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Exit Survey
 
 
Hello: You are invited to participate in a research study that explores the relationship between personal attributes emotional intelligence and cultural intelligence to team-based learning in pre-health students.The purpose of the study is to understand the relationship among the three variables to determine whether these variables have a potential role in preparing students for health professions careers. The study will also provide information to health profession education programs to determine their future direction in how health profession students are educated.

It will take approximately 15-20 minutes to complete the questionnaire.  At the end of the survey you will be directed to a separate link to voluntarily accept a $10 eGift Card that will be distributed to the first 150 survey respondents.  This email link will also allow ALL survey respondents to be entered into a drawing for a $100 store credit to the MCV/MPC bookstore. 

Your participation in this study is voluntary. By completing the survey, you are agreeing to participate in the research. There are no foreseeable risks associated with this project. However, if you feel uncomfortable answering any questions, you can skip the question(s) or withdraw from the survey at any point. Your survey responses will be strictly confidential and data from this research will be reported only in the aggregate. Your information will be coded and will remain confidential. 

You must be 18 years or older to participate in the study. Also, you must be a current VCU student, have an interest in a health profession career, and are academically classified as a freshman or sophomore to participate in the study.

If you have questions at any time about the survey or the procedures, you may contact the Study Administrator: VCU Survey and Evaluation Research Laboratory, Phone: (804) 827-4226, Email: [email protected] Thank you very much for your time and support.

[Approved by the VCU IRB on DATE]
 
 
 
Please indicate your desire to participate or not participate below:
 
I consent to participate in this survey
 
I do not consent to participate in this survey
 
 
 
* We have a few questions that will help us determine your eligibility for the study.  

1) I am 18 years of age or older as of today
2) I am currently enrolled and taking classes at VCU
3) I am academically classified as a FRESHMAN or SOPHOMORE at VCU
4) I am actively pursuing and/or interested a health professions career
 
Yes, each of these apply to me
 
No, one or more of the statements do not apply to me

 
 
Part I.  Team-based Learning



The purpose of this section is to examine the attitude of health and social care students and professionals towards interprofessional learning. 



Please complete the following questions.
Strongly agree Agree Undecided Disagree Strongly disagree
Learning with other students / professionals will make me a more effective member of a health and social care team
Patients would ultimately benefit if health and social care students / professionals worked together
Shared learning with other health and social care students students / professionals will increase my ability to understand clinical problems
Communications skills should be learned with other health and social care students students / professionals
Team-working skills are vital for all health and social care students students / professionals to learn
Shared learning will help me to understand my own professional limitations
Learning between health and social care students students before qualification and for professionals after qualification would improve working relationships after qualification / collaborative practice
Shared learning will help me think positively about other health and social care professionals
For small-group learning to work, students / professionals need to respect and trust each other
 
 
Part II.  Emotional Intelligence



Please answer each statement below by clicking response that best reflects your degree of agreement or disagreement with that statement. Do not think too long about the exact meaning of the statements. Work quickly and try to answer as accurately as possible. 



There are no right or wrong answers. There are seven possible responses to each statement ranging from ‘Completely Disagree’ (number 1) to ‘Completely Agree’ (number 7).
Completely disagree Disagree Somewhat disagree Neutral Somewhat agree Agree Completely agree
Expressing my emotions with words is not a problem for me
I often find it difficult to see things from another person’s viewpoint
On the whole, I’m a highly motivated person
I usually find it difficult to regulate my emotions
I generally don’t find life enjoyable
I can deal effectively with people
I tend to change my mind frequently
Many times, I can’t figure out what emotion I'm feeling
I feel that I have a number of good qualities
I often find it difficult to stand up for my rights
Completely disagree Disagree Somewhat disagree Neutral Somewhat agree Agree Completely agree
I’m usually able to influence the way other people feel
On the whole, I have a gloomy perspective on most things
Those close to me often complain that I don’t treat them right
I often find it difficult to adjust my life according to the circumstances
On the whole, I’m able to deal with stress
I often find it difficult to show my affection to those close to me
I’m normally able to “get into someone’s shoes” and experience their emotions
I normally find it difficult to keep myself motivated
I’m usually able to find ways to control my emotions when I want to
On the whole, I’m pleased with my life
Completely disagree Disagree Somewhat disagree Neutral Somewhat agree Agree Completely agree
I would describe myself as a good negotiator
I tend to get involved in things I later wish I could get out of
I often pause and think about my feelings
I believe I’m full of personal strengths
I tend to “back down” even if I know I’m right
I don’t seem to have any power at all over other people’s feelings
I generally believe that things will work out fine in my life
I find it difficult to bond well even with those close to me
Generally, I’m able to adapt to new environments
Others admire me for being relaxed
 
 
Part III. Cultural Intelligence



Read each statement and select the response that best describes your capabilities.



