COMBINED SUPPLEMENT FOR CIVIC ENGAGEMENT AND VOLUNTEERISM
These next questions will help us understand how people in America, interact with and relate to each other, as well as how we work together to make changes in our communities and country.
1. The first few questions focus on how you interact with family and friends.
In the past 12 months, that is from [FILL CURRENT MONTH] of 2015 until today,
How often did you talk to or spend time with friends and family? This may have been in person, over the phone, or through the internet or social media.
[READ RESPONSE OPTIONS AS NEEDED]
(1) Basically every day
(2) A few times a week
(3) A few times a month
(4) Once a month
(5) Less than once a month
(6) Not at all
2. [In the past 12 months, that is from [FILL CURRENT MONTH] of 2015 until today]
How often did you discuss political, societal, or local issues with friends or family? This may have been in person, over the phone, or through the internet or social media.
[READ RESPONSE OPTIONS AS NEEDED]
(1) Basically every day
(2) A few times a week
(3) A few times a month
(4) Once a month
(5) Less than once a month
(6) Not at all
3. [In the past 12 months, that is from [FILL CURRENT MONTH] of 2015 until today]
How often did you provide food, housing, money or help for friends or extended family other than your children, parents, and spouses, partners or significant others?
[READ RESPONSE OPTIONS AS NEEDED]
(1) Basically every day
(2) A few times a week
(3) A few times a month
(4) Once a month
(5) Less than once a month
(6) Not at all
This next set of questions focuses on how you interact with neighbors.
4. In the past 12 months, that is from [FILL CURRENT MONTH] of 2015 until today,
How often did you talk to or spend time with neighbors? This may have been in person, over the phone, or through the internet or social media.
(1) Basically every day
(2) A few times a week
(3) A few times a month
(4) Once a month
(5) Less than once a month
(6) Not at all
5. [In the past 12 months, that is from [FILL CURRENT MONTH] of 2015 until today]
How often did you discuss political, societal, or local issues with neighbors? This may have been in person, over the phone, or through the internet or social media.
(1) Basically every day
(2) A few times a week
(3) A few times a month
(4) Once a month
(5) Less than once a month
(6) Not at all
6. [In the past 12 months, that is from [FILL CURRENT MONTH] of 2015 until today]
How often did you and your neighbors do favors for each other? By favors, we mean such things as house sitting, watching each other’s children, lending tools, and other things to help each other.
(1) Basically every day
(2) A few times a week
(3) A few times a month
(4) Once a month
(5) Less than once a month
(6) Not at all
7. In the past 12 months, that is from [FILL CURRENT MONTH] of 2015 until today, did you get together with other people from your neighborhood to fix a problem or do something positive for your neighborhood or the community?
(1) Yes
(2) No
8. In the past 12 months, that is from [FILL CURRENT MONTH] of 2015 until today, how often did you talk to or spend time with people from a racial, ethnic or cultural background that is different than yours? This may have been in person, over the phone, or through the internet or social media.
(1) Basically every day
(2) A few times a week
(3) A few times a month
(4) Once a month
(5) Less than once a month
(6) Not at all
9. [In the past 12 months, that is from [FILL CURRENT MONTH] of 2015 until today]
How often did you post your views about political, societal, or local issues on the internet or social media?
(1) Basically every day
(2) A few times a week
(3) A few times a month
(4) Once a month
(5) Less than once a month
(6) Not at all
10.[In the past 12 months, that is from [FILL CURRENT MONTH] of 2015 until today]
How often did you read, watch or listen to news or information about political, societal, or local issues?
(1) Basically every day
(2) A few times a week
(3) A few times a month
(4) Once a month
(5) Less than once a month
(6) Not at all
11. [In the past 12 months, that is from [FILL CURRENT MONTH] of 2015 until today]
Did you vote in the last local elections, such as for mayor or school board?
(1) Yes
(2) No
12. [In the past 12 months, that is from [FILL CURRENT MONTH] of 2015 until today]
Did you attend a public meeting to discuss a local issue?
