1. What is your sex?
[ ] Male [ ] Female
2. What is your current age? _____ (number of years)
3. What is your race or ethnicity? Check [√] all that apply.
[ ] Native American or Alaska Native [ ] Hispanic or Latino
[ ] Asian or Pacific Islander [ ] White or Caucasian
[ ] Black or African American [ ] Other (Please specify_________________________)
4. What is your religious preference if any?
[ ] Prostestant (Baptist, Methodist, etc.) [ ] Muslim
[ ] Catholic [ ] None
[ ] Jewish [ ] Other (Please specify__________________)
5. Are you a citizen of the United States?
[ ] Yes [ ] No
6. What is your current marital status?
[ ] Single, never married [ ] Separated
[ ] Married [ ] Widowed
[ ] Divorced
7. Do you have any children under the age of 18?
[ ] No (skip to question #8)
[ ] Yes →→→→→→→→→
8. To the best of your knowledge, what is your family’s total annual income?
[ ] Less than $20,000 [ ] $75,000 to $99,999
[ ] $20,000 to $49,999 [ ] $100,000 or more
[ ] $50,000 to $74,999
9. What is your sexual identity?
[ ] Gay or Lesbian [ ] Straight, heterosexual
[ ] Bisexual
10. What year are you in school?
[ ] First Year [ ] Senior
[ ] Sophomore [ ] Graduate student
[ ] Junior
11. How many years have you been attending McKendree?
[ ] Less than 1 year [ ] 3 years
[ ] 1 year [ ] 4 or more years
[ ] 2 years
12. How many credit hours are you currently enrolled in this semester?
[ ] Less than 12 credit hours [ ] 16-17 credit hours
[ ] 12-15 credit hours [ ] 18 or more credit hours
13. What is your current cumulative GPA?
[ ] 3.5 to 4.0 [ ] 2.0-2.49
[ ] 3.0-3.49 [ ] Less than 2.0
[ ] 2.5-2.99 [ ] I don’t have a McKendree GPA yet.
14. The following matrix contains some statements about your feelings about your life. How often do you experience the following feelings? Please read each statement and indicate [√] whether you never, hardly ever, sometimes, much of the time, or always experience these feelings.
Never Hardly ever Sometimes Much of the time Always
a. I am happy with my life. [ ] [ ] [ ] [ ] [ ]
b. I am satisfied with how my life is going. [ ] [ ] [ ] [ ] [ ]
c. I am optimistic about my future. [ ] [ ] [ ] [ ] [ ]
d. I have a good self-image. [ ] [ ] [ ] [ ] [ ]
15. The following list contains conditions that some people never, hardly ever, sometimes, much of the time, or always experience. During the past few weeks, how often did you experience the following feelings? Check [√] the appropriate box.
Never Hardly ever Sometimes Much of the time Always
a. Pleased about having accomplished something [ ] [ ] [ ] [ ] [ ]
b. Very lonely or remote from other people [ ] [ ] [ ] [ ] [ ]
c. Particularly excited or interested in something [ ] [ ] [ ] [ ] [ ]
d. Bored [ ] [ ] [ ] [ ] [ ]
e. Depressed or very unhappy [ ] [ ] [ ] [ ] [ ]
f. That things were going your way [ ] [ ] [ ] [ ] [ ]
16. The following questions refer to your experiences here at McKendree University. Read the following statements and indicate [√] whether you strongly disagree (SD), disagree (D), neither agree nor disagree (N), agree (A), or strongly agree (SA).
SD D N A SA
a. I feel that I fit into the community at McKendree. [ ] [ ] [ ] [ ] [ ]
b. I feel that McKendree students are involved in campus activities. [ ] [ ] [ ] [ ] [ ]
c. People know each other at McKendree. [ ] [ ] [ ] [ ] [ ]
d. Most people can be trusted at McKendree. [ ] [ ] [ ] [ ] [ ]
e. If I was in trouble, most people at McKendree would go out of their way to help me. [ ] [ ] [ ] [ ] [ ]
The next set of questions are about your involvements in campus activities. Please read the questions and select [√] the best answer.
