Elementary School Version
Please say whether you disagree or agree with each sentence. Circle the number that best matches your answer.
1. I feel like I am a part of the community.
2. I pay attention to news events that affect the community.
3. Doing something that helps others is important to me.
4. I like to help other peopleâ even if it is hard work.
5. I know what I can do to help make the community a better place.
6. Helping other people is something everyone should doâ including me.
7. I know a lot of people in the communityâ and they know me.
8. I feel like I can make a difference in the community.
9. I try to think of ways to help other people.
10. Everyone should pay attention to the newsâ including myself.
[quads id=5]
Middle School Version
Please indicate how strongly you disagree or agree with each statement. Circle the number that best describes your response .
1. I feel like I am a part of the community.
2. I pay attention to news events that affect the community.
3. Doing something that helps others is important to me.
4. I like to help other peopleâ even if it is hard work.
5. I know what I can do to help make the community a better place.
6. Helping other people is something everyone should doâ including me.
7. I know a lot of people in the communityâ and they know me.
8. I feel like I can make a difference in the community.
9. I try to think of ways to help other people.
10. Everyone should pay attention to the newsâ including myself.
[quads id=5]
High School Version
Please indicate how strongly you disagree or agree with each statement. Circle the number that best describes your response.
1. I have a strong and personal attachment to a particular community.
2. I often discuss and think about how politicalâ socialâ local or national issues affect the community.
3. I participate in political or social causes in order to improve the community.
4. It is my responsibility to help improve the community.
5. I benefit emotionally from contributing to the communityâ even if it is hard and challenging work.
6. I am aware of the important needs in the community.
7. I feel a personal obligation to contribute in some way to the community.
8. I am aware of what can be done to meet the important needs in the community.
9. Providing service to the community is something I prefer to let others do.
10. I have a lot of personal contact with people in the community.
11. Helping other people is something that I am personally responsible for.
12. I feel I have the power to make a difference in the community.
13. I often try to act on solutions that address politicalâ socialâ local or national problems in the community.
14. It is easy for me to put aside my self interest in favor of a greater good.
15. I participate in activities that help to improve the communityâ even if I am new to them.
16. I try to encourage others to participate in the community.
[quads id=5]
17. Becoming involved in political or social issues is a good way to improve the community.
18. I believe that I can make a difference in the community.
19. I believe that I can have enough influence to impact community decisions.
20. I am or plan to become actively involved in issues that positively affect the community.
21. Being concerned about state and local issues is an important responsibility for everybody.
22. Being actively involved in community issues is everyoneâs responsibilityâ including mine.
23. I try to find time or a way to make a positive difference in the community.
24. I understand how political and social policies or issues affect members in the community.