(1) Yes
(2) No
13. [In the past 12 months, that is from [FILL CURRENT MONTH] of 2015 until today]
Did you contact or visit a public official – at any level of government – to express your opinion?
(1) Yes
(2) No
14. [In the past 12 months, that is from [FILL CURRENT MONTH] of 2015 until today]
Did you decide whether or not to buy products or services based on the social or political values of the company that provides them?
(1) Yes
(2) No
This last set of questions focuses on local and national groups, organizations and associations that you may belong to. Examples include community groups, like a neighborhood watch or parent-teacher association; civic or service organizations; religious or spiritual communities; recreational groups, like a book club or sports league; professional associations or unions; and political or advocacy groups.
Participation in these groups could be in-person, online, or both.
15. In the past 12 months, that is from [FILL CURRENT MONTH] of 2015 until today, did you belong to any groups, organizations, or associations?
(1) Yes
(2) No --- SKIP to Q16
15a. How many groups, organizations, or associations would you say you have belonged to over the past 12 months?
_________________ Number of groups / organizations / associations
[IF Q15a=0 SKIP TO Q16]
15a1. Thinking about the group, organization, or association with which you are most active, which best describes the proportion of your in-person activity to online activity?
READ ALL RESPONSE OPTIONS
(1) All activity is in person
(2) Activity is more in-person than online
(3) Activity is evenly split between in-person and online
(4) Activity is more online than in-person
(5) All activity is online
(6) I am a member but not active with any groups, organizations or associations.
16. In the past 12 months, that is from [FILL CURRENT MONTH] of 2015 until today,
Did you volunteer for a group, organization, or association?
(1) Yes
(2) No --- SKIP TO Q17
16a. How often did you volunteer?
(1) Basically every day
(2) A few times a week
(3) A few times a month
(4) Once a month
(5) Less than once a month
(6) Not at all --- SKIP TO Q17
16b. Approximately how many hours did you volunteer?
_____________ Hours
17. In the past 12 months, that is from [FILL CURRENT MONTH] of 2015 until today,
Did you give money, assets, or property with a combined value of more than $25 to a political party, campaign, or organization?
(1) Yes
(2) No
18. [In the past 12 months, that is from [FILL CURRENT MONTH] of 2015 until today]
Did you give money, assets, or property with a combined value of more than $25 to a charitable or religious organization or group?
(1) Yes
(2) No
[IF THERE ARE ADDITIONAL RESPONDENTS IN THE HOUSEHOLD GO TO THE NEXT PAGE]
[IF THERE ARE NO ADDITIONAL RESPONDENTS IN THE HOUSEHOLD] That brings us to the end of the survey. Thank you for participating in this survey.
Now I have some questions about NAME.
1. The first few questions focus on how NAME interacts with family and friends.
In the past 12 months, that is from [FILL CURRENT MONTH] of 2015 until today,
How often did NAME talk to or spend time with friends and family? This may have been in person, over the phone, or through the internet or social media.
[READ RESPONSE OPTIONS AS NEEDED]
(1) Basically every day
(2) A few times a week
(3) A few times a month
(4) Once a month
(5) Less than once a month
(6) Not at all
2. [In the past 12 months, that is from [FILL CURRENT MONTH] of 2015 until today]
How often did NAME discuss political, societal, or local issues with friends or family? This may have been in person, over the phone, or through the internet or social media.
[READ RESPONSE OPTIONS AS NEEDED]
(1) Basically every day
(2) A few times a week
(3) A few times a month
(4) Once a month
(5) Less than once a month
(6) Not at all
3. [In the past 12 months, that is from [FILL CURRENT MONTH] of 2015 until today]
How often did NAME provide food, housing, money or help for friends or extended family other than (his/her) children, parents, and spouses, partners or significant others?
[READ RESPONSE OPTIONS AS NEEDED]
(1) Basically every day
(2) A few times a week
(3) A few times a month
(4) Once a month
(5) Less than once a month
(6) Not at all
This next set of questions focuses on how NAME interacts with neighbors.