17. Are you currently a student athlete?
[ ] No [ ] Yes
18. Which of the following on-campus activities are you involved in? Check [√] all that apply.
[ ] Academic honor societies [ ] Intramural sports
[ ] Greek-life organizations [ ] Volunteering or service learning
[ ] Student organizations, excluding Greek life [ ] Other ________________________
[ ] Music ensembles (marching band, etc.) [ ] None
The following questions ask about the job(s) you may hold. Please read the questions and select the best answer.
19. How many jobs do you currently have (including work study)?
[ ] 0 [ ] 2
[ ] 1 [ ] 3 or more
20. In total, how many hours do you typically work (including work study)?
[ ] 0 hours/week [ ] 20-34
[ ] 1-9 hours/week [ ] 35-40
[ ] 10-19 [ ] 41 or more
21. Think about how all of your on and off-campus involvements (work, student athletics, campus organizations, etc.) affect your life in general. Read the following statements and indicate [√] whether you strongly disagree (SD), disagree (D), neither agree nor disagree (N), agree (A), or strongly agree (SA).
SD D N A SA
a. My on and off campus involvements are beneficial to my life. [ ] [ ] [ ] [ ] [ ]
b. My school performance suffers because of my on and off campus involvements. [ ] [ ] [ ] [ ] [ ]
c. My on and off campus involvements prevent me from spending enough time with my friends and family. [ ] [ ] [ ] [ ] [ ]
d. My on and off campus involvements are overwhelming. [ ] [ ] [ ] [ ] [ ]
The next set of questions refers to your residence. Please select [√] the best answer.
22. Do you currently live on or off campus?
[ ] On campus [ ] Off campus, other location
[ ] Off campus, in Lebanon
23. Please indicate the kind of place in which you grew up (where you spent most of your childhood).
[ ] Open country [ ] Medium city, 50,000 to 99,999 people
[ ] Small town, less than 2,000 people [ ] City, 100,000 to 249,999 people
[ ] Town, 2,000 to 9,999 people [ ] City, 250,000 to 1 million people
[ ] Small city, 10,000 to 49,999 people [ ] Large city, more than 1 million residents
24. The next set of questions refer to your feelings of safety while on the campus of McKendree University (attending classes, working on group projects, living on the campus, etc.). Read the following statements and indicate [√] whether you strongly disagree (SD), disagree (D), neither agree nor disagree (N), agree (A), or strongly agree (SA).
SD D N A SA
a. I have felt threatened on campus. [ ] [ ] [ ] [ ] [ ]
b. My belongings/personal property are safe on campus. [ ] [ ] [ ] [ ] [ ]
c. I am safe from physical violence on campus. [ ] [ ] [ ] [ ] [ ]
d. I am safe from sexual assault on campus. [ ] [ ] [ ] [ ] [ ]
e. Campus facilities have adequate security. [ ] [ ] [ ] [ ] [ ]
f. Campus security keeps me well-informed during threatening events. [ ] [ ] [ ] [ ] [ ]
25. Think about the relationships you have with friends (on and off campus). Read the following statements and indicate [√] whether you strongly disagree (SD), disagree (D), neither agree nor disagree (N), agree (A), or strongly agree (SA).
SD D N A SA
a. I am satisfied with the number of friendships I have. [ ] [ ] [ ] [ ] [ ]
b. I am satisfied with the number of close friends I have. [ ] [ ] [ ] [ ] [ ]
c. My friends support me emotionally. [ ] [ ] [ ] [ ] [ ]
d. My friends help me with transportation, running errands, money, food, and housing. [ ] [ ] [ ] [ ] [ ]
e. I have a lot in common with my friends. [ ] [ ] [ ] [ ] [ ]
f. I see my friends often. [ ] [ ] [ ] [ ] [ ]
g. My friends and I have similar goals in life. [ ] [ ] [ ] [ ] [ ]
26. Think about your interactions with others (friends, instructors, coaches, etc.) over the past year. Read the following statements and indicate [√] whether you strongly disagree (SD), disagree (D), neither agree nor disagree (N), agree (A), or strongly agree (SA).
