Congratulations on having been chosen to participate in the U.S. Congress-Korean National Assembly Youth Exchange!
The purpose of these questions is to help us understand the diverse characteristics and opinions of our program participants. Please know that your answers will be strictly confidential and will in no way affect your participation in the program. We will use the data for analytical and evaluative purposes only.
Please feel free to give us your honest opinions. This survey is not a test, and there are no right or wrong answers. Thank you for your participation in this survey.
Privacy Act and Paperwork Reduction Act Statements:
The information solicited on this survey is requested pursuant to the Government Performance and Results Act of 1993 (P.L. 103-62) and the Mutual Educational and Cultural Exchange Act of 1961, as amended, also known as the Fulbright-Hays Act (22 U.S.C. 2451, et seq.). In order to ensure that the U.S. Department of State’s international exchange programs meet statutory program requirements (22 U.S.C. 2460(c)), the Department’s Bureau of Educational and Cultural Affairs (ECA) regularly monitors the programs, gathers data about program accomplishments, and evaluates selected ones. ECA uses the information collected to inform program design, management, and funding. All personal information that is collected through surveys is considered confidential. All responses are coded to ensure the confidentiality of individual responses. Data collected under this study will not be shared, sold, or used for fundraising purposes. Survey data and findings will be used only in an aggregate form for the express purposes of fulfilling the data needs of the outcome assessment. Responses to this survey are voluntary.
Public reporting burden for this collection of information is estimated to average fifteen (15) minutes to respond to this survey, including time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An Agency may not conduct or sponsor, and respondents are not required to respond to, a collection of information unless it displays a valid OMB control number. Please send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing the burden, to: A/ISS/DIR, U.S. Department of State, Washington, D.C. 20520
What is your primary reason for participating in this exchange program?
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There are many different reasons for participating in the U.S. Congress-Korean National Assembly Youth Exchange program. In the table below, please identify your three most important reasons for participating.
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To increase my understanding of American society, people and culture |
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To increase my understanding of American foreign policy |
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To increase my understanding of the United States political system and process |
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To learn about key issues and problems facing the United States |
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To acquire leadership skills |
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To improve my education |
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To improve my English |
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To meet my counterparts in the United States |
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To learn what Americans think about my country |
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To share my culture with others |
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Other (Please write in): ___________________________________________ |
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Please rate your current knowledge and understanding of the following topics and themes highlighted in your U.S. Congress-Korean National Assembly Youth Exchange program. Please check one box in each row.
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No Knowledge |
Less Than Basic |
Basic Knowledge |
Beyond Basic |
Advanced Knowledge |
Relationship between citizens and government |
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Constituent relations |
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Understanding of the rights and responsibilities of citizens |
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History of United States-Korean relations |
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Economic relations between Korea and the United States |
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Foreign policy between Korea and the United States |
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Security between Korea and the United States |
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Federalism in the United States |
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Compromise, consensus building, and decision-making in public policy making in the United States |
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Citizen involvement in the policy process |
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What do you see yourself as accomplishing or learning during this visit that you could not accomplish or learn at home?
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Please rate your knowledge or understanding of the following topics. Please check one box in each row.
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No Knowledge |
Less Than Basic |
Basic Knowledge |
Beyond Basic |
Advanced Knowledge |
United States democracy |
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United States economy |
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American values and culture |
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Religious and ethnic diversity in the United States |
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Freedom of speech and press in the United States |
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Voluntary community service in the United States |
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Daily life in the United States |
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How do you view the United States Government and the American people? Please check one box in each row.
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Strongly Unfavorable |
Generally Unfavorable |
Neither Favorable Nor Unfavorable |
Generally Favorable |
Strongly Favorable |
United States Government |
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American people |
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How do you view the United States Government and its relationship with your country?
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Strongly Disagree |
Disagree |
Neither Agree Nor Disagree |
Agree |
Strongly Agree |
The United States Government is a trustworthy partner for my country |
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To what extent do you agree or disagree with the statements below? Please check one box in each row.
