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pdfDEPARTMENT OF STATE
PUBLIC DIPLOMACY AND EVALUATION OFFICE
SURVEY QUESTION: BANK
OMB Control No. 1405-0158
Public Diplomacy and Evaluation Office (PDEO)
Office of Policy and Evaluation
th
301 4 Street, SW
Room 336 (SA-44)
Washington, DC 20547
Melinda Crowley, Director
T: (202) 203-7136
Steven Gaither, Senior Statistical Research Analyst
T: (202) 453-8816
Michelle Hale, Survey Creation Coordinator
T: (202) 453-8815
TABLE OF CONTENTS
PRIVACY ACT AND PAPERWORK REDUCTION ACT STATEMENTS................................... 3
INTRODUCTION ....................................................................................................................... 4
GLOSSARY............................................................................................................................... 5
ECA SET-UP AND INDICATOR QUESTIONS .......................................................................... 6
PROGRAM INFORMATION .....................................................................................................13
PARTICIANT INFORMATION (NON-DEMOGRAPHIC) ...........................................................16
PROGRAM ACTIVITIES...........................................................................................................20
PROGRAM GOALS AND OBJECTIVES..................................................................................22
PARTICIPANT ADJUSTMENT.................................................................................................24
PARTICIPANT SATISFACTION...............................................................................................26
PARTICIPANT ATTITUDES (WORLD) ....................................................................................36
PARTICIPANT ATTITUDES (INDIVIDUAL) .............................................................................40
KNOWLEDGE AND SKILLS (GENERAL) ...............................................................................43
PARTICIPANT BEHAVIOR (GENERAL SKILLS) ....................................................................58
LANGUAGE SKILLS AND BEHAVIOR....................................................................................66
POST PROGRAM EDUCATION AND EMPLOYMENT ............................................................71
ALUMNI PROGRAMS ..............................................................................................................74
RESPONDENT INFORMATION (DEMOGRAPHICS)...............................................................77
ADDITIONAL SUGGESTIONS AND COMMENTS...................................................................83
SURVEY COMPLETION TIME .................................................................................................83
PERFORMANCE MEASUREMENT FOLLOW-UP TEMPLATE SURVEY QUESTIONS..........84
PMDCP INTERVIEW QUESTIONS ..........................................................................................85
INDEPENDENT EVALUATION ................................................................................................99
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PRIVACY ACT AND PAPERWORK REDUCTION ACT STATEMENTS
The following privacy act and paperwork reduction act statement will appear on surveys conducted
through PDEO in conjunction with a footer that will include the following information: the OMB control
number, assigned survey form number, clearance expiration date, and estimated burden time.
Privacy Act and Paperwork Reduction Act Statements:
The information solicited on this survey is requested pursuant to the Government Performance and
Results Act of 1993 (P.L. 103-62) and the Mutual Educational and Cultural Exchange Act of 1961, as
amended, also known as the Fulbright-Hays Act (22 U.S.C. 2451, et seq.). In order to ensure that the
U.S. Department of State’s international exchange programs meet statutory program requirements (22
U.S.C. 2460(c)), the Department’s Bureau of Educational and Cultural Affairs (ECA) regularly monitors
the programs, gathers data about program accomplishments, and evaluates selected ones. ECA uses the
information collected to inform program design, management, and funding. All personal information that
is collected through surveys is considered confidential. All responses are coded to ensure the
confidentiality of individual responses. Data collected under this study will not be shared, sold, or used
for fundraising purposes. Survey data and findings will be used only in an aggregate form for the express
purposes of fulfilling the data needs of the outcome assessment. Responses to this survey are voluntary.
Public reporting burden for this collection of information is estimated to average xxx (xx) minutes to
respond to this survey, including time for reviewing instructions, searching existing data sources,
gathering and maintaining the data needed, and completing and reviewing the collection of information.
An Agency may not conduct or sponsor, and respondents are not required to respond to, a collection of
information unless it displays a valid OMB control number. Please send comments regarding this burden
estimate or any other aspect of this collection of information, including suggestions for reducing the
burden, to: A/ISS/DIR, U.S. Department of State, Washington, D.C. 20520.
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INTRODUCTION
The contents of this question bank include questions that are used in the PDEO project Public Diplomacy
Pilot Performance Measurement Data Collection Project (PMDCP), as well as questions used in ECA’s
Performance Measurement and Evaluation surveys.
The first section of this document contains a complete list of ECA Bureau Indicator Questions. These
Indicator Questions are each linked to one of the Bureau’s nine Performance Outcomes. Both the
Indicator Questions and their Set-up Questions, which enable us to collect baseline data, are the core of
the Bureau’s performance measurement system. The Indicator Questions and the Set-up Questions are
mandatory, and appear on all performance measurement surveys, as appropriate. These Indicator
questions are vital for collecting the data needed for Bureau reporting on performance, as mandated by
GPRA and the OMB. Thus, it is imperative that both the Indicator Questions and Set-up Questions
remain unchanged in the PDEO Question Bank, so as to continue our established, extensive, and vital
performance measurement work.
NOTE: THE ECA INDICATORS ARE HIGHLIGHTED IN YELLOW.
These questions may be presented in written format for a self-administered paper survey, in a written
format for a self-administered web-based survey, or conveyed orally during interviews.
Questions are divided into categories based on their purpose. Where applicable, the questions are
shown in a series (i.e. Question A and Question B) in order to indicate when a follow-up question might
be used. Performance Measurement questions are also grouped together to show the change in wording
based on the survey’s touch point.
Responses for “Name of…” will vary depending on the program and its activities. Four response
categories are illustrative; some survey items may have more than four response choices or some may
have less.
The portions of questions and responses that are included in the brackets “[ ]”, are to: 1) represent
substitution of specific program names, country names, language, etc. that will vary from program to
program; 2) indicate the difference in the verb tense which is dependent on the time frame of the survey
administered (for example: pre, post, and follow-up surveys); 3) indicate alternate word choice which will
depend on the needs of the program office; and 4) represent prompts for when questions are for a survey
done by an interview. It should be noted that even though the items in the brackets are bolded, they
would not be in the actual surveys. The bolding is meant to help them stand out for this question bank
review. Additionally, where the substitution specifies “[Name of Country]” this stands for both the noun
and adjectival form of the country when appropriate (example: Vietnam versus Vietnamese).
Where applicable, notes have also been added to provide clarification.
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GLOSSARY
Below is a listing of glossary items that are used in this question bank:
ECA
Indicators
The ECA Indicators are questions that were specifically designed to gather
data as they relate to the Bureau’s nine Performance Measurement
Outcomes.
ID
Is strictly for our own reference purposes.
TYPE
Refers to either the touch point for a Performance Measurement survey, or a
specific PDEO Project survey that is administered to a participant.
Pre
Is the first data touch point. This survey is administered to participants either
prior to them coming on the program, or directly after they have arrived.
Post
FU
PMDCP
IE
Is the second data touch point. This survey is administered to participants
either right before the end of the program, or shortly after they have returned
home.
rd
Stands for follow-up, and is the final (3 ) data touch point. This survey is
administered to participants typically between 6 months to 1 year after their
exchange program has ended.
Public Diplomacy Pilot Performance Measurement Data Collection Project.
Questions are administered by interview among participants and nonparticipants of public diplomacy activities through the U.S. Embassy’s and
Missions worldwide.
Independent Evaluation. Questions are part of the survey conducted via an
ECA Evaluation.
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ECA SET-UP AND INDICATOR QUESTIONS
Question 1:
Please rate your satisfaction with the following program components. Please check
one box in each row.
NOTE: ECA Indicator Question
This question is used for both U.S. and foreign participants.
Very
Dissatisfied
Dissatisfied
Neutral
Type
Post
ID 354, 870
Satisfied
Very
Satisfied
Administration
Content
Variety of Experiences
Relevance of program to professional or
educational development
Question 2:
How do you view the United States Government and the American people? Please
check one box in each row.
NOTE: ECA Set-up Question
This question is used for foreign participants.
Strongly
Unfavorable
Generally
Unfavorable
Neither
Favorable Nor
Unfavorable
Type
Pre, Post, FU
ID 511, 530
Generally
Favorable
Strongly
Favorable
United States
Government
American people
Question 3:
Type
How did your views of the United States Government and the American people change Post, FU
as a result of your program participation? Please check one box in each row.
NOTE: ECA Indicator
ID 509, 510, 529, 684, 764, 832
This question is used for foreign participants.
Much less
Favorable
Less
Favorable
No Change
More
Favorable
Much More
Favorable
United States Government
American people
Question 4:
How do you view the United States Government and its relationship with your home
country?
NOTE: ECA Indicator
This question is used for foreign participants.
Strongly
Disagree
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Disagree
Neither Agree
Nor Disagree
Type
Pre, Post, FU
ID 476, 709
Agree
Strongly
Agree
Strongly
Disagree
Disagree
Neither Agree
Nor Disagree
Agree
Strongly
Agree
The United States Government is a
trustworthy partner for my country
Question 5:
To what extent do you agree or disagree with the statements below? Please check one
box in each row.
NOTE: ECA Indicator
This question is used for foreign participants.
Strongly
Disagree
Disagree
Neither Agree
Nor Disagree
Type
Pre, Post &
FU
ID 119
Agree
Strongly
Agree
Voting is important because real decisions
are made in elections
Free and fair elections are the cornerstone
of democracy
An independent media is important to the
free flow of information
All citizens in a country should have equal
rights and protections under the law
The Rule of Law is fundamental to a
functioning democracy
Individuals and organizations have the
right to free speech and to voice
opposition
Democratic principles enhance the
workplace. Supervisors should
incorporate democratic principles into their
management practices
Question 6:
Please rate your knowledge or understanding of the following topics. Please check
one box in each row.
NOTE: ECA Set-Up Question
This question is used for foreign participants.
No
Knowledge
Less Than
Basic
United States democracy
United States economy
United States values and
culture
Religious and ethnic
diversity in the United States
Freedom of speech and
press in the United States
Voluntary community
service in the United States
Daily life in the United
States
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Basic
Knowledge
Beyond
Basic
Type
Pre, Post, FU
Advanced
Knowledge
Question 7:
How much did participation in the program change your understanding or knowledge of
the following topics? Please check one box in each row.
NOTE: ECA Indicator
This question is used for foreign participants.
No
Change
Minimal
Change
Type
Post
ID 484, 489,
682, 761, 1270
Moderate
Change
Substantial
Change
United States democracy
United States economy
United States values and culture
Religious and ethnic diversity in the United States
Freedom of speech and press in the United States
Voluntary community service in the United States
Daily life in the United States
Question 8:
Do you think you will share your program experience or the knowledge you gained
during your exchange visit in any of the following ways? Please check one box in each
row.
NOTE: ECA Set-Up Question
This question is used for both U.S. and foreign participants.
Type
Post
ID 447
Yes
No
Participate in media interviews (newspaper, television, radio, internet)
Give presentations to community, neighborhood, school or university groups
Write newspapers articles, including editorials and opinion pieces.
Write academic books
Write non-academic books
Write academic articles—for journals or academic publications
Other (Please write in):______________________________________________
Question 9:
Have you shared your program experience or the knowledge you gained during your
exchange visit in any of the following ways? Please check one box in each row.
NOTE: ECA Indicator Question
This question is used for both U.S. and foreign participants.
Type
FU
ID 450
Yes
Participated in media interviews (newspaper, television, radio, internet)
Gave presentations to community, neighborhood, school or university groups
Wrote newspapers articles, including editorials and opinion pieces.
Wrote academic books
Wrote non-academic books
Wrote academic articles—for journals or academic publications
Other (Please write in):______________________________________________
Question 10:
As a direct result of your participation in the exchange program, do you think you will do
or receive any of the following at school or university? Please check one box in each
row.
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Type
Post
No
NOTE: ECA Set-Up Question
This question is used for both U.S. and foreign participants.
Emphasized since usually the multiple Indicators follow each other in the survey,
and want to make sure respondent make the distinction.
Yes
ID 364
No
Higher level of responsibilities or leadership at school/university
Organize or initiate new activities or projects at school/university
Establish a new organization at school/university
Question 11:
As a direct result of your participation in the exchange program, have you done or
received any of the following at school or university? Please check one box in each
row.
NOTE: ECA Indicator
This question is used for both U.S. and foreign participants.
Emphasized since usually the multiple Indicators follow each other in the survey,
and want to make sure respondent make the distinction.
Yes
Type
FU
ID 364
No
Higher level of responsibilities or leadership at school/university
Organized or initiate new activities or projects at school/university
Established a new organization at school/university
Question 12:
As a direct result of your participation in exchange program, do you think you will do or
receive any of the following at work? Please check one box in each row.
NOTE: ECA Set-Up Question
This question is used for both U.S. and foreign participants.
Emphasized since usually the multiple Indicators follow each other in the survey,
and want to make sure respondent make the distinction.
Yes
Type
Post
ID 365
No
Higher level of responsibilities or leadership in the same job
Organize or initiate new activities or projects in the same job
New, more responsible job
Increased salary/wages
Question 13:
As a direct result of your participation in exchange program, have you done or received
any of the following at work? Please check one box in each row.
NOTE: ECA Indicator
This question is used for both U.S. and foreign participants.
Emphasized since usually the multiple Indicators follow each other in the survey,
and want to make sure respondent make the distinction.
Yes
Higher level of responsibilities or leadership in the same job
Organized or initiate new activities or projects in the same job
New, more responsible job
Increased salary/wages
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Type
FU
ID 365
No
Question 14:
As a direct result of your participation in exchange program, do you think you will do or
receive any of the following in your community? Please check one box in each row.
NOTE: ECA Set-Up Question
This question is used for both U.S. and foreign participants.
Emphasized since usually the multiple Indicators follow each other in the survey,
and want to make sure respondent make the distinction.
Yes
Type
Post
ID 366
No
Assume a leadership role or position in your community
Organize or initiate new activities or projects in your community
Establish a new organization in your community
Question 15:
As a direct result of your participation in exchange program, have you done or received
any of the following in your community? Please check one box in each row.
NOTE: ECA Indicator
This question is used for both U.S. and foreign participants.
Emphasized since usually the multiple Indicators follow each other in the survey,
and we want to make sure respondent make the distinction.
Yes
Type
FU
ID 366
No
Assumed a leadership role or position in your community
Organized or initiate new activities or projects in your community
Established a new organization in your community
Question 16:
Do you think you will use the knowledge or experience gained in the program to initiate
any of these formal or informal changes in your organization or work? Please check
one box in each row.
NOTE: ECA Set-Up Question
This question is used for both U.S. and foreign participants.
Type
Post
Yes
Increase volunteer activities/community service
Found an NGO or new organization
Introduce new ideas and knowledge
Introduce initiatives, new ways of doing things
Establish new exchanges
Try to influence public opinion about the United States through the media
Establish joint ventures, organizational partnerships, or linkages
Introduce new policies or procedures
Introduce new curricula, pedagogical methods, or educational standards
Become elected or appointed to a local, regional or national Government position
Propose. write, and/or pass a new law or treaty
Question 17:
Have you used the knowledge or experience gained in the program to initiate any of
these formal or informal changes in your organization or work? Please check one box
in each row.
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Type
FU
No
NOTE: ECA Indicator
This question is used for both U.S. and foreign participants.
Yes
No
Increased volunteer activities/community service
Founded an NGO or new organization
Introduced new ideas and knowledge
Introduced initiatives, new ways of doing things
Established new exchanges
Tried to influence public opinion about the United States through the
media
Established joint ventures, organizational partnerships, or linkages
Introduced new policies or procedures
Introduced new curricula, pedagogical methods, or educational
standards
Became elected or appointed to a local, regional or national
Government position
Proposed, wrote, and/or passed a new law or treaty
Question 18:
Do you think you will remain in contact with people you met during your exchange
program?
NOTE: ECA Set-Up Question
This question is used for both U.S. and foreign participants.
Type
Post:
Question 19:
Have you remained in contact with people you met during your exchange program?
Note: ECA Indicator
This question is used for both U.S. and foreign participants.
Type
FU:
Yes
No
Question 20:
Do you think you will establish and continue professional collaborations that grew out
of your exchange experience?
NOTE: ECA Set-Up Question
This question is used for both U.S. and foreign participants.
Type
Post:
Question 21:
Have you established and continued professional collaborations that grew out of your
exchange program?
NOTE: ECA Indicator
This question is used for both U.S. and foreign participants.
Type
FU
Yes
No
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Question 22:
As a result of your exchange experience, do you think you or your organization will
establish a formal, institutional relationship with another organization?
NOTE: ECA Set-Up Question
This question is used for both U.S. and foreign participants.
Type
Post:
Question 23:
As a result of your exchange experience, have you or your organization established a
formal, institutional relationship with another organization?
NOTE: ECA Indicator
This question is used for both U.S. and foreign participants.
Type
FU
Yes
No
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PROGRAM INFORMATION
Question 24:
Which organization will provide your host/placement upon arrival in the United States?
Please check one box.
NOTE: Underlining is needed in order to help participants differentiate between
the organization hosting them and the organization that prepares them for the
program back in their home country.
Type
Pre
Question 25:
Which organization provided your host/placement in the United States? Please check
one box.
Type
Post, FU
ID 261, 721
ID 725
[Name of Program Grantee 1]
[Name of Program Grantee 2]
[Name of Program Grantee 3]
[Name of Program Grantee 4]
Do Not Know
Question 26:
Which [Name of Institute/Program] will you attend this [summer/winter/ year]?
Response: Drop Down List
NOTE: The list will contain the names of each of the Institute/Programs that the
survey is for.
Type
Pre
Question 27:
Which [Name of Institute/Program] did you attend this [summer/winter/year]?
Response: Drop Down List
NOTE: The list will contain the names of each of the Institute/Programs that the
survey is for.
Type
Post, FU
Question 28:
Which research group [are you participating in/did you participate in]? Please
check one box.
Response: Drop Down List
NOTE: The research groups are dependent on the focus of the program and
must be listed in full when the survey is administered on paper like below.
[Name of Research Group 1]
[Name of Research Group 2]
[Name of Research Group 3]
[Name of Research Group 4]
13
ID 384, 710, 868
Question 29:
What year did you [begin/end] your program? Please check one box.
NOTE: Some program have different beginning and end times for different
participants.
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Type
Pre, Post, FU
Type
Post, FU
[Program Year 1]
[Program Year 2]
[Program Year 3]
[Program Year 4]
Question 30:
What year did you participate in [the exchange program/Name of Program]?
Response: Drop Down List
NOTE: List contains the Years (for example, 2007, 2008, etc.)
Type
Post, FU
ID 565, 841
Question 31:
In what country did you conduct your research?
Response: Drop Down List
Type
Post, FU
Question 32:
At what institute are you conducting your research?
Response: Open-ended
Type
Post, FU
ID 439
Question 33:
Did you attend an orientation session for [Name of Program] prior to arriving in [Name
of Country/the host country]? Please check one box.
Type
Pre, Post
ID 351, 352
Yes
No
Question 34:
Were you selected as a finalist or an alternate for the [Name of Program]? Please
check one box.
Type
Pre
Finalist
Alternate
Question 35:
Did you receive an extension to your program? Please check one box.
Yes
No
Request Pending
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Type
Post, FU
ID 381
Question 36:
Was the [Name of Provided Material] useful? Please check one box.
Type
Post
ID 412, 690
Yes
No
Did not receive the material
Question 37:
Who [is/was] your advisor?
Response: Drop Down List
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Type
Pre, Post
15
PARTICIANT INFORMATION (NON-DEMOGRAPHIC)
Question 38:
What areas of the world have you traveled to? Please check all boxes that apply.
Type
Pre
ID 474
Africa
Asia
East Asia/Pacific
Europe
Latin America
Middle East/North Africa
North America
Never traveled outside my home country
Other (Please write in):________________
Question 39:
Do you have any connections to [Name of Country/the region of the world/the host
country]? Please check all boxes that apply.
Type
Pre
ID 886, 919, 1023
Family ties
Friends
Religion
Teachers
Academic
Professional
Travel/Personal Experience
No Ties
Question 40:
If you have family ties to [Name of Country/region of the world/the host country],
please identify the family members below. Please check all boxes that apply.
Type
Pre
ID 897, 925, 1024
Mother
Father
Maternal Grandmother
Maternal Grandfather
Paternal Grandmother
Paternal Grandfather
Not applicable
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Question 41 A:
Have you visited [Name of Country] before? Please check one box.
Type
Pre
ID 125, 534, 536
Yes
No
Question 41 B:
If you answered “yes” to question [insert question number], how long did you stay on
your last trip to [Name of Country]? Please check one box.
Type
Pre
ID 272
Less than 6 months
6 to 12 months
More than 12 months
I have never visited the [Name of Country] before
Question 42:
Have you visited [Name of Country/your host country] since your participation in
[Name of Program]? Please check one box.
Type
FU
ID 537, 538
Yes
No
Question 43 A:
In the past [year/two years], have you taught any class directly related to [Name of
Program]?
NOTE: The time frames used above are an example, and may be adjusted to one
that is more applicable to the exchange participants.
Type
Pre, FU
Yes
No
Question 43 B:
If you answered “yes” to question [insert question number], please describe.
Response: Open-ended
Type
Pre, FU
ID 465
Question 44:
Why do you think you won this program scholarship? Please check all boxes that apply.
Type
Pre
ID 393
I am a very good student
I am friendly and open-minded
I am able to live in another country with another family
I will be a good cultural ambassador
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I am involved in school activities
I was selected by my school
I speak English well
I come from an honorable family
My family is well-connected
I am a good person
I am fortunate
Do Not Know
Other (Please write in): _________________________
Question 45:
In addition to your studies, do you work? Please check one box.
Type
Pre, Post, FU
ID 560
Yes
No
Question 46:
How many hours per week do you usually work? Please check one box.
Type
Pre, Post, FU
ID 558
1-5 hours
6-10 hours
11-15 hours
16-20 hours
20+ hours
I do not work
Question 47:
Have you ever worked for an American firm, either in the United States or in another
country? Please check one box.
Type
Pre
ID 561, 562
Yes
No
Question 48:
Are you currently employed? Please check one box.
Type
Pre, FU
ID 563
Yes
No
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Question 49:
How many years have you been teaching? Please check one box.
Type
Pre
ID 568
0-5 years
6 to 10 years
11 to 15 years
More than 15 years
Question 50:
Did any of the people listed below recommend the [Name of Program] to you? Please
check all boxes that apply.
Type
Pre
ID 734
Family member
United States Embassy Official
Professor at university
Teacher at school
Colleague at work
Friend
Community member
Other (Please write in): _____________
No one recommended this program to me
Question 51:
Would you like to return to [Name of Country] to visit, to work, to study or to live?
Please check one box in each row.
Type
Post
ID 751
Yes
Do Not
Know
No
To visit
To work
To study
To live
Question 52 A:
Did anyone encourage or discourage you from participating in [Name of Program]?
Yes
Type
Post
No
Encouraged
Discouraged
Question 52 B:
If you were encouraged and/or discouraged, please explain by whom and why.
Response: Open-ended
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Type
Post
PROGRAM ACTIVITIES
Question 53:
Did you participate in any organized activities or clubs this past year? Please check one
box.
NOTE: This question is used when the program office wants to have base-line
data in order to compare the participant’s activity during and prior to the
program.
Type
Pre
Question 54:
Did you participate in any organized activities or clubs while in the United States?
Please check one box.
Type
Post
ID 737
ID 737
Yes
No—No activities available
No—I was not interested
No—I was not able to
Question 55:
If you participated in community service or volunteer work this past year, please
describe your activities.
Response: Open-ended
Type
Post
Question 56:
Did you have regular, paid employment while in the United States? Please check one
box.
Type
Post
ID 739
ID 740
Yes (Please describe): _______________
No
Question 57:
During your program in the United States, how often did you participate in any of the
following activities? Please check one box in each row.
Type
Post
ID 741
Never
Visiting museums or historical sites, sightseeing
Attending performances, concerts or theater
Attending religious services
Attending sporting events
Attending community events or meetings
Attending school activities and functions (for
example: games, dances)
Celebrating American holidays or festivals
Reading American magazines, literature
Traveling around the United States
Other (Please write in): ___________________
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Less Than
Once A
Month
Once A
Month
More Than
Once A
Month
Question 58:
During your program in the United States, with whom did you participate with most in
the following activities? Please check one box in each row.
Type
Post
ID 742
Host
Family
School and
School
Groups
Local
Representative Friends
On My
Own
Did Not
Participate In
This Activity
Visiting museums or historical sites,
sightseeing
Attending performances, concerts or
theater
Attending religious services
Attending sporting events
Attending community events or meetings
Attending school activities and functions
(for example: games, dances)
Celebrating American holidays or
festivals
Reading American magazines, literature
Traveling around the United States
Other (Please write in): ______________
Question 59:
What were the benefits, if any, of hosting this program in [Name of Country] rather
than in [Name of Country]?
Response: Open-ended
Type
Post
Question 60:
In the past [year/six months], how often were you involved in the following activities?
Please check one box in each row.
Type
Post, FU
ID 557
ID 816, 817, 1180,
Never
Community service (for example: helping others,
environment, health, education)
Civic activism (for example: elections, volunteering)
Political activism
Cultural activities (for example: visiting
museums/historical sites, attending concerts, theater)
Part-time job
Religious activities
Sports teams
School clubs or organizations
Work with NGOs
Other (Please write in): ________________________
FINAL: PDEO QB 11/5/07
21
Seldom
Some
Of The
Time
Most Of
The
Time
All Of
The
Time
PROGRAM GOALS AND OBJECTIVES
Question 61:
There are many different reasons for participating in [the exchange program/Name
of Program]. In the table below, please identify your three most important reasons for
participating.
NOTE: The emphasis (bold & underline) on the number three is used when the
survey is administered on paper to help keep respondents from entering less or
more than needed for data analysis needs. When administered electronically,
the respondent is given an error message if they did not follow the instructions
properly, and asked to go back and adjust their response.
Type
Pre
Question 62:
Exchange programs provide participants with many important opportunities for learning
and engaging people from other countries. In the table below, please identify the three
most important accomplishments of your [exchange program/Name of Program].
NOTE: The emphasis on the number three is used when the survey is
administered on paper to help keep respondents from entering less or more than
needed for data analysis needs. When administered electronically, the
respondent is given an error message if they did not follow the instructions
properly, and asked to go back and adjust their response.
Type
Post
ID 397, 398,
399, 401-405,
407-409, 711,
767, 885, 1231
ID 453, 587,
691, 728, 737,
826, 869, 883,
903, 958, 959,
961, 1913
Question 63:
Type
Exchange programs provide participants with many important opportunities for learning FU
and engaging people from other countries. In the table below, please identify the three
accomplishments that have had the most impact on your life, since your return home.
NOTE: The emphasis on the number three is used when the survey is
ID 453, 587, 691, 728,
administered on paper to help keep respondents from entering less or
737, 826, 869, 883, 903,
more than needed for data analysis needs. When administered
958, 959, 961, 995,
electronically, the respondent is given an error message if they did not
1001, 1027, 1047, 1065,
follow the instructions properly, and asked to go back and adjust their
1913, 2099
response.
NOTE FOR EACH OF THE ABOVE QUESTIONS: Reasons for participation in a program depend
upon the program goals and objectives as well as whether it is U.S. or Foreign participants. Thus,
the list will expand and contract accordingly.
[Promote/Promoted] mutual understanding between both of our countries
[Increase/Increased] my understanding of [Name of Country/host country] and
[Name of Country/host country]society, people, and culture
[Build/Built] relationships with [Name of Country/host country ]students and their
families
[Make/Made] friends with [Name of Country/host country]students and their families
[Make/Made] friends from other countries
[Learn/Learned] and [practice/practiced] [Name of Language/target language]
[Represent/Represented] [my country/the United States] abroad
[Share/Shared] my culture with others
[Learn/Learned] about the culture of [Name of Country/Name of Region/host
country]
[Learn/Learned] more about [Name of Country/host country]history – ancient to
modern
FINAL: PDEO QB 11/5/07
22
[Share/Shared] experience and learning about [name of topic or theme]
[Learn/Learned] more about Islam
[Learn/Learned] more about my field of policy expertise
[Develop/Developed] my professional contacts and network
[Develop/Developed] and [advance /advanced] my professional skills
[Increase/Increased] my understanding of [Name of Country/Name of Region]
political system and political process
[Increase/Increased] my understanding of local and state Government in [Name of
Country/Name of Region]
[Increase/Increased] my understanding of the role of [name of topic or theme]
[Learn/Learned] about key issues and problems facing [Name of Country/Name of
Region]
[Meet/Met] my counterparts in [Name of Country/Name of Town]
[Program Goal 1]
[Program Goal 2]
[Program Goal 3]
[Program Goal 4]
Other (Please write in):__________________________
Question 64:
What is your primary reason for participating in [Name of Program/this exchange
program]?
Response: Open-ended
Type
Pre
Question 65:
During your time in [Name of Country], what goals, if any do you plan to accomplish?
Response: Open-ended
Type
Pre
ID 712
Question 66:
During your time in [Name of Country], what goals did you accomplish?
Response: Open-ended
Type
Post, FU
ID 712
Question 67:
Type
Please elaborate on the most important accomplishment that can be linked to your
Post, FU
exchange experience.
Response: Open-ended
ID 1833, 933, 1444
Question 68:
What does community service mean to you?
Response: Open-ended
FINAL: PDEO QB 11/5/07
Type
Pre, Post
ID 739
23
PARTICIPANT ADJUSTMENT
Question 69 A:
How do you think you will adapt to [life/professional life] in the United States?
Please check one box.
Type
Pre
ID 964
Very
Difficult
Somewhat
Difficult
Neither Easy
Nor Difficult
Somewhat
Easy
Very
Easy
Adapting to life in the United States will
be…
Question 69 B:
If you think adapting to [life/professional life] will be difficult, please explain why.
Response: Open-ended
Type
Pre
ID 25
Question 70 A:
How difficult was it for you to adapt to [life/professional life] in the United States?
Please check one box.
Type
Post
ID 1179
Very
Difficult
Somewhat
Difficult
Neither Easy
Nor Difficult
Somewhat
Easy
Very
Easy
Adapting to life in the United States
was…
Question 70 B:
If adapting to [life/professional life] in the United States was difficult, please explain
why.
Response: Open-ended
Type
Post
Question 71 A:
After completing [Name of Program/your exchange], how was your adjustment to life
back home? Please check one box.
Type
FU
Very
Difficult
Somewhat
Difficult
Neither Easy
Nor Difficult
Somewhat
Easy
ID 25
Very Easy
My return back home was…
Question 71 B:
If your return home was difficult, please explain why.
