ATTACHMENT 1: QUESTIONNAIRE
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PUBLIC BURDEN STATEMENT: Public reporting burden for this collection is estimated to average 20 minutes per submission, including reviewing instructions, gathering and maintaining the data needed, completing the form, and reviewing the collection of information. Comments on the burden or content of this instrument may be sent to the Peace Corps, Attn: Brianna Johnson, 1275 First Street, NE, Washington, D.C. 20526. You are not required to respond to the collection unless the OMB control number and expiration date displayed on page 1 are current and valid. (See 5 C.F.R. 1320.5(b)(2)(i).) OMB Control Number: 0420-xxxx. Expiration Date: January 31, 2026.
Thank you for your interest in this survey. We appreciate your time. All responses are confidential. We will begin with a few questions about you.
[ALL QUESTIONS ARE REQUIRED. SINGLE ANSWER UNLESS OTHERWISE NOTED. RESPONDENT IS NOT ALLOWED TO GO BACK IN SURVEY – FORWARD ONLY.]
[DEMOGRAPHIC QUESTIONS: GENERAL SCREENING AND QUOTA TO IDENTIFY TARGETED SAMPLE FOR COMPARISON GROUP]
What is your current age?
17 or under [TERMINATE]
18-19
20-24
25-29
30-34
35-39
40-44
45-50
50-54
55-59
60-64
65 or older [TERMINATE]
Are you (mark all that apply)? [SELECT ALL]
Male
Female
Transgender, non-binary, or another gender identity [FOR QUOTA COUNT AS LGBTQ]
Are you of Hispanic, Latino, or Spanish origin?
Yes
No
Prefer not to answer
What is your race? Select one or more. [SELECT ALL]
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or other Pacific Islander [FOR QUOTA COUNT AS ASIAN]
White
Which sexual orientation do you most closely identify with?
Straight/Heterosexual
Gay or lesbian [FOR QUOTA COUNT AS LGBTQ]
Bisexual
Queer [FOR QUOTA COUNT AS LGBTQ]
Another term [FOR QUOTA COUNT AS LGBTQ]
Prefer not to answer
Are you a citizen of the United States?
Yes
No [TERMINATE]
Prefer not to answer [TERMINATE]
What region of the U.S. do you live in? [BALANCE REGIONAL DISTRIBUTION]
New England (Connecticut, Maine, Massachusetts, New Hampshire, Rhode Island, and Vermont)
Mid-Atlantic (Delaware, Maryland, New Jersey, New York, Pennsylvania, and D.C.)
South (Alabama, Arkansas, Florida, Georgia, Kentucky, Louisiana, Mississippi, North Carolina, South Carolina, Tennessee, Virginia, and West Virginia)
Midwest (Illinois, Indiana, Iowa, Kansas, Michigan, Minnesota, Missouri, Nebraska, North Dakota, Ohio, South Dakota, and Wisconsin)
Southwest (Arizona, New Mexico, Oklahoma, and Texas)
West (Alaska, Colorado, California, Hawaii, Idaho, Montana, Nevada, Oregon, Utah, Washington, and Wyoming)
U.S. Territory (e.g., Puerto Rico, Guam, US Virgin Islands, or American Samoa)
[TARGETED SAMPLE QUESTIONS]
What is the highest level of education you have completed?
8th grade or less [DOES NOT QUALIFY AS TARGETED SAMPLE]
Some high school (grades 9, 10, or 11) [DOES NOT QUALIFY AS TARGETED SAMPLE]
High school graduate or GED (High school equivalency) [DOES NOT QUALIFY AS TARGETED SAMPLE UNLESS AGE= 18 to 19]
Trade or technical school
Some college (but no degree)
Associate’s degree (2-year degree)
Bachelor’s degree (4-year degree)
Graduate degree
In which of the following areas do you have some experience or expertise through education, paid work, or volunteering? Please select all that apply. [ROTATE; SELECT ALL]
Education
Health or healthcare
Public health or mental health
Environmental science or climate change
Engineering or infrastructure
Agriculture
International affairs
Business or economic development
Computer science
Youth development
None of the above [KEEP LAST/ANCHOR; DOES NOT QUALIFY AS TARGETED SAMPLE]
Which of the following caregiving activities do you routinely engage in? Please select all that apply. [SELECT ALL]
Care for a child aged 12 or under [DOES NOT QUALIFY AS TARGETED SAMPLE]
Care for a child aged 13 to 16 [DOES NOT QUALIFY AS TARGETED SAMPLE]
Care for an adult family member or other adult [DOES NOT QUALIFY AS TARGETED SAMPLE]
None of the above
Do you currently have any pets at home that you are responsible for?
