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<Generic> College Student Questionnaire 
In order to determine what impacts, if any, we are having, and to learn about the factors that are 
associated with career choices, we would like you to answer the following questions. All 
individual responses will be kept confidential. 
1. What is your date of birth? 
________ / ________ / ________ 
Month Day Year 
2. What city were you born in? _________________________________ 
3. What gender are you? 
Male......... 
Female...... 
4. When will you graduate? 
________ / ________ 
Month Year 
5. How likely are you to choose each of the following undergraduate majors? 
Have chosen or 
will definitely 
choose 
Will probably 
choose 
Will probably 
NOT choose 
Will definitely 
NOT choose 
a. Biology     
b. Business     
c. Chemistry     
d. Computer Science     
e. Education     
f. Engineering     
g. Fine Arts     
h. Geosciences     
i. Liberal Arts     
j. Materials Science     
k. Mathematics     
l. Physics     
m. Other (please specify) ..... 
    
 
American Institutes for Research Page 1 DRAFT
____________________ 
6. Please indicate how many of each of the following college classes you have taken or are 
currently taking. 
Classes only Labs only Combined class and lab 
a. Biology ___ ___ ___ 
b. Chemistry ___ ___ ___ 
c. Computer Science ___ ___ ___ 
d. Engineering ___ ___ ___ 
e. Geosciences ___ ___ ___ 
f. Mathematics ___ ___ ___ 
g. Physics ___ ___ ___ 
7. How likely is it that you will take additional college classes in each of the following subjects? 
Will definitely 
take class(es) 
Will probably 
take class(es) 
Will probably 
NOT take 
class(es) 
Will definitely 
NOT take 
class(es) 
a. Biology     
b. Chemistry     
c. Computer Science     
d. Engineering     
e. Geosciences     
f. Mathematics     
g. Physics     
8. Which of the following activities have you participated in at college? 
Yes No 
a. Worked in a college lab, for pay..................................................  
b. Worked in a college lab, for the experience (unpaid)..................  
c. Went on a geology field trip, as part of a course.........................  
d. Went on a geology field trip, not as part of a course...................  
e. Did an independent science research project for course credit....  
9. How much do you enjoy outside activities, such as camping, hiking, and bicycling? 
I like these activities a lot............................. 
American Institutes for Research Page 2 DRAFT
I like these activities..................................... 
I neither like nor dislike these activities....... 
I dislike these activities................................ 
I dislike these activities a lot........................ 
10. How frequently do you participate in outside activities, such as camping, hiking, and 
bicycling? 
Several times per week................................. 
About once a week/Several times a month. . 
About once a month..................................... 
A few times a year........................................ 
About once a year......................................... 
Once or twice in the last 5 years................... 
Not at all in the last 5 years.......................... 
11. How much do you agree with each of the following statements? 
Strongly 
Agree Agree Disagree 
Strongly 
Disagree 
Don’t 
Know 
a. People should be more concerned 
about nature and the environment.     - 
b. I enjoy observing nature.     - 
c. I enjoy reading nature books and 
magazines.     - 
d. I enjoy watching television shows 
about nature and scientific phenomena.     - 
e. I enjoy traveling to different places.     - 
f. I would rather work on a science 
project in an outdoor setting than in a 
    - 
research laboratory. 
g. I find the geosciences interesting.      
h. If I want to, I can become a scientist, 
mathematician, or an engineer.      
i. This class has increased my interest in 
becoming a Geoscientist.*     - 
* note: this item would be used in the post-test only 
American Institutes for Research Page 3 DRAFT
12. How likely are you to go to graduate school? 
I will definitely attend ........ 
I will probably attend.......... 
I may attend......................... 
I will definitely NOT attend. IF DEFINITELY NOT ATTEND, GO TO QUESTION 17 
13. Please indicate how likely you are to choose each of the following majors for study in 
graduate school. 
Will definitely 
choose 
Will probably 
choose 
Will probably 
NOT choose 
Will definitely 
NOT choose 
a. Biology     
b. Chemistry     
c. Computer Science     
d. Engineering     
e. Geosciences     
f. Mathematics     
g. Physics     
14. How much do you agree with each of the following statements? 
Strongly 
Agree Agree Disagree 
Strongly 
Disagree 
Don’t 
Know 
a. I have the academic skills to do well in 
graduate school.      
b. I have the study skills to do well in 
graduate school.      
c. To be successful in my career it is 
important to have a graduate degree.      
d. I am worried about being able to pay 
for graduate school.      
15. How much do you know about the graduate school application process? 
I know a great deal.......................................................................... 
I have a general idea of the application process............................. 
I know very little about applying to graduate school...................... 
I know almost nothing about applying to graduate school............. 
16. How much do you know about each of the following? 
I know a 
great deal 
I know a 
moderate 
I know a 
few 
I know very 
little 
I know 
nothing 
American Institutes for Research Page 4 DRAFT
amount things 
a. Taking the GREs.      
b. Scholarships that are available to help 
pay for graduate school.      
c. Other ways to help pay for graduate 
school.      
d. Government programs to help pay for 
graduate school.      
17. Which of the following best describes your feelings about working in study groups or teams? 
I always prefer to work in study groups or teams…………….....  
I usually prefer to work in study groups or teams…………….....  
I sometimes prefer to work in study groups or teams…………...  
I rarely prefer to work in study groups or teams………………...  
I never prefer to work in study groups or teams…………….…...  
18. How much do you agree with each of the following statements? 
Strongly 
Agree Agree Disagree 
Strongly 
Disagree 
a. I know what biologists do at work.     
b. I know what geologists and geoscientists do at work.     
c. I know what engineers do at work.     
d. I know what computer scientists do at work.     
e. Biologists are well paid.     
f. Geoscientists are well paid.     
g. Engineers are well paid.     
h. Computer scientists are well paid.     
19. How much do you agree with each of the following statements about your career plans? 
Strongly 
Agree Agree Disagree 
Strongly 
Disagree 
Don’t 
Know 
a. I want a career that allows me to work 
mostly in my home community after I 
graduate. 
     