Response: Open-ended
FINAL: PDEO QB 11/5/07
24
Type
FU
Question 72 A:
[Do/Did] you feel adequately prepared for [Name of Program/your exchange
program]?
Type
Pre, Post
Question 72 B:
If you did not feel adequately prepared for your program, what could have been done to
help you better prepare?
Response: Open-ended
Type
Post
ID 27
Question 73:
What advice would you give future delegates preparing for the [Name of Program]?
Response: Open-ended
Type
Post
Question 74:
What advice would you give future delegates to take advantage of opportunities
outside the [Name of Program]?
Response: Open-ended
Type
Post
FINAL: PDEO QB 11/5/07
25
PARTICIPANT SATISFACTION
Question 75:
Please rate your satisfaction with the specific program components of [Name of
Program] listed below. Please check one box in each row.
NOTE: Program specific components will change depending on the
design of the program, program goals and activities; not all items will be
included as response categories.
Type
Post
ID 588, 659, 729, 784,
855, 904, 1011,
1066,1252, 689
The response scale will include “Not Applicable” as an option, when there
are response categories that do not apply to each individual on the
program.
[Name of City/Name of State]: Food
and Lodging
Very
Dissatisfied
[Name of City/Name of State]: Overall
[Name of City/Name of State]: Travel
and Transportation
[Name of Grantee/ Implementing
Partner] facilities
[Name of Grantee/ Implementing
Partner] staff
[Name of Program/Name of
Language] course instructors/faculty
[Name of Program/Name of
Language] course materials
[Name of Program]: Activities
[Name of Specific sessions/
workshops]
Access to internet connectivity/email and
quality of computing facilities
Access to libraries/information
Accommodations
Administration/logistics (for example:
program events were well planned, and
run efficiently)
Assistance provided by Interpreters or
English Language Officers
Briefings, meetings and interviews
Community service (overall opportunities
to participate in volunteer activities)
Cultural activities
Cultural/Entertainment activities
Discussion sessions
FINAL: PDEO QB 11/5/07
26
Dissatisfied
Neutral
Satisfied
Very
Satisfied
Very
Dissatisfied
End-year Orientation
Geographic and demographic diversity
(for example: regions of United States
visited, urban/rural)
Guest speakers
Home hospitality
Home-stays
Homework load
In-class cultural and other instruction
In-class language instruction
Information received about the program
prior to departure
Length of program
Life with Host Family
Meals
Meeting and consultations with [Name
of Country] professionals in your field
Mid-year Orientation
Opportunities to communicate
information about your country to [Name
of Country]
Opportunities to interact with local
people
Opportunities to use [Name of
Language/target language] outside of
the classroom
Orientation in [Name of City]
Out-of-classroom trips and meetings or
site visits.
Pace of program
Pre-Orientation
Pre-departure briefing provided by the
United States Embassy or Consulate
Quality of language course instruction
Range of views presented
Relationship with your local coordinator
Sensitivity of program to your cultural or
religious needs
FINAL: PDEO QB 11/5/07
27
Dissatisfied
Neutral
Satisfied
Very
Satisfied
Very
Dissatisfied
Dissatisfied
Neutral
Satisfied
Very
Satisfied
Short home-stays (where applicable)
Site visit to [Name of
City/State/Region]
Speaking opportunities (for example:
schools, universities, civic groups)
Stipend
Tutors/Language partners
Weekend trips
[Program Component 1]
[Program Component 2]
[Program Component 3]
[Program Component 4]
Question 76 A:
Please rate your overall satisfaction with the programs in [Name of City]. Please
check one box in each row.
NOTE: The number of cities and the names of cities will change depending on
the exchange program.
Very
Dissatisfied
Dissatisfied
Neutral
Type
Post
ID 786, 790
Satisfied
Very
Satisfied
[Insert City 1]
[Insert City 2]
[Insert City 3]
[Insert City 4]
Question 76 B:
Please identify what you think are the strengths and weaknesses of the program (such
as professional meetings, speakers, arranged events, cultural activities) in [Name of
City].
Response: Open-ended
NOTE: Question will be repeated for each city listed in the above question.
Type
Post
Question 77:
What did you like best about [Name of Program/your exchange experience]?
Response: Open-ended
Type
Post
ID 339, 732
Question 78:
What did you like least about [Name of Program/your exchange experience]?
Response: Open-ended
Type
Post
ID 347, 733
FINAL: PDEO QB 11/5/07
28
ID 791
Question 79:
Did the [Name of Program] meet your expectations? Please check one box.
Type
Post
ID 1013
Did not meet expectations
Was below expectations
Met expectations
Was above expectations
Exceeded expectations
Question 80:
Would you recommend [Name of Program] to others? Please check one box.
Type
Post
ID 753
Yes
No
Not Sure
Question 81:
How would you improve [Name of Program]?
Response: Open-ended
Type
Post
ID 265, 736
Question 82:
What questions about [the country’s/Name of Country] political structure or
government were not addressed during the program? Do you have any suggestions
about how to answer these questions more thoroughly in future programs?
Response: Open-ended
Type
Post
Question 83:
What aspect of your [Name of Program] exchange experience best met your
[professional/personal] interest?
Response: Open-ended
Type
Post
Question 84:
How valuable do you think your [Name of Program] experience will be for you in the
future? Please check one box in each row.
Type
Post
ID 372, 856
ID 383
ID 505
Question 85:
What was the single most inspiring idea, thought or impression you took back to your
home country after the [Name of Program]?
Response: Open-ended
Type
Post
Question 86:
How do you think your participation in this program will impact your
[university/career]?
Response: Open-ended
Type
Pre
FINAL: PDEO QB 11/5/07
29
ID 1248, 539
ID 863, 864
Question 87:
How [will/did] participation in [Name of Program] impact your [university/career]?
Response: Open-ended
Question 88:
How useful were the following program activities or achievements? Please check one
box in each row.
Type
Post, FU
Type
Post
ID 503
Not At All
Useful
Somewhat
Useful
Useful
Improvement of my professional abilities
Learning new skills/techniques for work
Learning to work in a team context
Opportunities to make useful connections
Opportunities to meet [Insert Host Country] citizens
with common interests
Opportunities to meet other women from my region or
home country
Improvement of leadership abilities
Improving my professional abilities
Learning to work in a team
Providing opportunities to make useful connections
Providing opportunities to meet [Name of Country]
citizens with common interests
Providing opportunities to meet other women from my
region or home country
Improving my leadership abilities
Providing opportunities to make useful business
connections
[Program Activity/Achievement 1]
[Program Activity/Achievement 2]
[Program Activity/Achievement 3]
[Program Activity/Achievement 4]
Question 89:
How helpful was your local coordinator in the United States? (For example: Did they
arrange a host family, meet with you at least once a month, or provide you with
support.) Please check one box.
Type
Post
ID 731
Not very helpful
Somewhat helpful
Very helpful
Ignored me completely
We were not in touch
FINAL: PDEO QB 11/5/07
30
Very
Useful
Question 90:
What part of [today’s workshop/session/presentation/event/ Name of
workshop/session/presentation/event] did you like most?
Response: Open-ended
Type
Post
Question 91:
What part of [today’s workshop/session/presentation/event/ Name of
workshop/session/presentation/event] did you like least?
Response: Open-ended
Type
Post
Question 92:
To what extent did you find [today’s workshop/session/presentation/event/ Name
of workshop/session/presentation/event] useful? Please check one box.
NOTE: This question is used when the program office wants to measure the
extent of usefulness.
Type
Post
Not At All Useful
Somewhat Useful
Useful
Very Useful
Question 93 A:
Did you find [today’s workshop/session/presentation/event/ Name of
workshop/session/presentation/event] useful? Please check one box.
Type
Post
Yes
No
NOTE: Of the three options for Question B below, the question used depends on the data needs of
the program office.
Question 93 B1:
What did you find most useful about [today’s workshop/session/presentation/event/
Name of workshop/session/presentation/event]?
Response: Open-ended
NOTE: This version is used when the program office does not want to prompt a
response.
Type
Post
Question 93 B2:
Of the following topics, which one was the most useful to you? Please check one box.
NOTE: This version is used when the program office wants to limit the
responses. Topics will depend on the workshop/presentation/event.
Type
Post
Question 93 B3:
Which of the following topics were most useful to you? Please check all boxes that
apply.
NOTE: This version is used when the program office wants to ask about
particular topics relevant to the workshop/event. Topics will depend on the
workshop/presentation/event.
Type
Post
FINAL: PDEO QB 11/5/07
31
[Topic A]
[Topic B]
[Topic C]
[Topic D]
[Topic E]
None of the topics were useful
Question 93C:
What did you find least useful about [today’s workshop/session/presentation/event/
Name of workshop/session/presentation/event]?
Response: Open-ended
Type
Post
Question 94:
How would you rate the [conference/workshop/session/presentation/event]
overall? Please check one box.
Type
Post
Poor
Fair
Good
Very Good
Excellent
Question 95:
To what extent do you think you can apply the information presented today to your
work? Please check one box.
Type
Post
Not At All
To A Small Extent
To A Good Extent
To A Great Extent
Question 96:
Would you recommend [today’s workshop/session/presentation/event/ Name of
workshop/session/presentation/event] to others? Please check one box.
Type
Post
Definitely Not
Probably Not
Not Sure
Probably Will
Definitely Will
Question 97:
How can [today’s or insert name] [workshop/session/presentation/event] be
improved?
Response: Open-ended
FINAL: PDEO QB 11/5/07
32
Type
Post
Question 98:
Please evaluate [today’s or insert name] [workshop/session/presentation/event].
Please check one box in each row.
Poor
Fair
Good
Very Good
Type
Post
Excellent
Did Not
Attend
General overall
impression
Usefulness of subject
matter for me
professionally
Usefulness of subject
matter for me
personally
Question 99:
Please evaluate the [presentations/sessions] given [today or name day]. Please
check one box in each row.
NOTE: Titles listed depend on the presentation/sessions.
[Title of presentation/
session 1]
[Title of presentation/
session 2]
[Title of presentation/
session 3]
[Title of presentation/
session4]
Poor
Fair
Good
Very Good
Type
Post
Excellent
Question 100:
How did the information presented meet your expectations? Please check one box.
Did Not
Attend
Type
Post
Did not meet expectations
Below expectations
Met expectations
Above expectations
Exceeded expectations
Question 101:
Please rate the following content of the [workshop/seminar]. Please check one box
in each row.
Poor
Fair
Met my needs
Suitable to my level of experience
Interesting
Up-to-date and forward-looking
FINAL: PDEO QB 11/5/07
33
Good
Type
Post
Very Good
Excellent
Poor
Fair
Good
Very Good
Excellent
Consistent with description
Understandable
Logically organized
Included sufficient examples
Overall rating of workshop content
Question 102:
Please indicate your agreement with the following statements about the
[seminar/presentation/event]. Please check one box in each row.
Type
Post
The presenters…
Strongly
Disagree
Disagree
Neither Agree
Nor Disagree
Strongly
Agree
Agree
Helped me better understand the issue
Provided information relevant to my work
Presented information that is current and
up-to-date
Addressed the topic identified in the title
Were well organized
Were easy to understand
Presented information that will be of
great and immediate use to me
Question 103:
Please rate the quality of materials given to you at [today’s
workshop/session/presentation/event/ Name of workshop/session/
presentation/event]. Please check one box in each row.
Poor
Fair
Good
Type
Post
Very Good
Excellent
[Insert Material 1]
[Insert Material 2]
Question 104 A:
Would you like more information on any topic we covered today? Please check one
box.
Type
Post
Yes
No
Question 104 B:
If you answered “yes” to the question above, please list which topics.
Response: Open-ended
FINAL: PDEO QB 11/5/07
34
Type
Post
Question 105:
What topic would you have liked covered that was not covered [today’s workshop/
session/presentation/event/ Name of workshop/session/ presentation/event]?
Response: Open-ended
Type
Post
Question 106:
What kind of follow-up to [today’s workshop/session/presentation/event/ Name of
workshop/session/ presentation/event] do you think would be helpful?
Response: Open-ended
Type
Post
Question 107:
Please recommend future topics and potential speakers for future [conferences/
workshops/presentations/events].
Response: open-ended
Type
Post
FINAL: PDEO QB 11/5/07
35
PARTICIPANT ATTITUDES (WORLD)
Question 108:
How do you view the [Name of Country/ Host Country] Government and the [Name
of Country/ Host Country] people? Please check one box in each row.
NOTE: This question is used for U.S. participants to mirror the foreign
participants’ indicator question.
[Name of Country/ Host
Country] Government
[Name of Country/ Host
Country] people
Strongly
Unfavorable
Generally
Unfavorable
Neither
Favorable Nor
Unfavorable
Type
Pre, Post, FU
ID 511, 530
Generally
Favorable
Strongly
Favorable
Question 109:
Type
How did your views of [Name of Country/ Host Country] Government and the [Name Post, FU
of Country/ Host Country] people change as a result of your program participation?
Please check one box in each row.
NOTE: This question is used for U.S. participants to mirror the
ID 509, 510, 529, 684, 764, 832
foreign participants’ indicator question.
[Name of Country/ Host
Country] Government
[Name of Country/ Host
Country] people
Much Less
Favorable
Less
Favorable
No Change
More
Favorable
Question 110:
How do you view the [Name of Country/ Host Country] Government and its
relationship with the United States?
NOTE: This question is used for U.S. participants to mirror the foreign
participants’ indicator question.
The [Name of Country/ Host
Country] Government is a
trustworthy partner for my country
Strongly
Disagree
Disagree
Type
Pre, Post, FU
ID 775, 475, 1213
Neither Agree
or Disagree
Question 111:
What is the first positive thing you think about when you think about [Name of host
country]?
Response: Open-ended
Question 112:
What is the first negative thing you think about when you think about [Name of
host country]?
Response: Open-ended
FINAL: PDEO QB 11/5/07
36
Much More
Favorable
Agree
Strongly
Agree
Type
Pre, Post
Type
Pre, Post
ID 634, 766, 777
Question 113:
To what extent do you agree or disagree with the statements below? Please check one
box in each row.
NOTE: Additional responses may vary depending on the program’s objectives.
Strongly
Disagree
Disagree
Neither Agree
Nor Disagree
Type
Pre, Post &
FU
ID 119
Agree
Strongly
Agree
Teachers should incorporate democratic
principles into their classroom practices
[Statement 1]
[Statement 2]
[Statement 3]
[Statement 4]
Question 114:
Please indicate how strongly you agree or disagree with the following statements about
[Americans and/or the United States]. Please check one box in each row.
Type
Pre
ID 363, 513, 748
Question 115:
Now that you have spent time in the United States, please indicate how strongly you
agree or disagree with the following statements about [Americans and/or the United
States]. Please check one box in each row.
Type
Post
Question 116:
Now that you’ve been home for [6 months/1 year], please indicate how strongly you
agree or disagree with the following statements about [Americans and/or the United
States]. Please check one box in each row.
NOTE: Responses will vary depending on program objectives.
Type
FU
Strongly
Disagree
Americans are family-oriented
Americans are friendly and open
Americans are materialistic
Americans are moral
Americans are interested in the problems of
other people
Americans are religious
Americans are well-informed about the world
Americans believe that they can make a
difference in their society
Americans understand Islam and its cultural
values
Americans enjoy freedom of the press
Americans express their personal opinions,
even if they contradict those of authorities
Americans have friendly attitudes towards
people of my country
FINAL: PDEO QB 11/5/07
37
Disagree
Neither Agree
Nor Disagree
Agree
Strongly
Agree
Strongly
Disagree
Disagree
Neither Agree
Nor Disagree
Agree
Strongly
Agree
Americans have friends and acquaintances
from different backgrounds
Americans have too much freedom
Americans play an active role in their
communities
Americans rely on a system of laws to protect
the individual
Americans understand Muslim society
Most Americans are wealthy
The policies of the United States government
reflect the desires of the American people
The United States economy provides a good
living for most of its citizens
The United States has even-handed policies
toward Muslim countries
The United States imposes its views on other
countries
The United States is a country that believes in
and wants peace in the world
The United States is a violent country where
people do not feel safe
The United States is a well-functioning
democracy
The United States is concerned with the needs
and welfare of the Islamic world
The United States promotes diversity and
tolerance
The United States provides equal opportunities
for all
The United States has laws and regulations
that protect the individual
The United States foreign policy reflects the
interests and attitudes of the American people
Question 117:
Based on your experience as a [Name of Program] participant, what similarities do you
see between [Name of Country/host country] and the United States?
Response: Open-Ended
Type
Post
Question 118A:
Has your overall perception of the United States changed as a direct result of your
participation in the [Name of Program]?
Response: Open-ended
Type
Post, FU
Yes
No
FINAL: PDEO QB 11/5/07
38
ID 525
Question 118B:
If you answered “yes” to question [insert number], please describe the changes
Response: Open-ended
Type
Post, FU
ID 525
Question 119:
Please describe how participation in [Name of Program] changed your perception of
[Name of Country]?
Response: Open-ended
Type
Post
Question 120:
What do you think was the most valuable thing that you learned from your program?
Response: Open-ended
Type
Post
ID 346
Question 121:
Upon reflection, what was the most valuable lesson from the [name of program] that
you [will apply/have applied] to your [professional and/or personal] life.
Type
FU
ID 1245, 1246
ID 346
Question 122:
To what extent do you agree or disagree with the following statements? Please check
one box in each row.
Type
Pre, Post, FU
ID 526
Strongly
Disagree
Relations between the United States and
[Name of Country] are getting better
The United States supports positive change in
[Name of Country/Name of Region]
FINAL: PDEO QB 11/5/07
39
Disagree
Neither Agree
Nor Disagree
Agree
Strongly
Agree
PARTICIPANT ATTITUDES (INDIVIDUAL)
Question 123:
How much do you agree/disagree with the following statements about you as an
individual? Please check one box in each row.
Type
Pre, Post & FU
ID 860, 918
Strongly
Disagree
Somewhat
Disagree
Neither Agree
Nor Disagree
Somewhat
Agree
Strongly
Agree
I feel I have many choices in my
life
I feel I can make a difference in
my family
I feel I can make a difference in
my community
I feel I can influence people
around me
Question 124:
How has your self-confidence changed as a result of your participation in [Name of
Program]? Please check one box in each row.
Type
Post
Question 125:
How has your self-confidence changed since you left the United States? Please check
one box in each row.
Type
FU
Decreased
Greatly
Decreased
Somewhat
Stayed The
Same
Increased
Somewhat
Increased
Greatly
My self-confidence has…
Question 126:
Do you agree or disagree with the following statements? Please check one box in each
row.
Type
Pre, Post & FU
ID 747
Strongly
Disagree
Men and women should have equal
[opportunities/rights]
Men and women should equally
share family responsibilities
Ethnic minorities should have equal
[opportunities/rights]
People with disabilities (mentally
and/or physically challenged) should
have equal [opportunities/rights]
Religious minorities should have
equal [opportunities/rights]
FINAL: PDEO QB 11/5/07
40
Somewhat
Disagree
Neither Agree
Nor Disagree
Somewhat
Agree
Strongly
Agree
Question 127:
Do you agree or disagree with the following statements? Please check one box in each
row.
Type
Pre, Post & FU
Individuals should have the right to….
ID 747
Strongly
Disagree
Somewhat
Disagree
Neither
Agree Nor
Disagree
Somewhat
Agree
Strongly
Agree
Travel freely to other countries
Have acceptable housing
Be considered equal under law
regardless of age, gender, disability,
ethnicity or religion
Practice any religion
Receive an education
Have a job
Have acceptable health care
Have access to information
Have freedom of speech
Question 128:
How important are the rights and freedoms for an individual to have in society? Please
check one box in each row.
Type
Pre, Post & FU
ID 517,769, 861
Not At All
Important
Not
Important
Neutral
Somewhat
Important
Very
Important
Travel freely to other countries
Have acceptable housing
Be considered equal under law
regardless of age, gender, disability,
ethnicity or religion
Practice any religion
Receive an education
Have a job
Have acceptable health care
Have access to information
Have freedom of speech
Question 129:
Upon reflection, what has [Name of Program] meant to you [personally/
professionally]?
Response: Open-ended
Type
Post & FU
Question 130:
In today’s world, which leader do you admire most and why? Please write in.
Response: Open-ended
Type
Pre
ID 544
FINAL: PDEO QB 11/5/07
41
Question 131:
How is life in the United States different from life in your own country? Please give one
or two examples.
Response: Open-ended
Question 132:
Are the goals listed below as important to you now as they were before you came to
the United States? Please check one box in each row.
Yes
Type
Post
ID 746
Type
Post
No
Going to university
Having a rewarding job
Having a lot of money
Having my own business
Being active in community affairs
Becoming a leader
Having a career in government
Having a family
Having the opportunity to interact with people
in foreign countries
Question 133:
Type
Now that you have participated in this exchange program, please indicate how important
Post, FU
the following goals are for your personal life compared to before the program. Please
check one box in each row.
ID 754, 755, 862
Less
Important
Going to university
Having a rewarding job
Having a lot of money
Having my own business
Being active in community affairs
Becoming a leader
Having a career in government
Having a family
Having the opportunity to interact with people
in foreign countries
FINAL: PDEO QB 11/5/07
42
Equally
Important
More
Important
Not A Goal
KNOWLEDGE AND SKILLS (GENERAL)
Question 134:
Please rate your [knowledge/understanding] of the following topics and themes
highlighted in your [Name of Program]. Please check one box in each row.
NOTE: The responses will vary depending on the topics and themes highlighted
in the exchange program.
No
[Knowledge/
Understanding]
[Subject
Matter]
pedagogical
methods
Curriculum
development
Multidisciplinary
approaches
to your
subject area
[Program
Topic 1]
[Program
Topic 2]
[Program
Topic 3]
[Program
Topic 4]
Less Than
Basic
[Knowledge/
Understanding]
Basic
[Knowledge/
Understanding]
Beyond Basic
[Knowledge/
Understanding]
Question 135 A:
Through your participation in [Name of Program], how much do you think you will
[increase/improve] increase your [knowledge/understanding] of the following
themes and topics? Please check one box in each row.
NOTE: The responses will vary depending on the topics and themes highlighted
in the exchange program.
[Program Topic 1]
[Program Topic 2]
[Program Topic 3]
[Program Topic 4]
Not At All
Somewhat
A Good
Deal
Question 135 B:
In addition to the list above, what other knowledge do you hope to gain from [Name of
Program]?
Response: Open-ended
FINAL: PDEO QB 11/5/07
43
Type
Pre, Post
ID 594, 819,
890, 896, 1278
Advanced
[Knowledge/
Understanding]
Type
Pre
ID 772, 853
A Great
Deal
Type
Pre
Question 136:
Type
While you were [on [Name of Program]/ in the United States], how much did you
Post
improve your [knowledge/understanding] of the following topics and themes? Please
check one box in each row.
ID 590, 663, 686, 694, 704,
866, 998, 1051
Question 137:
How much did you improve your [knowledge/understanding] of the following
[topics/themes] highlighted during the program? Please check one box in each row.
NOTE: The responses will vary depending on the topics or themes highlighted in
the exchange program.
[Program Topic/Theme 1]
[Program Topic/Theme 2]
[Program Topic/Theme 3]
[Program Topic/Theme 4]
Not At All
Somewhat
A Good
Deal
Question 138 A:
How useful were the following [topics/themes] for your [studies/ professional
development]? Please check one box in each row.
NOTE: Responses will vary depending on the topics and themes
highlighted in the program.
Not At All
[Program Topic/Theme 1]
[Program Topic/Theme 2]
[Program Topic/Theme 3]
[Program Topic/Theme 4]
Somewhat
Useful
Type
FU
ID 793, 1247
A Great
Deal
Type
Post, FU
ID 1084, 933,
1073, 1077
Useful
Very Useful
Question 138 B1:
If you found the topics and themes useful or very useful, please explain.
Response: Open-ended
Type
Post, FU
ID 87
Question 138 B2:
How did your participation in the [Name of Program] contribute to your professional
development?
Response: Open-ended
Type
Post, FU
Question 140 A:
Please rate your current skills and abilities in these areas. Please check one box in
each row.
NOTE: Responses will vary depending on the skills being emphasized in the
exchange program.
Type
Pre, Post
Poor
Leadership
Community service
English (reading, writing, speaking)
FINAL: PDEO QB 11/5/07
44
Fair
Good
ID 1238
ID 458, 714
Excellent
Computer (internet, software, programs)
Collaborative policy research
Statistical and analytical skills
Networking
Facilitation of policy discussions in my field
[Program Specific Skill 1]
[Program Specific Skill 2]
[Program Specific Skill 3]
[Program Specific Skill 4]
Question 140 B:
In addition to the list above, what other skills and abilities do you hope to gain from
[Name of Program]?
Response: Open-ended
Type
Pre
Question 141:
Looking back, how much did the [Name of Program] help you improve your skills in
these areas?
NOTE: Responses will vary depending on the skills being emphasized in the
exchange program.
Type
Post, FU
Not At All
Somewhat
A Good
Deal
ID 456, 457, 835,
1078, 1085, 660
A Great
Deal
Leadership
Community service
English (reading, writing, speaking)
Computer (Internet, software programs)
Media skills
Collaborative policy research
Statistical and analytical skills
Networking
Facilitation of policy discussions in my
field
[Program Specific Skill 1]
[Program Specific Skill 2]
Other (Please write in):____________
Question 142 A:
To what extent have you been able to apply these skills since your return home?
Please check all boxes that apply.
NOTE: Response categories will vary depending on the skills being emphasized
in the exchange program.
Not At All
Leadership skills
Problem-solving skills
Team-building skills
Communication skills
Entrepreneurial skills
Community service
English (reading, writing, speaking)
FINAL: PDEO QB 11/5/07
45
To A Small
Extent
To A Good
Extent
Type
FU
ID 661, 664
To A Great
Extent
Not At All
To A Small
Extent
To A Good
Extent
To A Great
Extent
Computer (Internet, software programs)
Other (Please write in): __________________
[Program Specific Skill 1]
[Program Specific Skill 2]
[Program Specific Skill 3]
[Program Specific Skill 4]
Question 142 B:
If you have applied any of the above listed skills, please explain further.
Response: Open-ended
Type
Post, FU
ID 662
Question 143:
Please rate your current [knowledge/understanding] of the following topics and
themes highlighted in your [Name of Program]. Please check one box in each row.
NOTE: Response categories will vary depending on the topics and themes
emphasized in the program.
Type
Pre, Post
No
[Knowledge/
Understanding]
Less Than
Basic
[Knowledge/
Understanding]
Governance in
[Name of
Country/Region]
Civil society in
[Name of
Country/Region]
Parliament and
party politics in
[Name of
Country/Region]
Judicial system
in [Name of
Country/Region]
Local
Governments in
[Name of
Country/Region]
State
Governments in
[Name of
Country/Region]
The relationship
between religion
and Government
in [Name of
Country/Region]
The [Name of
Country/Region]
economy
FINAL: PDEO QB 11/5/07
46
Basic
[Knowledge/
Understanding]
Beyond Basic
[Knowledge/
Understanding]
ID 675, 756,
771
Advanced
[Knowledge/
Understanding]
Relations
between the
United States
and [Name of
Country/Region]
[Name of
Country/Region]
and regional
politics
United States
foreign policy in
[Name of
Country/Region]
Minorities in
[Name of
Country/Region]
[Name of
Country/Region]
culture
[Name of
Country/Region]
people
[Name of
Country/Region]
history
[Name of
Country/Region]
system of
Government
[Topic/Theme 1]
[Topic/Theme 2]
[Topic/Theme 3]
[Topic/Theme 4]
Question 144:
How much did you [improve/increase] your [knowledge/understanding] of the
following topics and themes highlighted in your [Name of Program]? Please check one
box in each row.
NOTE: Which is measured, knowledge or understanding will depend on the
categories, and the data needs of the program. Response categories will vary
depending on the topics and themes emphasized in the program.
Governance in [Name of Country/Region]
Civil society in [Name of Country/Region]
Parliament and party politics in [Name of
Country/Region]
Judicial system in [Name of Country/Region]
Local Governments in [Name of Country/Region]
State Governments in [Name of Country/Region]
The relationship between religion and Government in
[Name of Country/Region]
The [Name of Country/Region] economy
FINAL: PDEO QB 11/5/07
47
Not At
All
Somewhat
Type
Post
ID 758, 1042
A Good
Deal
A Great
Deal
Relations between the United States and [Name of
Country/Region]
[Name of Country/Region] and regional politics
United States foreign policy in [Name of
Country/Region]
Minorities in [Name of Country/Region]
[Name of Country/Region] culture
[Name of Country/Region] people
[Name of Country/Region] history
[Name of Country/Region] system of Government
Methods of citizen involvement in democratic
processes
Representative Government
[Program Specific Topic/Theme 1]
[Program Specific Topic/Theme 2]
[Program Specific Topic/Theme 3]
[Program Specific Topic/Theme 4]
Question 145:
How valuable was your [academic experience/internship/program component] in
giving you practical [knowledge/skills] that you will be able to use in your
[professional/community] life? Please check one box in each row.
[Academic
experience/Internship/Program
component
Not At All
Valuable
Somewhat
Valuable
Valuable
Type
Post, FU
Extremely
Valuable
Question 146:
What do you hope to learn during this exchange that you could not have learned at
home?
Response: Open-ended
Type
Pre
Question 147:
What did you learn during this exchange that you could not have learned at home?
Response: Open-ended
Type
Post
Question 148:
What did you learn about [Name of Country] that you did not expect?
Response: Open-ended
Type
Post
ID 824
Question 149:
Thinking ahead, how do you think you will apply what you learned in your field?
Response: Open-ended
Type
Post
Question 150:
What was the most significant thing that you learned from your participation in [Name of
Program]?
Response: Open-ended
Type
Post
FINAL: PDEO QB 11/5/07
48
Question 151:
Now that you are home, have you applied what you learned from the [Name of
Program] in your [field/organization/professional life/personal life]?
Response: Open-ended
Type
FU
Question 152:
What would you say is the one most important or useful [skill/knowledge] you acquired
from your experience in the United States?
Response: Open-ended
Type
FU
Question 153:
How much did participation in the program change your [knowledge/understanding] of
the following topics? Please check one box in each row.
NOTE: Responses will vary depending on the topics and themes highlighted in
the program.
Type
Post
No Change
[Program Topic 1]
[Program Topic 2]
[Program Topic 3]
[Program Topic 4]
FINAL: PDEO QB 11/5/07
49
Minimal
Change
Moderate
Change
ID 830
Substantial
Change
MUTUAL UNDERSTANDING (KNOWLEDGE AND BEHAVIOR)
Question 154:
Please rate your knowledge or understanding of the following topics. Please check
one box in each row.
