Hutchins Library

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Bibliographic Instruction Program Evaluation


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APPENDIX A.1

STUDENT INFORMATION FORM


 

1.  Social Security Number	


2.  Gender	1 = male, 2 = female


3.  Age, on December 31, 1989

      1 = 16 or younger      6 = 21-24
      2 = 17                 7 = 22-25
      3 = 18                 8 = 30-39
      4 = 19                 9 = 40-54
      5 = 20                10 = 55 or older

		
4.  Average High School Grades
	
      1 = D                  5 = B
      2 = C                  6 = B+
      3 = C+                 7 = A-
      4 = B-                 8 = A or A+

	
5.  Estimated Parental Income 
	
     1 = Less than $6,000    8 = $35-$39,999
     2 = $ 6-$9,999          9 = $40-$49,999
     3 = $10-$14,999        10 = $50-$59,999
     4 = $15-$19,999        11 = $60-$74,999
     5 = $20-$24,999        12 = $75-$99,999
     6 = $25-$29,999        13 = $100-$149,999
     7 = $30-$34,999        14 = $150,000 or more

		
6.  In deciding to go to college, how important to you was each of the following
    reasons?  (1 = not important, 2 = somewhat important, 3 = very important)

    1. My parents wanted me to go
    2. I could not find a job
    3. Wanted to get away from home
    4. To be able to get a better job
    5. To gain a general education and appreciation of ideas
    6. To improve my reading and study skills
    7. There was nothing better to do
    8. To make me a more cultured person
    9. To be able to make more money
   10. To learn more about things that interest me
   11. To prepare myself for graduate or professional school


7.  During your last year in high school, how much time did you spend during a
    typical week doing the following activities?	

    1. Studying/homework                                1 = none
    2. Socializing with friends                         2 = less than one
    3. Talking with teachers outside of class           3 = 1-2
    4. Exercising/sports                                4 = 3-5
    5. Partying                                         5 = 6-10
    6. Working (for pay)                                6 = 11-15
    7. Volunteer work                                   7 = 16-20
    8. Student clubs/groups                             8 = over 20
    9. Watching TV
   10. Hobbies


8.  Student's Probable Major	(not analyzed for HL)


9.  Indicate the importance to you personally of each of the following:
    (1 = not important, 2 = somewhat important, 3 = very important, 
     4 = essential)
		
   1.	Becoming accomplished in one of the performing arts (acting, dancing, etc.)
   2.	Becoming an authority in my field
   3.	Obtaining recognition from my colleagues for contributions to my special
        field
   4.	Influencing the political structure
   5.	Influencing social values
   6.	Raising a family
   7.	Having administrative responsibility for the work of others
   8.	Being very well off financially
   9.	Helping others who are in difficulty
  10.	Making a theoretical contribution to science
  11.	Writing original works (poems, novels, short stories, etc.)
  12.	Creating artistic work (painting, sculpture, decorating, etc.)
  13.	Becoming successful in a business of my own
  14.	Becoming involved in programs to clean up the environment
  15.	Developing a meaningful philosophy of life
  16.	Participating in a community action program
  17.	Helping to promote racial understanding
  18.	Keeping up to date with political affairs


10. Hutchins Library Inventory Attitudinal Questions 
    (1 = strongly agree, 2 = agree, 3 = undecided, 4 = disagree, 
     5 = strongly disagree)

     I feel comfortable in a library setting.
     I feel confident in my ability to use library resources.
     I expect to use the library mostly for: . . .research.
                                             . . .studying.
                                             . . .socializing.
                                             . . .recreational reading.
     I perceive librarians to be:            . . .a good source of information.
                                             . . .easy to approach.
     I believe acquiring skills in using information resources is an important
         part of a college education.


11. SAT and/or ACT scores	(not analyzed for HL)

Susan_Henthorn@berea.edu
mroyse@utk.edu

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Updated 5/23/17
Mail comments or questions to susan_henthorn@berea.edu