b. I want a career that allows me to travel 
to different locations for work after I 
graduate. 
     
American Institutes for Research Page 5 DRAFT
c. I want a career that requires me to 
travel to different U.S. locations and 
perhaps different countries for work. 
     
20. How much do you agree with each of the following statements? 
Strongly 
Agree Agree Disagree 
Strongly 
Disagree 
Don’t 
Know 
a. My family would be very supportive if 
I decided to become a Geoscientist.      
b. My friends would be very supportive if 
I decided to become a Geoscientist.      
21. How much do you agree with each of the following? 
Strongly 
Agree Agree Disagree 
Strongly 
Disagree 
Don’t 
Know 
a. There is a real sense of community 
among the geoscience majors.      
b. There is a real sense of community 
among the biology majors.      
c. There is a real sense of community 
among the engineering majors.      
d. Geoscience faculty members are easier 
to talk with than other faculty members.      
e. Geoscience faculty members are more 
willing to answer questions outside of 
     
class than other faculty members. 
f. Geoscience faculty members make 
their subject more interesting than other 
faculty members. 
     
Thank you for completing this survey! 
American Institutes for Research Page 6 DRAFT
Examples of some Content-specific items – should be adapted to specific learning 
goals of workshop/course. 
I. How much do you know about each of the following topics? <insert specific topics in learning 
goals> 
A great 
deal A lot A little 
Almost 
nothing Nothing 
a. <science topic 1>      
b. <science topic 2>      
c. <science topic 3>      
d. <science topic 4>      
e. <science topic 5>      
f. <science topic 6>      
g. <science topic 7>      
II. How interested are you in each of the following geoscience topics? 
Very 
interested Interested 
Slightly 
interested 
Not 
interested 
Don’t 
Know 
a. <science topic 1>      
b. <science topic 2>      
c. <science topic 3>      
d. <science topic 4>      
e. <science topic 5>      
f. <science topic 6>      
g. <science topic 7>      
III. Do you plan to request an internship <pursue research opportunities> in an area covered by this 
workshop (course)? 
Yes  No  Not sure yet  
IF YES TO QUESTION III, In which area(s) do you plan to request an internship? 
a. <science topic 1>........................................................................... 
b. <science topic 2>........................................................................... 
c. <science topic 3>........................................................................... 
d. <science topic 4>........................................................................... 
e. <science topic 5>........................................................................... 
f. <science topic 6>............................................................................ 
g. <science topic 7>........................................................................... 
American Institutes for Research Page 7 DRAFT
American Institutes for Research Page 8 DRAFT

