s u r v e y . for . e d u c a t o r s

GEMS Baseline Survey for Educators

This survey is an essential part of establishing a GEMS program at your school and institution. Such a survey should be undertaken before major efforts are undertaken to set up a GEMS program. It is important to know where the staff of your institution stand with respect to the fundamental building blocks of a GEMS program. You will not get the most deepened views at this stage. However, you will notice a tremendous shift in views when the same survey is conducted a year or two from the beginning of the process. Undertaking the survey at the beginning of the process, before views are influenced, is the best way to create a baseline for your efforts. Similar surveys should be designed and undertaken by the parents and students. By creating a baseline, you will notice that the views will take a leap and so will the impact of your GEMS program. Such a survey has dual purposes: it serves to strengthen and unify the vision across the school community, it also serves to empower and strengthen the resolve to continue to deepen ones understanding.

If you prefer, you may print out and mail your completed survey and any attachments to the Council for Global Education

This survey is confidential

Your Background

1. What grades do you teach?

Preschool

Elementary

Middle

High School

2. What subjects do you teach?

Social Sciences	Geography	Sports	Math	Music / Arts
Languages	History	Physics	Chemistry	Biology
Other

3. Is your school in a

Large city

Small city

Suburb

Rural community

4. Is your school

Public

Private

5. How many students are in your school?

1-500

500-1000

1000-2000

2000+

6. How long have you been teaching?

0-1 year

2-5 years

6-10 years

11-15 years

15+ years

7. What degrees or certifications have you earned? (Please check all that apply.)

	Bachelor's	Master's	Ph.D.	Teacher Training Certificate
	Other

8. What percentage of your total teaching time is involved in addressing / integrating character education?

0-10%

10-25%

25-50%

50-75%

75-100%

9. Into which subjects do you integrate character education?

Social Sciences	Geography	Sports	Math	Music / Arts
Languages	History	Physics	Chemistry	Biology
Other

Optional Information

This information will allow us to classify data, but is not required.

10. Race

Eg. Caucasian, Asian, Hispanic, etc.

11. Sex

Male

Female

12. Age

18-25

26-35

36-50

50+

About Your Classroom and Curriculum

13. What do you define as the mission statement or guiding principle of your work?

14. In which ways does your classroom environment promote the implementation of this statement or principle? (Please indicate importance you allocate to these: 1 = least important, 5 = most important)

By utilizing curriculum developed specifically for character education	1	2	3	4	5
By engaging students in activities on related topics without curriculum	1	2	3	4	5
By integrating these values into subjects and in existing teaching plans	1	2	3	4	5
Through exemplifying these values in my own life	1	2	3	4	5
Other

15. Is there a particular group (by age or another characteristic) to which your program or curriculum is catered? If yes, please describe:

16. How long has your program or curriculum been in place?

0-2 years

2-4 years

4-6 years

6-10 years

10+ years

17. What has been the noticeable impact of this curriculum on the student, classroom, school and the community at large? Please explain:

Defining Your Core Principles

Below, we have listed four core principles of education which may already be incorporated within your current curriculum. (Our definitions are listed at the end of this survey.) After each principle, please list YOUR definition of the term and rate on a scale of one to five how effectively the principle has been integrated with your curriculum, based on your perception of the particular value.

18. Your definition of Universal Values/Character Development

19. What qualities, morals, character traits/values do you focus on?

20. How much emphasis do you actually place on these values in your work? (1 = little emphasis, 5 = much emphasis)

21. How effective do you believe your curriculum is in teaching these values?

22. Your definition of Excellence in All Things

23. How much emphasis do you actually place on excellence in your work?

24. How effective do you believe your curriculum is in teaching excellence?

25. Your definition of Global Understanding

26. How much emphasis do you actually place on global understanding in your work?

27. How effective do you believe your curriculum is in teaching global understanding?

28. Your definition of Service to Humanity

29. How much emphasis do you actually place on service in your teaching?

30. How effective do you believe your curriculum is in teaching service?

31. Which issues are of particular interest to you in preparation of your students? (Indicate the appropriate number. 1 = little importance, 5 = highest importance)