NOTE: This question is used for U.S. participants to mirror the foreign
participants’ indicator question.
[Name of Country/host
country] political system
[Name of Country/host
country] economy
[Name of Country/host
country] values and culture
Religious and ethnic
diversity in [Name of
Country/host country]
Freedom of speech and
press in [Name of
Country/host country]
Voluntary community
service in [Name of
Country/host country]
Daily life in [Name of
Country/host country]
Media in [Name of
Country/host country]
[Name of Country/host
country] popular culture
[Name of Country/host
country] history and culture
No
Knowledge
Less Than
Basic
Basic
Knowledge
Beyond
Basic
Type
Pre, Post, FU
Advanced
Knowledge
Question 155:
Type
How much did participation in [Name of Program/the program] change your
Post
understanding or knowledge of the following topics? Please check one box in each row.
NOTE: This question is used for U.S. participants to mirror the
ID 484, 489, 682, 761, 1270
foreign participants’ indicator question.
[Name of Country/host country] political
system
[Name of Country/host country] economy
[Name of Country/host country] values
and culture
Religious and ethnic diversity in [Name of
Country/host country]
Freedom of speech and press in [Name of
FINAL: PDEO QB 11/5/07
No Change
50
Minimal
Change
Moderate
Change
Substantial
Change
Country/host country]
Voluntary community service in [Name of
Country/host country]
Daily life in [Name of Country/host
country]
Media in [Name of Country/host country]
[Name of Country/host country] popular
culture
[Name of Country/host country] history
and culture
Question 156 A1:
Were you able to share information about your country in any of the following ways
during [Name of Program/your exchange]? Please check one box in each row.
Type
Post
Question 156 A2:
Have you shared information about your [Name of Program experience/experience
in Name of Country] in any of the following ways? Please check one box in each row.
Type
FU
Yes
Formal presentation at school
Formal presentation at a community event (for example: recreation center, home
for elderly people, volunteering event)
Formal presentation in a religious setting (for example: mosque, church,
synagogue)
Discussion with your family
Discussion with your host family
Discussion with your friends and community members
Interview with media (for example: newspaper, radio, TV)
Post on a Blog or other internet networking space (for example: My Space,
Facebook, Linked-in)
Other (Please write in):__________________________
Question 156 B1:
How often and in what ways were you able to share information about your country
during [Name of Program/your exchange]? Please check one box in each row.
Type
Post
Question 156 B2:
Since you have returned home, how often have you shared information about your
[Name of Program experience/experience in Name of Country] in any of the
following ways? Please check one box in each row.
NOTE: Response selection will depend on whether exchange participants are
American or Foreign born, in the United States or abroad.
Type
FU
FINAL: PDEO QB 11/5/07
51
No
Never
1-5 times
More
than 10
times
6-10
times
Formal presentation at school
Formal presentation at a community event (for example:
recreation center, home for elderly people, volunteering
event)
Formal presentation in a religious setting (for example:
mosque, church, synagogue)
Discussion with your family
Discussion with your host family
Discussion with your friends and community members
Interview with media (for example: newspaper, radio, TV)
Post on a Blog or other internet networking space (for
example: My Space, Facebook, Linked-in)
Other (Please write in):__________________________
Question 157:
How much better do you think [your family’s’/friend’s/colleague’s] understanding of
[Name of Country/your country/Name of Country people] is because of the
information you shared with them? Please check one box in each row.
Not At All
[Your family/friends/colleagues] have a
better understanding of [Name of Country/my
home country/Name of Country people]
Somewhat
A Good
Deal
Question 158:
Do you think [your family/friends/colleagues] have a more positive opinion of [Name
of Country/your country/Name of Country people] because of the information you
shared with them? Please check one box.
Type
Post, FU
A Great
Deal
Type
Post, FU
Yes
No
I do not know
Question 159:
To what extent did you have opportunities to share information about your home country
or region with professional contacts you met in [Name of Country]?
NOTE: The emphasis is used so that participants note the distinction.
Culture, society and values of [Name of Country]
Foreign policy of [Name of Country]
General information about [Name of Country]
[Name of Country] relations with [Name of Home
Country]
View of global issues
Your area of professional interest
FINAL: PDEO QB 11/5/07
52
Not At All
Type
Post
ID 871
To A Small To A Good To A Great
Extent
Extent
Extent
Question 160:
How often have you had a discussion with your family and friends about your
experience in [Name of Country/Name of Program] in the past [6 months, 1 year]?
Please check one box.
Type
Post, FU
Never
1-5 times
6-10 times
More than 10 times
Question 161:
[Do you plan to continue/Have you continued] to study and learn about [the host
country you visited /Name of Country] while participating in [Name of Program]?
Type
Post, FU
ID 583-585
Yes
No
Question 162:
[Do you plan to seek/Have you sought] other opportunities for study abroad?
Type
Post, FU
ID 584
Yes
No
Question 163:
In the past [6 months/1 year] have you encouraged [family/friends/colleagues] to
travel [to] or study [abroad/in the United States]?
NOTE: The time frames used above are an example, and may be adjusted to one
that is more applicable to the exchange participants.
Yes
No
FINAL: PDEO QB 11/5/07
53
Type
FU
ID 586
KNOWLDEGE AND SKILLS
Question 164:
Please rate your ability to carry out the following activities. Please check one box in
each row.
NOTE: Activities will depend on the program goal, objectives and activities.
Poor
Fair
Type
Pre, Post, FU
ID 871
Good
Excellent
How to plan projects
How to work in a team
Developing new public policy
Identifying public policy problems in your
community
Gathering information on a problem to evaluate
alternative policies
Developing an action plan to get Government to
review your policy
Insert Activity 1
Insert Activity 2
Question 165:
Please rate your current skill level in the following areas. Please check one box in
each row.
NOTE: Skills acquired by participants will depend on the program goal,
objectives and activities.
Insert Skill 1
Insert Skill 2
Insert Skill 3
Insert Skill 4
Poor
Fair
Insert Skill 1
Insert Skill 2
Insert Skill 3
Insert Skill 4
To A Small
Extent
54
Excellent
Type
FU
ID 1197
To A Good
Extent
Question 166 B:
If any of your skills have improved, please give examples of how you have used
them.
Response: Open-ended
FINAL: PDEO QB 11/5/07
ID 989
Good
Question 166 A:
Looking back, to what extent did the [Name of Program] help you improve your
skills in the following areas? Please check one box in each row.
NOTE: Skills acquired by participants will depend on the program goal,
objectives and activities.
Not At All
Type
Pre, Post, FU
Type
FU
ID 871
To A Great
Extent
Question 167:
How do you think this program will enable you to better engage in policy discussions?
Response: Open-ended
Type
Post
ID 715, 716
Question 168:
How has your understanding of the collaborative work process changed?
Response: Open-ended
Type
Post
ID 718
Question 169:
Please rate your current knowledge and understanding of the [topics/areas] listed
below. Please check one box in each row.
NOTE: Response categories will vary depending on the topics and themes
highlighted in the program.
Type
Pre, Post
No
Knowledge
Less Than
Basic
Knowledge
Basic
Knowledge
Beyond
Basic
Knowledge
Advanced
Knowledge
Leadership
Community service
Democratic change and
social action
Media and civil society
Media skills
Media use and abuse
[Topic 1]
[Topic 2]
[Topic 3]
[Topic 4]
Question 170:
To what extent do you expect the program to increase your [knowledge/
understanding] of the following [topics/areas]? Please check one box in each row.
NOTE: Response categories will vary depending on the topics and themes
highlighted in the program.
Not At All
Leadership
Community service
Democratic change and social action
Media and civil society
Media skills
Media use and abuse
[Topic 1]
[Topic 2]
[Topic 3]
[Topic 4]
FINAL: PDEO QB 11/5/07
55
To A Small
Extent
To A Good
Extent
Type
Pre
To A Great
Extent
Not Sure
Question 171:
Please rate yourself on the following abilities. Please check one box in each row.
NOTE: These response categories are only for leadership characteristics, and
will vary depending on the program office.
Poor
Fair
Type
Pre, Post, FU
ID 335, 871
Good
Excellent
Being self-reliant, being independent, relying on yourself
Speaking in public
Listening to other people’s suggestions or concerns
Expressing ideas and feelings
Working closely with people different from yourself
Being tolerant of others different than you
Leading a team and motivating others
Being flexible
Solving problems
Planning for the future
Managing your time
Managing money
Discussing your beliefs/values
Willing to make changes in your community
Critical thinking
[Skill Set 1]
[Skill Set 2]
[Skill Set 3]
[Skill Set 4]
Question 172:
How useful was your [Name of Program experience/stay in the United States] for
achieving the following skills? Please check one box in each row.
NOTE: Response categories will vary depending on the skills highlighted in the
program.
Not At All
Useful
Somewhat
Useful
Useful
Very
Useful
Type
FU
Not Sure
Preparing for a job
Going to university
Learning to work in a team
Volunteering and community work
Making useful connections
Improving leadership skills
Improving language skills
[Program specific Skill 1]
[Program specific Skill 2]
Question 173:
How useful has the knowledge you gained of the following topics been for you at
your home institution? Please check one box in each row.
NOTE: Response categories will vary depending on the topics highlighted in
the program.
FINAL: PDEO QB 11/5/07
56
Type
FU
ID 934
Not At All
Useful
Somewhat
Useful
Useful
Very
Useful
Not Sure
Non-traditional teaching methodologies
[Name of Country] educational system
Ways of linking schools and communities
Religious education in [Name of Country]
[Program specific Topic 1]
[Program specific Topic 2]
Question 174:
What do you expect to learn during this exchange?
Response: Open-ended
FINAL: PDEO QB 11/5/07
57
Type
Pre
ID 545
PARTICIPANT BEHAVIOR (GENERAL SKILLS)
Question 175:
Thinking ahead, how do you think you will apply what you learn at your home
institution?
Response: Open-ended
Type
Pre
Question 176:
What do you see yourself as accomplishing or learning during [this visit/this visit to
Name of Country] that you could not accomplish or learn at home?
Response: Open-ended
Type
Pre
ID 1221
Question 177:
Type
What did you accomplish or learn during [this visit/this visit to Name of Country] that Post, FU
you could not accomplish at home?
Response: Open-ended
ID 552, 759, 829, 1060, 1192, 1221
Question 178:
What did you accomplish during your exchange visit to [Name of Country/Name of
Region]?
Response: Open-ended
Type
Post, FU
Question 179:
What did you learn about your own country as a result of participating on this program?
Response: Open-ended
Type
Post, FU
ID 549
Question 180:
What did you learn about [Name of Country] as a result of participating in this
program?
Response: Open-ended
Type
Post
Question 181:
What did you learn about [Name of Country] that surprised you or that you did not
expect?
Response: Open-ended
Type
Post
ID 551
ID 550, 683, 831
Question 182:
Please describe some of your recent activities (for example: a recent event you
attended or organized, or a project you worked on)
Response: Open-ended
Type
Pre, Post
Question 183:
If you currently participate in any activities, please check the most recent role you have
played in each. Please check one box in each row.
Type
Pre, Post, FU
ID 838
ID 12, 13
FINAL: PDEO QB 11/5/07
58
Led
Events
And
Activities
Planned
Events
And
Activities
Trained
Others
Leadership
Role
Performed
At Events
Founded
New Group
Or
Organization
Did Not
Participate
Civic activism
Civic or political activism
Community service (for
example: helping others
and volunteering)
Culture (for example: arts,
dance, drama, music)
Debate
International activities (for
example: International
Day, Model UN, other
student exchange
programs)
Other (Please write in):
_____________________
Religious activities
Sports
Student clubs or
organizations
Student government
[Activity or club 1]
[Activity or club 2]
[Activity or club 3]
[Activity or club 4]
Question 184:
In the past 12 months, how much of the time were you engaged in any of the following
activities? Please check one box in each row.
NOTE: The time frame used above is an example, and may be adjusted to one that
is more applicable to the exchange participants.
Never
Community service (for example: volunteer or helping
others)
Civic or political activism
Cultural activities (for example: visiting
museums/historical sites, attending concerts, theater)
Part-time job
Religious activities
Sports teams
School clubs or organizations (for example: musicals,
band, debate team, etc.)
Family Activities
Other (Please write in): _______________________
FINAL: PDEO QB 11/5/07
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Seldom
Type
Post, FU
ID 1180
Some Of
The Time
Most Of
The Time
Question 185:
To what extent are you involved in the following activities? Please check one box in
each row.
Type
Pre, FU
Question 186:
To what extent were you involved in the following activities during your exchange visit?
Please check one box in each row.
Type
Post
Not At All
To A Small
Extent
To A Good
Extent
To A Great
Extent
Community service activities (for example:
helping others, environmental, health, education)
Political activities
Cultural activities (for example: arts, dance,
drama, music)
Religious activities
Student clubs or organizations
Student government
Student journalism
Other (Please write in): ________________
Question 187 A:
Did you perform community service or volunteer work in the past [insert time frame,
e.g., 6 months/1 year]? If you mark “yes”, please go to Question B. If you mark “no”,
please go to Question C.
NOTE: The time frame used above is an example, and may be adjusted to one
that is more applicable to the exchange participants.
Type
Post, FU
Yes
No
Question 187 B:
If you performed community service or volunteer work, what exactly did you do?
Response: Open-ended
Type
Post, FU
Question 187 C:
If you did not participate in any community service or volunteer activity, please tell us
why. Please check all boxes that apply.
Type
Post, FU
I was not interested
I did not have any time
I did not have support from my family
I had financial constraints
There was no such opportunity
Question 188:
Describe the type of community service you performed while you were participating in
[Name of Program].
Response: Open-ended
FINAL: PDEO QB 11/5/07
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Type
Post
Question 189:
If you answered “yes” to question [question number], please elaborate on how you
[intend to use/have used] the knowledge, information or experiences from this
program in your organization or at work.
Response: Open-ended
NOTE: This question can be used as a follow-up to the set-up and indicator
question that asks about how they intend of have shared the knowledge gained.
Type
Post, FU
Question 190 A:
Are you considering adding or changing your field of study or major as a result of your
participation in this program?
Type
Post, FU
Yes
No
Not Sure
Question 190 B:
If you answered “yes” to question [question number] listed above, what field or study
or major/minor will you add or change to?
Response: Open-ended
Type
Post, FU
Question 191:
How do you think your participation in this program will impact your career?
Response: Open-ended
Type
Post
Question 192:
How has participation in [Name of Program] impacted your career?
Response: Open-ended
Type
FU
Question 193:
To what extent have your professional expectations or plans for the future changed as a
result of participating in the program? Please check one box.
Type
Post, FU
Not changed at all
Have changed somewhat
Have changed a great deal
Not sure
Question 194:
How have your professional expectations or plans changed as a result of your
participation in [Name of Program]?
Response: Open-ended
FINAL: PDEO QB 11/5/07
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Type
Post, FU
Question 195:
Where would you like to work in the future? Please check all boxes that apply.
Response: Open-ended
Type
Post, FU
Domestic NGO
International NGO
Government
Self-Employment
Other (Please write in): ______________________
Do Not Know
Question 196:
Have you ever taught “[Name of Course/Subject Matter]”as part of a course or as an
entire course? Please check all boxes that apply.
Type
Pre
Question 197:
Do you intend to teach a course or part of a course on “[Title of Course/Subject
Matter]”? Please check all boxes that apply.
Type
Post
Question 198 A:
In the time since you returned home from your exchange program, did you teach a
course or part of a course on “[Title of Course/Subject Matter]”? Please check all
boxes that apply.
Type
FU
Yes, as part of a course
Yes, as an entire course
No, not at all
Question 198 B:
If “yes”, how valuable was the [Name of Program] in preparing you to teach this course
(or part of a course)? Please check one box in each row.
Not At All
Valuable
Neither
Valuable Nor
Invaluable
Somewhat
Valuable
Type
FU
Extremely
Valuable
As part of a course
As an entire course
Question 199 A1:
As a result of your participation in the [Name of Program], do you think that you will be
a more effective [teacher/instructor] in your field of study? Please check one box.
Type
Post
Question 199 A2:
Are you a more effective teacher as a result of participating in [Name of Program]?
Please check one box.
Type
FU
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No, I [will be/ am] equally effective
Yes, I [will be/ am] more effective
Yes, I [will be/ am] much more effective
Question 199 B:
If you answered “yes” to any of the responses in questions [insert question #’s],
please provide examples here.
Response: Open-ended
Question 200 A:
Have you been able to apply what you learned at your home institution?
Response: Open-ended
Type
FU
ID 669
Type
FU
ID 1074, 1080, 1115
Yes
No
Question 200 B:
Have you encountered any obstacles or barriers in your attempt to implement what you
have learned while a participant in [Name of Exchange Program] at your home
institution? Please check one box.
Type
FU
Yes
No
Question 200 C:
If so, please detail these obstacles and any strategies you developed to by pass them.
Response: Open-ended
Type
FU
Question 201 A:
Are you considering adding or changing your field of study or major as a result of your
participation in this program?
Type
Post
Yes
No
Not Sure
Question 201 B:
If you answered “yes” to question [number of question] listed above, what field of
study will you add or change to?
Response: Open-ended
Type
Post
Question 202:
How do you think your participation in this program will impact your [career/ field of
study]?
Response: Open-ended
Type
Post
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Question 203 A:
To what extent has your professional [expectations/plans] for the future changed as a
result of participating in the program? Please check one box.
Type
FU
Not Changed at All
Have Changed Somewhat
Have Changed a Great Deal
Not Sure
Question 203 B:
How has your professional [expectations/plans] changed?
Response: Open-ended
Type
FU
Question 204:
What one or two ideas from this [conference/ workshop/seminar/presentation/
event] will you try to implement?
Response: Open-ended
Type
Post
Question 205:
How do you plan to use the information from this [conference/ workshop/seminar/
presentation/event]?
Response: Open-ended
Type
Post
Question 206:
As a result of this [workshop/seminar], do you feel that you have gained new skills in:
Please check one box in each row.
NOTE: The skills listed as response categories will vary depending on the
workshop/seminar.
Type
Post
[Skill
[Skill
[Skill
[Skill
[Skill
Area A]
Area B]
Area C]
Area D]
Area E]
To A Small
Extent
Not At All
To A Good
Extent
To A Great
Extent
Question 207:
How do you plan to use the information from this [conference/ workshop/seminar/
presentation/event]?
Response: Open-ended
Type
Post
Question 208:
As a result of this [conference/workshop/seminar/presentation/event], to what
extent have you learned about the following topics? Please check one box in each
row.
NOTE: The topics listed as response categories will vary depending on the
workshop/seminar.
Type
Post
FINAL: PDEO QB 11/5/07
64
[Topic A]
[Topic B]
[Topic C]
[Topic D]
[Topic E]
FINAL: PDEO QB 11/5/07
To A Small
Extent
Not At All
65
To A Good
Extent
To A Great
Extent
LANGUAGE SKILLS AND BEHAVIOR
Question 209:
Please rate your current [target language/Name of Language] skill level. Please
check one box in each row.
NOTE: The specific skill sets associated with language learning varies
depending on the language being taught.
The categories that refer to target language are used when the survey is for the
entire program (i.e. across several languages). The response categories that
specifically name the language are when a survey is conducted for each of the
specific institutes of the program.
None
Beginner
Advanced
Beginner
Type
Pre, Post, FU
Intermediate
Advanced
Speaking target language
Writing target language
Oral comprehension of target
language
Reading target language
Overall language
competency
[Name of Language]:
Speaking
[Name of Language]:
conversational
[Name of Language]:
Reading comprehension
[(pinyin Romanization and
character recognition)]
[Name of Language]:
Grammar and vocabulary
[Name of Language]:
Composition
[Name of Language]:
Writing [(pinyin
Romanization and
character writing)]
[Name of Language]:
Listening comprehension
Question 210:
As a result of your participation in the [Name of Program], did you improve your
[Name of Language/target language] skills level? Please check one box in each row.
Type
Post
Question 211:
Looking back, to what extent did the [Name of Program] help you improve your
[Name of Language] skill levels? Please check one box in each row.
NOTE: The specific skill sets associated with language learning varies
depending on the language being taught.
The categories that refer to target language are used when the survey is for the
entire program (i.e. across several languages). The response categories that
specifically name the language are when a survey is conducted for each of the
specific institutes of the program.
Type
FU
FINAL: PDEO QB 11/5/07
66
ID 1216, 1217
Not At
All
To A Small
Extent
To A Good
Extent
To A Great
Extent
Speaking target language
Writing target language
Oral comprehension of target language
Reading target language
Overall language competency
[Name of Language]: Speaking
[Name of Language]: conversational
[Name of Language]: Reading comprehension
[(pinyin Romanization and character recognition)]
[Name of Language]: Grammar and vocabulary
[Name of Language]: Composition
[Name of Language]: Writing [(pinyin Romanization
and character writing)]
[Name of Language]: Listening comprehension
Question 212:
Please rate your current abilities in [Name of Language]. Please check one box in
each row.
Poor
Read [Name of Language]
Speak [Name of Language]
Write [Name of Language]
Make presentations in [Name of Language]
Fair
Good
Question 213:
Please rate your current abilities using computer technology. Please check one box in
each row.
Type
Pre, Post, FU
Excellent
Type
Pre, Post, FU
ID 1052
Poor
Fair
Good
Excellent
Use the Internet for research
Use E-mail
Use different software programs
Question 214:
What do you think was the most valuable feature, if any of the [Name of Program] for
learning your [Name of Language/target language]?
Response: Open-ended
Type
Post
Question 215:
What do you think was the least valuable feature, if any of the [Name of Program] for
learning your [Name of Language/target language]?
Response: Open-ended
Type
Post
FINAL: PDEO QB 11/5/07
67
Question 216:
To what extent do you think the cultural activities provided through the [Name of
Program] contributed to your learning of the [Name of Language/target language]?
Please check one box.
Type
Post
Not At All
To a Small Extent
To a Good Extent
To a Great Extent
Question 217:
If you have studied the [Name of Language/target language] formally (in school)
prior to participating in [Name of Program], how many years did you study? Please
check one box.
Type
Pre, Post
Less than one year
One year
Two years
Three years
Four or more years
Did not study language formally
Question 218:
Which of the following statements accurately reflects your immediate plans to study
[your target language/Name of Language]? Please check one box in each row.
I am enrolled in a course for [Name of Language/my target language] at my [high
school/university] or another academic institution
I intend to enroll in a course for [Name of Language/my target language] at my
[high school/university] or another academic institution within the next six months
I intend continue [Name of Language/my target language] studies through private
lessons or a tutor
I intend to continue [Name of Language/my target language] studies on my own
through the use of self-tutoring guides, videos, books
I intend to reinforce my [Name of Language/my target language] studies by
utilizing various media outlets in the target language (for example: radio, television,
movies, music and Internet)
I intend to reinforce my [Name of Language/my target language] studies by
reading newspapers, books and/or magazines in the target language
I intend to seek out conversation with friends, instructors and/or colleagues in
[Name of Language/my target language]
I intend to maintain contact with host-country nationals I met while studying my
[Name of Language/my target language]
I intend to engage in academic or work-related research in [Name of Language/my
target language] within the next six months
I am currently enrolled in a language program, internship or have a job with an
organization in the country or region where [Name of Language/my target
language] is used
I intend to enroll in a language program, internship or have a job with an
organization in the country or region [Name of Language/my target language] is
used
FINAL: PDEO QB 11/5/07
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Type
Post
Yes
No
Question 219:
Which of the following statements accurately reflects your actions to study [your target
language/Name of Language]? Please check one box in each row.
Type
FU
Yes
No
I am currently enrolled in a course for [Name of Language/my target
language] at my [high school/university] or another academic institution
In the past year I completed at least one [Name of Language/my target
language] at my [high school/university] or another academic institution
In the past year I continued my [Name of Language/my target language]
studies through private lessons or a tutor
In the past year, I have used self-tutoring guides, videos, books to continue
studying [Name of Language/my target language]
In the past six months, I have used various media outlets (for example: radio,
television, movies, music, internet) to reinforce [Name of Language/my target
language] language skills
In the past six months, I have read newspapers, books and/or magazines in
[Name of Language/my target language]
In the past six months, I have been in contact with people from [Name of
Country/ target country] who I met while participating in [Name of Program]
In the past six months, I had conversations in [Name of Language/my target
language] with friends, instructors and/or colleagues
In the past year, I have engaged in academic or work-related research in
[Name of Language/my target language]
In the past year, I have returned to [Name of Country] and/or have traveled to
another country where [Name of Language/my target language] is spoken to
attend a language program, intern or work
Question 220 A:
Did your plans to continue [Name of Language/your target language] studies
change once you returned home? Please check one box
Type
Pre
Yes
No
Question 220 B:
If you answered “yes” to question [insert #] listed previously, please elaborate on how
your plans to study [the target language/Name of Language] changed.
Response: Open-ended
Type
Pre
Question 221:
[Are you enrolled in a course this summer/Did you enroll in a course this past
summer] to study the same language you studied in the [Name of Program]? Please
check one box.
Type
FU
Yes
No
FINAL: PDEO QB 11/5/07
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Question 222:
Are there any suggestions you could recommend for programming to further promote
students’ studies in [Name of Language/target language] once they return from the
program?
Response: Open-ended
Type
Post
Question 223:
How [will/did] participation in an overseas exchange through the [Name of Program]
complement or strengthen your [Name of Language/target language] studies?
Response: Open-ended
Type
Pre, Post
Question 224:
Looking back, how influential was your participation [Name of Program] to you
pursuing your study of [Name of Language/target language]? Please check one
box.
Type
FU
Not At All Influential
Somewhat Influential
Influential
Very Influential
I am not studying [Name of Language/target
language] at this time
Question 225:
Do you see yourself using [Name of Language/target language] as part of your
future profession? Please check one box.
Type
Post
Yes
No
Not sure yet
Question 226:
Are you using [Name of Language/target language] as part of your future
profession? Please check one box.
Yes
No
FINAL: PDEO QB 11/5/07
70
Type
FU
POST PROGRAM EDUCATION AND EMPLOYMENT
Question 227:
Are you considering pursuing a different field of study as a result of your participation in
this program? Please check one box.
Type
Post
Yes
No
Question 228 A:
Do you think your participation in [Name of Program] influenced your decision about
your future career? Please check one box.
Type
FU
Yes
No
Question 228 B:
If you answered “yes” to question [Insert number] listed above, please elaborate on
changes to your future career plans.
Response: Open-ended
Type
FU
Question 229:
When you enter the job market, which of the following institutions or organizations are
you most likely to work for? Please check one box.
Type
Post
Academia
International NGOs
Think-tanks
United States Government, The State Department
United States Government, Other Agency (for example: USAID, DOJ, CIA)
Multi-lateral Institutions (for example: UN, The World Bank)
Private International Development Firms
Private Business
Undecided
Other (Please write in):______________________________________
FINAL: PDEO QB 11/5/07
71
PERSONAL AND INSTITUTIONAL LINKAGES
Question 230:
If you answered “yes” to either question(s) [insert number(s)] listed above, please
comment on any relationships, collaborations, partnerships you intend to develop as a
result of your participation in [Name of Program].
Response: Open-ended
NOTE: This question can be used depending on which combination of the ECA
set-up question were also asked.
Type
Post
Question 231:
If you answered “yes” to question(s) [insert number(s)] listed above, please elaborate
on any relationships, professional collaborations or partnerships established as a result
of your participation in [Name of Program].
Response: Open-ended
NOTE: This question can be used depending on which combination of the above
ECA indicators were also asked.
Type
FU
Question 232:
Of the following people you met during your visit to [Name of Country], whom do you
think you will keep in contact with once you return home? Please check one box in
each row.
NOTE: Categories of contacts listed as responses will vary and depend on the
program.
Type
Post
Question 233:
Of the following people you met during your visit to [Name of Country], whom have
you remained in contact with since your return home? Please check one box in each
row.
NOTE: Categories of contacts listed as responses will vary and depend on the
program.
Type
FU
[Name of Country] students in the program
[Name of Country] teachers/faculty in the program
Host family
[Name of Country people] classmates and friends
[Name of Country people] colleagues and/or professional counterparts I
met while in [Name of Country]
[Name of Program] participants I met while in [Name of Country]
[Name of Program] staff in [Name of Country]
Other [U.S./Foreign] students I met while participating in [Name of
Program].
Other [Name of Country people] I met while on [Name of Program].
United States Department of State staff in Washington, D.C.
United States Embassy/Consulate staff
[Name of Program] alumni and/or alumni of other United States
exchange programs in my country
[Name of Program] alumni
Other (Please write in):________________________________________
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Yes
ID 800
ID 800
No
Do Not
Know
Question 234:
Since your return home, how often have you been in contact with the following people
you met [in Name of Country/while participating in Name of Program]? Please
check one box in each row.
NOTE: Categories of contacts listed as responses will depend on the program.
[Name of Country] students in the program
[Name of Country] teachers/faculty in the program
Host family
[Name of Country people] classmates and friends
[Name of Country people] colleagues and/or
professional counterparts I met while in [Name of
Country]
[Name of Program] participants I met while in [Name of
Country]
[Name of Program] staff in [Name of Country]
Other [U.S./Foreign] students I met while participating in
[Name of Program].
Other [Name of Country people] I met while on [Name
of Program].
United States Department of State staff in Washington,
D.C.
United States Embassy/Consulate staff
[Name of Program] alumni and/or alumni of other United
States exchange programs in my country
[Name of Program] alumni
Other (Please write in): __________________________
FINAL: PDEO QB 11/5/07
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Never
Occasionally
Type
FU
Weekly
Monthly
ALUMNI PROGRAMS
Question 235:
In what ways would you like to continue your involvement with [Name of Program]?
Please check all boxes that apply.
Type
Post
ID 859
Host incoming delegations
Brief new, outgoing [Name of Program] delegates
Host meals for incoming delegations
Join annual [Name of Program] Alumni Council
Join [Name of Program] Alumni Council as a Lifetime Member
Meet with incoming delegations
Assist [Name of Program] Development Office with
fundraising opportunities in home state
Other (Please write in): __________________________
Question 236:
Who in your delegation would be a good, future [Name of Program] escort and why?
Response: Open-ended
Type
Post
Question 237:
Have you participated in any [Name of Program] activities? Please check one box.
Type
FU
Yes
No, I do not know of any [Name of Program] activities
No, I am unable to participate in any [Name of Program] activities
No, I do not participate in any [Name of Program] activities, but I am
planning to do so in the future
I am not interested in participating in any [Name of Program] activities
Question 238:
Have you participated in any activities or projects conducted by [Name of
Program/State Department Exchange Program] alumni in your home country?
Please check one box.
