Participant Consent Form Thank you for your interest in the QESLI. We’d like to provide you with information about the research project. Your participation in the study is voluntary, and there is no penalty for refusing or discontinuing participation.In this study, you will respond to a survey by answering questions related to your wellbeing and school experience. The risks associated with the study are minimal. If you feel uncomfortable answering questions about yourself, you have the right to skip any question.Your assessment answers will be used to collect data regarding your the quality of education and student life at your school. All personal information gathered in this study will remain confidential and be given out only with your permission or as required by law. You will be assigned to create a random participation code to take the survey.If you have any questions about the study, please contact our principal investigator: Hildy Wen, hildy@qeslo.org.I agree to participate in this survey, and understand that only completed surveys count toward my university's score.Participant ID *Please create your username using the following instructions: first 3 letters of your favorite high school teacher's last name + first 3 letters of your favorite movie not counting "a" or "the" + number date of your birthday (i.e. BROMAT22)Student type *Undergraduate StudentGraduate StudentUniversityUniversity Email Address ** for verification purposes, only valid university emails are acceptedDemographicsAgeGenderManWomanNon-Binary/OtherPrefer not to answerDo you identify as part of the LGBTQIA+ community?YesNoRaceNative American/Alaska NativeAsianAfrican AmericanLatin AmericanNative Hawaiian/Pacific IslanderWhitePrefer not to answerPlease select all that applyDo you identify as hispanic?YesNoPrefer not to answerAre either or your parents immigrants?Yes, both areYes, one isNoTotal Yearly Household/Family IncomePlease Select a Value$0 to $19,999$20,000 to $49,999$50,000-$89,999$90,000-$129,999$130,000-$149,000$150,000+Prefer not to answerAre you currently employed?YesNoCurrent GPAPlease Select a Value3.8-4.0 (A)3.4-3.7 (A-)3.1-3.3 (B+)2.8-3.0 (B)2.4-2.7 (B-)2.1-2.2 (C+)1.8-2.0 (C)1.4-1.7 (C-)1.0-1.3 (D)Prefer not to answerHighest Level of Education You Plan to CompletePlease Select a ValueAssociate's Degree (eg. AA, AS)Bachelor's Degree (eg. BA, BS, BFA)Master's Degree (eg. MA, MS, MEd, MBA)Professional Degree (eg. MD, DDS, JD)Doctorate Degree (eg. PhD, EdD, PsyD)This is what you plan to complete, not the highest degree you currently have.Below are statements with which you may agree or disagree. Indicate your agreement with each item.I take interest in the courses offeredStrongly DisagreeDisagreeSlightly DisagreeNeither Agree nor DisagreeSomewhat AgreeAgreeStrongly AgreeI am getting the right amount of challenge in my classes and courseworkStrongly DisagreeDisagreeSlightly DisagreeNeither Agree nor DisagreeSomewhat AgreeAgreeStrongly AgreeThe work I’m given is of value and not just busy workStrongly DisagreeDisagreeSlightly DisagreeNeither Agree nor DisagreeSomewhat AgreeAgreeStrongly AgreeThe faculty create a stimulating environment for students to learnStrongly DisagreeDisagreeSlightly DisagreeNeither Agree nor DisagreeSomewhat AgreeAgreeStrongly AgreeThe faculty are knowledgeable in their subject areasStrongly DisagreeDisagreeSlightly DisagreeNeither Agree nor DisagreeSomewhat AgreeAgreeStrongly AgreeI am satisfied with the extracurricular activities offered by my school and the greater school communityStrongly DisagreeDisagreeSlightly DisagreeNeither Agree nor DisagreeSomewhat AgreeAgreeStrongly AgreeStudents and faculty embrace the school spiritStrongly DisagreeDisagreeSlightly DisagreeNeither Agree nor DisagreeSomewhat AgreeAgreeStrongly AgreeStudents and faculty have fun at schoolStrongly DisagreeDisagreeSlightly DisagreeNeither Agree nor DisagreeSomewhat AgreeAgreeStrongly AgreeI feel engaged with the school communityStrongly DisagreeDisagreeSlightly DisagreeNeither Agree nor DisagreeSomewhat AgreeAgreeStrongly AgreeThe school resources are