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 Korean society, people and culture |
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To increase my understanding of Korean foreign policy |
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To increase my understanding of Korean political system and political process |
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To learn about key issues and problems facing Korea |
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To acquire leadership skills |
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To improve my education |
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To improve my Korean |
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To meet my counterparts in Korea |
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To learn what Koreans 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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Contemporary Korean society |
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Korea and the East Asian economy |
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Korea and East Asian politics |
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Korea and East Asian regional security |
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United States foreign policy in Korea and the region |
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United States geopolitics and Korea |
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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 |
Korean political system |
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Korean economy |
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Korean values and culture |
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Religious and ethnic diversity in Korea |
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Freedom of speech and press in Korea |
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Voluntary community service in Korea |
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Daily life in Korea |
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How do you view the Korean government and the Korean people? Please check one box in each row.
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Strongly Unfavorable |
Generally Unfavorable |
Neither Favorable Nor Unfavorable |
Generally Favorable |
Strongly Favorable |
Korean government |
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Korean people |
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How do you view the Korean government and its relationship with your home country?
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Strongly Disagree |
Disagree |
Neither Agree Nor Disagree |
Agree |
Strongly Agree |
The Korean 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 of when you think of Korea?
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What is the first negative thing you think of when you think of Korea?
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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 Korea 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 Korea? 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 Korea before |
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What year of university have you most recently completed? Please check only 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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Home state: _________________
Which best describes the geographic location where you live? Please check one box.
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A major city |
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A suburb of a major city |
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A small city or town |
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A rural area |
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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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Other (Please write in): |
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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 |
Author | dingbat |
Last Modified By | R. A. Ciupek |
File Modified | 2008-06-10 |
File Created | 2007-05-01 |