Type
Pre, FU
ID 35
Yes
No
Question 239:
If you have participated in [Name of Program] alumni activities in the past [6
months/1 year], what type of events have you attended and how often? Please check
one box in each row.
NOTE: The time frames used above are an example, and may be adjusted to one
that is more applicable to the exchange participants.
FINAL: PDEO QB 11/5/07
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Type
Pre, FU
Never
1-3
Times
4-6
Times
More
Than 6
Times
Social gatherings or events hosted by an exchange
organization
Social gatherings or events hosted by the U.S. Embassy or
Consulate
Workshops or lectures
Community service events
Recruitment for future [Name of Program] participants
Other (Please write in): ___________________________
Question 240:
Have you ever participated before in an alumni association or any alumni activities
related to [other State Department exchange programs/ Name of Program]? Please
check one box.
Type
Pre
ID 35, 20
Yes
No
Question 241:
Since your return home, have you participated in an alumni association or any alumni
activities related to other State Department or United States Government exchange
programs? Please check one box.
Type
FU
ID 35, 20
Yes
No
Question 242:
Have you mentored other U.S. Department of State alumni since participating in the
exchange? Please check one box.
Type
FU
ID 36
Yes
No
Not Sure
Question 243:
Do you know about the State Department Alumni website, https://alumni.state.gov?
Please check one box.
Type
Post, FU
ID 38
Yes
No
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Question 244:
Have you registered for the State Department Alumni website, https://alumni.state.gov?
Please check one box.
Type
Post, FU
ID 38
I have registered
I have not yet registered
I do not plan to register
I do not know about it
FINAL: PDEO QB 11/5/07
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RESPONDENT INFORMATION (DEMOGRAPHICS)
Question 245:
What year of school have you most recently completed? Please check one box.
NOTE: The response categories are dependent on the program and the students.
These response categories are for students still in secondary school.
Type
Pre, Post
th
8 year
th
9 year
th
10 year
th
11 year
th
12 year
Question 246:
What year of college/university have you most recently completed? Please check one
box.
NOTE: The response categories are dependent on the program and the students.
st
1 Year undergraduate
nd
2 Year undergraduate
rd
3 Year undergraduate
th
4 Year undergraduate
th
5 Year undergraduate
None /Not Applicable
Type
Pre, Post
st
1 Year graduate
nd
2 Year graduate
rd
3 Year graduate
th
4 Year graduate
th
5 Year graduate
Question 247:
How would you describe your school? Please check one box.
Type
Pre, Post
Public
Private
Do Not Know
Question 248:
Please check your most recently completed level of education. Please check one
box.
NOTE: Response categories used depend upon the students on the program.
Type
Pre, Post
Primary education (complete or incomplete)
Secondary (complete or incomplete)
Technical
University – first degree
University – postgraduate degree (for example: Masters or Ph.D.)
Do Not Know
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Question 249 A1:
Which of these fields are you considering studying or working in when you graduate?
[Please check one box. or Please check all boxes that apply.]
NOTE: This question is used for high school students. Which directions are used
depend on the data needs of the program office.
Type
Pre, Post
Question 249 A2:
What is your major field of study? Please check all boxes that apply.
NOTE: This question is used for undergraduate and graduate students
Type
Pre, Post
Agriculture
Arts and Humanities (history, languages, literature, art, theater)
Athletics
Business Administration, Finance
Computer Science, Information Technology
Education
Engineering
Environment
Government
Humanitarian Affairs, Development Assistance, Conflict Resolution
International Relations
Labor, Trade Unions
Law, Judicial Law, Law Enforcement
Library and Information Science
Media, Mass Communications, Journalism, Communication Technology,
Advertising, Graphics
Medicine
Military Service
Public Administration
Public Health
Religion
Science (physics, math, chemistry, biology, astronomy, geography, agronomy)
Social Sciences (sociology, economics, psychology, political science)
Social Work
Teaching English, English language instructions
Teaching (General)
Not Sure
Other (Please write in):_____________________________________________
Question 250:
What is your field of work? Please check one box.
NOTE: This question is used for professionals
Type
Pre, Post
Agriculture
Arts and humanities (history, languages, literature, art, theater)
Athletics
Business Administration, Finance
Computer Science, Information Technology
Education
Engineering
Environment
FINAL: PDEO QB 11/5/07
78
Government
Humanitarian Affairs, Development Assistance, Conflict Resolution
International Relations
Labor, Trade Unions
Law, Judicial Law, Law Enforcement
Library and Information Science
Media, Mass Communications, Journalism, Communication Technology, Advertising,
Graphics
Medicine
Military Service
Public Administration
Public Health
Religion
Science (physics, math, chemistry, biology, astronomy, geography, agronomy)
Social Sciences (sociology, economics, psychology, political science)
Social Work
Teaching English, English language instructions
Teaching (General)
Not Sure
Other (Please write in):_________________________________________________
Question 251:
What is your job title?
Response: Open-ended
Type
Pre, Post, FU
ID 1249
Question 252:
What field will you study in the United States? Please check one box.
NOTE: Response categories listed will change and are very specific to the fields
the program is focusing on.
Business Administration
Economics
Education
Environmental Management and Policy
International Affairs
Liberal Arts
Sciences
Engineering
Journalism/Mass Communications
Law and Law Pedagogy
Library and Information Science
Public Administration/Government
Public Health/Medicine
Public Policy
Religion
Other (Please write in): _______________
[Field 1]
[Field 2]
FINAL: PDEO QB 11/5/07
79
Type
Pre
Question 253:
Which type of organization or company do you work for? Please check one box.
NOTE: Response categories will change depending on the program.
Type
Pre
Local political office
Regional political office
National political office
Non-profit organization
Private organization
University
Research Institution
Government
Domestic NGO
International NGO
Multilateral or Bilateral Donor Organization (for
example: World Bank, USAID, DFID)
Self-Employment
Question 254:
Which business sector do you work in? Please check one box.
NOTE: Response categories will change depending on the program.
Type
Pre
Public/Private sector: manufacturing
Public/Private sector: Service
Public/Private sector: Technology
Public/Private sector: Retail
Public/Private sector: Wholesale
Public/Private sector: Other
Other (Please write in): ___________________
Question 255:
How long have you held your current position?
Response: Open-ended
Type
Pre, FU
ID 471
Question 256:
Home country: _____________
Response: Drop Down List – Electronic, Open-Ended – Paper
NOTE: Question only used for foreign participants.
Type
Pre, Post, FU
Question 257:
Home state: _____________
Response: Drop Down List – Electronic, Open-Ended – Paper
NOTE: Question only used for U.S. participants.
Question 258:
Which best describes the geographic location where you live. Please check one
box.
NOTE: These response categories apply only to surveys with foreign
participants.
FINAL: PDEO QB 11/5/07
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ID 256
Type
Pre, Post, FU
ID 1025
Type
Pre, Post, FU
ID 244
My country’s capital city
Another major city in my country other than the capital
A small city, town or rural location in my country
Question 259:
Which best describes the geographic location where you live. Please check one
box.
NOTE: These response categories apply only to surveys with U.S.
participants.
Type
Pre, Post, FU
ID 1190
A major city
A suburb of a major city
A small city or town
A rural area
Question 260:
Age: ________
Response: Drop Down List – Electronic, Open-Ended – Paper
NOTE: The Drop Down List used for this question sometimes lists ages, and
sometimes lists age ranges; which depends on the data needs of the program
office.
Type
Pre, Post, FU
Question 261:
Gender: Please check one box.
Type
Pre, Post, FU
ID 446
ID 32, 33, 1366
Female
Male
Question 262:
Which religion do you most closely identify with? Please check one box.
Type
Pre
Baha’ism
Buddhism
Christianity (for example: Orthodox, Catholic,
Protestant)
Confucianism
Hinduism
Islam
Jainism
FINAL: PDEO QB 11/5/07
Judaism
Shintoism
Sikhism
Taoism
Zoroastrianism
None
Other (Please write in):___________
81
Question 263:
What is your [father's/mother’s] current level of education? Please check the
appropriate level of schooling whether complete or incomplete.
Type
Pre
ID 842
No formal education
Primary education (complete or incomplete)
Secondary (complete or incomplete)
Technical
University – first degree
University – postgraduate degree (for example: Masters or Ph.D.)
Do Not Know
Question 264:
Which of the following do you have in your home? Please check all boxes that apply.
Television
Radio
Telephone
Mobile/cellular telephone
Computer
Internet access
Do not have any of the above
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Type
Pre
ADDITIONAL SUGGESTIONS AND COMMENTS
Question 265:
Thank you for completing this survey! If you have additional comments you would
like to make, about any of the things above, or something we have not touched
upon, please do so here. We value your thoughts very much.
Response: Open-ended
Type
Pre, Post, FU
Question 266:
Thank you for completing this survey! If you have additional comments you would
like to make, please do so here. We value your thoughts and feedback.
Response: Open-ended
Type
Pre, Post, FU
Question 267:
Thank you for completing this survey! If you have additional comments you would
like to make, please do so here.
Response: Open-ended
Type
Pre, Post, FU
SURVEY COMPLETION TIME
Question 268:
How long did it take you to complete this survey? ________ Minutes
Response: Drop Down List – Electronic, Open-Ended – Paper
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Type
Pre, Post, FU
PERFORMANCE MEASUREMENT FOLLOW-UP TEMPLATE SURVEY QUESTIONS
Question 269 A:
Would you say that the program helped you in honing skills, articulated below,
necessary for [this/your] profession? Please check one box in each row.
NOTE: Additional skills will vary depending on the program.
Insert Skill 1
Insert Skill 2
Building professional relationships and networking
Integrating important [Insert Skill] into your work
Explaining and articulating
Other (Please write in): ____________________________
Type
FU
Yes
No
Question 269B:
If so, please explain in more detail.
Response: Open-Ended
Type
FU
Question 270:
Has the knowledge you gained during the [Name of Program] been useful for your
professional development? Please check one box in each row.
Type
FU
Not At All
Useful
Somewhat
Useful
Very
Useful
Useful
The particular subject area of your program
United States practices in this subject area
Current scholarly thinking on this subject
Best professional practices in this subject area
Question 271 A:
Have you used the skills or experience gained during the program to do any of the
following? Please check one box in each row.
NOTE: Response categories will vary depending on the program.
Type
FU
ID 578, 836, 1152
Yes
Participated in community service, if you had not done so before you left
Shared leadership skills, if you had not done so before you left
Took part in community organizing, if you had not done so before you left
Relied on individual initiative in various activities, if you had not done so before
Used leadership skills in various activities, if you had not done so before you left
Strengthened youth involvement in the community, if you had not done so before
Question 271 B:
If so, please explain in more detail.
Response: Open-ended
FINAL: PDEO QB 11/5/07
Type
FU
ID 582
84
No
PMDCP INTERVIEW QUESTIONS
Question 272:
Have you ever been to the United States?
Type
PMDCP
Yes
No Skip to Question [Insert #]
Question 273:
How much time have you spent in the United States in the last ten years?
Type
PMDCP
Less than two weeks
Two weeks to one month
One month to six months
Six months to one year
More than one year
Question 274:
Using the responses on this card, how well do you [fill from items below]?
NOTE: Participants will be handed a hand card.
Not At
All
A Little
Somewhat
Type
PMDCP
Very
Well
Well
Speak English
Understand spoken English
Write in English
Understand written English
Question 275:
Using the responses on this next card, how often have you [fill from items below] in
the past 12 months?
NOTE: Participants will be handed a hand card.
Never
Read books, newspapers or magazines
published in the United States
Watched American movies
Watched American television programs
(comedies, dramas, news channels)
Listened to American music
Visited American websites
Attended American cultural events
(concerts, exhibits)
Bought American products (food,
clothing, other)
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Once Per
Month Or
Less
2-3 Times
Per Month
Type
PMDCP
Once Per
Week
More Than
Once Per
Week
Question 276:
If you were to rate yourself, how much do you think you know about the United States
in general—would you say you have no knowledge, a little knowledge, some
knowledge, a good deal of knowledge or a great deal of knowledge?
Type
PMDCP
No knowledge
A little knowledge
Some knowledge
A good deal of knowledge
A great deal of knowledge
Question 277:
I am going to ask you to rate how well you understand different aspects of the United
States. Using the response choices on this card, how well do you understand [fill
from items below]?
NOTE: Participants will be handed a hand card.
Not Well At
All
Not That
Well
Somewhat
Well
Type
PMDCP
Well
Very Well
Daily life of the people who live in the
United States
Ethnic diversity in the United States
Religious diversity in the United States
Educational processes and opportunities
in the United States
The arts in the United States (music,
film, literatures, etc.)
Voluntary community service in the
United States
Freedom of speech and press in the
United States
Human rights and legal protections for
all in the United States
Free elections in the United States
Equal opportunities in the United States
The role of the market and economic
competition in the United States
The U.S. overall
Question 278:
Do you consider the United States a positive model for other countries or a negative
model for other countries? Would you say very positive model, somewhat positive
model, somewhat negative model, or very negative model?
Very negative
Somewhat negative
Somewhat positive
Very positive
Do Not Know
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Type
PMDCP
Question 279:
What about the influence of the United States in the world—would you say the United
States has a very positive influence, somewhat positive influence, somewhat negative
influence, or very negative influence?
Type
PMDCP
Very negative
Somewhat negative
Somewhat positive
Very positive
Do Not Know
Question 280:
In thinking more about the role the United States takes in the world, and using the
response options on this card, to what extent do you agree or disagree with the
following statement: [fill from items below]?
NOTE: Participants will be handed a hand card.
Strongly
Disagree
Disagree
Neither Agree
Nor Disagree
Type
PMDCP
Agree
Strongly
Agree
The United States is a trustworthy partner
for my country.
The United States treats my country with
respect.
The United States is a good trading
partner for my country.
The United States tries to impose its
culture on other countries.
The United States provides assistance to
other countries to help do things like
improve roads, healthcare, agriculture
The United States aids in disaster relief
around the world
The United States supports human rights
for all in the world
Question 281:
Using the response choices on this card, please tell me how favorable or unfavorable
you feel about [fill from items below]?
NOTE: Participants will be handed a hand card.
Strongly
Unfavorable
Unfavorable
Daily life of the people who
live in the United States
Ethnic diversity in the United
States
Religious diversity in the
United States
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Neither
Favorable Nor
Unfavorable
Favorable
Type
PMDCP
Strongly
Favorable
Do Not
Know
Educational processes and
opportunities in the United
States
The arts in the United States
(music, film, literature, etc.)
Voluntary community service
in the United States
Freedom of speech and press
in the United States
Human rights and legal
protections for all in the United
States
Free elections in the United
States
Equal opportunities in the
United States
The role of the market and
economic competition in the
United States
The U.S. Overall
Question 282:
Using the response choices on this card, to what extent do you agree or disagree that
most Americans are [fill from items below]?
NOTE: Participants will be handed a hand card.
Strongly
Disagree
Disagree
Neither Agree
Nor Disagree
Agree
Type
PMDCP
Strongly
Agree
Do Not
Know
Friendly
Hard-working
Selfish
Trustworthy
Open-minded
Arrogant
Religious or spiritual
Concerned about people from other
countries
Aggressive
Cooperative
Materialistic
Question 283:
I’m going to read you a series of statements about countries or governments and the
ways that they operate. Using the response choice on this card, how important is it for
your country or government to [fill from items below]?
NOTE: Participants will be handed a hand card.
Not
Important
At All
Have all citizens vote
Hold free and fair elections
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Not
Important
Neither
Important Nor
Unimportant
Type
PMDCP
Important
Very
Important
Have a free media
Provide all citizens with equal rights
and protections under the law
Respect The Rule of Law
Allow individuals and organizations the
right to free speech
Have a free market economy
Question 284:
Where do you get most of your information about the United States?
Response: Open-Ended
Type
PMDCP
Question 285:
Using the response choices on this card, how much do you trust information from [fill
from items below]?
NOTE: Participants will be handed a hand card.
Type
PMDCP
Not at all
Not Very
Much
A Fair
Amount
A Great
Deal
Not
Applicable
United States television news
channels [PROMPT: CNN, CNBC]
United States television programming
United States government radio
stations [PROMPT: Voice of America,
Radio Free Europe, Radio Liberty]
[U.S. Embassy/ U.S.
Consulate/American Center] website
Other United States websites. (Yahoo,
New York Times, Wall Street Journal,
etc.)
[U.S. Embassy/U.S. Consulate
General/American Center] in your
country
Local television stations
Local radio stations
Internet websites in your language
Other regional media [Prompt:
regional satellite channel?]
Your government
Views of Friends and family
Print media, e.g., newspapers, news
magazines
Question 286:
I’d like to ask you about [U.S. Embassy/U.S. Consulate General/American Center]sponsored activities you’ve participated in. Have you ever [fill from items below]?
Attended lectures or interviews in [country/location] with American professionals,
celebrities or government officials [PROMPT: authors, academics, journalists, scientists
Participated in international journalist/media tours sponsored by the United States
FINAL: PDEO QB 11/5/07
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Type
PMDCP
No
Yes
Attended multi-speaker events such as conferences, panel discussions, seminars,
symposia, or workshops
Participated in long-distance communication events, such as dialogues via live satellite
television bridges or digital video conferences
Attended social events, such as art exhibits, receptions, meals, concerts, or movie nights
Participated in an exchange program [PROMPT: Such as a Fulbright program; an
International Visitor Leadership Program]
Visited the [Add Specific Name] American Corner?
Participated in any other activity sponsored by [U.S. Embassy/ U.S. Consulate
General/American Center]? (IF YES: Please describe___________________________)
Question 287:
IF YES: Using the response choices on this card, how satisfied or unsatisfied were you
with the activity?
NOTE: Participants will be handed a hand card.
This prompt will be used for each category above when the participant says yes.
Very
Dissatisfied
Dissatisfied
Neither
Satisfied Nor
Dissatisfied
Type
PMDCP
Satisfied
Attended lectures or interviews in
[country/location] with American
professionals, celebrities or government
officials [PROMPT: authors, academics,
journalists, scientists
Participated in international
journalist/media tours sponsored by the
United States
Attended multi-speaker events such as
conferences, panel discussions,
seminars, symposia, or workshops
Participated in long-distance
communication events, such as dialogues
via live satellite television bridges or
digital video conferences
Attended social events, such as art
exhibits, receptions, meals, concerts, or
movie nights
Participated in an exchange program
[PROMPT: Such as a Fulbright program;
an International Visitor Leadership
Program]
Visited the [Add Specific Name]
American Corner?
Participated in any other activity
sponsored by [U.S. Embassy/ U.S.
Consulate General/American Center]?
(IF YES: Please describe____________)
Question 288:
Have you ever received any [fill from items below] sponsored by the [U.S.
Embassy/ U.S. Consulate General/American Center]?
FINAL: PDEO QB 11/5/07
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Type
PMDCP
Very
Satisfied
No
Yes
Brochures, booklets, posters, or books
Transcripts of interviews, seminars, or presentations
Articles or reports
Video materials
Audio materials
Online resources
CDs or other electronic media
Any other materials or publications (IF YES: please describe ____________________)
Question 289:
IF YES: Using the same response choices as before how satisfied or dissatisfied were
you with [fill from items below]?
NOTE: Participants will be handed a hand card.
This prompt will be used for each category above when the participant says yes.
Very
Dissatisfied
Dissatisfied
Neither
Satisfied Nor
Dissatisfied
Type
PMDCP
Satisfied
Very
Satisfied
Brochures, booklets, posters, or books
Transcripts of interviews, seminars, or
presentations
Articles or reports
Video materials
Audio materials
Online resources
CDs or other electronic media
Any other materials or publications (IF
YES: please describe ______________)
Question 290:
Have you ever visited an American Library, American Corner [Add specific name of
American Corner] or a U.S. Information Resource Center?
Type
PMDCP
Yes
No Skip to Question [Insert #]
Question 291:
Have you ever reviewed or used any [fill from items below] while visiting an
American Library, American Corner or a U.S. Information Resource Center?
Type
PMDCP
No
Brochures, booklets, posters, or books
Transcripts of interviews, seminars, or presentations
Articles or reports
Video materials
Audio materials
Online resources
CDs or other electronic media
Any other materials or publications (IF YES: please describe ____________________)
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Yes
Question 292:
IF YES: How satisfied or dissatisfied were you with the [fill item]?
NOTE: Participants will be handed a hand card.
This prompt will be used for each category above when the participant says yes.
Very
Dissatisfied
Dissatisfied
Neither
Satisfied Nor
Dissatisfied
Type
PMDCP
Satisfied
Very
Satisfied
Brochures, booklets, posters, or books
Transcripts of interviews, seminars, or
presentations
Articles or reports
Video materials
Audio materials
Online resources
CDs or other electronic media
Any other materials or publications (IF
YES: please describe ______________)
Question 293:
Now I’d like you to think about all the [U.S. Embassy/U.S. Consulate
General/American Center]-sponsored activities you’ve participated in during the past
12 months, and all the materials provided by the [U.S. Embassy/U.S. Consulate
General/American Center] you’ve received or used in the past 12 months. Using the
same response choices, how satisfied or dissatisfied are you with [fill from items
below]?
Very
Dissatisfied
Dissatisfied
Neither
Satisfied Nor
Dissatisfied
Type
PMDCP
Satisfied
The content of the activities and materials
(topic, ideas)
The accuracy of the information
How current the information was
How easy it was to understand
The usefulness of the information
(relevant to your needs or interests)
How balanced it was (range of views)
The convenience (easy to access, in a
good location)
The activities and materials overall
Question 294:
Now I want you to think about all the information you received from participating in
[U.S. Embassy/U.S. Consulate General/American Center]-sponsored activities and
using materials provided by the [U.S. Embassy/U.S. Consulate General/American
Center]. I would like to learn how this information increased your understanding of the
U.S. Using the choices on this card, how much has your understanding of [fill with
items below] increased?
NOTE: Participants will be handed a hand card.
FINAL: PDEO QB 11/5/07
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Type
PMDCP
Very
Satisfied
Not at
All
A Little
Some
A Good
Deal
A Great
Deal
Not
Applicable
Daily life of the people who live in the United
States
Ethnic diversity in the United States
Religious diversity in the United States
Educational processes and opportunities in the
United States
The arts in the United States (music, film,
literature, etc.)
Voluntary community service in the United
States
Freedom of speech and press in the United
States
Human rights and legal protections for all in the
United States
Free elections in the United States
Equal opportunities in the United States
The role of the market and economic
competition in the United States
The United States overall
Question 295:
Looking at this response card, to what extent do you agree or disagree that your
participation in [U.S. Embassy/U.S. Consulate General/American Center] activities
and programs has [fill with items below]?
NOTE: Participants will be handed a hand card.
Strongly
Disagree
Disagree
Neither Agree
Nor Disagree
Type
PMDCP
Agree
Strongly
Agree
Increased your appreciation for U.S.
culture and values
Increased your appreciation for U.S. policy
Question 296:
Have you ever shared information you had learned about the United States by [fill
from items below]?
Type
PMDCP
No
Referring others to United States media (newspapers, magazines, television, radio, and
internet)
Giving talks, or presentations lectures in your community, neighborhood, local schools,
or religious facility
Talking with others in small groups
Sharing materials received from [U.S. Embassy/U.S. Consulate General/American Center]
Writing opinion pieces, articles or books
Giving interviews to the media
Using the Internet to communicate information about the United States
Some other method (IF YES: please describe____________)
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Yes
Question 297:
Has your participation in [U.S. Embassy/U.S. Consulate General/American Center]
sponsored activities or programs helped you to [fill from items below]?
NOTE: Participants will be handed a hand card.
Type
PMDCP
No
Perform volunteer activities or community service?
Establish a Non-Government Organization (NGO) network, association, or group?
Become involved with new groups, organizations, or networks?
Start a new business?
Introduce new ideas and knowledge to a local organization, community, or group?
Introduce new policies, procedures, or ways of doing things at your work?
Become elected or appointed to a local, regional or national government position?
Propose, write or pass a new law and/or treaty?
Write or publish a book, articles, editorials, plays/ screen plays, music?
Any other things? (IF YES: Please specify __________________________________)
Question 298:
IF YES: Please tell me briefly what you did specifically?
Response: Open-Ended
NOTE: This prompt will be used for each category above when the participant
says yes.
Type
PMDCP
Question 299:
What is your age?
Response: Open-Ended
Type
PMDCP
Question 300:
Including yourself, how many people reside in your household?
Response: Open-Ended
Type
PMDCP
Question 301:
Please look at the response choices on this card and tell me which category best
describes your current marital status.
NOTE: Participants will be handed a hand card.
Type
PMDCP
Never married
Married
Widowed
Divorced
Separated
Question 302:
What is your religious affiliation?
Response: Open-Ended
FINAL: PDEO QB 11/5/07
Type
PMDCP
94
Yes
Question 303:
Please look at this card and tell me which category best describes your religious
orientation/practice/participation.
NOTE: Participants will be handed a hand card.
Type
PMDCP
Nonreligious/secular
Identify with religious faith, but do not practice
Participate in religious activities only on major
religious holidays
Participate in religious activities weekly
Participate in religious activities daily
Question 304:
What do you consider to be your race, ethnicity, tribal affiliation or indigenous group?
Response: Open-Ended
Type
PMDCP
Question 305:
Now please look at this card, and tell me which category best describes your highest
level of formal education.
NOTE: Participants will be handed a hand card.
Type
PMDCP
Primary school
Secondary school/high school
Trade or technical school
Post-secondary up to Bachelor’s degree
Graduate up to Master’s or Doctorate
Professional certification (MSW, MD)
Other (specify__________________________)
Question 306:
Which one of these categories best describes your current employment status?
NOTE: Participants will be handed a hand card.
Participant is prompted for only one response.
Type
PMDCP
Employed full or part time outside the home
Not working but looking for a job
In school
Homemaking or caring for children or other family members
Retired from employment
Question 307:
What is your occupation?
Response: Open-Ended
Type
PMDCP
Question 308:
What is your usual occupation?
Response: Open-Ended
Type
PMDCP
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Question 309:
What occupation do you expect to do when you finish your studies?
Response: Open-Ended
Type
PMDCP
Question 310:
Are you employed at a [fill item from below]?
Note: Asked only if participant is currently employed
Type
PMDCP
No
Yes
Education institution
Government agency or public sector organization
Private not-for-profit organization (not college or university)
Private for-profit organization
Self-employed
Other (IF YES: Please specify________________________)
Question 311:
Currently, do you have regular access to the Internet?
NOTE: Interviewer will check all that apply
Type
PMDCP
Work
Home
School
Public library
Other (IF YES: Please specify__________)
Question 312:
In the past year, how often did you [fill from items below]—would you say never,
once per month, 2 to 3 times per month, once per week, several times per week or
daily?
Never
Once
Per
Month
2-3 Time Per
Month
Once
Per
Week
Type
PMDCP
Several
Times
Per
Week
Use the Internet
Send or receive emails
Send or receive text messages (SMS,
MMS)
Write a blog (web log)
Write comments on someone else’s
blog
Question 313:
That’s all the questions I have. Is there anything else you would like to share
regarding activities, programs or products sponsored by the [U.S. Embassy/U.S.
Consulate General/American Center]?
Response: Open-Ended
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Type
PMDCP
Daily
Question 314:
The [U.S. Embassy/U.S. Consulate General/American Center] sometimes sponsors
activities/programs in [survey country] like lectures, concerts, and workshops. Have
you ever participated in an activity/program sponsored by the [U.S. Embassy/U.S.
Consulate General/American Center]?
Type
PMDCP
No
Yes
Question 315:
IF YES: What kind of activity was it?
Response: Open-Ended
Type
PMDCP
Question 316:
How often do you attend lectures, symposiums or other kinds of events? Would you
say never, once per month or less, two to three times per month, once per week, or
more than once per week?
Type
PMDCP
Never
Once per month or less
Two to three times per month
Once per week
Yes More than once per week
Question 317:
What is the main reason why you attend these events?
Response: Open-Ended
Type
PMDCP
Question 318:
On a scale of 1 to 5, where 1 is least likely and 5 is most likely, how likely would you
be to attend, at least once, a lecture, symposium, or other kind of event providing
information about the United States culture, society and values?
Type
PMDCP
1
2
3
4
5
Question 319:
What is the likelihood of your opinion changing if the event/program was created or
sponsored by the [U.S. Embassy/U.S. Consulate General/American Center]—
would you be more likely or less likely to attend?
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Type
PMDCP
Not likely at all
Less likely
More likely
Question 320:
Have you ever received any booklets, brochures, or other kinds of information from the
[U.S. Embassy/U.S. Consulate General/American Center]?
Type
PMDCP
No
Yes
Question 321:
IF YES: What information did you get?
Response: Open-Ended
Type
PMDCP
Question 322:
What type of publications do you read monthly?
Response: Open-Ended
Type
PMDCP
Question 323:
What do you like most about the publications you read regularly?
Response: Open-Ended
Type
PMDCP
Question 324:
On a scale of 1 to 5, where 1 is least likely and 5 is most likely, how likely would you
be to read, at least once, a magazine or a website providing information about the
United States culture, society and values?
Type
PMDCP
1
2
3
4
5
Question 325:
How likely would your opinion change if the publication or website was created or
sponsored by the [U.S. Embassy/U.S. Consulate General/American Center]—
would you be more likely or less likely to read it?
Not likely at all
Less likely
More likely
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98
Type
PMDCP
INDEPENDENT EVALUATION
Question 326:
What ID number were you assigned in the letter you received from the U.S.
Department of State?
Response: Open-Ended
Type
IE
Question 327:
How many [Name of Program] exchange students have you hosted in your home?
Response: Drop-Down List– Electronic, Open-Ended – Paper
Type
IE
Question 328:
In what academic year(s) did you host a [Name of Program] exchange student(s)?
Please check all that apply.
NOTE: Years listed will vary depending on the evaluation.
Type
IE
1993 – 1994
1994 – 1995
1995 – 1996
1996 – 1997
1997 – 1998
1998 – 1999
1999 – 2000
2000 – 2001
2001 – 2002
2002 – 2003
2003 – 2004
2004 – 2005
2005 – 2006
2006 – 2007
Question 329:
What was the home country or countries of the [Name of Program] exchange
student(s) you hosted? Please check all that apply.
NOTE: Countries listed will vary depending on the evaluation.
Armenia
Azerbaijan
Belarus
Georgia
Kazakhstan
Kyrgyzstan
Type
IE
Moldova
Russia
Tajikistan
Turkmenistan
Ukraine
Uzbekistan
Question 330:
How did you learn about the [Name of Program] Program? Please check all that apply.