Yes
No
In the past 12 months, have you done any volunteer work – that is, giving of your time, skills, or energy for a nonprofit, charitable organization, school, or group for which you did not receive any pay?
Yes [PROCEED TO Q13]
No [SKIP TO Q15]
What type of volunteering activities have you engaged in during the last 12 months? Please select all that apply. [ROTATE; SELECT ALL]
Organizing or supporting activities or events
Sports coaching/refereeing
Office work (e.g., bookkeeping, administration)
Health care (e.g., home care, companionship)
Counselling or providing advice
Construction, maintenance, or repair
Communications (e.g., writing, research)
Technology/computer support
Collecting or serving food/other goods
Serving on committee/board
Teaching/mentoring/tutoring
Canvassing/fundraising/philanthropy
Community building or youth work
Activism and/or campaigning
Other [KEEP LAST/ANCHOR; NOT QUALIFYING ON ITS OWN]
Can’t answer/not sure [KEEP LAST/ANCHOR; DOES NOT QUALIFY AS TARGETED SAMPLE IF SELECTED ON ITS OWN; SKIP TO Q15]
In a typical month, how much time do you spend on volunteer activities?
Less than one hour [DOES NOT QUALIFY AS TARGETED SAMPLE]
1 to 4 hours
5 to 14 hours
15 or more hours
Can’t answer/not sure [DOES NOT QUALIFY AS TARGETED SAMPLE]
TARGETED SAMPLE MUST MEET ALL THE FOLLOWING CRITERIA:
Q8: EDUCATION BEYOND HIGH SCHOOL, UNLESS AGED 18-19 (THEN HS ONLY QUALIFIES)
Q9: EXPERIENCE IN QUALIFYING AREA (OPTIONS A-I)
Q10: NO CURRENT CAREGIVING RESPONSIBILITIES (OPTION D)
Q12: CURRENTLY VOLUNTEERS (OPTION A)
Q13: VOLUNTEERS FOR A QUALIFYING AREA (OPTIONS A-N)
Q14: VOLUNTEERS 1 OR MORE HOURS PER MONTH (OPTIONS B-D)
[VOLUNTEERING AND INTERESTS]
Regardless of whether you personally volunteer, what do you see as the main reasons to take part in volunteer work? Please select all that apply. [ROTATE; SELECT ALL]
Make a contribution/give back
Support a cause
Sense of accomplishment
Use experiences and skills
Have an experience or develop skills
Explore personal strengths
Network/meet people
Improve job opportunities
Improve well-being or health of others
Part of upbringing, faith, or general values
Can’t think of any reason to volunteer [KEEP LAST/ANCHOR]
How interested are you in volunteering in each of the following settings/ways? Please use a scale from 1, not at all interested, to 7, very interested. [SHOW IN TABLE/GRID LABELED 1-7 WITH DESCRIPTOR LABELS AT EITHER END AND 4 LABELED AS SOMEWHAT]
Locally
Nationally
Internationally
Virtually
How interested are you in each of the following issues? Please use a scale from 1, not at all interested, to 7, very interested. [ROTATE; SHOW IN TABLE/GRID LABELED 1-7 WITH DESCRIPTOR LABELS AT EITHER END AND 4 LABELED AS SOMEWHAT; REPEAT LABELS EVERY 5 ROWS OR AS NEEDED]
Education
Health or healthcare
Public health or mental health
Environment or climate change
Engineering or infrastructure
Agriculture
International development
Business or economic development
Youth development
Social justice
COVID response and recovery
How do you see yourself? Please select all the words or phrases you would use to describe yourself. [ROTATE; SELECT ALL]
Risk-taker
Community-oriented
Tolerant
Family-oriented
Ambitious
Want to make a difference
Good with people
Leader
Seeks change or enjoys new challenges
Good communicator
Desires stability/certainty
Passionate
Global citizen
Hard worker
None of the above [KEEP LAST/ANCHOR]
[UNAIDED PEACE CORPS QUESTIONS]
How familiar are you with each of the following organizations? Please use a scale from 1, not at all familiar, to 7, very familiar. [ROTATE; SHOW IN TABLE/GRID LABELED 1-7 WITH DESCRIPTOR LABELS AT EITHER END AND 4 LABELED AS SOMEWHAT]
The Peace Corps [IF SELECT 1 OR 2, DO NOT SHOW Q20]
AmeriCorps
Teach for America
Doctors Without Borders
American Red Cross
Habitat for Humanity
[ONLY SHOWN TO THOSE FAMILIAR WITH PEACE CORPS = 3 OR HIGHER IN Q19] How much do you trust the Peace Corps? Please use a scale from 1, not at all, to 7, a great deal. [SHOW 1-7 WITH DESCRIPTOR LABELS AT EITHER END AND 4 LABELED AS SOMEWHAT]
Where have you come across any information about the Peace Corps? Please select all that apply. [ROTATE; SELECT ALL]
Know someone who is/was/will be a Peace Corps Volunteer or works for the Peace Corps
News story or report
Social media
On a television show
Advertisement
Attended information session or contacted a recruiter
Visited Peace Corps website or social media
Learned about it in school
None of the above [KEEP LAST/ANCHOR]
[AIDED PEACE CORPS QUESTIONS]
Please review the following information about the Peace Corps.
