Monitoring Data for ECA (MODE) Framework

ECA Post-Program Participant Survey Questions

Instructions for Award Recipients: Participants should receive the survey no sooner than xxx and no later than 6 weeks after an activity has ended.

Introduction and Consent Language:

Consent language should meet the following guidelines:

• State how long the data collection is expected to take

• Explain the purpose of the data collection

• Explain how data will be used, shared, and stored

• Specify that participation in data collection is voluntary and will have no consequences to the respondent

• Provide contact information for questions or technical support

Unique Identifier Questions

The responses to the following four questions will be used to create a Respondent Unique UD, which will be unique to you. We will use this unique ID to match your responses across different surveys while maintaining your anonymity.

1. What is the first initial of your middle name? (If you do not have a middle name, enter “X”) (drop down)

2. What are the first two letters of your mother’s first name? (drop down)

3. What are the first two letters of your father’s name? (drop down)

4. What are the digits of the day of the month on which you were born as a 2-digit number (e.g. 06, 12, 25) (drop down)

5. What are the last two digits of your birth year (drop down)

Disaggregation Questions

1. Please check the option that best describes your gender:

   1. Male

   2. Female

   3. Non-binary

   4. I do not wish to respond

2. Please enter your age: [Open-ended number]

3. (American) - please select your home state: [Drop-down State]

4. (American) - What is your race or ethnicity? Mark one or more.

   1. White

   2. Hispanic or Latino

   3. Black or African American

   4. Asian

   5. American Indian or Alaskan Native

   6. Native Hawaiian or Other Pacific Islander

5. (Foreign) - please select the country of your citizenship: [Drop-down countries]

Monitoring Data for ECA (MODE) Framework Questions

Cross Cultural Competency

Cross-cultural competency indicators demonstrate ECA’s ability to promote cultural engagement, and the extent to which our participants gain greater understanding of the of the United States and other cultures by participating in one of our exchange programs.

1. Before this exchange program, did you travel outside of your home country?

   1. Yes

   2. No

2. If yes: why did you travel outside of your home country [select all that apply]:

   1. Tourism

   2. Visit friends/family

   3. Participation in another ECA exchange program

   4. Study

   5. Work

   6. Other: ___________

3. (Foreign) - Before this exchange program, did you travel to the United States?

1. Yes

2. No

4. (Foreign) - If yes: why did you travel to the United States [select all that apply]:

3. Tourism

4. Visit friends/family

5. Participation in another ECA exchange program

6. Study

7. Work

8. Other: ___________

5. My exchange program’s activities offered opportunities for cultural connectedness and sharing. For example: Conversations about each other’s’ countries, attending cultural events, etc.

   1. Yes

   2. No

6. (Foreign) - How did your views of the United States government and the American people change as a result of your program participation?

	Less favorable	No change – my view remained unfavorable throughout	No change – my view remained favorable throughout	More favorable
United States government
American People

7. (Foreign) - How much did participation in the program change your understanding or knowledge of the following topics?

	No change	Minimal change	Moderate change	Substantial change
United States democracy
United States economy
Foreign affairs in the United States
Domestic affairs in the United States
United States values and culture
Daily life in the United States
Religious and ethnic diversity in the United States
Freedom of speech and press in the United States
Voluntary community service in the United States

8. (American) - How much did participation in the program change your understanding or knowledge of the following topics?

	No change	Minimal change	Moderate change	Substantial change
Host country political system
Host country economy
Foreign affairs of my host country
Domestic affairs of my host country
Host country values and culture
Daily life in my host country
Religious and ethnic diversity in my host country
Freedom of speech and press in my host country
Voluntary community service in my host country

9. Thinking about the exchange participants you met that were from other countries (not your home country or the U.S.), how much did participation in the program change your understanding or knowledge of the following topics related to those countries?

	No change	Minimal change	Moderate change	Substantial change
Political system
Economy
Foreign affairs
Domestic affairs
Values and culture
Daily life
Religious and ethnic diversity
Freedom of speech and press
Voluntary community service

10. To what extent do you agree or disagree with the statements below?

	Strongly disagree	Disagree	Agree	Strongly agree
Voting is important because real decisions are made in elections
Free and fair elections are the cornerstone of democracy
An independent media is important to the free flow of information
All citizens in a country should have equal rights and protections under the law, regardless of circumstances
The Rule of Law is fundamental to a functioning democracy
Individuals and organizations have the right to free speech and to voice opposition
Democratic principles enhance the workplace. Supervisors should incorporate democratic principles into their management practices

11. (Foreign) - Compared to before your program participation, how likely are you to recommend the U.S. as a good place to study?