Select the answer that BEST describes you AS YOU REALLY ARE (1=strongly disagree; 7=strongly agree)
Strongly disagree Disagree Somewhat disagree Neutral Somewhat agree Agree Strongly agree
I enjoy interacting with people from different cultures
I am confident that I can socialize with locals in a culture that is unfamiliar to me
I am sure I can deal with the stresses of adjusting to a culture that is new to me
I enjoy living in cultures that are unfamiliar to me
I am confident that I can get accustomed to the shopping conditions in a different culture
I know the legal and economic systems of other cultures
I know the rules (e.g., vocabulary, grammar) of other languages
I know the cultural values and religious beliefs of other cultures
I know the marriage systems of other cultures
I know the arts and crafts of other cultures
Strongly disagree Disagree Somewhat disagree Neutral Somewhat agree Agree Strongly agree
I know the rules for expressing non-verbal behaviors in other cultures
I am conscious of the cultural knowledge I use when interacting with people with different cultural backgrounds
I adjust my cultural knowledge as I interact with people from a culture that is unfamiliar to me
I am conscious of the cultural knowledge I apply to cross-cultural interactions
I check the accuracy of my cultural knowledge as I interact with people from different cultures
I change my verbal behavior (e.g., accent, tone) when a cross-cultural interaction requires it
I use pause and silence differently to suit different cross-cultural situations
I vary the rate of my speaking when a cross-cultural situation requires it
I change my non-verbal behavior when a cross-cultural situation requires it
I alter my facial expressions when a cross-cultural interaction requires it
 
 
Part IV. Personality Profile



Here are a number of characteristics that may or may not apply to you. For example, do you agree that you are someone who likes to spend time with others? 



Please indicate the extent to which you agree or disagree with each statement.



I see Myself as Someone Who...
Disagree strongly Disagree a little Neither agree nor disagree Agree a little Agree strongly
Is talkative
Tends to find fault with others
Does a thorough job
Is depressed, blue
Is original, comes up with new ideas
Is reserved
Is helpful and unselfish with others
Can be somewhat careless
Is relaxed, handles stress well
Is curious about many different things
Disagree strongly Disagree a little Neither agree nor disagree Agree a little Agree strongly
Is full of energy
Starts quarrels with others
Is a reliable worker
Can be tense
Is ingenious, a deep thinker
Generates a lot of enthusiasm
Has a forgiving nature
Tends to be disorganized
Worries a lot
Has an active imagination
Disagree strongly Disagree a little Neither agree nor disagree Agree a little Agree strongly
Tends to be quiet
Is generally trusting
Tends to be lazy
Is emotionally stable, not easily upset
Is inventive
Has an assertive personality
Can be cold and aloof
Perseveres until the task is finished
Can be moody
Values artistic, aesthetic experiences
Disagree strongly Disagree a little Neither agree nor disagree Agree a little Agree strongly
Is sometimes shy, inhibited
Is considerate and kind to almost everyone
Does things efficiently
Remains calm in tense situations
Prefers work that is routine
Is outgoing, sociable
Is sometimes rude to others
Makes plans and follows through with them
Gets nervous easily
Likes to reflect, play with ideas
Has few artistic interests
Likes to cooperate with others
Is easily distracted
Is sophisticated in art, music, or literature
 
 
 
Almost finished, tell me a little more about you...

Which race/ethnicity best describes you? (Please choose only one.)
 
American Indian or Alaskan Native
 
Asian / Pacific Islander
 
Black or African American
 
Hispanic
 
White / Caucasian
 
Multiple Race/Ethnicity
 
Other
 
Choose not to answer
 
 
 
* What is your gender?
 
Male
 
Female
 
Choose not to reply
 
Other (List here)
 
 
 
 
What is your age as of today? (Whole years only)
   
 
 
 
Has either of your biological parents or legal guardians completed a degree from a four-year college or university prior to you enrolling at VCU?
 
Yes
 
No
 
Not sure?
 
I prefer not to respond
 
 
 
What is your current health profession career interest/major?
 
Allied Health Professions
 
Dentistry
 
Medicine
 
Nursing
 
Pharmacy
 
Other health care-related career interest
 
Other non-healthcare related career interest
 
I prefer not to respond
 
 
 
* Please indicate your interest in the available incentives. Click the DONE button after your selection. 
 
Yes, please include me in the available incentive offers
 
No, I do not wish to be included in the available incentive offers
 
 
 
Thank you for completing the survey!  To be included in the following available incentive offers, please email:  [email protected].

In the subject line write:  Team-based Learning Incentives

Avaliable incentives: 1) First 150 to complete the survey will receive a $10 egift card sent to the official VCU email provided. This card will have a one-time, one-user application; and, 2) All survey respondents will be enrolled in raffle to receive a $100 egift card. One winner will be selected randomly.

Please Note:  The Survey and Evaluation Research Laboratory (SERL) is administering the survey and will utilize your email only to provide you with the appropriate incentive.  No contact information of yours is accessible to the researcher.  Much success with your endeavors.
 
Attitudes Towards Team-based Learning Survey