Universal Values	1	2	3	4	5
Global Understanding	1	2	3	4	5
Academic Excellence	1	2	3	4	5
Alleviating Poverty Conditions	1	2	3	4	5
Service to Humanity	1	2	3	4	5
Excellence in All Things	1	2	3	4	5
Coexistence / Cooperation	1	2	3	4	5
Overcoming Sexism	1	2	3	4	5
Overcoming Prejudice	1	2	3	4	5
Improving Self-Esteem	1	2	3	4	5
Workforce Preparation	1	2	3	4	5
Preventing Moral Decay	1	2	3	4	5
Other

32. In general, how supportive are parents of your character education program? (1 = least supportive, 5 = very supportive)

33. Have you or your school had any objections to the teaching of character?

Yes

34. If yes, please indicate the nature of the opposition or concern.

35. Overall, how much emphasis does your school place on character education? (1 = no emphasis, 5 = great emphasis)

36. How much support or encouragement do you receive from your school's administration or principal for character education? (1 = no encouragement, 5 = high level of encouragement)

37. How much do you feel financial constraints impede your ability to undertake initiatives to promote character and values? (1 = do not impede, 5 = greatly impede)

Sharing Your Experience

38. What do you feel distinguishes your program from other similar-minded efforts that your are familiar with?

39. What has been the greatest challenge in implementing or following through with your program?

40. If you did this again, what would you change or add to your program?

Recognizing Your Work

41. The Council for Global Education will be recognizing educators who have the four building blocks in their programs and classrooms by presenting them with a Fundamental Skills Educator Award. To nominate someone you know, your institution or yourself, please provide us with the following information (if yourself, just answer question 5).

Name
Position
Institution
Address 1
Address 2
City
State/Province
ZIP/Postal Code
Country
Telephone
Fax
Email
Web address
Reason for Nomination

Curriculum in Action

42. Please list curriculum(s) (not developed by you) that is/are used in your program

1. Title
Institution or Publisher
2. Title
Institution or Publisher
3. Title
Institution or Publisher

43. What elements would you like to see further incorporated into these published materials to assist you in meeting your goals? What elements are you dissatisfied with?

44. What elements would you like to see further incorporated into these published materials to assist you in meeting your goals? What elements are you dissatisfied with?

45. If you have developed your own curriculum, or use one created by your school district or state department of education, what are its strongest elements? (Please enclose a copy of your curriculum. If there are successful reports or work examples, please send us a copy.)

46. In what areas, if any, would you welcome help from outside sources or organizations?

	training	financial help
	quantitative assessment	self-assessment
	materials / curriculum	information on others' experiences
	interaction / networking opportunities	qualitative assessment
	planning and integration	other

Rating Your Classroom Environment

Below we have listed several qualities and behavioral characteristics for your review. Please rate these on a scale of 1 to 10.

47. What would you like to see more of in your students? (1 = least important, 10 = most important)

Appreciation for beauty	1	2	3	4	5	6	7	8	9	10
Caring	1	2	3	4	5	6	7	8	9	10
Cooperation	1	2	3	4	5	6	7	8	9	10
Courtesy	1	2	3	4	5	6	7	8	9	10
Desire for harmony	1	2	3	4	5	6	7	8	9	10
Forgiveness	1	2	3	4	5	6	7	8	9	10
Good manners	1	2	3	4	5	6	7	8	9	10
Hard work	1	2	3	4	5	6	7	8	9	10
Honesty	1	2	3	4	5	6	7	8	9	10
Justice	1	2	3	4	5	6	7	8	9	10
Love	1	2	3	4	5	6	7	8	9	10
Cleanliness	1	2	3	4	5	6	7	8	9	10
Objectivity	1	2	3	4	5	6	7	8	9	10
Patience	1	2	3	4	5	6	7	8	9	10
Responsibility	1	2	3	4	5	6	7	8	9	10
Service orientation	1	2	3	4	5	6	7	8	9	10
Teamwork / team spirit	1	2	3	4	5	6	7	8	9	10
Tolerance / coexistence	1	2	3	4	5	6	7	8	9	10
Truthfulness	1	2	3	4	5	6	7	8	9	10
Assertiveness	1	2	3	4	5	6	7	8	9	10
Compassion / empathy	1	2	3	4	5	6	7	8	9	10
Courage	1	2	3	4	5	6	7	8	9	10
Critical inquiry	1	2	3	4	5	6	7	8	9	10
Enthusiasm / positive attitude	1	2	3	4	5	6	7	8	9	10
Good citizenship	1	2	3	4	5	6	7	8	9	10
Happy demeanor / cheerfulness	1	2	3	4	5	6	7	8	9	10
Helpfulness	1	2	3	4	5	6	7	8	9	10
Integrity	1	2	3	4	5	6	7	8	9	10
Kindness	1	2	3	4	5	6	7	8	9	10
Loyalty	1	2	3	4	5	6	7	8	9	10
Obedience	1	2	3	4	5	6	7	8	9	10
Orderliness	1	2	3	4	5	6	7	8	9	10
Respect	1	2	3	4	5	6	7	8	9	10
Self-discipline	1	2	3	4	5	6	7	8	9	10
Striving for excellence	1	2	3	4	5	6	7	8	9	10
Thoughtfulness	1	2	3	4	5	6	7	8	9	10
Trustworthiness	1	2	3	4	5	6	7	8	9	10
Conflict resolution	1	2	3	4	5	6	7	8	9	10

