An examination of hospice volunteers' motivation and political orientation

1. Consent Form

The research project title is “An examination of hospice volunteers' motivation and political orientation” which is being conducted by a Kennesaw State University student, Kremena Kirilova (telephone 678-468-4438 and Kremena_Kirilova@yahoo.com), under the supervision of Professor Ginny Zhan, who can be reached at: gzhan@kennesaw.edu
The reason for the research is to examine relationship between hospice volunteers’ motivation and political orientation. The participants will have an opportunity to express their understanding and idea of volunteering, and engage in reflection of their volunteer efforts. The results may benefit volunteer organizations in recruting, training and motivating volunteers.
The procedures are as follows: The participants will receive an e-mail from a volunteer coordinator with a link to a survey questionnaire on Survey Monkey. It’s completely voluntary, but if a volunteer would like to participate, then he/she will proceed to fill out the questionnaire. There are 9 demographic questions, 10 items on motivation and 9 items on political preferences. The entire survey will take no more than 15 minutes.
There are no anticipated risks or discomfort for the participants.
The responses are anonymous. The IP addressed will not be collected by Survey Monkey. It means that the researcher will not know who the respondents are. The researcher does not have access to the participants’ e-mail addresses since the link is sent by the volunteer coordinators.
Participation is entirely voluntary. The participants may choose stop anytime they wish.
The results of this participation are anonymous, and the study is confidential and will not be released in any individually identifiable form without the prior consent of the participant unless required by law. The researcher will not have access to the participants’ personal information.
The criterion for participation is that the participants are 18 and older, and they were/are hospice volunteers.
The participants may contact Kremena Kirilova at 678-468-4438 (kremena_kirilova@yahoo.com) with questions.

The purpose of this research has been explained and my participation is voluntary. I have the right to stop participation at any time without penalty. I understand that the research has no known risks, and I will not be identified. By completing this survey, I am agreeing to participate in this research project.

THIS PAGE MAY BE REMOVED AND KEPT BY EACH PARTICIPANT
Research at Kennesaw State University that involves human participants is carried out under the oversight of an Institutional Review Board. Questions or problems regarding these activities should be addressed to the Institutional Review Board, Kennesaw State University, 1000 Chastain Road, #0112, Kennesaw, GA 30144-5591, (678) 797-2268.

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* 1. Do you give your consent to participate in the study?

Yes

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* 2. What is your age?

18-21

22-29

30-39

40-49

50-59

60-69

70 and above

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* 3. What is you gender?

Male

Female

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* 4. What is your marital status?

Married

Divorced

Widowed

Never married

Other (please specify)

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* 5. Highest level of education that you completed is:

High School

Two years college program

Four years bachelor program

Master Degree

PhD

Other (please specify)

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* 6. Family income:

Less than $20,000

$21,000-50,000

$51,000-70,000

$71,000-100,000

$101,000-141,000

$141,000-210,000

Above $211,000

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* 7. Would you describe yourself as:

Protestant

Catholic

Jewish

Greek Orthodox

Buddhist

Muslim

Other (please specify)

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* 8. Would you say that you are ________ religious?

Very

Somewhat

A little

Not

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* 9. Are you currently:

Employed full time

Employed part time

Unemployed

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* 10. Number of people in your household (including yourself):

More than 5

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* 11. Please write the number that best expresses your opinion about the following questions:

