Civic Engagement & Volunteerism Questionnaire
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 person, over the phone, or through the internet or social media.
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?
[READ ALL RESPONSE OPTIONS]
(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,] how often did you discuss political, societal, or local issues with friends or family?
[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,] how often did you provide food, housing, money or help for friends or extended family? Do not include anything you do for your children, parents, and spouses, partners or significant others even if they do not live with you.
[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 your neighbors in person, over the phone, or through the internet or social media.
4. In the past 12 months, how often did you have a conversation or spend time with your neighbors?
[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
5. [In the past 12 months,] how often did you discuss political, societal, or local issues with your neighbors?
[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
6. [In the past 12 months,] how often did you and your neighbors do favors for each other such as house sitting, watching each other’s children, lending tools, and other things to help each other.
[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
7. [In the past 12 months,] did you get together with other people from your neighborhood to do something positive for your neighborhood or the community?
(1) Yes
(2) No
8. In the past 12 months, 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.
[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
9. [In the past 12 months,] how often did you post your views about political, societal, or local issues on 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
10. [In the past 12 months,] how often did you read, watch or listen to news or information about political, societal, or local issues?
[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
11. [In the past 12 months,] 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,] did you attend a public meeting, such as a zoning or school board meeting, to discuss a local issue?
(1) Yes
(2) No
13. [In the past 12 months,] 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,] Did the social or political values of a company influence [your/[NAME]’s] decision of whether or not to buy products or services provided by that company?
(1) Yes
(2) No
This next set of questions focuses on local and national groups, organizations and associations that you may belong to. Examples include community groups; civic or service organizations; religious or spiritual communities; recreational groups; and political or advocacy groups.
Participation in these groups could be in-person, online, or both.
15. In the past 12 months, 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, did you spend any time volunteering for any organization or association?
(1) Yes
(2) No --- SKIP TO Q17
16a. How often did you volunteer?
[READ ALL RESPONSE OPTIONS]
(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. In the past 12 months, approximately how many hours did you volunteer?
_____________ Hours
17. [In the past 12 months,] did you give money or possessions with a combined value of more than $25 to a political organization, party, or campaign?
(1) Yes
(2) No
18. [In the past 12 months,] did you give money or possessions with a combined value of more than $25 to a non-political group or organization, such as a charity, school, or religious organization?
(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 person, over the phone, or through the internet or social media.
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?
[READ ALL RESPONSE OPTIONS]
(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,] how often did [NAME] discuss political, societal, or local issues with friends or family?
[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,] how often did [NAME] provide food, housing, money or help for friends or extended family? Do not include anything [NAME] does for [his/her] children, parents, and spouses, partners or significant others even if they do not live with [him/her].
[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 [his/her] neighbors in person, over the phone, or through the internet or social media.
4. In the past 12 months, how often did [NAME] have a conversation or spend time with [his/her] neighbors?
[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
5. [In the past 12 months,] how often did [NAME] discuss political, societal, or local issues with [his/her] neighbors?
[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
6. [In the past 12 months,] how often did [NAME] and [his/her] neighbors do favors for each other such as house sitting, watching each other’s children, lending tools, and other things to help each other.
[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
7. [In the past 12 months,] did [NAME] get together with other people from [his/her] neighborhood to do something positive for [his/her] neighborhood or the community?
(1) Yes
(2) No
8. In the past 12 months, 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.
[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
9. [In the past 12 months,] how often did [NAME] post [his/her] views about political, societal, or local issues on 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
10. [In the past 12 months,] how often did [NAME] read, watch or listen to news or information about political, societal, or local issues?
[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
11. [In the past 12 months,] 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,] did [NAME] attend a public meeting, such as a zoning or school board meeting, to discuss a local issue?
(1) Yes
(2) No
13. [In the past 12 months,] 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,] Did the social or political values of a company influence [your/[NAME]’s] decision of whether or not to buy products or services provided by that company?
(1) Yes
(2) No
This next set of questions focuses on local and national groups, organizations and associations that [NAME] may belong to. Examples include community groups; civic or service organizations; religious or spiritual communities; recreational groups; and political or advocacy groups.
Participation in these groups could be in-person, online, or both.
15. In the past 12 months, 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) [He/She] is a member but not active with any groups, organizations or associations.
16. In the past 12 months, did [NAME] volunteer [his/her] time for any cause?
(1) Yes
(2) No --- SKIP TO Q17
16a. How often did [NAME] volunteer?
[READ ALL RESPONSE OPTIONS]
(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. In the past 12 months, approximately how many hours did [NAME] volunteer?
_____________ Hours
17. [In the past 12 months,] did [NAME] give money or possessions with a combined value of more than $25 to a political organization, party, or campaign?
(1) Yes
(2) No
18. [In the past 12 months,] did [NAME] give money or possessions with a combined value of more than $25 to a non-political group or organization, such as a charity, school, or religious organization?
(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 person, over the phone, or through the internet or social media.
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?
[READ ALL RESPONSE OPTIONS]
(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,] how often did [NAME] discuss political, societal, or local issues with friends or family?
[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,] how often did [NAME] provide food, housing, money or help for friends or extended family? Do not include anything [NAME] does for [his/her] children, parents, and spouses, partners or significant others even if they do not live with [him/her].
[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 [his/her] neighbors in person, over the phone, or through the internet or social media.
4. In the past 12 months, how often did [NAME] have a conversation or spend time with [his/her] neighbors?
[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
5. [In the past 12 months,] how often did [NAME] discuss political, societal, or local issues with [his/her] neighbors?
[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
6. [In the past 12 months,] how often did [NAME] and [his/her] neighbors do favors for each other such as house sitting, watching each other’s children, lending tools, and other things to help each other.
[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
7. [In the past 12 months,] did [NAME] get together with other people from [his/her] neighborhood to do something positive for [his/her] neighborhood or the community?
(1) Yes
(2) No
8. In the past 12 months, 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.
[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
9. [In the past 12 months,] how often did [NAME] post [his/her] views about political, societal, or local issues on 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
10. [In the past 12 months,] how often did [NAME] read, watch or listen to news or information about political, societal, or local issues?
[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
11. [In the past 12 months,] 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,] did [NAME] attend a public meeting, such as a zoning or school board meeting, to discuss a local issue?
(1) Yes
(2) No
13. [In the past 12 months,] 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,] Did the social or political values of a company influence [your/[NAME]’s] decision of whether or not to buy products or services provided by that company?
(1) Yes
(2) No
This next set of questions focuses on local and national groups, organizations and associations that [NAME] may belong to. Examples include community groups; civic or service organizations; religious or spiritual communities; recreational groups; and political or advocacy groups.
Participation in these groups could be in-person, online, or both.
15. In the past 12 months, 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) [He/She] is a member but not active with any groups, organizations or associations.
16. In the past 12 months, did [NAME] volunteer [his/her] time for any cause?
(1) Yes
(2) No --- SKIP TO Q17
16a. How often did [NAME] volunteer?
[READ ALL RESPONSE OPTIONS]
(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. In the past 12 months, approximately how many hours did [NAME] volunteer?
_____________ Hours
17. [In the past 12 months,] did [NAME] give money or possessions with a combined value of more than $25 to a political organization, party, or campaign?
(1) Yes
(2) No
18. [In the past 12 months,] did [NAME] give money or possessions with a combined value of more than $25 to a non-political group or organization, such as a charity, school, or religious organization?
(1) Yes
(2) No
That brings us to the end of the survey. Thank you for participating in this survey.
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| Author | Mary C Davis |
| File Modified | 0000-00-00 |
| File Created | 2021-01-15 |