generally helpful and effective (school nurse, counselor, school bus commute)Strongly DisagreeDisagreeSlightly DisagreeNeither Agree nor DisagreeSomewhat AgreeAgreeStrongly AgreeThe faculty care about my successStrongly DisagreeDisagreeSlightly DisagreeNeither Agree nor DisagreeSomewhat AgreeAgreeStrongly AgreeI have close friends here that I feel comfortable opening up toStrongly DisagreeDisagreeSlightly DisagreeNeither Agree nor DisagreeSomewhat AgreeAgreeStrongly AgreeStudents treat one another with kindness and respectStrongly DisagreeDisagreeSlightly DisagreeNeither Agree nor DisagreeSomewhat AgreeAgreeStrongly AgreeI feel comfortable approaching faculty for academic-related issuesStrongly DisagreeDisagreeSlightly DisagreeNeither Agree nor DisagreeSomewhat AgreeAgreeStrongly AgreeI feel comfortable approaching school staff for non-academic-related issuesStrongly DisagreeDisagreeSlightly DisagreeNeither Agree nor DisagreeSomewhat AgreeAgreeStrongly AgreeMy school creates a safe environment for all students to be themselvesStrongly DisagreeDisagreeSlightly DisagreeNeither Agree nor DisagreeSomewhat AgreeAgreeStrongly AgreeThe physical classroom settings are comfortable and conducive to learning (temperature, seating, arrangement, appearance of classroom)Strongly DisagreeDisagreeSlightly DisagreeNeither Agree nor DisagreeSomewhat AgreeAgreeStrongly AgreeI feel that my voice is heard and that my opinion mattersStrongly DisagreeDisagreeSlightly DisagreeNeither Agree nor DisagreeSomewhat AgreeAgreeStrongly AgreeMy school works hard to ensure that every student has equal opportunity to succeed hereStrongly DisagreeDisagreeSlightly DisagreeNeither Agree nor DisagreeSomewhat AgreeAgreeStrongly AgreeMy school values the health and wellbeing of its studentsStrongly DisagreeDisagreeSlightly DisagreeNeither Agree nor DisagreeSomewhat AgreeAgreeStrongly AgreeBelow are statements with which you may agree or disagree. Indicate your agreement with each item.While in school, I am continuously learning about myselfStrongly DisagreeDisagreeSlightly DisagreeNeither Agree nor DisagreeSomewhat AgreeAgreeStrongly AgreeIn school, I am developing effective emotional skills to manage fear, stress, and negative emotionsStrongly DisagreeDisagreeSlightly DisagreeNeither Agree nor DisagreeSomewhat AgreeAgreeStrongly AgreeIn school, I am encouraged to cultivate my interests outside of academics (hobbies, recreational activities)Strongly DisagreeDisagreeSlightly DisagreeNeither Agree nor DisagreeSomewhat AgreeAgreeStrongly AgreeMy school helps me cultivate meaningful relationships (family, friends, mentors)Strongly DisagreeDisagreeSlightly DisagreeNeither Agree nor DisagreeSomewhat AgreeAgreeStrongly AgreeMy school helps students to develop an effective learning processStrongly DisagreeDisagreeSlightly DisagreeNeither Agree nor DisagreeSomewhat AgreeAgreeStrongly AgreeWhile in school, I am continuously growing as an individualStrongly DisagreeDisagreeSlightly DisagreeNeither Agree nor DisagreeSomewhat AgreeAgreeStrongly AgreeStudents are encouraged to apply their skills and talents outside the classroomStrongly DisagreeDisagreeSlightly DisagreeNeither Agree nor DisagreeSomewhat AgreeAgreeStrongly AgreeMy school equips me with the management skills to become more organized and efficientStrongly DisagreeDisagreeSlightly DisagreeNeither Agree nor DisagreeSomewhat AgreeAgreeStrongly AgreeI believe that skill can be developed through hard workStrongly DisagreeDisagreeSlightly DisagreeNeither Agree nor DisagreeSomewhat AgreeAgreeStrongly AgreeMy school focuses on helping students become more effective communicatorsStrongly DisagreeDisagreeSlightly DisagreeNeither Agree nor DisagreeSomewhat AgreeAgreeStrongly AgreeThe lessons learned in school are valuable and applicable to lifeStrongly DisagreeDisagreeSlightly DisagreeNeither Agree nor DisagreeSomewhat AgreeAgreeStrongly AgreeI feel more confident in my ability to succeed professionally after graduationStrongly DisagreeDisagreeSlightly DisagreeNeither Agree nor DisagreeSomewhat AgreeAgreeStrongly AgreeMy school gives me access