NURS 719R Engagement and Political Voice Checklist

Engagement and Political Voice Checklist

Enter your first and last name in the spaces provided. For each question that follows, select the answer that applies to you for that statement. Lastly click the button at the bottom of the screen to submit your results.

First:
Last:

1. I work to solve community problems.

Always
Sometimes
Never

2. I volunteer regularly for an environmental group.

Always
Sometimes
Never

3. I volunteer regularly for a civic or community organization.

Always
Sometimes
Never

4. I volunteer regularly for any other organization.

Always
Sometimes
Never

5. I belong or donate money to any group or organization.

Always
Sometimes
Never

6. Besides donating money, I help raise money for charitable causes.

Always
Sometimes
Never

7. I have registered to vote.

8. I vote in elections (regular voting).

Always
Sometimes
Never

9. I volunteer for a political campaign or candidate.

Always
Sometimes
Never

10. I encourage others to vote.

Always
Sometimes
Never

11. I wear a campaign button or have a sticker on my vehicle.

Always
Sometimes
Never

12. I volunteer for a candidate, work or contribute money to a political party or an organization that supports candidates.

Always
Sometimes
Never

13. I contact/visit public officials

Always
Sometimes
Never

14. I contact newspapers or magazines about issues

Always
Sometimes
Never

15. I contact radio or television news shows about issues.

Always
Sometimes
Never

16. I engage in street protests.

Always
Sometimes
Never

17. I sign e-mail petitions.

Always
Sometimes
Never

18. I sign written petitions.

Always
Sometimes
Never

19. I boycott companies.

Always
Sometimes
Never

20. I use social media for political causes.

Always
Sometimes
Never

21. I belong to a listserv for a cause or political issue.

Always
Sometimes
Never

22. I can name my state and federal legislators.

Always
Sometimes
Never

23. I buy items to support the values of a company.

Always
Sometimes
Never