SAMPLE SURVEY:
4-HYCC Post-Program Evaluation
Name: ______Date: ______
Please take a few minutes at the end of your 4-H youth conservation council year to answer the following questions. Even though your name is on this survey, we will not use your name when we summarize the groups’ answers. We’ll only use it to help us match the pre- and post-evaluations.
1. What did you gain from taking part in your 4-HYCC group?
______
2. What skills, abilities, or personal characteristics did you develop?
______
3. What one or two areas of personal growth did you experience through your 4-HYCC group?
______
4. What strengths do you think you brought to the 4-HYCC group this year?
______
5. What weaknesses did you have when working with your 4-HYCC group this year?
______
6. Did you accomplish your hopes and expectations for participating in your 4-HYCC program?
______
7. What are your current career plans?
______
Please check the box that best describes your involvement level with each activity.
/ Yes / No / Not Sure /8. I try to buy food, clothing and other products produced in Michigan or the United States.
9. I am riding my bike or a bus or carpooling for transportation.
10. I recycle packaging containers in my home.
11. I conserve energy by turning off lights and unplugging electronic appliances.
12. I shop at second-hand stores frequently.
13. I take less than a 5-minute shower to conserve water.
14. Other (please specify):
Look over the list of actions below. Think over whether you have ever done these things. If you have, please circle the number showing how many times you did the action in the past year.
# of times in past year
15. Asked family members to buy environmentally
positive products or avoid buying products you
think are environmentally negative. No Yes 1 2 3 4 5
16. Asked a store to carry products with low
environmental impact. No Yes 1 2 3 4 5
17. Boycotted an environmentally unsafe product. No Yes 1 2 3 4 5
18. Written a letter voicing concern to a company
that makes a product you think is environmentally
negative. No Yes 1 2 3 4 5
19. Participated in a group trying to make positive
environmental changes at your school or in your
community. No Yes 1 2 3 4 5
20. Written a letter to a local elected official (such as
a township or county leader, a planning leader,
a planning or zoning board member.) No Yes 1 2 3 4 5
21. Written a letter to a regional or state-level elected
official (such as a state legislator or the governor). No Yes 1 2 3 4 5
22. Conducted a cleanup or litter pickup. No Yes 1 2 3 4 5
23. Participated in a local or regional Earth Day event. No Yes 1 2 3 4 5
24. Taught others about nature, ecology, or an
important environmental issue. No Yes 1 2 3 4 5
25. Made habitat improvements (such as building nest
boxes or planting trees) on your own property. No Yes 1 2 3 4 5
26. Made habitat improvements in a public area
(such as a park or school grounds). No Yes 1 2 3 4 5
The following questions ask about the forces that affect or strongly influence the outcome of environmental problems and issues. After reading each question carefully, please circle the answer that best shows your response.
To what extent do you . . . Not At All A Great Deal
27. Believe you can influence how environmental
problems and issues are resolved? 1 2 3 4 5
28. Believe that powerful people can influence how
environmental issues and problems are resolved? 1 2 3 4 5
29. That chance determines how environmental
problems and issues are resolved? 1 2 3 4 5
30. Believe that you personally, working on your own,
can influence the solution of environmental issues? 1 2 3 4 5
31. Believe that you, working with others, can influence
the solution of environmental issues? 1 2 3 4 5
32. Believe that you can influence environmental issues by
communicating with local elected officials
(such as township supervisors, planning boards,
county commissioners)? 1 2 3 4 5
33. Believe that you can influence environmental issues by
communicating with state elected officials
(such as state legislators or the governor)? 1 2 3 4 5
34. Believe that you can influence environmental issues by
communicating with state agencies such as the
Michigan Department of Natural Resources and
Environment or the Department of Agriculture? 1 2 3 4 5
35. Feel that you are knowledgeable about how to make
a presentation to a group of elected officials about ideas
you have to help prevent or solve environmental issues? 1 2 3 4 5
36. Feel confident that you are able to make a presentation
to a group of elected officials about ideas you have
to help prevent or solve environmental issues? 1 2 3 4 5
Guide for Creating an Effective 4-H Youth Conservation Council ● 4-H Youth Development ● MSU Extension
© 2010 Michigan State University Board of Trustees. These materials may be copied for purposes of 4-H programs and other nonprofit educational groups.
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