1. Less likely to recommend

2. No change – I was never likely to recommend

3. No change – I was always likely to recommend

4. More likely to recommend

Civic Engagement

Civic Engagement indicators demonstrate the benefits ECA program participants have on their host and home communities, the belief participants have in their ability to impact their communities, and the extent to which participants contribute to the information landscape.

1. Did you volunteer your time during your exchange?

5. Yes --> Continue to the next question

6. No --> skip logic

7. My program did not offer the opportunity to volunteer --> skip logic

2. How many hours did you spend volunteering your time during your exchange? (Please note that volunteer hours do not include time spend working as part of your professional placement)

3. As a result of your program participation, has your confidence in the following statements changed?

	Increased	Stayed the same	Decreased
I know several ways in which I can make a difference on some of society’s most worrisome problems.
I feel I have the ability to make a difference in my local community.
I feel I have the ability to make a difference in the global community

Networking

Networking indicators helps ECA measure the extent to which our exchange participants have increased their network of global connections - including Americans, other program participants or alumni, and the U.S. Department of State - and are using those connections.

1. Do you consider yourself an alumni of a U.S. Department of State program?

   1. Yes

   2. No

2. (Foreign) - Because of your participation in the program, have you increased the number of Americans you are professionally or personally connected with?

   1. Yes --> Next question

   2. No --> Skip Logic

3. (Foreign) - If yes: I have ________________ the number of Americans I am connected with.

• Greatly increased

• Moderately increased

• Barely increased

4. Have you increased the number of individuals from a country other than your own or the United States that you are personally or professionally connected with?

1. Yes --> Next question

2. No --> Skip Logic

5. If yes: I have ________________ the number of persons I am connected with who are from a country other than my own or where the exchange took place

• Greatly increased

• Moderately increased

• Barely increased

6. Are you registered on the following websites?

	Yes	No	Do Not Know
International Exchange Alumni Network
Program Facebook page
Program WhatsApp group
Other: [write-in]

7. Through your program experience, did you learn about any new resources that will be useful to you in the future (either personally or professionally)?

   1. Yes

   2. No

8. If yes: Please select the appropriate response for each resource:

	I did not know this was a resource	I know this resource exists but do not know where to find it	I know where to find this resource and have used it	I know where to find this resource but have not used it
Small grants applications
AEIF applications
Contact information for other alumni
Project Development tool kits
Information on workshops/ events hosted by the Embassy
Other Resource: [write-in]

Capacity Building

Capacity- Building indicators demonstrate the technical, language and soft skills ECA program participants have acquired as a result of their program along with how they have utilized those skills.

1. Has participating in this program increased your job skills (including language proficiency)?

   1. Yes

   2. No

2. Do you feel that you have increased your skill level in any of the following areas as a result of participation in this program? Please select all that apply.

1. Communication skills

2. Listening skills

3. Self-awareness

4. Awareness of others

5. Self-initiative

6. Self-confidence

7. Resourcefulness

8. Decision-making skills

9. Problem-solving skills

10. No skills improvement

3. Which of the following best describes your ability to speak in a second language?

1. No ability at all

2. Able to communicate only in a very limited capacity

3. Able to satisfy basic survival needs and minimum courtesy requirements

4. Able to satisfy routine social demands and limited work requirements

5. Able to speak with sufficient grammatical accuracy and vocabulary to discuss relevant professional areas

6. Able to speak fluently and accurately in all situations

7. Proficiency equivalent to that of an educated native speaker

4. Please indicate the level to which you agree or disagree with the following statements:

	Agree more	Remained the same, I agree	Remained the same, I disagree	Agree less
If I am misinformed by the news media, it is my own behavior that determines how soon I will learn credible information
I am in control of the information I get from the news media
The main thing that affects my knowledge about the world is what I myself do
If I pay attention to different sources of news, I can avoid being misinformed
If I take the right actions I can stay informed

Economic Development

Economic Development indicators show ECA’s commitment toward increasing the contribution exchange programs make to local economies in the United States, including their engagement with U.S. businesses, non-governmental organization, and educational institutions.

1. (Foreign) - In the past [TIMEFRAME], how much money have you spent on food, travel, leisure, and merchandise that was purchased in the United States?

• $100 or less

• $101 - $300

• $301 - $500

• $501 - $1,000

• $1001 or more

OMB Control Number: 1405-XXXX Burden Estimate:  8 minutes Expiration Date: XX-XX-XXXX

PRA Statement Public reporting burden for this collection of information is estimated to average 8 minutes per response, including time required for searching existing data sources, gathering the necessary documentation, providing the information and/or documents required, and reviewing the final collection.  You do not have to supply this information unless this collection displays a currently valid OMB control number.  If you have comments on the accuracy of this burden estimate and/or recommendations for reducing it, please send them to: ecaevaluation@state.gov.