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Strongly Disagree |
Disagree |
Neither Agree Nor Disagree |
Agree |
Strongly Agree |
Voting is important because real decisions are made in elections |
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Free and fair elections are the cornerstone of democracy |
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An independent media is important to the free flow of information |
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All citizens in a country should have equal rights and protections under the law, regardless of circumstances |
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The Rule of Law is fundamental to a functioning democracy |
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Individuals and organizations have the right to free speech and to voice opposition |
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Democratic principles enhance the workplace. Supervisors should incorporate democratic principles into their management practices |
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What is the first positive thing you think about when you think about the United States?
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What is the first negative thing you think about when you think about the United States?
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Please rate yourself on the following abilities. Please check one box in each row.
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Poor |
Fair |
Good |
Excellent |
Being self-reliant, being independent, relying on yourself |
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Speaking in public |
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Listening to other people’s suggestions or concerns |
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Expressing ideas and feelings |
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Being tolerant of others different than you |
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Leading a team and motivating others |
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Being flexible |
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Solving problems |
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Planning for the future |
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Managing your time |
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Managing money |
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Discussing your beliefs/values |
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Willing to make changes in your community |
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What is your major field of study? Please check one box.
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Agriculture |
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Library and Information Science |
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Arts and Humanities (history, languages, literature, art, theater) |
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Media, Mass Communications, Journalism, Communication Technology, Advertising, Graphics |
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Athletics |
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Medicine |
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Business Administration, Finance |
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Military Service |
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Computer Science, Information Technology |
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Public Administration |
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Education |
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Public Health |
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Engineering |
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Religion |
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Environment |
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Science (physics, math, chemistry, biology, astronomy, geography, agronomy) |
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Government |
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Social Sciences (sociology, economics, psychology, political science) |
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Humanitarian Affairs, Development Assistance, Conflict Resolution |
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Social Work |
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International Relations |
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Teaching English, English language instructions |
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Labor, Trade Unions |
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Not sure |
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Law, Judicial, Law Enforcement |
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Other (Please write in): ___________________ |
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Have you ever visited the United States before?
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Yes |
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No |
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If you answered “yes” to question 14, how long did you stay on your last trip to the United States? Please check one box.
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Less than 6 months |
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6-12 months |
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More than 12 months |
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I have never visited the United States before |
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What year of college/university have you most recently completed? Please check one box.
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1st Year undergraduate |
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1st Year graduate |
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2nd Year undergraduate |
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2nd Year graduate |
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3rd Year undergraduate |
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3rd Year graduate |
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4th Year undergraduate |
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4th Year graduate |
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5th Year undergraduate |
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5th Year graduate |
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Which best describes the geographic location where you live? Please check one box.
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My country’s capital city |
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Another major city in my country other than the capital |
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A small city, town or rural location in my country |
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Age: ______
Gender:
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Female |
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Male |
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Which religion do you most closely identify with? Please check one box.
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Baha’ism |
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Judaism |
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Buddhism |
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Shintoism |
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Christianity (for example: Orthodox, Catholic, Protestant) |
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Sikhism |
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Confucianism |
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Taoism |
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Hinduism |
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Zoroastrianism |
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Islam |
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None |
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Jainism |
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What is your father’s current education level? Please check the appropriate level of schooling whether complete or incomplete.
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No formal education |
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Primary education (complete or incomplete) |
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Secondary education (complete or incomplete) |
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Technical |
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University—first degree |
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University—postgraduate degree (for example: Master’s or Ph.D.) |
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Do not know |
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What is your mother’s current education level? Please check the appropriate level of schooling whether complete or incomplete.
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No formal education |
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Primary education (complete or incomplete) |
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Secondary education (complete or incomplete) |
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Technical |
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University –first degree |
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University – postgraduate degree (for example: Master’s or Ph.D.) |
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Do not know |
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Thank you for completing this survey! If you have additional comments you would like to make, please do so here.
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How long did it take you to complete this survey? ______ Minutes
File Type | application/msword |
File Title | Korean Delegates Pre-Program Survey |
Author | dingbat |
Last Modified By | R. A. Ciupek |
File Modified | 2008-06-10 |
File Created | 2007-05-01 |