48. What are the greatest behavioral issues in your classroom or school? (1 = least problematic, 10 = most problematic)

Absenteeism / truancy	1	2	3	4	5	6	7	8	9	10
Anger	1	2	3	4	5	6	7	8	9	10
Boastfulness	1	2	3	4	5	6	7	8	9	10
Depression	1	2	3	4	5	6	7	8	9	10
Drug / substance abuse	1	2	3	4	5	6	7	8	9	10
Fault-finding	1	2	3	4	5	6	7	8	9	10
Gambling	1	2	3	4	5	6	7	8	9	10
Insecurity	1	2	3	4	5	6	7	8	9	10
Lack of compassion	1	2	3	4	5	6	7	8	9	10
Lack of motivation	1	2	3	4	5	6	7	8	9	10
Lack of respect	1	2	3	4	5	6	7	8	9	10
Lack of cooperation	1	2	3	4	5	6	7	8	9	10
Lack of self-esteem	1	2	3	4	5	6	7	8	9	10
Lack of positive attitudes	1	2	3	4	5	6	7	8	9	10
Moodiness / restlessness	1	2	3	4	5	6	7	8	9	10
Rude behavior	1	2	3	4	5	6	7	8	9	10
Smoking	1	2	3	4	5	6	7	8	9	10
Unappreciativeness	1	2	3	4	5	6	7	8	9	10
Violence	1	2	3	4	5	6	7	8	9	10
Aggression	1	2	3	4	5	6	7	8	9	10
Peer pressure	1	2	3	4	5	6	7	8	9	10
Cheating	1	2	3	4	5	6	7	8	9	10
Destructiveness	1	2	3	4	5	6	7	8	9	10
Expecting without giving	1	2	3	4	5	6	7	8	9	10
Fear	1	2	3	4	5	6	7	8	9	10
Inflexibility	1	2	3	4	5	6	7	8	9	10
Hopelessness / pessimism	1	2	3	4	5	6	7	8	9	10
Lack of concentration / focus	1	2	3	4	5	6	7	8	9	10
Lack of reliability / punctuality	1	2	3	4	5	6	7	8	9	10
Lack of responsibility for actions	1	2	3	4	5	6	7	8	9	10
Lack of tolerance for diversity	1	2	3	4	5	6	7	8	9	10
Lack of purpose / direction	1	2	3	4	5	6	7	8	9	10
Laziness	1	2	3	4	5	6	7	8	9	10
Procrastination	1	2	3	4	5	6	7	8	9	10
Self-centeredness	1	2	3	4	5	6	7	8	9	10
Stealing	1	2	3	4	5	6	7	8	9	10
Inappropriate language	1	2	3	4	5	6	7	8	9	10
Wastefulness	1	2	3	4	5	6	7	8	9	10

Please take a moment to tell us about yourself

Name
Position
Institution
Address 1
Address 2
City
State/Province
ZIP/Postal Code
Country
Telephone
Fax
Email
Web address