to outside opportunities (job fairs, internship programs)Strongly DisagreeDisagreeSlightly DisagreeNeither Agree nor DisagreeSomewhat AgreeAgreeStrongly AgreeMy experience in school encourages me to think about what I want for my careerStrongly DisagreeDisagreeSlightly DisagreeNeither Agree nor DisagreeSomewhat AgreeAgreeStrongly AgreePeople respect meStrongly DisagreeDisagreeSlightly DisagreeNeither Agree nor DisagreeSomewhat AgreeAgreeStrongly AgreeI have agency over my big life decisions and the general course of my lifeStrongly DisagreeDisagreeSlightly DisagreeNeither Agree nor DisagreeSomewhat AgreeAgreeStrongly AgreeInstructionsThese questions are designed to measure your self-perceived success in important areas such as relationships, self-esteem, purpose, and optimism. Below are 8 statements with which you may agree or disagree. Indicate your agreement with each item.I lead a purposeful and meaningful lifeStrongly DisagreeDisagreeSlightly DisagreeNeither Agree nor DisagreeSomewhat AgreeAgreeStrongly AgreeMy social relationships are supportive and rewardingStrongly DisagreeDisagreeSlightly DisagreeNeither Agree nor DisagreeSomewhat AgreeAgreeStrongly AgreeI am engaged and interested in my daily activitiesStrongly DisagreeDisagreeSlightly DisagreeNeither Agree nor DisagreeSomewhat AgreeAgreeStrongly AgreeI actively contribute to the happiness and wellbeing of othersStrongly DisagreeDisagreeSlightly DisagreeNeither Agree nor DisagreeSomewhat AgreeAgreeStrongly AgreeI am competent and capable in the activities that are important to meStrongly DisagreeDisagreeSlightly DisagreeNeither Agree nor DisagreeSomewhat AgreeAgreeStrongly AgreeI am a good person and live a good lifeStrongly DisagreeDisagreeSlightly DisagreeNeither Agree nor DisagreeSomewhat AgreeAgreeStrongly AgreeI am optimistic about my futureStrongly DisagreeDisagreeSlightly DisagreeNeither Agree nor DisagreeSomewhat AgreeAgreeStrongly AgreeBelow are statements with which you may agree or disagree. Indicate your agreement with each item.I like being in schoolStrongly DisagreeDisagreeSlightly DisagreeSomewhat AgreeAgreeStrongly AgreeI look forward to going to schoolStrongly DisagreeDisagreeSlightly DisagreeSomewhat AgreeAgreeStrongly AgreeI wish I didn’t have to go to schoolStrongly DisagreeDisagreeSlightly DisagreeSomewhat AgreeAgreeStrongly AgreeSchool is interestingStrongly DisagreeDisagreeSlightly DisagreeSomewhat AgreeAgreeStrongly AgreeI enjoy school activitiesStrongly DisagreeDisagreeSlightly DisagreeSomewhat AgreeAgreeStrongly AgreeThere are many things about school I don’t likeStrongly DisagreeDisagreeSlightly DisagreeSomewhat AgreeAgreeStrongly AgreeI learn a lot at schoolStrongly DisagreeDisagreeSlightly DisagreeSomewhat AgreeAgreeStrongly AgreePlease read each statement and indicate how much the statement applied to you over the past week. There are no right or wrong answers. Do not spend too much time on any statement.I was aware of dryness of my mouthDid not apply to me at allApplied to me to some degree, or some of the timeApplied to me to a considerable degree or a good part of timeApplied to me very much or most of the timeI found it hard to wind downDid not apply to me at allApplied to me to some degree, or some of the timeApplied to me to a considerable degree or a good part of timeApplied to me very much or most of the timeI found it difficult to work up the initiative to do thingsDid not apply to me at allApplied to me to some degree, or some of the timeApplied to me to a considerable degree or a good part of timeApplied to me very much or most of the timeI experienced breathing difficulty (e.g. excessively rapid breathing, breathlessness in the absence of physical exertion)Did not apply to me at allApplied to me to some degree, or some of the timeApplied to me to a considerable degree or a good part of timeApplied to me very much or most of the timeI felt that I was using a lot of nervous energyDid not apply to me at allApplied to me to some degree, or some of the timeApplied to me to a considerable degree or a good part of timeApplied to me very much or