Business Colleague
Community Member
Direct Contact with
Exchange Agency
Exchange Agency
Website
Family Member
Friend
Local Community Center
FINAL: PDEO QB 11/5/07
Local FLEX Coordinator
Local High School
Newspaper
Article/Advertisement
U.S. Department of State
Website
Other, Please Specify:
______________
Do Not Know
99
Type
IE
Question 331:
In what capacity have you been involved with the [Name of Program]? Please check
all that apply.
NOTE: Response categories listed will vary depending on the evaluation.
Type
IE
Host Family
Local [Name of Program] Coordinator
Exchange Agency Representative
Other [Name of Program] Volunteer
Other, Please Specify: ______________
Question 332:
Have you been involved as a host family with any non-[Name of Program] high
school student exchange program(s)?
Type
IE
Yes
No
Question 333:
Of the following non-[Name of Program] high school student exchange programs, for
which have you been a host family? Please check all that apply.
NOTE: Response categories listed will vary depending on the evaluation.
Type
IE
People to People
Sister Cities Exchange
Youth for Understanding
Rotary International Exchange
Youth Exchange and Study (YES) Program
Congress-Bundestag Youth Exchange (CBYX)
Other, Please Specify:
Not Sure
Question 334:
How many non-[Name of Program]exchange students have you hosted in your
home?
Response: Drop-Down List – Electronic, Open-Ended – Paper
Type
IE
Question 335:
The following are possible reasons for volunteering with the [Name of Program]
program. Please indicate how important each of these reasons is to you for hosting
[Name of Program] exchange students. Please check one box in each row. Check
N/A, if the statement is not applicable.
Type
IE
FINAL: PDEO QB 11/5/07
100
Very
Important
Moderately
Important
Slightly
Important
Not At All
Important
N/A
I feel hosting foreign exchange students
contributes to my children’s education
I feel an obligation to share hospitality
received in other countries
I want to meet people from around the world
I want to share my community with foreign
exchange students
I want to learn more about foreign countries
and cultures
I feel it is important for foreign exchange
students to meet “real Americans”
I feel that hosting foreign exchange students
broadens my family’s perspective
I want to help improve the overall image of
the United States
I want to continue the legacy of hosting
foreign exchange students instilled by my
parents or other family member(s)
Other, Please Specify:________________
Question 336:
Please describe some of the benefits to you and your family in hosting [Name of
Program] exchange students.
Response: Open-Ended
Type
IE
Question 337:
Please describe some of the challenges to you and your family in hosting [Name of
Program] exchange students.
Response: Open-Ended
Type
IE
Question 338:
How often did you discuss the following topics with your most recent [Name of
Program] exchange student concerning the student’s home country? Please check
one box in each row.
Type
IE
Very
Often
Regularly
Daily Life
Economy
Educational System
Ethnic Diversity
Legal System
Media/Press
Political System
Religious Diversity
Values and Culture
Voluntary Community Service
FINAL: PDEO QB 11/5/07
101
Sometimes
Rarely
Never
Do Not
Know
Question 339:
How often did you discuss the following topics with the most recent [Name of
Program] exchange student concerning the United States? Please check one box in
each row.
Very
Often
Regularly
Sometimes
Once or
Twice
Type
IE
Never
Do Not
Know
Daily Life
Economy
Educational System
Ethnic Diversity
Legal System
Media/Press
Political System
Religious Diversity
Values and Culture
Voluntary Community Service
Question 340:
Thinking about your most memorable [Name of Program] exchange student, what
was your level of knowledge about the following aspects of the student’s home country
BEFORE learning that you would be hosting the student? Please check one box in
each row.
No Knowledge
At All
Limited
Knowledge
Moderate
Knowledge
Type
IE
Extensive
Knowledge
Do Not
Know
Daily Life
Economy
Educational System
Ethnic Diversity
Legal System
Media/Press
Political System
Religious Diversity
Values and Culture
Voluntary Community Service
Question 341:
Thinking about your most memorable [Name of Program] exchange student, what
was your level of knowledge about the following aspects of the student’s home country
AFTER hosting the student? Please check one box in each row.
No Knowledge
At All
Daily Life
Economy
Educational System
Ethnic Diversity
Legal System
Media/Press
Political System
Religious Diversity
Values and Culture
Voluntary Community Service
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102
Limited
Knowledge
Moderate
Knowledge
Type
IE
Extensive
Knowledge
Do Not
Know
Question 342:
What makes this particular [Name of Program] student the most memorable?
Response: Open-Ended
Type
IE
Question 343:
Please indicate the extent to which you agree or disagree with whether hosting [Name
of Program] exchange students…
Type
IE
Strongly
Agree
Promotes mutual understanding among
Americans and people from other
countries
Promotes peaceful relations between the
United States and other countries
Promotes United States national
interests
Helps my family and me develop
friendships with people from other
countries
Helps my family and me better
appreciate people from other countries
Helps my family and me improve our
foreign language skills
Increases my family’s and my interest in
international events and news
Increases my family’s and my interest in
visiting foreign countries
Helps my family and me learn more
about the perspectives of people from
other countries
Helps me educate my children about
other countries and cultures
Gives my family and me the opportunity
“to make a difference”
Allows my family and me to share United
States values and beliefs with people
from other countries
Allows my family and me to share my
local community with people from other
countries
Allows foreign exchange students to
share their values and beliefs with my
family and me
Allows my family and me to volunteer our
time and resources in our community
Offers my family and me an opportunity
to return hospitality that we received in
other countries
Increases my family’s and my
appreciation of our local community
Increases my family’s and my
appreciation of the United States
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103
Agree
Neither Agree
Nor Disagree
Disagree
Strongly
Disagree
N/A
Question 344:
Have you ever spoken with family, friends and/or colleagues about your experience(s)
hosting [Name of Program] exchange student(s)?
Type
IE
Yes
No
Question 345:
Whom do you speak with about your hosting experience? Please check all that apply.
Type
IE
Business Colleague(s)
Community Member(s)
Family Member(s)
Friend(s)
Neighbor(s)
Other(s)
Question 346:
In general, how often do the following people directly participate in the hosting
experience? Please check one box in each row.
Always
Regularly
Sometimes
Rarely
Type
IE
Never
N/A
Family
Friends
Colleagues
Question 347:
After the experience of hosting a [Name of Program] student(s), has your child (or
children) done any of the following? Please check all that apply.
Type
IE
Traveled to a foreign country to study (e.g., study abroad,
Semester-At-Sea, U.S. exchange student, etc.)
Studied a foreign language spoken by a former FLEX exchange
student(s) (e.g., Russian, Ukrainian, Uzbek, Azerbaijani, Kazakh,
Armenian, etc.)
Pursued a college degree in international relations or
international studies (e.g., Bachelors or Masters)
Pursued a career in international relations or foreign affairs. (e.g.,
Peace Corps volunteer, Foreign Service Officer, career with
United Nations, etc.)
Pursued a career in international law (e.g., international trade
law, human rights law, etc.)
None
Not Applicable
FINAL: PDEO QB 11/5/07
104
Question 348:
As a result of your hosting a [Name of Program] exchange student, have any of your
extended family, friends, neighbors and/or colleagues hosted a [Name of Program]
exchange student? Please check all that apply.
Type
IE
Business Colleague(s)
Community Member(s)
Family Member(s)
Friend(s)
Neighbor(s)
Other(s), Please Specify: ____________
None
Question 349:
Now, we would like to ask a series of questions about how hosting a [Name of
Program] student(s) may have impacted the life of you and your family. Please
indicate the extent to which you agree or disagree with each of the following
statements.
Type
IE
After the experience of hosting a [Name of Program] student(s), my family and I are
more likely to:
Strongly
Agree
Agree
Neither
Agree Nor
Disagree
Disagree
Strongly
Disagree
Read or listen to world news
Read or listen to news about the
[Name of Program] student’s home
country
Learn about the culture/traditions of
other countries
Learn more about the culture/traditions
of the student’s home country
Attend cultural events from the
student’s home country
Volunteer my time with other student
exchange programs
Meet people from other countries
Travel to other countries
Learn another language
Question 350:
What motivated you and your family to begin hosting [Name of Program] exchange
students?
Response: Open-Ended
Type
IE
Question 351:
What motivates you and your family to continue hosting [Name of Program] exchange
students?
Response: Open-Ended
Type
IE
FINAL: PDEO QB 11/5/07
105
N/A
Question 352:
Of the [Name of Program] exchange student(s) you have hosted, have you visited
any of them in their home country?
Type
IE
Yes
No
Question 353:
If yes, please check the country or countries you have traveled to, in order to visit a
[Name of Program] exchange student(s). Please check all that apply.
NOTE: Countries listed will vary depending on the evaluation.
Armenia
Azerbaijan
Belarus
Georgia
Kazakhstan
Kyrgyzstan
Type
IE
Moldova
Russia
Tajikistan
Turkmenistan
Ukraine
Uzbekistan
Question 354:
If yes, please describe the situation that prompted you to visit your [Name of
Program] exchange student(s) in their country.
Response: Open-Ended
Type
IE
Question 355:
How many [Name of Program] exchange students have you maintained contact with
after hosting them in your home?
Response: Drop-Down List –Electronic, Tabled List –Paper
Type
IE
None
1 [Name of Program] Student
2 [Name of Program] Students
3 [Name of Program] Students
4 [Name of Program] Students
5+ [Name of Program] Students
Question 356:
In general, how frequently do you and your [Name of Program] exchange student(s)
contact one another?
Once a Year
2 to 3 Times a Year
More than 3 Times a Year
Never
Not Sure
FINAL: PDEO QB 11/5/07
106
Type
IE
Question 357:
How do you and your [Name of Program] exchange student(s) stay in contact with
one another? Please check all that apply.
Type
IE
Letters
Telephone Calls
E-mails
Faxes
Personal Visits
Other
Question 358:
What topics do you and the [Name of Program] exchange student discuss during
your contact(s)?
Please check all that apply.
Type
IE
Possible/Upcoming Visits
Personal/Family News
New Contact Information
International News/Events
U.S. News/Events
Other
Question 359:
Have any [Name of Program] exchange alumni visited you in your home after their
exchange program?
Type
IE
Yes
No
Question 360:
If yes, please describe the situation that prompted the [Name of Program] alumni to
visit you and your family after their exchange program.
Response: Open-Ended
Type
IE
Question 361:
Which category best describes the location of your home?
Type
IE
Rural/Farm Area
Suburban Area
Small Town or City
Large or Major City, Not Capital
State’s Capital City
FINAL: PDEO QB 11/5/07
107
Question 362:
Including yourself, how many people resided in your household when you (first)
hosted?
Response: Drop-Down List –Electronic, Open-Ended –Paper
Type
IE
Question 363:
How many children under the age of 18 years resided in your household when you
(first) hosted?
Response: Drop-Down List –Electronic, Open-Ended –Paper
Type
IE
Question 364:
Which category best described your marital status when you (first) hosted?
Type
IE
Single, Never Married
Living Together, Not Married
Married
Widowed
Divorced
Separated
Question 365:
What is your age?
Response: Drop-Down List –Electronic, Tabled List –Paper
Type
IE
18 - 24 Years
25 - 34 Years
35 - 44 Years
45 - 54 Years
55 - 64 Years
65 - 74 Years
75 Years or Older
Question 366:
What is your gender?
Type
IE
Female
Male
Question 367:
What is your field of work or profession? Please check all that apply.
FINAL: PDEO QB 11/5/07
108
Type
IE
Agriculture
Arts & Culture
Business/Finance
Education
Government
Homemaker
International Affairs
Legal/Law Enforcement
Media/Communications
Medicine
Military Service
Non-Profit
Public Administration
Retired
Science & Technology
Trade
Other
Question 368:
Which category best describes your highest level of formal education?
Type
IE
Less than High School Diploma
High School Diploma/GED
Vocational/Technical Diploma or Certificate
Some College, No Degree
Associate’s Degree (AA, AS)
Bachelor’s Degree (BA, BS)
Master’s Degree (MA, MS)
Doctorate Degree (PhD, EdD)
Professional Degree (MD, MBA, DDS, JD,
LLB)
Question 369:
Thank you for your participation! Do you have any suggestions or feedback for the
U.S. Department of State and the exchange agencies on how to attract new host
families to become involved with the [Name of Program]?
Type
IE
Question 370:
How many minutes did it take you to complete this survey?
Response: Drop-Down List –Electronic, Open-Ended –Paper
Type
IE
FINAL: PDEO QB 11/5/07
109
ADDITIONAL QUESTIONS TO ADD TO GENERIC COLLECTION’S
QUESTION BANK
INDEPENDENT EVALUATION SECTION
Question 400:
Type
IE
Which Journalism and Media program did you attend?
IVLP
Citizen Exchange
Murrow
Question 401:
Type
IE
In what year did you attend the program?
Before
2001
2001
2002
2003
2004
2005
2006
Since
2006
Question 402:
Type
IE
What were your primary objectives for attending the program?
Select all
that apply
Objective
To apply best practices from journalism in the US and to improve
the professionalism of media at home
To improve my skills as a journalist
To learn more about the United States people, society, and culture
To increase my contacts in the media and to network with other
American media professionals
To learn more about the US government, politics and policies
To learn how a free press works in a democracy like the US
To understand freedom of the press laws and how reporters
protect their rights
Other reasons (please
specify)_____________________________
Question 403:
To what degree did the program meet your objectives? Please indicate
by choosing one of the following measures.
Completely met
expectation
Met expectation
to a good extent
Met
expectation to
a small extent
1
Did not really
meet
expectation
Type
IE
Did not meet
expectations at
all
Question 404:
Which best describes the main topics and/or themes of your program?
Please select all that apply from the list below.
Type
IE
Select all that
apply
Broadcast journalism
Print Journalism
Investigative journalism
Business Journalism
Media management, entrepreneurship
Journalism and media ethics and Professional standards
Alternative Media (Blogs and other outlets outside the
mainstream)
Journalism Education
New technologies
Anti-corruption
Conflict resolution and mitigation
Religious and ethnic diversity
Women in society
Human rights
Environment
Economics and business development
Trade
Trafficking-in-persons
Public health (HIV/AIDS awareness)
Science
Reporting process
Media relations with government
Media relations with businesses
Media relations with NGOs and Civil Society
US Government
Policy Making in the US
Role of media in a Democracy
US Society
Question 405:
Which of the following best describes your professional position/function
in your job?
At the time of
the program
Journalist/Reporter
Editor
Editor-in- Chief
Producer
Manager
2
Type
IE
Now
Journalism Educator
Other (please specify)
__________________________
Question 406:
Type
IE
Which best describes the media outlet or employer you work for?
At the time of
the program
Now
Print newspaper
Print journal or magazine
TV
Radio
Online Publication
Wire Service
Other (please specify)
__________________________
Question 407:
Type
IE
Which best describes the type of news you usually cover in your job?
Select all that
apply
Local news
Regional news (within your country)
National news
Regional news (countries in your region of the world)
International news
Special focus news (news on specific topics)
Other (please specify) __________________________
Question 408:
Which of the following elements of your program did you find to be most
useful? Please select all that apply.
Type
IE
Note: This question will have three separate lists broken down and labeled by Program.
Depending on which program the participant attended they will respond to only that list that will
include a sub-group of the responses listed below. Some response categories will therefore
repeat for each program when it is appropriate.
[Citizen Exchange/ IVLP/ Murrow]
Select all
that apply
Workshops
Conferences and seminars
State Department meetings and briefings
Site visits at national and regional media outlets
Meetings and panel discussions with state and local politicians
Meetings and panel discussions with media officials
Meetings and panel discussions with NGOs
3
Interviews with local media
Interviews with community leaders
Interviews with subject-matter experts
Job shadowing
Mentoring
Training of trainers
Cultural events
Home hospitality
Other (please specify)__________________________________
US journalism school training
International Symposium for Journalists (Aspen Institute)
Schools of Journalism courses and workshops
Closing Symposium
Question 409A:
Of the program elements listed below, which ONE was the most useful
to you?
Type
IE
This question will have three separate lists broken down and labeled by Program. Depending on
which program the participant attended they will respond to only that list that will include a subgroup of the responses listed below. Some response categories will therefore repeat for each
program when it is appropriate.
[Citizen Exchange/ IVLP/ Murrow]
Select one
response
only
Workshops
Conferences and seminars
State Department meetings and briefings
Site visits at national and regional media outlets
Meetings and panel discussions with state and local politicians
Meetings and panel discussions with media officials
Meetings and panel discussions with NGOs
Interviews with local media
Interviews with community leaders
Interviews with subject-matter experts
Job shadowing
Mentoring
Training of trainers
Cultural events
Home hospitality
Other (please specify)__________________________________
US journalism school training
International Symposium for Journalists (Aspen Institute)
Schools of Journalism courses and workshops
Closing Symposium
4
Question 409B:
Type
IE
Can you explain why this element was the most useful of all?
Response: Open-ended
Question 410A:
Type
IE
Has participation in the Journalism and Media program contributed
towards any changes in your career?
Yes
No
Question 410B:
If you answered yes, in which of the following ways has your career
changed? Please select all that apply.
Type
IE
Select all that
apply
Job promotion
New professional responsibilities
New leadership role
New career outside the media sector
New job within the media sector
Change in journalism focus (e.g. change in stories covered)
Other (please specify) __________________________
Question 411:
For each of the topics and themes below, please indicate the extent to
which you increased your knowledge and understanding as a result of
participating in the program.
Not
at
all
Broadcast Journalism
Print Journalism
Investigative Journalism
Business Journalism
Media management, entrepreneurship
Journalism and media ethics and
professional standards
Alternative Media (Blogs and other outlets
5
Somewha
t
A
good
deal
Type
IE
A
great
deal
Not
applicabl
e
Not
at
all
Somewha
t
A
good
deal
A
great
deal
Not
applicabl
e
outside the mainstream media)
Journalism Education
New technologies
Anti-corruption
Conflict resolution and mitigation
Religious and ethnic diversity
Women in society
Human rights
Environment
Economics and business development
Trade
Trafficking-in-persons
Public health (HIV/AIDS awareness)
Science
Media relations with government
Media relations with businesses
Media relations with NGOs and Civil Society
US Government
Policy Making in the US
Role of media in a Democracy
US Society
Question 412:
Type
IE
To what extent did the program increase your knowledge and
understanding of the following elements of the reporting process?
Not at
all
Somewha
t
A good
deal
A great
deal
Not
applicabl
e
Developing ideas for a report, article or
story
Finding credible sources
Developing questions for Interviews
Posing questions
Analyzing information
Writing styles and formats
Editing written articles
Producing programs for broadcast
Question 413:
To what extent have you been able to apply the knowledge you gained
in the following areas in your work?
6
Type
IE
Not at
all
To a
small
extent
To a
good
extent
To a
great
exten
t
Not
applicable
Broadcast journalism
Print Journalism
Investigative Journalism
Business Journalism
Media management, entrepreneurship
Journalism and media ethics and
professional standards
Alternative Media (Blogs and other outlets
outside the mainstream media)
Journalism Education
New technologies
Anti-corruption
Conflict resolution and mitigation
Religious and ethnic diversity
Women in society
Human rights
Environment
Economics and business development
Trade
Trafficking-in-persons
Public health (HIV/AIDS awareness)
Science
Developing ideas for a report, article or story
Finding credible sources
Developing questions for interviews
Posing questions
Analyzing information
Writing styles and formats
Editing written articles
Producing programs for broadcast
Media relations with government
Media relations with businesses
Media relations with NGOs and Civil Society
US Government
Policy Making in the US
Role of media in a Democracy
US Society
Question 414:
Since participating in the program, have you written or produced articles
or stories on any of the topics and themes listed below? Please select all
that apply.
Topic/Theme
Type
IE
Please select all that
apply
7
Anti-corruption
Conflict resolution and mitigation
Religious and ethnic diversity
Women in society
Human rights
Environment
Economics and business development
Trade
Trafficking-in-persons
Public health (HIV/AIDS awareness)
Science
Journalism Education
US Government
Policy Making in the US
Role of media in a Democracy
US Society
Question 415A:
Have you kept in touch with any Alumni from your program?
Type
IE
Yes
No
Question 415B:
Type
IE
How often have you kept in touch with other Alumni?
Frequency
Select one
response
only
Daily
Weekly
A few times a month
Monthly/Once a month
A few times a year
Annually
Less often
Question 416A:
Have you kept in touch with any US-based Journalism and Media
professionals that you met on your program?
Type
IE
Yes
No
Question 416B:
How often have you kept in touch with US-based Journalism/Media
8
Type
IE
Professionals?
Frequency
Select one
response
only
Daily
Weekly
A few times a month
Monthly/Once a month
A few times a year
Annually
Less often
Question 417A:
Type
IE
Have you shared your program experience with your co-workers,
colleagues, or other media professionals?
Yes
No
Question 417B:
Type
IE
In which of the following ways have you shared your program
experience? Please select all that apply.
Select all that
apply
Trained co-workers or colleagues
Discussed program ideas at local press clubs
Made presentations to universities/ schools of journalism
Taught or developed a course at a university or elsewhere
Developed a website at work
Set up a professional newsletter
Wrote for a professional blog
Created or joined a working group or association for
journalists
Organized meetings/networked
Wrote articles for professional journals
Wrote academic books
Wrote non-academic books
Other (please
specify)__________________________________
Question 418:
As a direct result of your participation in the program, did you undertake
any of the following initiatives at work?
9
Type
IE
Select all
that apply
Initiatives
Adopted new professional and ethical standards
Reported on new subjects or fields
Helped develop new processes for writing or producing articles and
stories
Set up new management practices
Initiated procedural changes
Initiated policy changes
Encouraged more teamwork
Facilitated collaboration among journalists or reporters
Acquired better compensation
Acquired more resources
Other (please specify)
________________________________________
Question 419:
Thinking about the initiatives you undertook, have they generated any
changes in your organization or work environment?
Type
IE
Response: Open-Ended
Question 420:
Thinking about how your co-workers and/or colleagues have reacted to
your efforts to share the techniques, practices, and standards you
learned about during the program, which ONE of the following
statements best describes how they view you now, since your return
from the program?
Type
IE
Select one
response
only
I am known as an ‘expert’ in journalism and media techniques,
practices and standards, and my colleagues and/or coworkers
respect me because of this and often seek my advice.
I am known as “knowledgeable” in journalism and media
techniques, practices and standards, and am respected by my
colleagues and/or coworkers because of this, but they do not seek
my advice.
My colleagues do not see me as being more knowledgeable in
journalism and media techniques, practices and standards as I
hoped they would after finishing the program.
There has been no change in how my colleagues view me since my
return from the program
Question 421A:
Type
10
IE
Are there any challenges you face in trying to apply what you learned
during your program?
Yes
No
Question 421B:
If you would like to specify the challenges you face, please do so here,
by selecting all that apply. If not, this question is optional.
Type
IE
Select all
that apply
Finding credible sources for story/article
Getting access to information necessary for a story
Receiving requests to limit or refrain from coverage of a particular
subject, topic, or event
Resistance to establishing new professional standards and ethics
Difficulty replicating the process of reporting learned during the program
Lack of new technology
Lack of training in new technology
Lack of resources
Difficulty hiring new journalists or staff
Other (please specify)
_________________________________________
Question 422A:
Type
IE
Since completing the program, has your organization/institution
established linkages with any of the media outlets or institutions you
visited during your program?
Yes
No
Question 422B:
Can you please tell us about these linkages and any activities that have
taken place through these linkages?
Type
IE
Response: Open-Ended
Question 423:
Thinking about the knowledge and information you gained through the
program, please indicate which of the following statements below reflect
how you have used what you learned on the program. Please select all
that apply.
I have used the knowledge and information gained on the
program to:
to advocate for freedom of information
to advocate for print, broadcast or other media reform
to advocate for the protection of journalists’ rights
11
Type
IE
Select all
that apply
to strengthen associations for journalism and media professionals
to encourage greater access to public records
to build coalitions
Other (please specify)
_________________________________________
None
Question 424:
Thinking now about the role and/or function of a journalist, we would like
you to rank the following functions in order of importance, where 1 is the
most important function and 5 is least important function. Please rank
them from 1 to 6.
Type
IE
Example: If you believe the most important function is to act as a
watchdog and the 2nd most important is to advocate for freedom of
information, then you will rank 1 and 2 accordingly. Each statement can
be ranked from 1 to 6 only.
Rank from
1 to 6
To report on current events, without bias or opinion
To report the views of government
To report the views of political parties
To bring attention to societal problems or social ills
To act as a watchdog
To influence decision makers
Question 425:
Finally, do you, as a result of participating in the program, have any
suggestions you would like to make for improving the program? Please
include any ideas/thoughts you have here.
Type
IE
Response: Open-Ended
Question 426A:
Please select the region of the world in which you lived at the time of the
program.
Type
IE
Response: Drop-down List
Near East (Middle East and North Africa)
Africa (Sub-Saharan and South Africa)
East Asia Pacific
South and Central Asia
Europe and Eurasia
Western Hemisphere (North America, Central America, South America)
Question 426B:
Type
12
IE
COUNTRY:
Response: Drop-down List
Note: Drop-down list will populate countries based on the response to region
question listed above (#426A)
13
Additional Questions to Add to Generic Collection Question Bank
1405-0158
Question 423:
Thinking about the knowledge and information you gained through the
program, please indicate which of the following statements below reflect
how you have used what you learned on the program. Please select all
that apply.
I have used the knowledge and information gained on the
program to:
to advocate for freedom of information
to advocate for print, broadcast or other media reform
to advocate for the protection of journalists’ rights
to strengthen associations for journalism and media
professionals
to encourage greater access to public records
to build coalitions
Other (please specify)
_________________________________________
None
Type
IE
Select all
that apply
Question 424:
Thinking now about the role and/or function of a journalist, we would like
you to rank the following functions in order of importance, where 1 is the
most important function and 5 is least important function. Please rank
them from 1 to 6.
Example: If you believe the most important function is to act as a
watchdog and the 2nd most important is to advocate for freedom of
information, then you will rank 1 and 2 accordingly. Each
statement can be ranked from 1 to 6 only.
Type
IE
Rank
from 1 to
6
To report on current events, without bias or opinion
To report the views of government
To report the views of political parties
To bring attention to societal problems or social ills
To act as a watchdog
To influence decision makers
Question 425:
Finally, do you, as a result of participating in the program, have any
suggestions you would like to make for improving the program? Please
1
Type
IE
include any ideas/thoughts you have here.
Response: Open-Ended
Question 426A:
Type
Please select the region of the world in which you lived at the time of the IE
program.
Response: Drop-down List
Near East (Middle East and North Africa)
Africa (Sub-Saharan and South Africa)
East Asia Pacific
South and Central Asia
Europe and Eurasia
Western Hemisphere (North America, Central America, South
America)
Question 426B:
COUNTRY:
Response: Drop-down List
Note: Drop-down list will populate countries based on the
response to region question listed above (#426A)
2
Type
IE
INDEPENDENT EVALUATION SECTION
Question 427:
Based on your experience, what would you consider to be the main
objectives of the U.S. Speaker and Specialist Program?
Type
IE
Chose up to
three
Objective
Promote understanding of U.S. people and values
Promote understanding of U.S. culture
Promote understanding of U.S. foreign policy
Promote social and professional networks between U.S.
citizens and citizens of other countries
To inform audiences about specific topics
To advocate U.S. policies abroad
Other_____________________________
Question 428:
How did you originally become aware of the U.S. Speaker and
Specialist Program?
Type
IE
Select One
Response
Only
Contacted by the U.S. Speaker Program staff based in
Washington D.C.
Learned about the Program from a colleague who
3
participated
Contacted by Embassy staff in country
Learned about the Program through personal/professional
network
Other, please specify_______________________
Question 429:
What factors influenced your decision to accept an invitation to
participate as a Speaker in the Program?
Type
IE
Choose up
to three
Factors
The honorarium
The opportunity to travel internationally
The opportunity to network and develop new professional
relationships
The opportunity to share expertise with an audience to which
you would not otherwise have access
The opportunity to learn more about one or more of the
countries that you were invited to travel to
The opportunity to contribute to the public diplomacy efforts
of the United States government
The ability to travel based on availability within my personal
and/or professional schedule
Other_____________
Question 430:
How many times have you participated in the U.S. Speaker and
Specialist Program?
Frequency
Select one
response
only
4
Type
IE
1
2
3
4
5
Other
Question 431:
What countries did you visit during your participation in the U.S.
Speaker and Specialist Program?
Country (drop down)
Type
IE
Select all that
apply
Question 432:
What topics did you address during your speaking event?
Topics
Type
IE
Select all
that apply
Terrorism
Democracy
Rule of Law
Civil Society
The New Administration and the New Congress
Security
Media, Journalism and Freedom of the Press
Economic Prosperity
Global Environmental Protection
Energy
Health
Other_______________________________
5
Question 433:
What type(s) of events hosted, sponsored, or supported by the U.S.
Embassy/Consulate featuring a guest speaker from the United States(s)
have you participated in?
In-Person Type
Type
IE
Check all
that
Apply
In-Person
Large lecture
Roundtable
Workshop
Small group discussion
Panel
Other________________
Digital Video Conference (DVC)
Teleconference
Web Chat
Pod Cast
Other, ___________________________
Question 434:
Number of people attended per event format?
Type
IE
In-Person Type
In-Person
Large lecture
Roundtable
Workshop
Small group discussion
Panel
Other________________
Digital Video Conference (DVC)
Teleconference
Web Chat
Pod Cast
Other, ___________________________
6
Number
of People
Question 435:
1. Out of the in-person formats you selected above, is there a
format you prefer?
Type
IE
Yes
If yes, Which Format and Why?
No
Question 436:
Out of the general formats you selected above, is there a format you
prefer?
Type
IE
Yes
If yes, Which Format and Why?
No
Question 437:
On average, during your trip as a traveling Speaker, how many activities
did
you participate in?
Frequency
Type
IE
Select one
response
only
1
2
3
4
5
Other
Question 438:
Did you give your presentation(s) in English?
Type
IE
Yes
No
Question 438B:
If you answered no, Did you use the local language of the audience?
7
Type
IE
Yes
No
Question 438B1:
If you answered yes, how comfortable were you in giving the
presentation in that language?
Type
IE
Select One
Very Comfortable
Comfortable
Neither Comfortable or Uncomfortable
Uncomfortable
Very Uncomfortable
Unsure
Question 438B2:
If you answered no, Was there an interpreter present?
Type
IE
Yes
No
Unsure
Question 439:
During your recruitment as a Speaker, which of the following were you
asked to provide or participate in?
Items Provided
Type
IE
Select all
that apply
Resume
Interview
Personally authored books/articles/reports
Other ,
8
___________________________________________
Unsure
Question 440:
Prior to your most recent presentation, how knowledgeable were you
about the country in which you presented as part of your U.S. Speaker
and Specialist Program engagement?