4. In the past 12 months, that is from [FILL CURRENT MONTH] of 2015 until today,
How often did NAME talk to or spend time with neighbors? This may have been in person, over the phone, or through the internet or social media.
(1) Basically every day
(2) A few times a week
(3) A few times a month
(4) Once a month
(5) Less than once a month
(6) Not at all
5. [In the past 12 months, that is from [FILL CURRENT MONTH] of 2015 until today]
How often did NAME discuss political, societal, or local issues with neighbors? This may have been in person, over the phone, or through the internet or social media.
(1) Basically every day
(2) A few times a week
(3) A few times a month
(4) Once a month
(5) Less than once a month
(6) Not at all
6. [In the past 12 months, that is from [FILL CURRENT MONTH] of 2015 until today]
How often did NAME and (his/her) neighbors do favors for each other? By favors, we mean such things as house sitting, watching each other’s children, lending tools, and other things to help each other.
(1) Basically every day
(2) A few times a week
(3) A few times a month
(4) Once a month
(5) Less than once a month
(6) Not at all
7. In the past 12 months, that is from [FILL CURRENT MONTH] of 2015 until today, did NAME get together with other people from (his/her) neighborhood to fix a problem or do something positive for (his/her) neighborhood or the community?
(1) Yes
(2) No
8. In the past 12 months, that is from [FILL CURRENT MONTH] of 2015 until today, how often did NAME talk to or spend time with people from a racial, ethnic or cultural background that is different than (his/hers)? This may have been in person, over the phone, or through the internet or social media.
(1) Basically every day
(2) A few times a week
(3) A few times a month
(4) Once a month
(5) Less than once a month
(6) Not at all
9. [In the past 12 months, that is from [FILL CURRENT MONTH] of 2015 until today]
How often did NAME post (his/her) views about political, societal, or local issues on the internet or social media?
(1) Basically every day
(2) A few times a week
(3) A few times a month
(4) Once a month
(5) Less than once a month
(6) Not at all
10.[In the past 12 months, that is from [FILL CURRENT MONTH] of 2015 until today]
How often did NAME read, watch or listen to news or information about political, societal, or local issues?
(1) Basically every day
(2) A few times a week
(3) A few times a month
(4) Once a month
(5) Less than once a month
(6) Not at all
11. [In the past 12 months, that is from [FILL CURRENT MONTH] of 2015 until today]
Did NAME vote in the last local elections, such as for mayor or school board?
(1) Yes
(2) No
12. [In the past 12 months, that is from [FILL CURRENT MONTH] of 2015 until today]
Did NAME attend a public meeting to discuss a local issue?
(1) Yes
(2) No
13. [In the past 12 months, that is from [FILL CURRENT MONTH] of 2015 until today]
Did NAME contact or visit a public official – at any level of government – to express (his/her) opinion?
(1) Yes
(2) No
14. [In the past 12 months, that is from [FILL CURRENT MONTH] of 2015 until today]
Did NAME decide whether or not to buy products or services based on the social or political values of the company that provides them?
(1) Yes
(2) No
This last set of questions focuses on local and national groups, organizations and associations that NAME may belong to. Examples include community groups, like a neighborhood watch or parent-teacher association; civic or service organizations; religious or spiritual communities; recreational groups, like a book club or sports league; professional associations or unions; and political or advocacy groups.
Participation in these groups could be in-person, online, or both.
15. In the past 12 months, that is from [FILL CURRENT MONTH] of 2015 until today, did NAME belong to any groups, organizations, or associations?
(1) Yes
(2) No --- SKIP to Q16
15a. How many groups, organizations, or associations would you say NAME has belonged to over the past 12 months?
_________________ Number of groups / organizations / associations
[IF Q15a=0 SKIP TO Q16]
15a1. Thinking about the group, organization, or association with which NAME is most active, which best describes the proportion of (his/her) in-person activity to online activity?