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Fuhrman assess

  • 1. <Generic> College Student Questionnaire In order to determine what impacts, if any, we are having, and to learn about the factors that are associated with career choices, we would like you to answer the following questions. All individual responses will be kept confidential. 1. What is your date of birth? ________ / ________ / ________ Month Day Year 2. What city were you born in? _________________________________ 3. What gender are you? Male......... Female...... 4. When will you graduate? ________ / ________ Month Year 5. How likely are you to choose each of the following undergraduate majors? Have chosen or will definitely choose Will probably choose Will probably NOT choose Will definitely NOT choose a. Biology     b. Business     c. Chemistry     d. Computer Science     e. Education     f. Engineering     g. Fine Arts     h. Geosciences     i. Liberal Arts     j. Materials Science     k. Mathematics     l. Physics     m. Other (please specify) .....      American Institutes for Research Page 1 DRAFT
  • 2. ____________________ 6. Please indicate how many of each of the following college classes you have taken or are currently taking. Classes only Labs only Combined class and lab a. Biology ___ ___ ___ b. Chemistry ___ ___ ___ c. Computer Science ___ ___ ___ d. Engineering ___ ___ ___ e. Geosciences ___ ___ ___ f. Mathematics ___ ___ ___ g. Physics ___ ___ ___ 7. How likely is it that you will take additional college classes in each of the following subjects? Will definitely take class(es) Will probably take class(es) Will probably NOT take class(es) Will definitely NOT take class(es) a. Biology     b. Chemistry     c. Computer Science     d. Engineering     e. Geosciences     f. Mathematics     g. Physics     8. Which of the following activities have you participated in at college? Yes No a. Worked in a college lab, for pay..................................................  b. Worked in a college lab, for the experience (unpaid)..................  c. Went on a geology field trip, as part of a course.........................  d. Went on a geology field trip, not as part of a course...................  e. Did an independent science research project for course credit....  9. How much do you enjoy outside activities, such as camping, hiking, and bicycling? I like these activities a lot............................. American Institutes for Research Page 2 DRAFT
  • 3. I like these activities..................................... I neither like nor dislike these activities....... I dislike these activities................................ I dislike these activities a lot........................ 10. How frequently do you participate in outside activities, such as camping, hiking, and bicycling? Several times per week................................. About once a week/Several times a month. . About once a month..................................... A few times a year........................................ About once a year......................................... Once or twice in the last 5 years................... Not at all in the last 5 years.......................... 11. How much do you agree with each of the following statements? Strongly Agree Agree Disagree Strongly Disagree Don’t Know a. People should be more concerned about nature and the environment.     - b. I enjoy observing nature.     - c. I enjoy reading nature books and magazines.     - d. I enjoy watching television shows about nature and scientific phenomena.     - e. I enjoy traveling to different places.     - f. I would rather work on a science project in an outdoor setting than in a     - research laboratory. g. I find the geosciences interesting.      h. If I want to, I can become a scientist, mathematician, or an engineer.      i. This class has increased my interest in becoming a Geoscientist.*     - * note: this item would be used in the post-test only American Institutes for Research Page 3 DRAFT
  • 4. 12. How likely are you to go to graduate school? I will definitely attend ........ I will probably attend.......... I may attend......................... I will definitely NOT attend. IF DEFINITELY NOT ATTEND, GO TO QUESTION 17 13. Please indicate how likely you are to choose each of the following majors for study in graduate school. Will definitely choose Will probably choose Will probably NOT choose Will definitely NOT choose a. Biology     b. Chemistry     c. Computer Science     d. Engineering     e. Geosciences     f. Mathematics     g. Physics     14. How much do you agree with each of the following statements? Strongly Agree Agree Disagree Strongly Disagree Don’t Know a. I have the academic skills to do well in graduate school.      b. I have the study skills to do well in graduate school.      c. To be successful in my career it is important to have a graduate degree.      d. I am worried about being able to pay for graduate school.      15. How much do you know about the graduate school application process? I know a great deal.......................................................................... I have a general idea of the application process............................. I know very little about applying to graduate school...................... I know almost nothing about applying to graduate school............. 16. How much do you know about each of the following? I know a great deal I know a moderate I know a few I know very little I know nothing American Institutes for Research Page 4 DRAFT