Type
IE
Select One
Very Knowledgeable
Knowledgeable
Neither Knowledgeable or Unknowledgeable
Unknowledgeable
Very Unknowledgeable
Unsure
Question 441:
Please describe the type of audience in attendance at the events in your
Speaker program?
Audience Type
Type
IE
Please select all that
apply
Academics
Community Leaders(i.e., business,
religious, cultural)
Civil society, non-governmental
organizations
Government officials/public servants
Youth
Women
Other, ___________
9
Unsure
Question 442:
In your opinion, was this the correct target audience for your
presentation?
Type
IE
Yes,
Why?______________________________
No,
Why?______________________________
Question 443A:
In preparing your presentation(s), Did you provide the audience
participants with any information or materials?
Type
IE
Yes,
What was the information or
material?______________________________________
No
Question 443B:
In preparing your presentation (s), Were you provided with information
or materials from Post or IIP staff?
Type
IE
Yes,
What was the information or
material?______________________________________
No
Would there have been any information or material you
would have found useful?
____________________________________
Question 443C:
In preparing your presentation(s), Did you use any information or
material provided to you by Post or IIP staff?
Yes,
10
Type
IE
What information or material was
useful?______________________________________
How did you use it? ___________________________
No
Why?_______________________________________
Question 444:
Were your events covered by local media?
Type
IE
Yes
No
Unsure
Question 444A:
If you answered yes, In what type of media was the event reported?
Media Type
Type
IE
Please select all that
apply
Newspaper
TV
Magazine
Radio
Website
Other,
____________________________
Question 444B:
If you answered yes, how would you characterize the coverage of your
event(s)?
Type
IE
Select One
Very Positive
Positive
11
Neither Positive or Negative
Negative
Very Negative
Unsure
Question 445:
If you answered no, Was there an interpreter present?
Type
IE
Yes
No
Unsure
Question 446:
To what extent were you satisfied participating as a speaker in the U.S.
Speaker and Specialist Program?
Type
IE
Select One
Very Satisfied
Satisfied
Neither Satisfied nor Dissatisfied
Dissatisfied
Very Dissatisfied
Unsure
Question 447:
To what extent would you be willing to participate as a speaker in future
Speaker and Specialist events?
Type
IE
Select One
Very Willing
12
Somewhat Willing
Neither willing nor unwilling
Somewhat Unwilling
Very Unwilling
Unsure
Question 448:
To what extent do you feel the U.S. Speaker and Specialist Program is
properly managed and administered?
Type
IE
Select One
Very effectively
Somewhat Effectively
Neither Effectively nor ineffectively
Somewhat Ineffectively
Very Ineffectively
Unsure
Question 449:
To what extent do you feel the U.S. Speaker and Specialist Program is
an effective tool for fostering mutual understanding between the U.S.
and foreign countries?
Type
IE
Select One
Very effectively
Somewhat Effectively
Neither Effectively nor ineffectively
Somewhat Ineffectively
13
Very Ineffectively
Unsure
Question 450:
To what extent do you feel the U.S. Speaker and Specialist Program is
an effective tool for fostering mutual understanding between the U.S.
and foreign countries?
Type
IE
Select One
Very effectively
Somewhat Effectively
Neither Effectively nor ineffectively
Somewhat Ineffectively
Very Ineffectively
Unsure
Question 451:
To what extent do you think the audience members were satisfied with
your most recent presentation?
Type
IE
Select One
Very Satisfied
Satisfied
Neither Satisfied nor Dissatisfied
Dissatisfied
Very Dissatisfied
14
Unsure
Question 452:
To what extent do you believe your U.S. Speaker and Specialist
event(s) had an effect on the foreign audience members’
understanding of:
Very
Positive
Effect
Positi
ve
Effect
Type
IE
Neither
Positiv
e or
Negati
Very
ve
Negativ Negativ
Effect e Effect e Effect
The United States in general
The people of the United States
and their values
The culture of the United States
The foreign policy of the United
States
Question 453:
To what extent do you believe your U.S. Speaker and Specialist
event(s) had an effect on the foreign audience members’ favorability
of:
Very
Positive
Effect
Positi
ve
Effect
Type
IE
Neither
Positiv
e or
Negati
Very
ve
Negativ Negativ
Effect e Effect e Effect
The United States in general
The people of the United States
and their values
The culture of the United States
The foreign policy of the United
States
Question 454:
Since your presentation, have you had the opportunity to communicate
with anyone that you met as a result of participating in the IIP Speaker
Program?
15
Type
IE
Yes
No
Question 454A:
If yes, how many are individuals that attended your presentation?
Type
IE
Response: Open-Ended
Question 454B:
If yes, How many are individuals that did not attend your presentation,
but rather heard about your participation in the IIP Speaker Program
and contacted you as a result? Do you happen to know how they heard
about your presentation?
Type
IE
Response: Open-Ended
Question 454C:
If yes, How many individuals did you meet through your participation in
the IIP Speaker Program, but not as a result of your presentation?
Examples include, but are not limited to, Post Staff or members of the
community in which the Post is located.
Type
IE
Response: Open-Ended
Question 454D:
If yes, Do you maintain any of these relationships by:
Type
IE
Media Type
Please
select all
that apply
Email
Telephone
Meeting in Person
Text Message
Communicating on social networking sites (e.g., Facebook, LinkedIn,
Twitter)?
16
Other, ____________________________
Question 454E:
If yes, In what language do you converse with these contacts?
Type
IE
Response: (provide choices, select all that apply)
Question 454F:
If yes, What types of interactions do you have with these contacts?
Type
IE
Types of Interaction
Please
select all
that apply
You request additional information from them
They request additional information from you
You initiate a collaboration
They initiate a collaboration
You send information to them
News that your presentation initiated an individual or group to start a
project, organize an event, publish something either on-line or in print,
contribute resources to an effort, etc.
Other, ____________________________
Question 455:
Have you maintained contact with members of the foreign audience
after the event?
Type
IE
Yes
No
Question 455A:
If yes, please provide:
Type
IE
17
Open
Ended
Number of people
Type of individual
Nature of relationship
Question 456:
Have you formed any partnerships as a result of your participation in the
event(s)?
Type
IE
Yes
No
Question 456A:
If yes, who are the partners?
Response: Open-Ended
Type
IE
Question 456B:
If yes, please describe the partnership.
Response: Open-Ended
Type
IE
Question 457:
With respect to your interactions with the Speaker Program staff in
Washington DC, how satisfied were you with each of the following:
Type
IE
Neither
Satisfied
Very
or
Satisfie Satisfie Dissatisfi
d
d
ed
Pre-trip planning
Guidance on the event’s schedule
and the anticipated audience
Responsiveness to inquiries
Guidance on event/presentation
structure (format, length, logistics)
Communication of U.S. Speaker
18
Dissatisfi
ed
Very
Dissatisfi
ed
Neither
Satisfied
Very
or
Satisfie Satisfie Dissatisfi
d
d
ed
Dissatisfi
ed
Very
Dissatisfi
ed
and Specialist Program objectives
Information provided on the
cultural context of the country
prior to the event
Amount of time provided for
planning and preparation of
presentation
Question 458:
With respect to your interactions with Embassy Staff in-country, how
satisfied were you with:
Neither
Satisfied
Very
or
Satisfie Satisfie Dissatisfi
d
d
ed
Type
IE
Dissatisfi
ed
Pre-trip planning
Guidance on the event’s schedule
and the anticipated audience
Responsiveness to inquiries
Guidance on event/presentation
structure (format, length, logistics)
Communication of U.S. Speaker
and Specialist Program objectives
Information provided on the
cultural context of the country
prior to the event
Amount of time provided for
planning and preparation of
presentation
Question 459:
For each of the following, how satisfied were you with each of the
following?
19
Type
IE
Very
Dissatisfi
ed
Neither
Satisfied
Very
or
Satisfie Satisfie Dissatisfi
d
d
ed
Dissatisfi
ed
Very
Dissatisfi
ed
Travel arrangements to country
Travel arrangements in country
Accommodations
Travel experience
Question 460:
For each of the following, how much more or less likely would you be to
participate in the U.S. Speaker and Specialist Program if the following
factors were to change? If you were:
Much
More
Likely
More
Likely
Neither
More
likely or
Less
likely
Type
IE
Less
Likely
Much
Less
Likely
Required to report on results of the
presentation in greater detail
Required to visit more than one
Post in a single trip
Required to visit more than one
country in a single trip
Only reimbursed for an economy
class ticket regardless of distance
Question 461:
How likely are you to participate in a Speaker Alumni Association
program?
Type
IE
Select One
Very likely
Likely
Neither Likely or Unlikely
Unlikely
Very Unlikely
Unsure
20
Question 461B:
What are the perceived benefits of such a program?
Type
IE
Response: Open-Ended
Question 462:
Overall, how satisfied are you with the U.S. Speaker and Specialist
Program?
Type
IE
Select One
Very Satisfied
Satisfied
Neither Satisfied nor Dissatisfied
Dissatisfied
Very Dissatisfied
Unsure
Question 463:
Was there anything that you particularly liked about your experience
with the U.S. Speaker and Specialist Program that you would like us to
know about?
Type
IE
Response: Open-Ended
Question 464:
Was there anything that you particularly disliked about your experience
with the U.S. Speaker and Specialist Program that you would like us to
know about?
Type
IE
Response: Open-Ended
Question 465:
Type
21
What recommendations do you have for the U.S. Speaker and
Specialist Program?
Response: Open-Ended
22
IE
ADDITIONAL QUESTIONS TO ADD TO GENERIC COLLECTION’S QUESTION BANK
Speakers Evaluation Foreign Public Questions
Question 466:
Please confirm the number of events hosted, sponsored, or supported
by the U.S. Embassy, U.S. Consulate, or American Corner that you
have attended.
Response: Open-Ended
Type
IE
Question 467:
Please confirm the number of U.S. Speaker Program events hosted,
sponsored, or supported by the U.S. Embassy, U.S. Consulate, or
American Corner that you have attended.
Response: Open-Ended
Type
IE
Question 468:
How long have you been participating in U.S. Embassy, U.S. Consulate,
or American Corner-sponsored programs, events, or activities?
Type
IE
Time
Select One
Less than one year
One Year
Two Years
_____ Years
Question 469:
Have you ever participated in a U.S. exchange program, such as the
International Visitor Program or Fulbright Program?
Type
IE
Yes
No
Question 470:
How did you learn about the U.S. Embassy, U.S. Consulate, or
American Corner-sponsored program(s)/event(s) you attended?
Type
IE
Check all
that apply
1
Advertising in local media
Word of mouth (friend, employer, colleague, relative)
Invitation from the U.S. Embassy, U.S. Consulate, or
American Corner
Invitation through professional organization, place of
employment, or university
Social networking website (Facebook, Other
_____________________)
Other, please specify_______________________
Question 471:
How did you learn about U.S. Speaker Program event(s) sponsored by
the U.S. Embassy, U.S. Consulate, or American Corner?
Type
IE
Check all
that apply
Advertising in local media
Word of mouth (friend, employer, colleague, relative)
Invitation from the U.S. Embassy, U.S. Consulate, or
American Corner
Invitation through professional organization, place of
employment, or university
Social networking website (Facebook, Other
________________)
Other, please specify_______________________
Question 472:
What motivated you to participate in the U.S. Embassy, U.S. Consulate,
or American Corner-sponsored program(s)/event(s)?
Type
IE
Check all
that apply
Factors
2
Interested in the topic
Interested in the speaker
Interested in learning more about the United States
Interested in an event organized by the U.S. Embassy/U.S.
Consulate/American Corner
I was invited to attend by a friend/colleague/relative who was
already planning to attend
Opportunity to network
Other_____________
Question 473:
What motivated you to attend U.S. Speaker Program event(s)?
Type
IE
Check all
that apply
Factors
Interested in the topic
Interested in the speaker
Interested in learning more about the United States
Interested in an event organized by the U.S. Embassy/U.S.
Consulate/American Corner
I was invited to attend by a friend/colleague/relative who was
already planning to attend
Opportunity to network
Other_____________
Question 474:
Have you ever participated in an electronic event?
Type
IE
Yes
No
Question 475:
Type
3
If Yes, Do you prefer in-person or electronic events?
IE
Select one response
only
Strongly prefer electronic
Prefer electronic
No preference
Prefer in-person
Strongly prefer in-person
Unsure
Not applicable
Question 476:
Were there any information or materials distributed at the
program(s)/event(s)?
Type
IE
Yes
No
Unsure
Question 477:
If Yes, What types of information or material were provided?
Type
IE
Response: Open Ended
Question 478:
If Yes, Who provided the information or material?
Type
IE
Response: Open Ended
Question 479:
If yes, was the information or material translated?
Yes
No
4
Type
IE
Question 480:
If Yes, was the information or material useful to you?
Type
IE
Yes
No
Question 481:
If Useful, how did you use the information and/or material?
Type
IE
Response: Open Ended
Question 482:
Type
What information or materials would you recommend the U.S. Embassy, IE
U.S. Consulate and American Corner disseminate and make available
to program/event guests?
Response: Open Ended
Question 483:
Have you recommended to others that they should attend
program(s)/event(s) hosted, sponsored, or supported by the U.S.
Embassy, U.S. Consulate, or American Corner?
Type
IE
Yes
No
Question 484:
If yes, to whom did you recommend attending?
Recommendation
Type
IE
Check all that
apply
Colleagues
Friends
Family
Other
Question 485:
Type
5
Was there an event that you found particularly good?
IE
Yes
No
Not Applicable
Question 486:
If Yes, which event?
Type
IE
Response: Open Ended
Question 487:
If Yes, why?
Type
IE
Response: Open Ended
Question 488:
If No, why?
Type
IE
Response: Open Ended
Question 489:
Was there an event that you found not particularly good?
Type
IE
Yes
No
Not Applicable
Question 490:
If Yes, which event?
Type
IE
Response: Open Ended
Question 491:
If Yes, why?
Type
IE
Response: Open Ended
6
Question 492:
If No, Why?
Type
IE
Response: Open Ended
Question 493:
As a result of the U.S. Embassy, U.S. Consulate, or American Corner
program(s)/event(s) you attended, do you feel more inclined to
participate in other U.S. Embassy-sponsored program(s)/event(s) in the
future?
Type
IE
Select One
Much More Inclined
More Inclined
Neither More or Less Inclined
Less Inclined
Much Less Inclined
Unsure
Not Applicable
Question 494:
As a result of the U.S. Speaker Program event(s) you attended, do you
feel more inclined to participate in other or similar events in the future?
Type
IE
Select One
Much More Inclined
More Inclined
Neither More or Less Inclined
Less Inclined
Much Less Inclined
Unsure
Not Applicable
Question 495:
What topic(s) would you be interested in seeing covered by an
7
Type
IE
American expert guest speaker?
Topics
Select all
that apply
Countering Terrorism
Education
Health
Energy
The Obama Administration and the U.S. Congress
Civil Society
Global Security
Media and Journalism and Freedom of the Press
Economic Prosperity
Global Environmental Protection
Climate Change
Other Environmental Issues
Trade
Agriculture
Poverty Reduction
Democracy
Rule of Law
Other_______________________________
Question 496:
What types of U.S. Embassy, U.S. Consulate, or American Corner
program(s)/event(s) do you find the most useful?
Type
IE
Check all
that Apply
Formal Speech or Lecture
Educational or Cultural Activity
Press Conference
Small Group Discussion
8
Workshop or Conference
Receptions
Exchange Programs
Other, __________________
Question 497:
In general, how would you rate your level of understanding of the Daily
life of the people who live in the United States?
Type
IE
Select One
Very High
High
Neither High nor Low
Low
Very Low
Unsure
Not Applicable
Question 498:
In general, how would you rate your level of understanding of the U.S.
popular culture (For example, current music, cinema, fashion, other
trends, etc.)?
Type
IE
Select One
Very High
High
Neither High nor Low
Low
Very Low
Unsure
Not Applicable
Question 499:
In general, how would you rate your level of understanding of the values
9
Type
IE
of the American People?
Select One
Very High
High
Neither High nor Low
Low
Very Low
Unsure
Not Applicable
Question 500:
In general, how would you rate your level of understanding of U.S.
foreign policies?
Type
IE
Select One
Very High
High
Neither High nor Low
Low
Very Low
Unsure
Not Applicable
Question 501:
In general, how would you rate your level of understanding of The
United States overall?
Type
IE
Select One
Very High
High
Neither High nor Low
Low
Very Low
10
Unsure
Not Applicable
Question 502:
In general, how would you rate your level of understanding of Religious
diversity in the United States?
Type
IE
Select One
Very High
High
Neither High nor Low
Low
Very Low
Unsure
Not Applicable
Question 503:
In general, how would you rate your level of understanding of Freedom
of speech and press in the United States?
Type
IE
Select One
Very High
High
Neither High nor Low
Low
Very Low
Unsure
Not Applicable
Question 504:
In general, how would you rate your level of understanding of Human
rights for all in the United States?
Type
IE
Select One
11
Very High
High
Neither High nor Low
Low
Very Low
Unsure
Not Applicable
Question 505:
To what extent do you agree or disagree that the following factors
represent the values or attributes of the American people: Friendly?
Type
IE
Select One
Strongly Agree
Agree
Neither Agree nor Disagree
Disagree
Strongly Disagree
Unsure
Not Applicable
Question 506:
To what extent do you agree or disagree that the following factors
represent the values or attributes of the American people: Trustworthy?
Type
IE
Select One
Strongly Agree
Agree
Neither Agree nor Disagree
Disagree
Strongly Disagree
12
Unsure
Not Applicable
Question 507:
To what extent do you agree or disagree that the following factors
represent the values or attributes of the American people: Openminded?
Type
IE
Select One
Strongly Agree
Agree
Neither Agree nor Disagree
Disagree
Strongly Disagree
Unsure
Not Applicable
Question 508:
To what extent do you agree or disagree that the following factors
represent the values or attributes of the American people: Arrogant?
Type
IE
Select One
Strongly Agree
Agree
Neither Agree nor Disagree
Disagree
Strongly Disagree
Unsure
Not Applicable
Question 509:
To what extent do you agree or disagree that the following factors
represent the values or attributes of the American people: Religious or
13
Type
IE
Spiritual?
Select One
Strongly Agree
Agree
Neither Agree nor Disagree
Disagree
Strongly Disagree
Unsure
Not Applicable
Question 510:
To what extent do you agree or disagree that the following factors
represent the values or attributes of the American people: Aggressive?
Type
IE
Select One
Strongly Agree
Agree
Neither Agree nor Disagree
Disagree
Strongly Disagree
Unsure
Not Applicable
Question 511:
To what extent do you agree or disagree that the following factors
represent the values or attributes of the American people:
Hardworking?
Type
IE
Select One
Strongly Agree
Agree
Neither Agree nor Disagree
Disagree
14
Strongly Disagree
Unsure
Not Applicable
Question 512:
To what extent do you agree or disagree that the following factors
represent the values or attributes of the American people: Cooperation?
Type
IE
Select One
Strongly Agree
Agree
Neither Agree nor Disagree
Disagree
Strongly Disagree
Unsure
Not Applicable
Question 513:
To what extent do you agree or disagree that the following factors
represent the values or attributes of the American people: Selfish?
Type
IE
Select One
Strongly Agree
Agree
Neither Agree nor Disagree
Disagree
Strongly Disagree
Unsure
Not Applicable
Question 514:
To what extent do you agree or disagree that the following factors
represent the values or attributes of the American people: Materialistic?
15
Type
IE
Select One
Strongly Agree
Agree
Neither Agree nor Disagree
Disagree
Strongly Disagree
Unsure
Not Applicable
Question 515:
In general, what sources of information contribute to your understanding
of the United States, including its foreign policies, culture, and values?
Type
IE
Check all that
apply
Education
U.S. News Sources
International News Sources
Local News Sources
Internet
Entertainment
Friends and Family
Other, ________________________
Question 516:
In general, how would you rate your level of favorability toward the
United States, including its foreign policies, culture, and values?
Type
IE
Select One
Very High
High
Neither High nor Low
Low
16
Very Low
Unsure
Not Applicable
Question 517:
To what extent do you consider the United States a positive or a
negative model for other countries?
Type
IE
Select One
Very Positive Model
Positive Model
Neither a Positive or Negative Model
Negative Model
Very Negative Model
Unsure
Not Applicable
Question 518:
To what extent do you consider the United States a positive or a
negative influence for other countries?
Type
IE
Select One
Very Positive Influence
Positive Influence
Neither a Positive or Negative Influence
Negative Influence
Very Negative Influence
Unsure
Not Applicable
Question 519:
Did you discuss any of the program(s)/event(s), or something that you
learned at the program(s)/event(s), with anyone?
17
Type
IE
Yes
No
Question 520:
If yes, How many of these people were individuals you met for the first
time at the event?
Type
IE
Quantity:
Question 521:
If yes, How many of these people were individuals that you already
knew, who also attended this event?
Type
IE
Quantity:
Question 522:
If yes, How many of these people were co-workers who did not attend
the event?
Type
IE
Quantity:
Question 523:
If yes, How many of these people were professional colleagues (same
industry, but not the same organization) who did not attend the event?
Type
IE
Quantity:
Question 524
If yes, How many of these people were family members who did not
attend the event?
Quantity:
Type
IE
Question 525
If yes, How many of these people were friends who did not attend the
event?
Quantity:
Type
IE
Question 526
Type
18
If yes, How many of these people were members of a professional
organization?
Quantity:
IE
Question 527
If yes, How many of these people were members of a social
organization you are involved in who did not attend the event(s)?
Quantity:
Type
IE
Question 528:
If yes, Are there any other types of individuals you discussed the
event(s), or something that you learned at the event(s), with?
Type
IE
Yes
No
Question 529:
If yes, how many?
Quantity:
Type
IE
Question 530:
If yes, Did any of these discussions occur in-person?
Type
IE
Yes
No
Question 531:
If yes, how many?
Quantity:
Type
IE
Question 532:
If yes, Over the telephone?
Type
IE
Yes
No
Question 533:
If yes, how many?
Type
IE
19
Quantity:
Question 534:
If yes, Via text message?
Type
IE
Yes
No
Question 535:
If yes, how many?
Quantity:
Type
IE
Question 536:
If yes, Over email (one-on-one)?
Type
IE
Yes
No
Question 537:
If yes, how many?
Quantity:
Type
IE
Question 538:
If yes, Over an email distribution list (one-to-many)?
Type
IE
Yes
No
Question 539:
If yes, how many?
Quantity:
Type
IE
Question 540:
If yes, On social networking sites (e.g., Facebook, etc.)?
Type
IE
Yes
No
20
Question 541:
If yes, how many?
Quantity:
Type
IE
Question 542:
If yes, Through formal presentations?
Type
IE
Yes
No
Question 543:
If yes, how many?
Quantity:
Type
IE
Question 544:
If yes, Other Forums?
Please describe: __________________________________________
Type
IE
Yes
No
Question 545:
If yes, how many?
Quantity:
Type
IE
Question 546:
Are there any professional or social organizations that you became
involved in as a result of your participation at the program(s)/event(s)?
Type
IE
Yes
No
Question 547:
Are there any professional or social organizations that you plan to
become involved in as a result of your participation at the
program(s)/event(s)?
21
Type
IE
Yes
No
Question 548:
Have you collaborated with any individual(s) as a result of your
participation at the program(s)/event(s)?
Type
IE
Yes
No
Question 549:
Type
Have you formed any partnerships as a result of your participation at the IE
program(s)/event(s)?
Yes
No
Question 550:
Aside from discussions, collaboration, and partnerships, have you taken
any other actions as a result of your participation at the
program(s)/event(s)?
Type
IE
Yes
No
Question 551:
If yes, please select all actions.
Type
IE
Action
Please select all that
apply
Started a new project/organization
Gave talks or presentations in your local community
Gave talks or presentations at work
Gave interviews to the media
22
Published material (newspaper, article, book, etc.)
Blogged
Volunteered
Studied in the U.S.
Traveled to the U.S.
Shared materials received
Other, )______________
Question 552:
Have you recommended U.S. Embassy, U.S. Consulate, or American
Corner events to others?
Type
IE
Yes
No
Question 553:
If yes, to whom did you recommend attending?
Recommendation
Type
IE
Check all that
apply
Colleagues
Friends
Family
Other
Question 554:
To your knowledge, to what extent does the U.S. Speaker Program
enable the U.S. Embassy, U.S. Consulate, or American Corner to
establish new relationships with your community?
Type
IE
Select One
23
Significantly
Moderately
Somewhat
Slightly
Not at all
Unsure
Not applicable
Question 555:
How often do you use the Internet?
Type
IE
Select One
Daily
Several times a week
Weekly
Monthly
Never
Do not have access to internet
Unsure
Not Applicable
Question 556:
How often do you watch television shows made in the U.S.?
Type
IE
Select One
24
Daily
Several times a week
Weekly
Monthly
I watch Television shows, but never televisions shoes
made in the U.S.
I do not watch television shows
Unsure
Not Applicable
Question 557:
How often do you watch movies made in the U.S.?
Type
IE
Select One
Daily
Several times a week
Weekly
Monthly
I watch movies, but never movies made in the U.S.
I do not watch movies
Unsure
Not Applicable
Question 558:
How often do you read a book or periodical written by a U.S. author?
25
Type
IE
Select One
Daily
Several times a week
Weekly
Monthly
I read books and periodicals, but never books and
periodicals written by a U.S. author
I do not read
Unsure
Not Applicable
Question 559:
Have you ever lived outside of (insert name of country)?
Type
IE
Yes
No
Question 560:
If yes, where?
Response: Open Ended
Type
IE
Question 561:
If yes, for how long?
Response: Open Ended
Type
IE
Question 562:
If yes, what was the reason?
Type
IE
Reason
Select all
that apply
Work
Family
26
Education
Other ,
___________________________________________
Question 563:
If no, would you ever consider living outside of (insert name of
country)?
Type
IE
Yes
No
Question 564:
Have you ever visited the United States?
Type
IE
Yes
No
Question 565:
If you had the opportunity, would you ever consider visiting the United
States?
Type
IE
Yes
No
Question 566:
If no, why?
Response: Open Ended
Type
IE
Question 567:
Would you ever consider living in the United States?
Type
IE
Yes
No
27
Question 568:
Do you have any personal or professional relationships with any
American citizens?
Type
IE
Yes
No
Question 569:
If yes, Personal or Professional?
Response: Open Ended
Type
IE
Question 570:
If Professional, How long?
Response: Open Ended
Type
IE
Question 571:
Please identify the formats of the U.S. Speaker Program events hosted,
sponsored, or supported by the U.S. Embassy, U.S. Consulate, or
American Corner that you have attended?
Type
IE
In-Person Type
In-Person
Large lecture
Roundtable
Workshop
Small group discussion
Panel
Other________________
Digital Video Conference (DVC)
Tele press conference
Teleconference
Web Chat
Web Cast
Pod Cast
Other, ___________________________
28
Check all
that
Apply
Question 572:
As a result of the U.S. Speaker Program event(s) you attended, did your
level of understanding of the U.S. society change?
Type
IE
Yes
No
Question 573:
Yes - If yes, how did it change?
Type
IE
Select One
Much more informed
More informed
Neither informed or confused
More confused
Much More confused
Unsure
Not applicable
Question 574:
As a result of the U.S. Speaker Program event(s) you attended, did your
level of understanding of the U.S. values change?
Type
IE
Yes
No
Question 575:
Yes - If yes, how did it change?
Type
IE
29
Select One
Much more informed
More informed
Neither informed or confused
More confused
Much More confused
Unsure
Not applicable
Question 576:
As a result of the U.S. Speaker Program event(s) you attended, did your
level of understanding of the U.S. foreign policies change?
Type
IE
Yes
No
Question 577:
Yes - If yes, how did it change?
Type
IE
Select One
Much more informed
More informed
Neither informed or confused
More confused
Much More confused
Unsure
Not applicable
Question 578:
How would you describe the Speakers’ level of expertise on the topic(s)
covered during the event?
30
Type
IE
Select One
High Expertise
Somewhat High Expertise
Average Expertise
Somewhat low Expertise
Low expertise
Unsure
Not applicable
Question 579:
How would you describe the Speakers’ credibility?
Type
IE
Select One
High Credibility
Somewhat High Credibility
Average Credibility
Somewhat Low Credibility
Low Credibility
Unsure
Not applicable
Question 580:
If answer is High Credibility or Low Credibility please explain.
Response: Open Ended
Type
IE
Question 581:
To what extent was the topic of the Speaker’s presentation relevant to
Type
IE
31
current event issues or events in your country?
Select One
Very Relevant
Relevant
Neither Relevant or irrelevant
Irrelevant
Very Irrelevant
Unsure
Not applicable
Question 582:
Did the Speaker present in English or in the local language?
Type
IE
Select One
English
Local Language
Question 583:
If English, Was translation made available for the presentation?
Type
IE
Yes
No
Question 584:
If Translated, How would you rate the quality of the translation?
Type
IE
Select One
Very High
32
High
Neither High or Low
Low
Very Low
Unsure
Not applicable
Question 585:
Did the language proficiency of the Speaker affect your experience at
the event?
Type
IE
Yes
No
Unsure
Not Applicable
Question 586:
If yes, how?
Type
IE
Response: Open Ended
Question 587:
How much did your understanding of the presentation topic change as a
result of attending the U.S. Speaker event(s)?
Type
IE
Select One
Significantly
Moderately
Somewhat
Slightly
33
Not at all
Unsure
Not applicable
Question 588:
Was there a U.S. Speaker event that you found particularly good?
Type
IE
Yes
No
Not Applicable
Question 589:
If Yes, Which Event?
Type
IE
Response: Open Ended
Question 590:
If Yes, Why?
Type
IE
Response: Open Ended
Question 591:
If No, Why?
Type
IE
Response: Open Ended
Question 592:
Was there a U.S. Speaker event that you found not particularly good?
Type
IE
Yes
No
Not Applicable
Question 593:
If Yes, Which Event?
Type
IE
34
Response: Open Ended
Question 594:
If Yes, Why?
Type
IE
Response: Open Ended
Question 595:
If No, Why?
Type
IE
Response: Open Ended
Question 596:
Other than U.S. Speaker event(s), have you attended any other
programs/events hosted by the U.S. Embassy, U.S. Consulate, or
American Corner?
Type
IE
Yes
No
Question 597:
If yes, What type of program(s)/event(s) have you attended?
Type
IE
Check all that
apply
Educational/professional exchanges (Fulbright, Humphreys,
International Visitor Leadership Program)
Cultural Event/programs
Digital Town Halls
Receptions
Media Tours
Other, _________________
Unsure
35
Question 598:
If yes, Approximately how many per year?