READ ALL RESPONSE OPTIONS
(1) All activity is in person
(2) Activity is more in-person than online
(3) Activity is evenly split between in-person and online
(4) Activity is more online than in-person
(5) All activity is online
(6) I am a member but not active with any groups, organizations or associations.
16. In the past 12 months, that is from [FILL CURRENT MONTH] of 2015 until today,
Did NAME volunteer for a group, organization, or association?
(1) Yes
(2) No --- SKIP TO Q17
16a. How often did NAME volunteer?
(1) Basically every day
(2) A few times a week
(3) A few times a month
(4) Once a month
(5) Less than once a month
(6) Not at all --- SKIP TO Q17
16b. Approximately how many hours did NAME volunteer?
_____________ Hours
17. In the past 12 months, that is from [FILL CURRENT MONTH] of 2015 until today,
Did NAME give money, assets, or property with a combined value of more than $25 to a political party, campaign, or organization?
(1) Yes
(2) No
18. [In the past 12 months, that is from [FILL CURRENT MONTH] of 2015 until today]
Did NAME give money, assets, or property with a combined value of more than $25 to a charitable or religious organization or group?
(1) Yes
(2) No
[IF THERE ARE ADDITIONAL RESPONDENTS IN THE HOUSEHOLD GO TO THE NEXT PAGE]
[IF THERE ARE NO ADDITIONAL RESPONDENTS IN THE HOUSEHOLD] That brings us to the end of the survey. Thank you for participating in this survey.
Now I have some questions about NAME.
1. The first few questions focus on how NAME interacts with family and friends.
In the past 12 months, that is from [FILL CURRENT MONTH] of 2015 until today,
How often did NAME talk to or spend time with friends and family? This may have been in person, over the phone, or through the internet or social media.
[READ RESPONSE OPTIONS AS NEEDED]
(1) Basically every day
(2) A few times a week
(3) A few times a month
(4) Once a month
(5) Less than once a month
(6) Not at all
2. [In the past 12 months, that is from [FILL CURRENT MONTH] of 2015 until today]
How often did NAME discuss political, societal, or local issues with friends or family? This may have been in person, over the phone, or through the internet or social media.
[READ RESPONSE OPTIONS AS NEEDED]
(1) Basically every day
(2) A few times a week
(3) A few times a month
(4) Once a month
(5) Less than once a month
(6) Not at all
3. [In the past 12 months, that is from [FILL CURRENT MONTH] of 2015 until today]
How often did NAME provide food, housing, money or help for friends or extended family other than (his/her) children, parents, and spouses, partners or significant others?
[READ RESPONSE OPTIONS AS NEEDED]
(1) Basically every day
(2) A few times a week
(3) A few times a month
(4) Once a month
(5) Less than once a month
(6) Not at all
This next set of questions focuses on how NAME interacts with neighbors.
4. In the past 12 months, that is from [FILL CURRENT MONTH] of 2015 until today,
How often did NAME talk to or spend time with neighbors? This may have been in person, over the phone, or through the internet or social media.
(1) Basically every day
(2) A few times a week
(3) A few times a month
(4) Once a month
(5) Less than once a month
(6) Not at all
5. [In the past 12 months, that is from [FILL CURRENT MONTH] of 2015 until today]
How often did NAME discuss political, societal, or local issues with neighbors? This may have been in person, over the phone, or through the internet or social media.
(1) Basically every day
(2) A few times a week
(3) A few times a month
(4) Once a month
(5) Less than once a month
(6) Not at all
6. [In the past 12 months, that is from [FILL CURRENT MONTH] of 2015 until today]
How often did NAME and (his/her) neighbors do favors for each other? By favors, we mean such things as house sitting, watching each other’s children, lending tools, and other things to help each other.
(1) Basically every day
(2) A few times a week
(3) A few times a month
(4) Once a month
(5) Less than once a month
(6) Not at all
7. In the past 12 months, that is from [FILL CURRENT MONTH] of 2015 until today, did NAME get together with other people from (his/her) neighborhood to fix a problem or do something positive for (his/her) neighborhood or the community?