most of the timeI tended to over-react to situationsDid not apply to me at allApplied to me to some degree, or some of the timeApplied to me to a considerable degree or a good part of timeApplied to me very much or most of the timeI was worried about situations in which I might panic and make a fool of myselfDid not apply to me at allApplied to me to some degree, or some of the timeApplied to me to a considerable degree or a good part of timeApplied to me very much or most of the timeI found it difficult to relaxDid not apply to me at allApplied to me to some degree, or some of the timeApplied to me to a considerable degree or a good part of timeApplied to me very much or most of the timeI experienced trembling (e.g. in the hands)Did not apply to me at allApplied to me to some degree, or some of the timeApplied to me to a considerable degree or a good part of timeApplied to me very much or most of the timeI felt that I had nothing to look forward toDid not apply to me at allApplied to me to some degree, or some of the timeApplied to me to a considerable degree or a good part of timeApplied to me very much or most of the timeI felt down-hearted and blueDid not apply to me at allApplied to me to some degree, or some of the timeApplied to me to a considerable degree or a good part of timeApplied to me very much or most of the timePlease read each statement and indicate how much the statement applied to you over the past week. There are no right or wrong answers. Do not spend too much time on any statement.I was intolerant of anything that kept me from getting on with what I was doingDid not apply to me at allApplied to me to some degree, or some of the timeApplied to me to a considerable degree or a good part of timeApplied to me very much or most of the timeI felt I was close to panicDid not apply to me at allApplied to me to some degree, or some of the timeApplied to me to a considerable degree or a good part of timeApplied to me very much or most of the timeI found myself getting agitatedDid not apply to me at allApplied to me to some degree, or some of the timeApplied to me to a considerable degree or a good part of timeApplied to me very much or most of the timeI was unable to become enthusiastic about anythingDid not apply to me at allApplied to me to some degree, or some of the timeApplied to me to a considerable degree or a good part of timeApplied to me very much or most of the timeI felt I wasn’t worth much as a personDid not apply to me at allApplied to me to some degree, or some of the timeApplied to me to a considerable degree or a good part of timeApplied to me very much or most of the timeI felt that life was meaninglessDid not apply to me at allApplied to me to some degree, or some of the timeApplied to me to a considerable degree or a good part of timeApplied to me very much or most of the timeI was aware of the action of my heart in the absence of physical exertion (e.g. sense of heart rate increase, heart missing a beat)Did not apply to me at allApplied to me to some degree, or some of the timeApplied to me to a considerable degree or a good part of timeApplied to me very much or most of the timeI felt that I was rather touchyDid not apply to me at allApplied to me to some degree, or some of the timeApplied to me to a considerable degree or a good part of timeApplied to me very much or most of the timeI felt scared without any good reasonDid not apply to me at allApplied to me to some degree, or some of the timeApplied to me to a considerable degree or a good part of timeApplied to me very much or most of the timeI couldn’t seem to experience any positive feeling at allDid not apply to me at allApplied to me to some degree, or some of the timeApplied to me to a considerable degree or a good part of timeApplied to me very much or most of the timeWhat’s one thing that, if you did more of in school, would dramatically reduce your stress at school?Please provide your email address if you would like to enter the raffle for the gift card. This will not be tied to any of the other information you have provided in the survey.Submit