Type
IE
Response: Quantity
Question 599:
If yes, Do you recall the first event or program you ever attended
hosted, sponsored, or supported by the Embassy, Consulate, or
American Corner?
Type
IE
Yes
No
Question 600:
If yes, What year was it and what was the event?
Response: Open Ended
Type
IE
Question 601:
Type
IE
If yes (TO QUESTION THAT BEGINS “Other than Speaker events,
have you attended any other programs/events hosted by the Embassy”),
Generally speaking, how satisfied are you with the programs/events
hosted by the U.S. Embassy, U.S. Consulate, or American Corner?
Select One
Very Satisfied
Satisfied
Neither Satisfied nor Dissatisfied
Dissatisfied
Very Dissatisfied
Unsure
Not Applicable
36
Question 602:
Where are you currently employed?
Type
IE
Check all that
apply
Educational Institution
Government agency or public sector organization
Private not-for-profit organization
Private for-profit organizations
Media Organization
Self-Employed
Other, _________________________
Question 603:
What is the highest level of education that you have completed or the
highest degree that you have achieved?
Type
IE
Check all that
apply
Primary School
Secondary school/high school
Trade or technical school
Some college, no degree
Bachelor’s degree
Advanced Degree (Masters; Ph.D.)
37
Question 604:
Which religion do you identify with?
Type
IE
Check all that
apply
Islam
Christianity
Judaism
Buddhism
Hinduism
Other, ___________________________
Question 605:
What languages are you able to speak with reasonable fluency?
Response: Open Ended
Type
IE
Question 606:
In which city do you reside?
Response: Open Ended
Type
IE
Question 607:
Overall, how satisfied were you with the program(s)/event(s)?
Type
IE
Select One
Very Satisfied
Satisfied
Neither Satisfied nor Dissatisfied
Dissatisfied
38
Very Dissatisfied
Unsure
Not Applicable
Question 608:
If local language, How satisfied were you with the Speaker’s ability to
present in your local language?
Type
IE
Select One
Very Satisfied
Satisfied
Neither Satisfied nor Dissatisfied
Dissatisfied
Very Dissatisfied
Unsure
Not applicable
Question 609:
Overall, how satisfied were you with the U.S. Speaker event(s)?
Type
IE
Select One
Very Satisfied
Satisfied
Neither Satisfied nor Dissatisfied
Dissatisfied
Very Dissatisfied
39
Unsure
Not Applicable
Question 610:
Overall, how satisfied were you with the Speaker(s)?
Type
IE
Select One
Very Satisfied
Satisfied
Neither Satisfied nor Dissatisfied
Dissatisfied
Very Dissatisfied
Unsure
Not Applicable
40
Speakers Evaluation Focus Group Questions
Question 611:
What type of program(s)/event(s) have you attended or participated in?
(Such as a formal speech or lecture, educational or cultural
activity, press conference, small group discussion, workshop, or
exchange programs, etc.)
Type
IE
Response: Open-Ended (FG)
Question 612:
Do you remember when you attended your first program/event hosted,
sponsored, or supported by the U.S. Embassy, Consulate, or American
Corner? (Write earliest years on board – Focus on getting
participants to acknowledge earliest exposure to a guest speaker
from the United States)
Response: Open-Ended (FG)
Type
IE
Question 613:
How do you generally learn about the U.S. Embassy, Consulate, or
American Corner program(s)/event(s) you attended?
Type
IE
Response: Open-Ended (FG)
Question 614:
At the program(s)/event(s) that you attended, were you provided with
any information or materials? What types of information or materials
were provided and were they useful?
Response: Open-Ended (FG)
Type
IE
Question 615:
What was the format of the program(s)/event(s) you attended? Have
you ever participated in a DVC or any other online/electronic format?
(Prompt by distributing Show Card with examples: Live and inperson, others are via Digital Video Conference (DVC), Teleconference, Tele-press conference, Web Chat, Web Cast or
Podcast, etc)
Response: Open-Ended (FG)
Type
IE
41
Question 616:
Which formats would you be interested in using other than formats
previously used? (Ask specifically about electronic mediums)
Type
IE
Response: Open-Ended (FG)
Question 617:
In general, what sources of information contribute to your understanding
of the United States? (Prompts as required: education, U.S. news
sources, international news sources, local news sources, internet,
entertainment, friends and family
Response: Open-Ended (FG)
Type
IE
Question 618:
Type
IE
Do you feel more inclined to participate in other programs/events
(similar or not) sponsored by the U.S. Embassy, Consulate, or American
Corner in the future?
Response: Open-Ended (FG)
Question 619:
How has participation in these program(s)/event(s) helped you to form
lasting partnerships, collaborations or relationships with Americans or
American organizations? Please explain.
Response: Open-Ended (FG)
Type
IE
Question 620:
Type
IE
Did the program(s)/event(s) have any effect on your understanding of
the U.S., the American people, U.S. culture and values, and U.S. foreign
policies? If so, please explain.
Response: Open-Ended (FG)
Question 621:
As a result of attending the program(s)/event(s), have you had any
discussions, joined an organization, or formed any new partnerships?
(Ask specifically about starting projects, contributing time or
money to a cause, publishing articles, blogging) Are you aware of
42
Type
IE
any similar experiences of new partnerships formed from participation in
these types of programs/events? (Provide examples)
Response: Open-Ended (FG)
Question 622:
What types of U.S. Embassy, Consulate, or American Corner
program(s)/event(s) do you find the most useful, if any? [Provide other
examples of programs (lectures, receptions, etc)] Please explain.
Response: Open-Ended (FG)
Type
IE
Question 623:
Do you use social media interfaces/networks? If so, what types? For
what purposes do you use them? (Prompt if necessary: Facebook,
Twitter, LinkedIn)
Type
IE
Response: Open-Ended (FG)
Question 624:
Do you remember when you attended your first event featuring an
expert guest Speaker from the U.S.? (Write responses on board –
focus on getting everyone to acknowledge earliest exposure to
guest speaker from the United States sponsored by U.S. Embassy,
U.S. Consulate, or American Corner)
Response: Open-Ended (FG)
Type
IE
Question 625:
How do you generally learn about the Speaker event(s) you attend
featuring an expert guest speaker from the U.S.?
Type
IE
Response: Open-Ended (FG)
Question 626:
What made you decide to attend one or more of these event(s)? What
were your motivations? (Discuss: Subject matter, reputation of
speaker, etc.)
Response: Open-Ended (FG)
43
Type
IE
Question 627:
In your opinion how important is it to have a pre or post event reception
to continue conversations with a Speaker? Have you participated in
such events with a U.S. Speaker and what did you find useful about
them?
Type
IE
Response: Open-Ended (FG)
Question 628:
Other than events featuring an expert guest speaker from the United
States, have you attended any other events hosted by the U.S.
Embassy, Consulate, or American Corner? (If necessary, prompt with
examples: workshops, conferences, receptions, etc.)
Type
IE
Response: Open-Ended (FG)
Question 629:
What event topics would you like to see the U.S. Embassy, Consulate,
or American Corner focus on or support more of in the future? (Probe
why this is important or not)
Type
IE
Response: Open-Ended (FG)
Question 630:
Overall, how would you describe the Speakers’ level of expertise and
credibility on the topic(s) covered during the event(s) you attended?
(probe depth of knowledge, relevance) In your opinion, did their level
of expertise enhance your understanding of the subject matter? In what
way?
Type
IE
Response: Open-Ended (FG)
Question 631:
In what format were the expert guest speaker event(s) you attended?
(Such as live traveling speaker, live digital video conferences
(DVC’s), teleconference, web chats or pod casts) What were the
strengths and/or weaknesses of the format you participated in?
44
Type
IE
Response: Open-Ended (FG)
Question 632:
To your knowledge, how does the Speaker Program assist the
Embassy, Consulate, or American Corner in establishing new
relationships with your community?
Type
IE
Response: Open-Ended (FG)
Question 633:
What recommendations would you make for the U.S. Speaker Program,
the program responsible for engaging expert American guest speakers
with people such as yourselves?
Type
IE
Response: Open-Ended (FG)
Question 634:
If you could make a recommendation to the U.S. Embassy improve or
strengthen these types of programs, what would it be? (Probe on
credibility of speaker; frequency of speaker programs; format and
location of programs, etc.)
Response: Open-Ended (FG)
Type
IE
Question 635:
Overall, how satisfied were you with the program(s)/event(s)?
Type
IE
Response: Open-Ended (FG)
Question 636:
Overall, please describe how satisfied you were with the event(s)? How
satisfied were you with the Speaker(s)?
Response: Open-Ended (FG)
45
Type
IE
PMDCP Questions
Question 637:
In the past twelve months, how often have you interacted with
Americans (in person, on the telephone, or via the Internet)?
Type
PMDCP
Select one
Never
Once per month or less
Few times per month
Once per week
More than once per week
Question 638:
Type
How well do you understand U.S. popular culture and the arts (literature, PMDCP
music, movies, food, video games)?
Select one
Not at all
A little
Somewhat
Well
Very well
Question 639:
How well do you understand U.S. foreign policies?
Type
PMDCP
Select one
Not at all
A little
Somewhat
Well
Very well
Question 640:
To what extent do you consider the United States a positive or negative
role model for other countries?
46
Type
PMDCP
Select one
Very negative model
Somewhat negative model
Neither positive nor negative model
Somewhat positive model
Very negative model
Question 641:
What about the influence of the United States in the world--would you
say the United States has a:
Type
PMDCP
Select one
Very negative influence
Somewhat negative influence
Neither positive nor negative influence
Somewhat positive influence
Very negative influence
Question 642:
To what extent do you agree or disagree with the following statements?
Strongly
Disagree
disagree
The United States
supports democracy in
the world
The United States
interferes in the affairs
of other countries
The United States tries
to dominate other
countries economically
The United States
welcomes students
from [COUNTRY] to
attend U.S. colleges
47
Neither
agree
nor
disagree
Type
PMDCP
Agree
Strongly
agree
and universities
Question 643:
In the past four years, would you say [COUNTRY]'s overall relations
with the U.S. have been:
Type
PMDCP
Select one
Very bad
Bad
Neither good nor bad
Good
Very good
Question 644:
Looking ahead to the future, to what extent do you expect that relations
between [COUNTRY] and the United States will change? Will relations
Type
PMDCP
Select one
Worsen greatly
Worsen
Remain the same
Improve
Improve greatly
Question 645:
To what extent do relations between the U.S. and [COUNTRY] have the
potential to benefit [COUNTRY] in the areas listed on this card:
Not at
all
Education
Health
Energy
Environment
Free market development
Agriculture
Trade
Poverty reduction
48
A little
Somewhat
Much
Type
PMDCP
Very
much
Democracy/Human rights
Rule of law
Question 646:
How favorable or unfavorable do you feel about U.S. pop culture and
the arts?
Type
PMDCP
Select one
Strongly Unfavorable
Unfavorable
Neither favorable nor unfavorable
Favorable
Strongly favorable`
Question 647:
In the past four years, would you say [COUNTRY]'s overall relations
with the U.S. have been:
Type
PMDCP
Select one
Very bad
Bad
Neither good nor bad
Good
Very good
Question 648:
How informed are you regarding news and current events related to the
United States of America?
Type
PMDCP
Select one
Not at all informed
A little informed
Somewhat informed
Informed
Very informed
Question 649:
Type
49
How much do you trust the credibility of information from the following
sources:
Not
familiar
with
Do not
trust
Trust a
little
Trust
somewhat
PMDCP
Trust
much
Trust
very
much
U.S. television news
United States
entertainment television
Books, newspapers, or
magazines published in
the United States
United States
government radio
programs
U.S. embassy/U.S.
consulate
general/American Center
in [COUNTRY]
U.S. government
websites
Non-U.S. websites in
your language
Non-U.S. television
programming (local or
satellite)
Non-U.S. television news
channels (local or
satellite)
Books, newspapers, or
magazines published in
[COUNTRY]
Local radio stations
[COUNTRY] government
Friends and family
Question 650:
Please tell me how much you are interested in each topic:
Not at
all
Sports
Politics in [COUNTRY]
50
A little
Type
PMDCP
Somewhat
Much
Very
much
[COUNTRY] news
U.S. politics
U.S. news
U.S. culture (literature;
music; the arts; movies)
People living in the U.S.
International news
Business and financial
news
Religion
Scientific news and
advances
Question 651:
Please rank the top three sources of information that you rely on:
First
Second
Type
PMDCP
Third
Television
Radio
Newspapers
Internet
Professional colleagues
Friends and family
Question 652:
Currently, do you have regular access to the Internet?
Type
PMDCP
Select one
No
Yes
Question 653:
Do you access the Internet at:
Type
PMDCP
No
Work
Home
School
Public library
51
Yes
Internet café
Cell phones or other
mobile devices
Other
Question 654:
Overall, how many hours do you spend on the Internet?
Type
PMDCP
Select one
Less than 1 hour per week
1-3 hours per week
3-7 hours per week
7-14 hours per week
More than 14 hours per week
Question 655:
How often do you use the Internet for the following activities:
Never
Once
per
month
Visit U.S. websites for
personal use or
recreation (listen or
download music, watch
videos, play games)
Visit websites to get
information or news about
U.S. society, culture, or
people in general
Visit websites to get
information or news about
U.S. politics or policies
Visit U.S. embassy/U.S.
Consulate
General/American Center
website
Use local Web 2.0 portals
Visit America.gov website
Use Internet to interact
52
Few
times
per
month
Type
PMDCP
Once
per
week
Few
times
per
week
Daily
with Americans or to
meet new Americans
(emails, chat rooms,
instant messaging, social
networking sites)
Read Internet
newsgroups, bulletin
boards, discussion
forums, or blogs (web
logs) about U.S.
Actively participate (write
dialogue, opinions,
entries) in Internet
newsgroups, bulletin
boards, discussion
forums, or blogs (web
logs) about U.S.
Send or receive emails
[FOR PALESTINIAN
TERRITORIES ONLY]
Visit U.S. Consulate
General website in Arabic
[FOR PALESTINIAN
TERRITORIES ONLY]
Visit U.S. Consulate
General website in
English
[FOR PALESTINIAN
TERRITORIES ONLY]
Visit Virtual Presence
Post/VPP website in
English
[FOR PALESTINIAN
TERRITORIES ONLY]
Visit Virtual Presence
Post/VPP website in
Arabic
Question 656:
How long have you been participating in U.S. embassy/U.S. Consulate
General/American Center-sponsored programs, activities, or materials?
Type
PMDCP
Select one
Less than 1 year
53
1-3 years
3-5 years
Over 5 years
Question 657:
Have you ever used any of the following materials from an American
Library, American Corner, or a U.S. Information Resource Center? How
satisfied or dissatisfied were you with the activities?
No/yes
Type
PMDCP
Neither
Very
Dissatisfied
Very
dissatissatisfied not dis- Satisfied satisfied
fied
satisfied
American library,
American corner, or
U.S. information
resource center
overall?
CDs or other electronic
media
Online resources or
materials (emails,
websites, Web Alert)
Question 658:
How much has this information increased your understanding of the
following aspects of the U.S.:
Not at
all
Daily life of the people
who live in the United
States?
Ethnic diversity in the
United States?
Religious diversity in the
United States?
Educational processes
and opportunities in the
United States?
U.S. popular culture and
the arts (literature, music,
54
A little
Somewhat
Type
PMDCP
Much
Very
much
movies, food, video
games)?
Voluntary community
service in the United
States?
Freedom of speech and
press in the United
States?
Human rights and legal
protections for all in the
United States?
Free elections in the
United States?
Equal opportunities in the
United States?
The role of the market
and economic
competition in the United
States?
U.S. foreign policies?
The U.S. overall?
Question 659:
How much has your participation in all U.S. embassy/U.S. Consulate
General/American Center-sponsored activities and materials made your
views more favorable toward the following aspects of the U.S.:
Not at
all
Daily life of the people
who live in the United
States?
Ethnic diversity in the
United States?
Religious diversity in the
United States?
Educational processes
and opportunities in the
United States?
U.S. popular culture and
the arts (literature, music,
movies, food, video
games)?
Voluntary community
55
A little
Somewhat
Much
Type
PMDCP
Very
much
service in the United
States?
Freedom of speech and
press in the United
States?
Human rights and legal
protections for all in the
United States?
Free elections in the
United States?
Equal opportunities in the
United States?
The role of the market
and economic
competition in the United
States?
U.S. foreign policies?
The U.S. overall?
Question 660:
Type
Countries other than the United States sometimes sponsor activities and PMDCP
programs in [COUNTRY] like exchange programs, cultural events,
lectures, workshops, and information materials. Have you ever
participated in an activity or program sponsored by any countries other
than the U.S.?
Select one
No
Yes
What kind of activity/program was it? Open-Ended
Question 661:
What country/countries sponsored the programs or activities you
participated in?
Type
PMDCP
Please select
all that apply
United Kingdom
France
Australia
China
56
Italy
Netherlands
Iran
Saudi Arabia
Other
Question 662:
How satisfied are you with the activities, programs or materials
sponsored by this/these countries?
Type
PMDCP
Select one
Strongly dissatisfied
Dissatisfied
Neither satisfied nor dissatisfied
Satisfied
Strongly satisfied
Question 663:
Have you ever applied for a visa to travel to the United States?
Type
PMDCP
Select one
No
Yes
Question 664:
How satisfied were you with the overall U.S. Visa application process?
Type
PMDCP
Select one
Strongly dissatisfied
Dissatisfied
Neither satisfied nor dissatisfied
Satisfied
Strongly satisfied
Question 665:
How did your experience with the U.S. Visa application process affect
57
Type
PMDCP
your opinion of the United States?
Select one
Made my opinion much more negative
Made my opinion more negative
Did not affect my opinion
Made my opinion more positive
Made my opinion much more positive
Question 666:
Upon entering the U.S. how satisfied were you with the security and
custom procedures at the airport?
Type
PMDCP
Select one
Strongly dissatisfied
Dissatisfied
Neither satisfied nor dissatisfied
Satisfied
Strongly satisfied
Question 667:
How did your experience with security and custom procedures at the
United States airport affect your opinion of the United States?
Type
PMDCP
Select one
Made my opinion much more negative
Made my opinion more negative
Did not affect my opinion
Made my opinion more positive
Made my opinion much more positive
Question 668:
What kind of activity/program/event have you ever participated in?
Type
PMDCP
Please select
all that apply
58
Social or cultural events, such as art exhibits, receptions, dinners,
concerts, or movie nights
Tourism, visa, and travel-related information
English language classes
Lectures, meetings, or interviews in [COUNTRY] with American
professionals, celebrities, or government officials
Multi-speaker events such as conferences, panel discussions, seminars,
symposia, or workshops
Other
Question 669:
What are the main reasons why you attended these events?
Type
PMDCP
Please select
all that apply
Learn about the U.S.
Gain professional and work-related information
Entertainment
Networking-to socialize and meet new people
Personal interest in the topics
Other
Question 670:
What information did you get?
Type
PMDCP
Please select
all that apply
Tourism, travel-related, and visa information
Education and studying in the U.S.
Government and politics in the U.S.
Professional information
The U.S. society, culture, art, history, and people
Democracy, human rights, and free press
Other
Question 671:
In the future, how likely would you be to attend at least once a lecture,
symposium, or other kind of event providing information about the
59
Type
PMDCP
United States culture, society, and values?
Select one
Very unlikely
Unlikely
Neither likely nor unlikely
Likely
Very likely
Question 672:
Would the likelihood of you attending a lecture, symposium, or event
change if it was created or sponsored by the U.S. embassy/U.S.
Consulate General/American Center?
Type
PMDCP
Select one
Much less likely to attend
Less likely to attend
Opinion to attend would not change
More likely to attend
Much more likely to attend
Question 673:
How often do you read a publication or a website providing information
about the United States culture, society, and values?
Type
PMDCP
Select one
Never
Once per month or less
Two to three times per month
Once per week
More than once per week
Question 674:
In the future, how likely would you be to read, at least once, a
publication or a website providing information about the United States
culture, society, and values?
60
Type
PMDCP
Select one
Very unlikely
Unlikely
Neither likely nor unlikely
Likely
Very likely
Question 675:
Would the likelihood of you reading a publication or website change if it
was created or sponsored by the U.S. embassy/U.S. Consulate
General/American Center?
Type
PMDCP
Select one
Much less likely to read
Less likely to read
Opinion to read would not change
More likely to read
Much more likely to read
Question 676:
How much have you:
Type
PMDCP
Not at
all
Referred others to United
States media
(newspapers, magazines,
television, radio, and
Internet)?
Gave talks or
presentations in your
community?
Gave talks and
presentations at work?
Talked informally with
others in small groups or
with others one-on-one
about your experience in
these
61
A little
Some
Much
Very
much
activities/programs?
Shared materials
received from the U.S.
embassy/U.S. Consulate
General/American Center
in [COUNTRY]?
Written opinion pieces,
reports, articles, or
books?
Gave interviews to the
media?
Used the Internet to
communicate information
about the United States?
Used some other
method?
Question 677:
How much has your participation in U.S. embassy/U.S. Consulate
General/American Center-sponsored activities or programs been useful
to you to:
Not at
all
Perform volunteer
activities or community
service?
Establish a NonGovernment Organization
(NGO) network,
association, or group?
Become involved with
new groups,
organizations, or
networks?
Start a new business?
Introduce new ideas and
knowledge to a local
organization, community,
or group (lectures,
workshops,
presentations)?
Become elected or
appointed to a local,
62
A little
Somewhat
Much
Type
PMDCP
Very
much
regional, or national
government position?
Propose, write, pass, or
reform a new law/treaty?
Write or publish a book,
article, editorial,
commentary, or essay?
Establish partnerships,
joint ventures, projects, or
organizational linkages?
Prepare to study in the
United States?
Other
Focus Group Questions:
Question 678:
Now, I'd like to ask you to think about the current state of affairs
between [COUNTRY] and the United States--what is your vision for that
relationship going forward from now? [PROBES] Why is it good to be a
partner with the U.S.? What specific elements do you think are key to
establishing and maintaining a relationship with [COUNTRY] and the
U.S.? How does that differ, in your opinion, from the U.S.?
Type
PMDCP
Response: Open-Ended (FG)
Question 679:
What is your opinion of the United States as a country? Please explain
your views. [PROBES] How does your opinion of the people of the
United States differ from your view of the United States as a country?
How did you come to this opinion?
Type
PMDCP
Response: Open-Ended (FG)
Question 680:
What are the strengths of [COUNTRY] current relationship with the
U.S.? Please describe. [PROBES] Why do you think these strengths
work in the current relationship with the U.S.? Does history influence
how you think about the U.S.? How? Please describe.
Response: Open-Ended (FG)
63
Type
PMDCP
Question 681:
What are the barriers to [COUNTRY] achieving your vision for its
relationship with the U.S.? Explain why. [PROBES] What suggestions
or practical solutions do you have to overcome those barriers? When
faced with barriers within [COUNTRY] what sources have been used to
break down those barriers?
Type
PMDCP
Response: Open-Ended (FG)
Question 682:
Type
Would you say that the [COUNTRY] people overall have the same
PMDCP
views as those expressed by this group? If not, how are their views
different and why? [PROBES] Are there differences because of the
nature of the people, level of education, ethnic group, religion, economic
status, geographic area? Are there differences because of beliefs, how
they form opinion, what influences their opinions, driven by different
personal experiences? Describe some of the cultural values and social
aspects of your society? Do you think these aspects affect your
perceptions of the U.S.? How? What cultural and social aspects do you
think [COUNTRY] shares with the U.S.? Why differ?
Response: Open-Ended (FG)
Question 683:
Is there anything else about the [COUNTRY] people's views about
[COUNTRY] relationship with the U.S. that we didn't discuss yet?
Please describe.
Type
PMDCP
Response: Open-Ended (FG)
Question 684:
We are going to be talking about media sources you use to get
information and the media sources that you trust. First tell me about
what you think of when I say the word "media." [PROBES] How do you
define media? What comes to mind?
Type
PMDCP
Response: Open-Ended (FG)
Question 685:
What are the top 3 media sources that you use and trust most often?
[PROBES] What sources do you use/trust most often? What sources
do you use/trust least often?
64
Type
PMDCP
Response: Open-Ended (FG)
Question 686:
Type
Describe the role of media in your everyday lives and how you
PMDCP
interact/engage with media? [PROBES] What forms of media do you
use, e.g., Internet, email, SMS/text messaging, social networking
websites? Facebook? What sources of media to you use to receive
information and news about the U.S.? With whom do you share
information about the U.S.? What sources of media do you use to share
information about the U.S.?
Response: Open-Ended (FG)
Question 687:
What forms of U.S. media have you been exposed to? [PROBES]
What forms of U.S. media do you use, e.g., TV, radio, Internet, social
networking websites? Which of these media sources do you trust the
most and the least?
Type
PMDCP
Response: Open-Ended (FG)
Question 688:
Please provide examples of Public Diplomacy media-related activities
that you've been exposed to: lectures, digital video conferences,
webcast, read/received a print publication, etc? What ideas or
techniques have you learned from PD media-related activities?
Type
PMDCP
Response: Open-Ended (FG)
Question 689:
Have you put into practice any of the ideas or techniques that you have
learned while participating in U.S. embassy sponsored media-related
activities? Please describe what you did. [PROBES] What kind of
information did you share? Cultural, political, historical? Who did you
share information? Friends, family? What did you hope to accomplish
by sharing this information?
Type
PMDCP
Response: Open-Ended (FG)
Question 670:
Type
65
What other kinds of actions have you taken as a result of your
participation? Did you put into practice any of the ideas and techniques
you learned while participating in other types of embassy sponsored
events? Please describe what you did. [PROBES] What they did, who
they did it with, purpose of action?
PMDCP
Response: Open-Ended (FG)
Question 671:
Type
How did other people respond to or get involved in your actions?
PMDCP
Please describe. [PROBES] Were they engaged? Did they ignore your
actions? Did they seek out more information? How did they follow up
with you, e.g., Internet, email, blogging? Who were the people that
responded to your actions?
Response: Open-Ended (FG)
66
EME Snap Foreign Audience Questions
Question 672:
First, in what year were you born?
Type
IE
Response: Open-Ended
Question 673:
Gender
Type
IE
Select one
Male
Female
Question 674:
Which of the following have you done in the last 30 days?
Type
IE
Please select
all that apply
Read a newspaper
Watched television
Listened to the radio
Sent or received an SMS text message
Accessed the internet on a PC at home
Accessed the internet on a PC at someone else’s home
Accessed the internet on a PC at a public location such as an internet
café or school
Accessed the internet via a mobile device
Question 675:
Generally speaking, are things in [COUNTRY] generally going in the
right direction, or are they going in the wrong direction?
Type
IE
Select one
Right direction
Wrong direction
67
Question 676:
First, how favorable would you say you are towards each of the
following countries? Would you say very favorable, somewhat
favorable, not too favorable or not at all favorable?
Very
favorable
Somewhat
favorable
Type
IE
Not too
favorable
Not at all
favorable
COUNTRY 1
COUNTRY 2
COUNTRY 3
COUNTRY 4
COUNTRY 5
Question 677:
If the following international figures expressed an opinion about
international affairs, would you tend to trust them or not, or don’t you
have enough information to say?
Would
trust
Type
IE
Would not
trust
Don’t have
enough
info. to
say
United States President Barack Obama
LEADER 2
LEADER 3
LEADER 4
LEADER 5
Question 678:
In thinking more about the role the United States has in the world, to
what extent do you agree or disagree with the following statements?
Would you say you strongly agree, somewhat agree, somewhat
disagree or strongly disagree?
Strongly
agree
The United States is a trustworthy
partner for [COUNTRY]
68
Somewhat Somewhat
agree
disagree
Type
IE
Strongly
disagree
Don’t
have
enough
info. to
say
The United States treats [COUNTRY]
with respect
The United States is a good trading
partner for [COUNTRY]
The United States tries to impose its
culture on other countries
The United States provides
assistance to other countries to help
do things like improve roads,
healthcare, agriculture
The United States aids in disaster
relief around the world
The United States supports human
rights for all in the world
The United States supports
democracy in the world
The United States interferes in the
affairs of other countries
The United States tries to dominate
other countries economically
The United States welcomes
students from [COUNTRY] to attend
U.S. colleges and universities
Question 679:
What best describes your occupational level? If you are unemployed,
please specify this for your last job.
Type
IE
Select
one
Managers and senior officials
Professional occupations
Technical
Administrative and secretarial
Skilled trades occupations
Personal service occupations
Sales and customer service occupations
Process, plant, and machine operatives
Unskilled or elementary occupations
Never employed
Question 680:
Which category best describes your highest level of education?
69
Type
IE
Select
one
Primary
Junior secondary
Senior secondary
Technical
Some college
College graduate
Postgraduate (masters degree)
Postgraduate (doctorate degree)
Question 681:
Which of the following categories describes your employment status?
Type
IE
Select
one
Employed full time (by someone else)
Employed part time (by someone else)
Self-employed
Temporarily unemployed (looking for
work)
Retired
Homemaker
Full time student
Other (specify)
Question 682:
What is the combined income of all members of your household?
Select
one
[INCOME LEVEL 1]
[INCOME LEVEL 2]
[INCOME LEVEL 3]
[INCOME LEVEL 4]
[INCOME LEVEL 5]
[INCOME LEVEL 6]
[INCOME LEVEL 7]
[INCOME LEVEL 8]
[INCOME LEVEL 9]
[INCOME LEVEL 10]
70
Type
IE
[INCOME LEVEL 11]
Greater than [INCOME LEVEL11]
Refused
71
EME Foreign Audience Questions
Question 683:
Next, here are some topics that people might find interesting. One a
scale of 1 to 7, where 1 means not at all interested and 7 means
extremely interested, please say how interested you personally, are in
each of the following.
1
Not at all
interested
Books, literature, and reading
Business, finance and
economics
Children, family, and parenting
Citizens’ rights and democracy
Computer and electronic
software and devices
Criminal justice and the courts
Decorating, renovating, and
other home improvement
projects
Educational opportunities and
issues
Employment and the
workplace
Environmental issues
Ethnicity, race, minorities, and
immigration
Farming and food production
Film /movies
Fine arts and theater
Fitness and exercise
Food and cooking
Foreign language learning
Health and wellness
History
Humor / cartoons / comedy
International trade and
economics
Internet technology and issues
Music
New technology products and
72
2
3
4
5
Type
IE
6
7
Extremely
interested
gadgets
Photography
Politics, elections, and
government
Relations with foreign countries
Religion
Science and innovation
Shopper reviews and
consumer prices
Sports
Television and popular
entertainment
Third world / international
development issues
Travel
War and conflict
Women’s issues and rights
Question 684:
I am now going to read you a list of activities. For each one, please tell
me how often you do each of the following. Do you do
each daily, weekly, monthly, less often or never? Some of the ways you
spend your time may not be on this list, and some of these activities
may overlap, and that’s okay.