  • 5. amount things a. Taking the GREs.      b. Scholarships that are available to help pay for graduate school.      c. Other ways to help pay for graduate school.      d. Government programs to help pay for graduate school.      17. Which of the following best describes your feelings about working in study groups or teams? I always prefer to work in study groups or teams…………….....  I usually prefer to work in study groups or teams…………….....  I sometimes prefer to work in study groups or teams…………...  I rarely prefer to work in study groups or teams………………...  I never prefer to work in study groups or teams…………….…...  18. How much do you agree with each of the following statements? Strongly Agree Agree Disagree Strongly Disagree a. I know what biologists do at work.     b. I know what geologists and geoscientists do at work.     c. I know what engineers do at work.     d. I know what computer scientists do at work.     e. Biologists are well paid.     f. Geoscientists are well paid.     g. Engineers are well paid.     h. Computer scientists are well paid.     19. How much do you agree with each of the following statements about your career plans? Strongly Agree Agree Disagree Strongly Disagree Don’t Know a. I want a career that allows me to work mostly in my home community after I graduate.      b. I want a career that allows me to travel to different locations for work after I graduate.      American Institutes for Research Page 5 DRAFT
  • 6. c. I want a career that requires me to travel to different U.S. locations and perhaps different countries for work.      20. How much do you agree with each of the following statements? Strongly Agree Agree Disagree Strongly Disagree Don’t Know a. My family would be very supportive if I decided to become a Geoscientist.      b. My friends would be very supportive if I decided to become a Geoscientist.      21. How much do you agree with each of the following? Strongly Agree Agree Disagree Strongly Disagree Don’t Know a. There is a real sense of community among the geoscience majors.      b. There is a real sense of community among the biology majors.      c. There is a real sense of community among the engineering majors.      d. Geoscience faculty members are easier to talk with than other faculty members.      e. Geoscience faculty members are more willing to answer questions outside of      class than other faculty members. f. Geoscience faculty members make their subject more interesting than other faculty members.      Thank you for completing this survey! American Institutes for Research Page 6 DRAFT
  • 7. Examples of some Content-specific items – should be adapted to specific learning goals of workshop/course. I. How much do you know about each of the following topics? <insert specific topics in learning goals> A great deal A lot A little Almost nothing Nothing a. <science topic 1>      b. <science topic 2>      c. <science topic 3>      d. <science topic 4>      e. <science topic 5>      f. <science topic 6>      g. <science topic 7>      II. How interested are you in each of the following geoscience topics? Very interested Interested Slightly interested Not interested Don’t Know a. <science topic 1>      b. <science topic 2>      c. <science topic 3>      d. <science topic 4>      e. <science topic 5>      f. <science topic 6>      g. <science topic 7>      III. Do you plan to request an internship <pursue research opportunities> in an area covered by this workshop (course)? Yes  No  Not sure yet  IF YES TO QUESTION III, In which area(s) do you plan to request an internship? a. <science topic 1>........................................................................... b. <science topic 2>........................................................................... c. <science topic 3>........................................................................... d. <science topic 4>........................................................................... e. <science topic 5>........................................................................... f. <science topic 6>............................................................................ g. <science topic 7>........................................................................... American Institutes for Research Page 7 DRAFT
  • 8. American Institutes for Research Page 8 DRAFT