The Peace Corps is an independent agency of the U.S. government.
The Peace Corps offers a unique opportunity to live and volunteer abroad. Volunteers partner with communities and work alongside local leaders to address challenges in areas such as education, health, environment, agriculture, economic development, youth development, and COVID response and recovery.
Volunteers serve at the request of over 60 host countries around the world. Host countries get skilled support in tackling challenges that they identify.
The Peace Corps welcomes U.S. citizens over the age of 18 with a variety of educational backgrounds and experience.
The Peace Corps offers different in-country programs that include the traditional 2-year program. Shorter programs are available that last up to 12 months for more highly technical placements.
Volunteers apply to a position based on their skills and the type of work they want to do. They can select a country where they want to serve or opt to go where they are needed most. Peace Corps will work with Volunteers to match their skills to an assignment.
Volunteers receive training, housing, food, a living stipend, and medical support. The Peace Corps will also cover travel costs to and from a Volunteer’s country of service.
Throughout service, Volunteers gain a unique intercultural perspective, as well as leadership, language, teaching, and community development skills that last beyond their time of service. When the Volunteer returns, they can share with their community greater perspectives of the country in which they served.
[SHOW FOR MINIMUM 35 SECONDS BEFORE ALLOWING RESPONDENT TO PROCEED]
How interested are you in learning more about the Peace Corps? Please rate your interest from 1, not at all interested, to 7, very interested. [SHOW 1-7 WITH DESCRIPTOR LABELS AT EITHER END AND 4 LABELED AS SOMEWHAT]
How interested are you in engaging in the following activities to learn more about the Peace Corps? Please rate your interest from 1, not at all interested, to 7, very interested, for each of the following: [SHOW IN TABLE/GRID LABELED 1-7 WITH DESCRIPTOR LABELS AT EITHER END AND 4 LABELED AS SOMEWHAT]
Visiting a website or viewing a social media post
Attending an information session or talking with a recruiter
Talking with a current or returned Peace Corps Volunteer
Reading a brochure
Watching a video
How interested are you in volunteering with the Peace Corps for 2 years of service? Please rate your interest from 1, not at all interested, to 7, very interested, for each of the following: [SHOW IN TABLE/GRID LABELED 1-7 WITH DESCRIPTOR LABELS AT EITHER END AND 4 LABELED AS SOMEWHAT]
Now
In the next 5 years
How interested are you in volunteering with the Peace Corps for 3 to 12 months of service? Please rate your interest from 1, not at all interested, to 7, very interested, for each of the following: [SHOW IN TABLE/GRID LABELED 1-7 WITH DESCRIPTOR LABELS AT EITHER END AND 4 LABELED AS SOMEWHAT]
Now
In the next 5 years
How interested are you in volunteering virtually (i.e., you would stay in the United States) with the Peace Corps for 3 to 7 months of service? Please rate your interest from 1, not at all interested, to 7, very interested, for each of the following: [SHOW IN TABLE/GRID LABELED 1-7 WITH DESCRIPTOR LABELS AT EITHER END AND 4 LABELED AS SOMEWHAT]
Now
In the next 5 years
How much do you agree or disagree with each of the following statements? Please use a scale from 1, strongly disagree, to 7, strongly agree. [ROTATE; SHOW IN TABLE/GRID LABELED 1-7 WITH DESCRIPTOR LABELS AT EITHER END AND 4 LABELED AS NEUTRAL; REPEAT LABELS EVERY 5 ROWS OR AS NEEDED]
Peace Corps is for people like me
Peace Corps makes the world a better place
Peace Corps Volunteers gain valuable life skills
Peace Corps service benefits communities
Peace Corps service helps my career
Peace Corps provides the opportunity for meaningful cultural exchange
Peace Corps service benefits other nations
Peace Corps service benefits the United States
Peace Corps supports world peace and friendship among nations
Serving for two years allows time to make an impact
Peace Corps is a good use of my time, energy, and skills
Peace Corps helps me develop a global network of friends and colleagues
Peace Corps allows me to share my skills and experience with others
How much do you agree or disagree with each of the following statements? Please use a scale from 1, strongly disagree, to 7, strongly agree. [ROTATE; SHOW IN TABLE/GRID LABELED 1-7 WITH DESCRIPTOR LABELS AT EITHER END AND 4 LABELED AS NEUTRAL; REPEAT LABELS EVERY 5 ROWS OR AS NEEDED]