Daily
Weekly
Exercising or playing sports
Reading books, magazines,
or newspapers
Reading religious materials
(e.g., Bible, Koran, or Torah)
Going to the cinema
Going to religious services
(e.g., Mosque)
Doing volunteer work
Taking a class
Attending musical events or
concerts
Socializing with friends
Cooking
Visiting museums or cultural
events
Watching TV with family
73
Monthly
Type
IE
Less
often
Never
members
Shopping
Visiting a park, beach, nature,
or other outdoor destination
Question 685:
About how many hours would you say you spend doing each of the
following on a typical WEEKDAY and on a typical WEEKEND DAY?
Type
IE
Number of hours spent on a typical …
WEEKDAY
WEEKEND Day
Watching TV
Listening to radio
Reading newspapers
Reading magazines
Accessing the Internet on a PC for nonworking purposes
Accessing the Internet on a mobile phone
for non-working purposes
Talking on a mobile phone
SMS or text messaging on a mobile
phone
Accessing your personal email account
Question 686:
Next, please say how many times you did each of the following online
activities in the PAST 30 days.
Type
IE
Enter number of times
Write a blog or article online
Update your profile
Update web page
Upload a video or audio to sites like YouTube
Upload photos on sites like Flickr
Post comments on blogs or online forums
Send a Tweet on Twitter or other type of microblog
Forward links of what you read, view, or hear from the web to
other people online
Talk about what you read, view, or hear from the web with
74
other people
Visit a social networking site like Facebook or MySpace
Listen to podcasts or radio streamed over the Internet
Read Tweets or other microblog posts
Read blogs or forums
Read news or information articles online
Receive RSS feeds, email alerts, and other automatic
updates over the internet
Watch video clips from sites like YouTube
Question 687:
Earlier, you told us that you are interested in [TOPIC 1, TOPIC 2, TOPIC 3,
TOPIC 4, and TOPIC 5]. Which of the following below do you use to get
information about these topics? Using this list please call off the letters of the
ways in which you get information about each topic.
TOPIC
1
TOPIC
2
TOPIC
3
Type
IE
TOPIC TOPIC
4
5
Social networking sites like Facebook or
MySpace
Podcasts
Blogs or forums
Online news or information websites
RSS feeds, email alerts, and other automatic
updates over the internet
Online videos or photos
Twitter
SMS automatic news, updates, and alerts
SMS messages from friends or family
Podcasts or radio streamed over the Internet
None of these
Question 688:
Below are some reasons people might visit different websites or use
their mobile phone. For each of the following activities, please check all
reasons that apply to you.
Visit
online
information
sites
(e.g.
Visit
social
networking
sites
(e.g.
Visit
blogging
sites
(e.g.
LiveJournal
75
Visit
video sites
(e.g.
YouTube)
Type
IE
Visit
online sites
that stream
radio
Send or
receive
SMS / text
messages
BBC.com)
Facebook)
)
To relax
To learn
To be informed
To be
entertained
To be
connected with
family
To escape
To be
connected with
friends
None of these
reasons
Question 689:
Thinking about various sources of news, to what extent do you trust
each of the following for international news. Would you say you have a
great deal of trust, a fair amount of trust, not very much trust or you do
not trust it at all?
a.
b.
c.
d.
e.
f.
g.
h.
i.
j.
k.
Domestic radio
Domestic TV
International radio from the Middle East
International radio from Europe
International radio from the U.S.
International TV from the Middle East
International TV from Europe
International TV from the U.S
Newspapers
Magazines
The Internet
A
great
deal
of
trust
4
4
4
4
4
4
4
4
4
4
4
Type
IE
A fair
amount
of trust
Not very
much
trust
Do not
trust
at all
3
3
3
3
3
3
3
3
3
3
3
2
2
2
2
2
2
2
2
2
2
2
1
1
1
1
1
1
1
1
1
1
1
Question 690:
Type
IE
Thinking about different types of media and technology activities, please
say how much you agree or disagree with each of the following
76
statements. Would you say you strongly agree, somewhat agree,
somewhat disagree or strongly disagree?
Strongly
agree
Somewh
at agree
Somewh
at
disagree
Strongly
disagree
I am excited about the latest
technology and use it as much as I
can
I feel overwhelmed by all of the
information choices online
For international news, I trust
television more than the Internet
For international news, I trust
information from family and friends
more than online information sites
When listening to radio streamed
over the Internet, I feel connected to
far-away places
It’s easier to use my mobile phone to
text/SMS message my friends and
family than actually talk to them
I would watch more online videos if
the quality were better
Figuring out how to use all the online
and mobile technology for following
news is too complicated
I worry that my privacy is not
protected enough with using social
networking sites like Facebook
Sometimes it takes so long to
download online photos or videos
that it doesn’t feel worth it
Question 691:
Now thinking about specific websites, which of the following websites do
you visit regularly?
Please
select all
that apply
[SITE 1]
77
Type
IE
Don’t
have
enough
info. to
say
[SITE 2]
[SITE 3]
[SITE 4]
[SITE 5]
Question 692:
Here is the list of websites you just chose. Of these, please select the
three websites that you visit most often.
Type
IE
Please
select up to
three
[SITE 1]
[SITE 2]
[SITE 3]
[SITE 4]
[SITE 5]
Question 693:
Switching topics slightly to SMS or text messaging – in a typical DAY,
how many text or SMS messages do you…
Type
IE
Enter number
Send to friends / family
Receive from friends / family
Send to people other than friends/family (e.g., companies
or organizations)
Receive from people other than friends/family (e.g.,
companies or organizations)
Question 694:
How much do you agree or disagree with each of the following about
SMS or text messaging? Would you say you strongly agree, somewhat
agree, somewhat disagree or strongly disagree?
Strongly
agree
Somewhat Somewhat
agree
disagree
78
Type
IE
Strongly
disagree
Don’t
have
enough
info. to
say
I would SMS / text message
more often if the cost was
lower
SMS / text messages are
for communicating with
friends – not for following
news stories
SMS / text messaging is the
primary way the people in
my life communicate
SMS / text messaging is
great for a quick exchange,
but not an entire
conversation
I would like to receive SMS
/ text message news
updates, so I know what's
happening as soon as news
breaks
Question 695:
Now please think about information you have read, viewed, or heard
over the last 7 days. Have you discussed or shared any of this
information with each of the following groups of people? Please let me
know the ones that apply, and consider all types of conversations
(online, in person, phone, etc.)
Type
IE
PLEASE
SELECT ALL
THAT APPLY
Family member
Friend
Colleague or person you know through work
Classmate or person you know through school
Neighbor
Local government official or politician
People who share a hobby or interest of yours
People you know through a community group or other activity
People you know through your kids’ activities
People you don’t necessarily know, but ran into at some place
Member of your place of worship ( e.g., church, mosque, temple)
Online professional network
Online personal or social network
79
Online forum
Have not discussed or shared with anyone in the last 7 days
Question 696:
And how many of these people have you talked to?
Type
IE
ENTER
NUMBER
Family member
Friend
Colleague or person you know through work
Classmate or person you know through school
Neighbor
Local government official or politician
People who share a hobby or interest of yours
People you know through a community group or other activity
People you know through your kids’ activities
People you don’t necessarily know, but ran into at some place
Member of your place of worship ( e.g., church, mosque, temple)
Question 697:
Please continue to think about the information you have discussed or
shared over the last 7 days. For each of the following groups of people,
how did you communicate MOST? Using this card, please call off the
letter that applies to how you communicated MOST with each group of
people.
E-mail
Family member
Friend
Colleague or person you know
through work
Classmate or person you know
through school
Neighbor
Local government official or politician
People who share a hobby or interest
of yours
80
SMS or Social
Text
networ
messag
king
e
website
Type
IE
Talking
on a
mobile
phone
Talking
on a
landlin
e
phone
Talking
face to
face /
in
person
People you know through a
community group or other activity
People you know through your kids’
activities
People you don’t necessarily know,
but ran into at some place
Member of your place of worship (e.g.
church, mosque, temple)
Question 698:
And was the information you discussed or shared with each of the
following groups MOSTLY about…
Personal
matters
(e.g., social
gathering,
relationships
, etc.)
Type
IE
Social, civic,
or political
matters
(e.g., climate
change,
education, a
recent
election,
etc.)
Family member
Friend
Colleague or person you know through work
Classmate or person you know through school
Neighbor
Local government official or politician
People who share a hobby or interest of yours
People you know through a community group or other
activity
People you know through your kids’ activities
People you don’t necessarily know, but ran into at
some place
Member of your place of worship (e.g., church,
mosque, temple)
Online professional network
Online personal or social network
Online forum
Question 699:
Next please say how much you agree or disagree with each of the
81
Type
IE
Something
else
following statements about public life. Would you say you strongly
agree, somewhat agree, somewhat disagree or strongly disagree?
Strongly
agree
Somewhat Somewhat Strongly
agree
disagree disagree
Don’t
have
enough
info. to
say
Fair treatment of all citizens
should be a core value guiding
our country
Women’s empowerment should
be a top priority in our country
Violence against civilians is
never justified
Citizen’s participation in
community affairs is very
important for the stability of our
country
People like myself should have
a voice in how our country is
governed
Economic prosperity is more
important than free and fair
elections
Extremism is a serious problem
in our country
Question 700:
First, how favorable would you say you are towards each of the
following countries? Would you say very favorable, somewhat
favorable, not too favorable or not at all favorable?
Very
favorable
Somewhat
favorable
[COUNTRY 1]
[COUNTRY 2]
[COUNTRY 3]
[COUNTRY 4]
[COUNTRY 5]
[COUNTRY 6]
[COUNTRY 7]
[COUNTRY 8]
82
Not too
favorable
Type
IE
Not at all
favorable
[COUNTRY 9]
Question 701:
If the following international figures expressed an opinion about
international affairs, would you tend to trust them or not, or don’t you
have enough information to say?
Would
trust
Type
IE
Would not
trust
Don’t have
enough
info. to
say
[LEADER 1]
[LEADER 2]
[LEADER 3]
[LEADER 4]
[LEADER 5]
[LEADER 6]
[LEADER 7]
[LEADER 8]
[LEADER 9]
Question 702:
Type
Now please think specifically about the United States. How much do you IE
agree or disagree that the United States has each of the following?
Would you say you strongly agree, somewhat agree, somewhat
disagree or strongly disagree?
Strongly
agree
Somewhat
agree
Excellent quality products
and services
Innovative science and
technology
Honest political systems
and elections
A responsible role in the
world
Entertaining and interesting
movies and television
Cutting-edge music
Excellence in sports
83
Somewhat
disagree
Strongly
disagree
Don’t have
enough
info. to say
Open and welcoming
people
Religious diversity
Ethnic diversity
A good track record of
protecting the environment
Employment opportunities
Rich history
Successful businesses and
companies
Higher education
opportunities
Safe and nutritious food
products
Question 703:
Please say whether you follow news and stories or would like to know
more about each of the following when it comes to the UNITED
STATES.
Yes,
I follow news and
stories about
Type
IE
Yes,
I would like to
know more
U.S. products and services
U.S. science and technology
U.S. political systems and elections
U.S. role in the world
U.S. movies and television
U.S. music
U.S. sports
How open and welcoming the U.S. people are
Religious diversity in the U.S.
Ethnic diversity in the U.S.
U.S. role in protecting the environment
U.S. employment opportunities
U.S. history
U.S. businesses and companies
U.S. higher education opportunities
U.S. food products
None of these
Question 704:
Type
84
Where do you MOST often look for information on each of the following? IE
Television
Radio
Newspapers
Magazines
Internet
SMS /
text
messages
U.S. products
and services
U.S. science and
technology
U.S. political
systems and
elections
U.S. role in the
world
U.S. movies and
television
U.S. music
U.S. sports
How open and
welcoming the
U.S. people are
Religious
diversity in the
U.S.
Ethnic diversity
in the U.S.
U.S. role in
protecting the
environment
U.S.
employment
opportunities
U.S. history
U.S. businesses
and companies
U.S. higher
education
opportunities
U.S. food
products
None of these
Question 705:
Which of the following have you ever done?
85
Type
IE
Some
other
source
Please
select
all that
apply
Visit U.S. websites for personal use or recreation (listen or download music,
watch video, play games)
Visit websites to get information or news about U.S. society, culture, or
people in general
Visit websites to get information or news about U.S. politics or policies
Visit U.S. Embassy website
Use Internet to interact with Americans or to meet new Americans (emails,
chat rooms, instant messaging, social networking sites)
Read Internet newsgroups, bulletin boards, discussion forums, or blogs
(web logs) about U.S.
Actively participate (write dialogue, opinions, entries) in Internet
newsgroups, bulletin boards, discussion forums, or blogs (web logs) about
U.S.
Visit U.S. websites to buy American products
Watched an American / Hollywood blockbuster movie
None of these
Question 706:
Have you heard about [EVENT]
Type
IE
Select one
Yes
No
Question 708:
How did you first learn of [EVENT]
Type
IE
Please
select all
that apply
Television
Radio
Newspapers
Magazines
Internet
Mobile / hand-held device
86
Other people (e.g., family,
friends, work colleagues)
Other
Question 709:
On which of the following internet or mobile device sites did you
hear or read about [EVENT]
Type
IE
Please
select all
that apply
News organization websites
U.S. government websites, such as America.gov
U.S. Embassy or consulate website in our country
SMS messages from news organizations
SMS messages from U.S. Embassy
Social networking websites like Facebook
[SITE 1]
[SITE 2]
U.S. Embassy blogs
Video sites like YouTube
U.S. Embassy YouTube site
Other
Question 710:
In which language(s) did you hear or read about [EVENT]
Type
IE
Please
select all
that apply
English
[LANGUAGE]
Other
Question 711:
Overall, how would you rate [EVENT]
Type
IE
Select one
Excellent
87
Good
Fair
Poor
Question 712:
Which of the following words or phrases do you feel describe how
[EVENT] made you feel?
Type
IE
Please
select all
that apply
Alienated
Angry
Disappointed
Doubtful
Worried
Sad
Happy
Better informed
Impressed
Inspired
Proud
Trusting
Surprised
Amused
None of these
Question 713:
And did [EVENT] make you feel more knowledgeable or more positive
about each of the following?
Yes,
made me feel
more
knowledgeable
about…
U.S. products and services
U.S. science and technology
U.S. political systems and elections
U.S. role in the world
U.S. movies and television
88
Type
IE
Yes,
made me feel
more positive
about…
U.S. music
U.S. sports
How open and welcoming the U.S. people are
Religious diversity in the U.S
Ethnic diversity in the U.S.
U.S. role in protecting the environment
U.S. employment opportunities
U.S. history
U.S. businesses and companies
U.S. higher education opportunities
U.S. food products
None of these
Question 714:
In the past 30 days, where have you accessed the Internet?
Type
IE
Please
select all
that apply
On a PC at home
On a PC at someone else’s home
On a PC at a public location, such as an internet café or school
On a PC at work
On a mobile device
Question 715:
Next are some reasons why people might choose to access the Internet
at a public location. For each one, please say if this is a major reason, a
minor reason, or not a reason why you would access the Internet at a
public location.
Major
reason
Free access to the Internet
High-speed connection for faster
downloads, etc.
Wireless Internet access or Wi-fi
A lively, social setting
Knowledgeable, helpful staff
Central location that’s easy to get to
Plenty of computers / kiosks; low wait
time
89
Minor
reason
Type
IE
Not a
reason
Question 716:
How many mobile phones do you personally use?
Type
IE
Select
one
0
1
2
3 or more
Question 717:
What is your monthly phone bill? Please think about the mobile phone
you use MOST often.
Type
IE
Response: Open-Ended
Question 718:
Is SMS or text messaging part of your mobile phone plan?
Type
IE
Select
one
Yes
No
Question 719:
And in your mobile phone plan, is the number of text messages you
send or receive…
Type
IE
Select
one
Limited to a certain number of SMS
messages sent / received each month
Unlimited; can send / receive any number
of SMS messages each month
Question 720:
And how many sent/received texts are you limited to each month?
90
Type
IE
Response: Open-Ended
Question 721:
Here is a list of ways in which people may be involved with their local
community or with society in general. Which ones have you personally
done in the past year?
Type
IE
Please
select all
that apply
Attended a public meeting on town or school affairs
Written a letter to the editor of a newspaper or magazine or called
a live radio or TV show to express an opinion
Led or served on a committee of some local organization (e.g.
Educational, social, religious, cultural or political)
Made a speech or gave a talk to a group
Been an active member of a group that tries to influence public
policy or create change in the community
Attended a political rally, speech, or event
Written or called any politician or contacted any government
official at local, regional or national level
Asked a question in a public meeting
Made a complaint to a store, company, or organization
Made a sizable donation to a local or national organization (e.g.
educational, social, religious, cultural or political)
Attended business lunches/dinners on a regular basis
Organized a special social event such as a reunion, etc.
Sent a short text message to a group via a cell phone or posted a
comment online on a blog or chat room
Question 722:
Do you live in an urban or rural location?
Type
IE
Select
one
Urban
Suburb of large city
Rural
Question 723:
Type
91
Including yourself, how many people reside in your household?
IE
Response: Open-Ended
Question 724:
Which category best describes your current marital status?
Type
IE
Select
one
Never married
Married
Widowed
Divorced
Separated
Question 725:
Which category best describes the degree of your religious practice or
participation?
Type
IE
Select
one
Nonreligious/secular
Identify with religious faith, but do
not practice
Participate in religious activities
only on major religious holidays
Participate in religious activities
weekly
Participate in religious activities
daily
Question 726:
Which religion best describes you?
Type
IE
Select
one
Islam
Christianity
Judaism
Buddhism
92
Hinduism
Other (specify)
Refused
Question 727:
Type
Thinking about your professional role or position, which of the following
IE
categories best describes your current or most recent professional field?
Select
one
Academic (scholar, student, scientist,
teacher)
Community leader (business, religious,
artistic or cultural leader; doctor, lawyer
or other professional
Media (TV personality, radio personality,
editor, writer, journalist, blogger,
cartoonist)
Civil Society, Non Governmental
Organization, or other community
organization
Government official or public servant
Other (specify)
Question 728:
Which category best describes your highest level of education?
Type
IE
Select
one
Primary
Junior secondary
Senior secondary
Technical
Some college
College graduate
Postgraduate (masters degree)
Postgraduate (doctorate degree)
Question 729:
Are you employed by?...
Type
IE
93
Select
one
Education institution
Government agency or public sector
organization
Private not-for-profit organization (not
college or university)
Private for-profit organization
Self-employed
Other (specify)
Question 730:
Have you ever traveled to the U.S.?
Type
IE
Select one
Yes
No
Question 731:
Do you have any relatives or close friends who have traveled to the
U.S.?
Type
IE
Select one
Yes
No
94
EME Focus Group Screening Questions
Question 732:
Have you participated in any type of market research discussion
group in the past year?
Type
IE
Select one
Yes [Terminate]
No [Continue]
Question 733:
In general, how interested would you say you are in what’s going
on in our [COUNTRY]? Would you say you are….
Type
IE
Select one
Very Interested
Somewhat Interested
Not too Interested
Not at all Interested
Question 734:
In general, how interested would you say you are in what’s going
on in other countries around the world? Would you say you are….
Type
IE
Select one
Very Interested [CONTINUE]
Somewhat Interested [CONTINUE]
Not too Interested [TERMINATE]
Not at all Interested [TERMINATE]
Question 735:
Is there any country that you are particularly interested in knowing
about or have an interest in knowing what’s going on there? Any
others?
Response: Open-Ended
Type
IE
Question 736:
How often do you use social media tools, such as Facebook,
Twitter, YouTube, or Flickr?
Type
IE
Select one
95
Very Often [CONTINUE]
Occasionally [CONTINUE]
Not too Often [TERMINATE]
Never [TERMINATE]
96
EME Pre-Focus Group Written Questions
Question 737:
What company or companies do you use for your mobile phone
service:
Type
IE
Response: Open-Ended
Question 738:
Do you use your mobile phone to send and receive SMS text
messages?
Type
IE
Select one
Yes
No
Question 739:
IF YES: Please describe how you are billed for the SMS text
messages that you send and receive. For example, do you pay
separately for each message you send or receive, or do you have a
data plan that includes a certain number of SMS text messages?
Response: Open-Ended
Type
IE
Question 740:
What is the most interesting thing you have read or heard about in
the news recently?
Response: Open-Ended
Type
IE
Question 741:
Type
IE
What three words or phrases do you think best describe
[COUNTRY] today?
Response: Open-Ended
97
EME Focus Group Questions
Question 742:
Type
IE
Let’s have a show of hands: How many of you wrote down that
you think things in this country are going in the right direction?
Wrong direction? Why did you make that choice?
Response: Open-Ended
Question 743:
What specifically is going well in [COUNTRY]? What worries you
about the way [COUNTRY] is heading?
Response: Open-Ended
Type
IE
Question 744:
Type
IE
How is [COUNTRY] changing? Why? What is changing for the
better? What is getting worse?
Response: Open-Ended
Question 745:
Type
IE
Tell me some of the words or phrases you wrote down to describe
[COUNTRY] today.
Response: Open-Ended
Question 746:
Why did you pick that word? What does that mean to you?
Response: Open-Ended
Type
IE
Question 747:
Type
IE
Do you think that people who are around your parents’ age now
would have chosen those same words when they were your age?
Why or why not? How might your parents have described
[COUNTRY] when they were your age?
Response: Open-Ended
98
Question 748:
Type
Some of you used words such as [INSERT WORDS]. Thinking
IE
about our country and the world, what words or phrases would you
use to describe the role [COUNTRY] plays in the world?
Response: Open-Ended
Question 749:
Could you tell us more why you chose those words? Why do they
describe the role [COUNTRY] plays in the world
Response: Open-Ended
Type
IE
Question 750:
Type
IE
And how would you describe the role [COUNTRY] plays in the
region? How, if at all, has this changed recently?
Response: Open-Ended
Question 751:
Type
IE
What about [COUNTRY]’s relations with other countries today?
Response: Open-Ended
Question 752:
Who would you say are this country’s greatest allies? Greatest
enemies? Best partners? Most important relationships? Most
difficult relationships?
Response: Open-Ended
Type
IE
Question 753:
How important are these partnerships or relationships to
[COUNTRY]?
Response: Open-Ended
Type
IE
Question 754:
Type
99
What about promoting democracy or good governance? Would
you say promoting democracy is a factor in any of these
partnerships or relationships? What about promoting good
governance?
Response: Open-Ended
IE
Question 755:
Type
IE
Let’s think about [COUNTRY]’s relationship with each of these
countries today: [INSERT LIST OF COMPARISON COUNTRIES},
and let’s talk about all the words you can think of to describe our
relationship with each (friendly/unfriendly, warm/cold,
close/distant, etc.) Do you think [COMPARISON COUNTRY] treats
[COUNTRY] like an ally? An equal partner? A competitor? How
so?
Response: Open-Ended
Question 756:
Is [COMPARISON COUNTRY’S] behavior toward [COUNTRY]
mostly good, bad, or indifferent? Can you think of one or two
stories or examples? More generally, how would you describe
the [COUNTRY] relationship with [CONTINENT] as a whole? What
about [THE REGION]? Do you see any differences in the U.S.’s
relationship with [COUNTRY] and other countries in [THE
REGION]?
Type
IE
Response: Open-Ended
Question 757:
Thinking about the [COUNTRY] you would like to see in the next 5
to 10 years, what countries do you think it is most important for
[COUNTRY] to have good relations with for the future?
Type
IE
Response: Open-Ended
Question 758:
Again in the next 5 to 10 years, thinking about different countries’
role in world affairs, which 1 or 2 countries will be the most
influential, whether it is positive or negative influence?
Response: Open-Ended
100
Type
IE
Question 759:
Is it a positive or negative influence? In what ways
Response: Open-Ended
Type
IE
Question 760:
Have you traveled abroad? What countries have you visited?
What countries do you want to visit? Why or why not?
Response: Open-Ended
Type
IE
Question 761:
[For those of you who have visited the U.S:] What was your
impression of the country? What surprised you the most?
Response: Open-Ended
Type
IE
Question 762:
[For those of you who have not been to the U.S.:] What is your
impression of the U.S., even if you haven’t visited the country?
Why do you not want to visit the U.S.?
Response: Open-Ended
Type
IE
Question 763:
To what countries would you consider going to study? Why?
Response: Open-Ended
Type
IE
Question 764:
What makes [INSERT COUNTRIES from those mentioned] a good
place to study? What advantages or disadvantages do you see in
going there to study?
Response: Open-Ended
Type
IE
Question 765:
What makes [INSERT COUNTRIES from those mentioned] a good
place to study? What advantages or disadvantages do you see in
going there to study?
Response: Open-Ended
Type
IE
Question 766:
Type
101
Where do you get international news? PROBE: TV, newspapers,
foreign media, media websites, blogs, YouTube, Facebook, SMS?
For each: why and why not?
Response: Open-Ended
IE
Question 767:
What about information on other topics about foreign countries?
For example, about people, technology, education, movies and
music? Do you get information from: TV, newspapers, foreign
media, media websites, blogs, YouTube, Facebook, SMS? Why
and why not?
Response: Open-Ended
Type
IE
Question 768:
Who do you trust most for information on topics that interest you?
Response: Open-Ended
Type
IE
Question 769:
How much do you trust: Traditional media? Social media/blogs?
Governments? Political parties? International sources? [Which
country?]
Response: Open-Ended
Type
IE
Question 770:
Is there a difference between topics in terms of whom you trust
most as a source of information? Is there a difference between
domestic issues vs. international issues?
Response: Open-Ended
Type
IE
Question 771:
Have you been following [RECENT ISSUE]? What have you heard?
Response: Open-Ended
Type
IE
Question 772:
Have you heard about the U.S. government’s initiative to make
[RECENT ISSUE] an international priority? What have you heard?
Where did you hear it? What do you think of this effort? What, if
any, impact would this have in [COUNTRY]?
Response: Open-Ended
Type
IE
102
Question 773:
Thinking again about the public issues and international topics
that interest you, do you use [LIST TOOLS ONE AT A TIME]:
information websites, blogs, RSS feeds, YouTube, Facebook,
Twitter, Flickr, podcasts, text messaging, etc. to follow these
interests? (PROBE: Why, if at all, are these tools important in
[COUNTRY]? Have you heard anything about journalists using
these tools to share their stories?)
Response: Open-Ended
Type
IE
Question 774:
Thinking about each of these tools we just talked about, why do
you use them to follow these topics of interests? Why not?
(PROBE: time convenient, authoritative, trustworthy, easy to
understand, local relevance, costs, etc.)
Response: Open-Ended
Type
IE
Question 775:
(OPTIONAL) If you were to choose one tool to use and rely on to
get information about the issues we talked about that are of
personal interest to you, which would you choose? How would
you improve this tool so it is convenient and easy to use, and will
make you want to use it more?
Response: Open-Ended
Type
IE
Question 776:
(OPTIONAL) We talked about getting information. Now let’s talk
about passing on information and expressing opinion. Do you
express your opinions using the tools we talked about? Do you
feel comfortable doing so? Why or why not? Do you pass on
information using the tools we talked about? What would make
you do more?
Response: Open-Ended
Type
IE
Question 777:
[Earlier, some of you mentioned an interest in going to the U.S. to
visit or to study.] Let’s continue talking about the U.S. for a
moment. Do you believe – whether from your own experience or
from what you have heard – that it is difficult for [CITIZENS OF
COUNTRY] to get entry visas into the U.S.?
Response: Open-Ended
Type
IE
103
Question 778:
Some people describe the U.S. as a country with equal
opportunity. Do you see it that way? Why or why not? On what
are you basing your opinions? What about a country with
educational opportunity? Is this better?
Response: Open-Ended
Type
IE
Question 779:
What about a country with a welcoming spirit? Do you see it in
this way? Why or why not?
Response: Open-Ended
Type
IE
Question 780:
What about describing it as a multicultural, diverse country? Do
you see it this way? Why or why not?
Response: Open-Ended
Type
IE
Question 781:
What is your impression of innovation and technology from the
U.S., including the latest about products and services related to
the internet? On what are you basing your opinions?
Response: Open-Ended
Type
IE
Question 782:
What about American celebrities? What’s your impression of
American movie stars? What about pop singers?
Response: Open-Ended
Type
IE
Question 783:
Do you have a favorite singer or band from the U.S.?
Response: Open-Ended
Type
IE
Question 784:
How do you get information about movie stars, pop singers or
other American celebrities?
Response: Open-Ended
Type
IE
104
Question 785:
Stepping back, what’s your overall impression of the U.S.?
Response: Open-Ended
Type
IE
Question 786:
What would you say the U.S. is doing right? Can you think of one
or two stories as examples of what the U.S. is doing right?
Response: Open-Ended
Type
IE
Question 787:
Thinking specifically about the U.S.’s relationships with other
countries, do you think the U.S. is doing anything different when it
comes to relationships with countries in this region of the world?
Response: Open-Ended
Type
IE
Question 788:
What’s your impression of [U.S. LEADER]?
Response: Open-Ended
Type
IE
Question 789:
What impact do you think [U.S. LEADER] is having on
[COUNTRY]? On [THE REGION]? On the world in general?
Response: Open-Ended
Type
IE
Question 790:
In your opinion, is [U.S. LEADER] moving U.S. policy in the right or
wrong direction? How so?
Response: Open-Ended
Type
IE
Question 791:
Where do you hear or read about [U.S. LEADER]? Is there much
discussion about him on [COUNTRY] blogs that you follow? What
about on social media tools?
Response: Open-Ended
Type
IE
Question 792:
As you may know, [U.S. LEADER] carries a Blackberry. Let’s go
around the room and each of you can tell me: If you could send an
SMS message to [U.S. LEADER]’s BlackBerry, what would you ask
Type
IE
105
or say? What do you think [U.S. LEADER] might say in reply?
Response: Open-Ended
Question 793:
What about if I had asked what you would say if you could send an
SMS message to [U.S. LEADER 2] BlackBerry? What would you
ask or say?
Response: Open-Ended
106
Type
IE
| File Type | application/pdf |
| File Title | FINAL PDEO Question Bank |
| Subject | PDEO Question Bank for OMB Generic Collection |
| Author | halemj2 |
| File Modified | 2011-04-05 |
| File Created | 2011-03-22 |