SD D N A SA
a. People treat me with respect. [ ] [ ] [ ] [ ] [ ]
b. I feel that people judge me unfairly because of my race or ethnicity. [ ] [ ] [ ] [ ] [ ]
c. I feel that I’ve been treated unfairly because of my race or ethnicity. [ ] [ ] [ ] [ ] [ ]
d. I feel that people judge me unfairly because of my gender. [ ] [ ] [ ] [ ] [ ]
e. I feel that I’ve been treated unfairly because of my gender. [ ] [ ] [ ] [ ] [ ]
f. I feel that people judge me unfairly because of my sexual identity. [ ] [ ] [ ] [ ] [ ]
g. I feel that I’ve been treated unfairly because of my sexual identity. [ ] [ ] [ ] [ ] [ ]
27. The next set of questions refer to cultural activities you may have participated in. Read the following statements and indicate [√] whether you strongly disagree (SD), disagree (D), neither agree nor disagree (N), agree (A), or strongly agree (SA).
SD D N A SA
a. I enjoy listening to classical music. [ ] [ ] [ ] [ ] [ ]
b. I enjoy reading literature. [ ] [ ] [ ] [ ] [ ]
c. I frequently visit museums, theaters, or attend concerts. [ ] [ ] [ ] [ ] [ ]
d. I frequently buy/borrow books. [ ] [ ] [ ] [ ] [ ]
28. The next set of questions refer to your childhood and family involvement. Read the following statements and indicate [√] whether you strongly disagree (SD), disagree (D), neither agree nor disagree (N), agree (A), or strongly agree (SA).
SD D N A SA
a. When I was a child, my parent(s) regularly encouraged me to read. [ ] [ ] [ ] [ ] [ ]
b. When I was a child, we had lots of books in our home. [ ] [ ] [ ] [ ] [ ]
c. I used to take art or music classes/lessons outside of school. [ ] [ ] [ ] [ ] [ ]
d. My parent(s) used to help me with my homework regularly. [ ] [ ] [ ] [ ] [ ]
e. My parent(s) usually got involved in my daily activities. [ ] [ ] [ ] [ ] [ ]
f. My parent(s) kept track of my academic progress. [ ] [ ] [ ] [ ] [ ]
g. I attended high-quality schools when I was growing up. [ ] [ ] [ ] [ ] [ ]
The next set of questions asks about the family you grew up in for most of your childhood. Please select [√] the best answer.
29. What is the current marital status of your parents (the parents that raised you)?
[ ] Married [ ] Divorced, widowed, or separated
[ ] Never married [ ] Cohabitating
30. What type of household did you grow up in for most of your childhood?
[ ] Two-parent family [ ] Single-parent family
[ ] Extended family (Grandparents, etc.) [ ] Other _________________________
31. What is the highest level of education one or more of your parents has attained?
[ ] Less than high school [ ] Bachelor’s degree
[ ] High school diploma [ ] Master’s degree or higher
[ ] Some college or associates degree
32. Think about the relationships you have with your family. Read the following statements and indicate [√] whether you strongly disagree (SD), disagree (D), neither agree nor disagree (N), agree (A), or strongly agree (SA).
