous, so you do
not need to include your name on the form. Thank you!!
1. Are you Male or Female? Male Female
2. What is your age? (circle one) under 20 20-22 23-25 over 26
3. Your current year in school is? (circle one)
Fresh. Soph. Junior Senior Grad.
4. Do you currently live? (Circle one)
Res. Hall home apartment family housing
5. Are you a member of a Fraternity or Sorority? Yes No
6. If your answer to 5 is yes, then which fraternity or sorority?
7. Are you aware of the Student Volunteer Services Program at
ISU? Yes No
8. Were you ever a member of a public service organization before
attending ISU (Boy or Girl scouts, Big Brother/Big Sister, Young
Life, etc.)? Yes No
9. Are you a member of a public service organization at this
time? Yes No
10. Have you ever donated to, volunteered at, or ran a fund
raiser for, any charity organization (United Way, Salvation Army,
Peace Corps, etc.)? Yes No
11. If your answer to 10 is yes, describe briefly what
specifically you have done:
12. How important do you feel volunteering is?
not at all a little somewhat very don't know
13. How much benefit do students get from volunteering?
none a little some a lot don't know
14. Student volunteering can benefit: (circle all that apply)
yourself family friends other people
15. Did you know the Student Volunteer Services Center is
forming a volunteer corp of ISU students?
Yes No
16. Would you be in favor of a student volunteer corps?
Yes No
17. Would you be interested in joining a volunteer corps at ISU:
not at all a little somewhat very don't know
18. If you volunteered at ISU which groups would you most
like to help? (Circle all that apply)
elderly
physically challenged
homeless
mentally challenged
children
poor
terminally ill
other