Peace Corps service requires challenging living conditions
Peace Corps service is for those who are privileged or financially secure
Two years is too long to serve
Peace Corps is a form of American colonialism
Peace Corps service happens too far from home
Peace Corps service is not safe
It’s more important to serve in the U.S. than abroad
Peace Corps service is not worth the commitment
Peace Corps service is a way to fill time before doing something else
Peace Corps service is outdated
Peace Corps service may negatively impact my mental or physical health
Peace Corps service is too unfamiliar or uncertain
Please select the top three reasons to serve in the Peace Corps. Drag items from the left-hand list into the right-hand list to order your top three selections. [ROTATE; DROP AND DRAG FROM LIST ON LEFT TO RIGHT; REQUIRE THREE SELECTIONS]
Cultural exchange
International experience
Make a positive, lasting impact on other communities
Support the needs of other nations
Give back/help others
Opportunity to travel
Learn a new language/become fluent
Learn new skills
Help or advance career
Make lasting friendships
Prestigious opportunity
Please select the top three reasons not to serve in the Peace Corps. Drag items from the left-hand list into the right-hand list to order your top three selections. [ROTATE; DROP AND DRAG FROM LIST ON LEFT TO RIGHT; REQUIRE THREE SELECTIONS]
Loss of income
Unable to pay ongoing living expenses or loans
Disrupts career
Difficult being away from family/friends
Family/friends wouldn’t approve
Too many current commitments
Caregiving duties (e.g., children, family, friends, pets)
Too uncertain
Not interested/not appealing
Do not want to live or serve abroad
Time commitment is too long
Don’t have the skills/not qualified
Too hard/complicated
[INFORMATION AND ADDITIONAL DEMOGRAPHICS]
Thank you. Now we have just a few final questions for you.
Where do you primarily get information or news? Please select all that apply. [SELECT ALL, RANDOMIZE]
Television
Print or online newspapers/magazines
Radio
Online news websites
Snapchat
YouTube
TikTok
Podcasts
None of the above [KEEP LAST/ANCHOR, CANNOT BE COMBINED WITH ANY OTHER RESPONSE]
Which of the following sources of information would you trust for information about the Peace Corps? Please select all that apply. [SHOW ONLY ITEMS SELECTED IN Q32 FOR A-L; SELECT ALL, RANDOMIZE]
Television
Print or online newspapers/magazines
Radio
Online news websites
Snapchat
YouTube
TikTok
Podcasts
Peace Corps website or social media
Peace Corps recruiter or information session
Peace Corps advertisement
A class or school
None of the above [KEEP LAST/ANCHOR]
How would you describe the community where you live?
Large city
Suburb near a large city
Small city or town
Rural area
What is your current employment status?
Work full-time
Work part-time
Retired
Unemployed
Not in the labor force
What is your current student status?
Full-time student
Part-time student
Not a student
Do you have any mental or physical disabilities that impact your daily life?
Yes
No
Where do you currently reside?
Home/apartment I own
Home/apartment I rent
Home/apartment owned or rented by friend or family member
Dorm or other group quarters
Do not currently have a home
Do you experience any of the following? Please select all that apply. [ROTATE; SELECT ALL]
Deaf or serious difficulty hearing
Blind or serious difficulty seeing
Serious difficulty concentrating, remembering, or making decisions
Serious difficulty walking or climbing stairs
Difficulty dressing or bathing
Difficulty doing errands alone
None of the above [KEEP LAST/ANCHOR, CANNOT BE COMBINED WITH ANY OTHER RESPONSE]
Prefer not to answer [KEEP LAST/ANCHOR, CANNOT BE COMBINED WITH ANY OTHER RESPONSE]
Do you have any of the following types of debt? Please select all that apply. [ROTATE; SELECT ALL]
Mortgage and/or home equity loan
Student loans
Medical bills
Car payments
Credit card debt
Payday loan or car title loan
Personal loan or debt consolidation loan
Other [KEEP LAST/ANCHOR]
None of the above [KEEP LAST/ANCHOR]
How would you describe your household’s financial situation?
Live very comfortably
Live comfortably
Meet basic expenses with a little leftover for extras
Just meet basic expenses
Do not have enough to meet basic expenses
Thank you for taking the time to answer these questions. We appreciate your feedback.
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File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Modified | 0000-00-00 |
File Created | 2023-08-26 |