SD D N A SA
a. I am satisfied with the relationship I have with my family. [ ] [ ] [ ] [ ] [ ]
b. My family supports me emotionally. [ ] [ ] [ ] [ ] [ ]
c. My family helps me with transportation, running errands, money, food, housing, or childcare. [ ] [ ] [ ] [ ] [ ]
d. I have a lot in common with my family. [ ] [ ] [ ] [ ] [ ]
e. I see family members often. [ ] [ ] [ ] [ ] [ ]
33. The next set of items describe hardships you may have endured. Within the last year, have you experienced any of the following? Please read each statement and indicate [√] whether you never, hardly ever, sometimes, much of the time, or always experienced these hardships.
Never Hardly ever Sometimes Much of the time Always
a. You didn’t have enough money to pay college tuition. [ ] [ ] [ ] [ ] [ ]
b. You missed bill due dates. [ ] [ ] [ ] [ ] [ ]
c. You didn’t have enough money to pay rent/mortgage. [ ] [ ] [ ] [ ] [ ]
d. You were threatened with eviction by a landlord/foreclosure by the bank. [ ] [ ] [ ] [ ] [ ]
e. You reduced the size of a meal because there wasn’t enough money for food. [ ] [ ] [ ] [ ] [ ]
f. You skipped a meal because you didn’t have enough money to buy food. [ ] [ ] [ ] [ ] [ ]
g. The food that you bought just didn’t last, and you didn’t have money to get more. [ ] [ ] [ ] [ ] [ ]
h. You were unable to eat a balanced or nutritious meal because of a lack of money. [ ] [ ] [ ] [ ] [ ]
i. You were hungry but just didn’t eat because you could not afford enough food. [ ] [ ] [ ] [ ] [ ]
j. You didn’t eat for an entire day because you didn’t have money to buy food. [ ] [ ] [ ] [ ] [ ]
The next set of questions are about your alcohol consumption. Please select [√] the best answer.
34. Have you ever drank alcohol?
[ ] Yes
[ ] No (skip to question #38)
35. How many drinks do you consume in a typical week—a drink is a bottle of beer, glass of wine, wine cooler, mixed drink, or shot of liquor_________(enter number)?
36. In the last two weeks, how many times have you had five or more drinks in a sitting?
[ ] None [ ] 3 to 5 times
[ ] Once [ ] 6 to 9 times
[ ] Twice [ ] 10 or more times
37. Please read each statement and indicate [√] whether you never, hardly ever, sometimes, much of the time, or always experience these thoughts or feelings.
Never Hardly ever Sometimes Much of the time Always
a. When you drink alcohol, how often are you with your friends? [ ] [ ] [ ] [ ] [ ]
b. When you drink alcohol, do you neglect your school work? [ ] [ ] [ ] [ ] [ ]
c. I believe that social drinking (alcohol) enhances my friendships. [ ] [ ] [ ] [ ] [ ]
d. I believe that social drinking (alcohol) makes me feel like part of the group. [ ] [ ] [ ] [ ] [ ]
The next set of questions refers to your involvement with the criminal justice system. Please select [√] the best answer.
38. Have any of your family members or close friends ever been convicted of a crime?
[ ] Yes
[ ] No
39. Have you ever been arrested for any reason?
[ ] Yes (If yes, please continue to #42)
[ ] No (If no, please discontinue taking the survey and thank you for your participation)
40. Have you ever been convicted of a crime?
[ ] Yes
[ ] No
41. Think about your involvement with the criminal justice system. Has it affected your life? Please read each statement and indicate [√] whether you never, hardly ever, sometimes, much of the time, or always experience these consequences of your involvement with the criminal justice system.
Has your criminal history . . . Never Hardly ever Sometimes Much of the time Always
a. Affected your chances of getting a job? [ ] [ ] [ ] [ ] [ ]
b. Prevented you from receiving student loans? [ ] [ ] [ ] [ ] [ ]
c. Prevented you from getting housing? [ ] [ ] [ ] [ ] [ ]
d. Negatively affected the way people treat you? [ ] [ ] [ ] [ ] [ ]
e. Negatively affected your relationships with others? [ ] [ ] [ ] [ ] [ ]