(1) Yes
(2) No
8. In the past 12 months, that is from [FILL CURRENT MONTH] of 2015 until today, how often did NAME talk to or spend time with people from a racial, ethnic or cultural background that is different than (his/hers)? This may have been in person, over the phone, or through the internet or social media.
(1) Basically every day
(2) A few times a week
(3) A few times a month
(4) Once a month
(5) Less than once a month
(6) Not at all
9. [In the past 12 months, that is from [FILL CURRENT MONTH] of 2015 until today]
How often did NAME post (his/her) views about political, societal, or local issues on the internet or social media?
(1) Basically every day
(2) A few times a week
(3) A few times a month
(4) Once a month
(5) Less than once a month
(6) Not at all
10.[In the past 12 months, that is from [FILL CURRENT MONTH] of 2015 until today]
How often did NAME read, watch or listen to news or information about political, societal, or local issues?
(1) Basically every day
(2) A few times a week
(3) A few times a month
(4) Once a month
(5) Less than once a month
(6) Not at all
11. [In the past 12 months, that is from [FILL CURRENT MONTH] of 2015 until today]
Did NAME vote in the last local elections, such as for mayor or school board?
(1) Yes
(2) No
12. [In the past 12 months, that is from [FILL CURRENT MONTH] of 2015 until today]
Did NAME attend a public meeting to discuss a local issue?
(1) Yes
(2) No
13. [In the past 12 months, that is from [FILL CURRENT MONTH] of 2015 until today]
Did NAME contact or visit a public official – at any level of government – to express (his/her) opinion?
(1) Yes
(2) No
14. [In the past 12 months, that is from [FILL CURRENT MONTH] of 2015 until today]
Did NAME decide whether or not to buy products or services based on the social or political values of the company that provides them?
(1) Yes
(2) No
This last set of questions focuses on local and national groups, organizations and associations that NAME may belong to. Examples include community groups, like a neighborhood watch or parent-teacher association; civic or service organizations; religious or spiritual communities; recreational groups, like a book club or sports league; professional associations or unions; and political or advocacy groups.
Participation in these groups could be in-person, online, or both.
15. In the past 12 months, that is from [FILL CURRENT MONTH] of 2015 until today, did NAME belong to any groups, organizations, or associations?
(1) Yes
(2) No --- SKIP to Q16
15a. How many groups, organizations, or associations would you say NAME has belonged to over the past 12 months?
_________________ Number of groups / organizations / associations
[IF Q15a=0 SKIP TO Q16]
15a1. Thinking about the group, organization, or association with which NAME is most active, which best describes the proportion of (his/her) in-person activity to online activity?
READ ALL RESPONSE OPTIONS
(1) All activity is in person
(2) Activity is more in-person than online
(3) Activity is evenly split between in-person and online
(4) Activity is more online than in-person
(5) All activity is online
(6) I am a member but not active with any groups, organizations or associations.
16. In the past 12 months, that is from [FILL CURRENT MONTH] of 2015 until today,
Did NAME volunteer for a group, organization, or association?
(1) Yes
(2) No --- SKIP TO Q17
16a. How often did NAME volunteer?
(1) Basically every day
(2) A few times a week
(3) A few times a month
(4) Once a month
(5) Less than once a month
(6) Not at all --- SKIP TO Q17
16b. Approximately how many hours did NAME volunteer?
_____________ Hours
17. In the past 12 months, that is from [FILL CURRENT MONTH] of 2015 until today,
Did NAME give money, assets, or property with a combined value of more than $25 to a political party, campaign, or organization?
(1) Yes
18. [In the past 12 months, that is from [FILL CURRENT MONTH] of 2015 until today]
Did NAME give money, assets, or property with a combined value of more than $25 to a charitable or religious organization or group?
(1) Yes
(2) No
That brings us to the end of the survey. Thank you for participating in this survey.
Questionnaire Draft 7-13-2016
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | Mary C Davis |
| File Modified | 0000-00-00 |
| File Created | 2021-01-23 |