	Strongly disagree	Disagree	Somewhat disagree	Neither agree nor disagree	Somewhat agree	Agree	Strongly agree
I feel compassionate toward the people in need	I feel compassionate toward the people in need Strongly disagree	I feel compassionate toward the people in need Disagree	I feel compassionate toward the people in need Somewhat disagree	I feel compassionate toward the people in need Neither agree nor disagree	I feel compassionate toward the people in need Somewhat agree	I feel compassionate toward the people in need Agree	I feel compassionate toward the people in need Strongly agree
We need welfare to provide to the poor	We need welfare to provide to the poor Strongly disagree	We need welfare to provide to the poor Disagree	We need welfare to provide to the poor Somewhat disagree	We need welfare to provide to the poor Neither agree nor disagree	We need welfare to provide to the poor Somewhat agree	We need welfare to provide to the poor Agree	We need welfare to provide to the poor Strongly agree
I do not expect anything in return for my volunteering	I do not expect anything in return for my volunteering Strongly disagree	I do not expect anything in return for my volunteering Disagree	I do not expect anything in return for my volunteering Somewhat disagree	I do not expect anything in return for my volunteering Neither agree nor disagree	I do not expect anything in return for my volunteering Somewhat agree	I do not expect anything in return for my volunteering Agree	I do not expect anything in return for my volunteering Strongly agree
I feel it is important to support the philosophy of the hospice	I feel it is important to support the philosophy of the hospice Strongly disagree	I feel it is important to support the philosophy of the hospice Disagree	I feel it is important to support the philosophy of the hospice Somewhat disagree	I feel it is important to support the philosophy of the hospice Neither agree nor disagree	I feel it is important to support the philosophy of the hospice Somewhat agree	I feel it is important to support the philosophy of the hospice Agree	I feel it is important to support the philosophy of the hospice Strongly agree
Society is more important than family	Society is more important than family Strongly disagree	Society is more important than family Disagree	Society is more important than family Somewhat disagree	Society is more important than family Neither agree nor disagree	Society is more important than family Somewhat agree	Society is more important than family Agree	Society is more important than family Strongly agree
Services like health care, education and social security should be provided by the government, not by the private organizations	Services like health care, education and social security should be provided by the government, not by the private organizations Strongly disagree	Services like health care, education and social security should be provided by the government, not by the private organizations Disagree	Services like health care, education and social security should be provided by the government, not by the private organizations Somewhat disagree	Services like health care, education and social security should be provided by the government, not by the private organizations Neither agree nor disagree	Services like health care, education and social security should be provided by the government, not by the private organizations Somewhat agree	Services like health care, education and social security should be provided by the government, not by the private organizations Agree	Services like health care, education and social security should be provided by the government, not by the private organizations Strongly agree
It's not worth raising interest rates to reduce inflation if this would result in the loss of large numbers of jobs	It's not worth raising interest rates to reduce inflation if this would result in the loss of large numbers of jobs Strongly disagree	It's not worth raising interest rates to reduce inflation if this would result in the loss of large numbers of jobs Disagree	It's not worth raising interest rates to reduce inflation if this would result in the loss of large numbers of jobs Somewhat disagree	It's not worth raising interest rates to reduce inflation if this would result in the loss of large numbers of jobs Neither agree nor disagree	It's not worth raising interest rates to reduce inflation if this would result in the loss of large numbers of jobs Somewhat agree	It's not worth raising interest rates to reduce inflation if this would result in the loss of large numbers of jobs Agree	It's not worth raising interest rates to reduce inflation if this would result in the loss of large numbers of jobs Strongly agree
I am genuinely concerned about the particular group I am serving	I am genuinely concerned about the particular group I am serving Strongly disagree	I am genuinely concerned about the particular group I am serving Disagree	I am genuinely concerned about the particular group I am serving Somewhat disagree	I am genuinely concerned about the particular group I am serving Neither agree nor disagree	I am genuinely concerned about the particular group I am serving Somewhat agree	I am genuinely concerned about the particular group I am serving Agree	I am genuinely concerned about the particular group I am serving Strongly agree
Volunteer makes me feel important	Volunteer makes me feel important Strongly disagree	Volunteer makes me feel important Disagree	Volunteer makes me feel important Somewhat disagree	Volunteer makes me feel important Neither agree nor disagree	Volunteer makes me feel important Somewhat agree	Volunteer makes me feel important Agree	Volunteer makes me feel important Strongly agree
By volunteering I feel less lonely	By volunteering I feel less lonely Strongly disagree	By volunteering I feel less lonely Disagree	By volunteering I feel less lonely Somewhat disagree	By volunteering I feel less lonely Neither agree nor disagree	By volunteering I feel less lonely Somewhat agree	By volunteering I feel less lonely Agree	By volunteering I feel less lonely Strongly agree
Shared religious belief isn't an important part of our society	Shared religious belief isn't an important part of our society Strongly disagree	Shared religious belief isn't an important part of our society Disagree	Shared religious belief isn't an important part of our society Somewhat disagree	Shared religious belief isn't an important part of our society Neither agree nor disagree	Shared religious belief isn't an important part of our society Somewhat agree	Shared religious belief isn't an important part of our society Agree	Shared religious belief isn't an important part of our society Strongly agree
By volunteering I can make new contacts that might help my business or career	By volunteering I can make new contacts that might help my business or career Strongly disagree	By volunteering I can make new contacts that might help my business or career Disagree	By volunteering I can make new contacts that might help my business or career Somewhat disagree	By volunteering I can make new contacts that might help my business or career Neither agree nor disagree	By volunteering I can make new contacts that might help my business or career Somewhat agree	By volunteering I can make new contacts that might help my business or career Agree	By volunteering I can make new contacts that might help my business or career Strongly agree
If economic globalization is inevitable, it should primarily serve humanity rather than the interests of trans-national corporations	If economic globalization is inevitable, it should primarily serve humanity rather than the interests of trans-national corporations Strongly disagree	If economic globalization is inevitable, it should primarily serve humanity rather than the interests of trans-national corporations Disagree	If economic globalization is inevitable, it should primarily serve humanity rather than the interests of trans-national corporations Somewhat disagree	If economic globalization is inevitable, it should primarily serve humanity rather than the interests of trans-national corporations Neither agree nor disagree	If economic globalization is inevitable, it should primarily serve humanity rather than the interests of trans-national corporations Somewhat agree	If economic globalization is inevitable, it should primarily serve humanity rather than the interests of trans-national corporations Agree	If economic globalization is inevitable, it should primarily serve humanity rather than the interests of trans-national corporations Strongly agree
The wealthy shouldn't pay a larger proportion of their income in tax than the poor	The wealthy shouldn't pay a larger proportion of their income in tax than the poor Strongly disagree	The wealthy shouldn't pay a larger proportion of their income in tax than the poor Disagree	The wealthy shouldn't pay a larger proportion of their income in tax than the poor Somewhat disagree	The wealthy shouldn't pay a larger proportion of their income in tax than the poor Neither agree nor disagree	The wealthy shouldn't pay a larger proportion of their income in tax than the poor Somewhat agree	The wealthy shouldn't pay a larger proportion of their income in tax than the poor Agree	The wealthy shouldn't pay a larger proportion of their income in tax than the poor Strongly agree
Volunteering lets me learn things through direct, hands-on experience	Volunteering lets me learn things through direct, hands-on experience Strongly disagree	Volunteering lets me learn things through direct, hands-on experience Disagree	Volunteering lets me learn things through direct, hands-on experience Somewhat disagree	Volunteering lets me learn things through direct, hands-on experience Neither agree nor disagree	Volunteering lets me learn things through direct, hands-on experience Somewhat agree	Volunteering lets me learn things through direct, hands-on experience Agree	Volunteering lets me learn things through direct, hands-on experience Strongly agree
Volunteering is an important activity to the people I know best	Volunteering is an important activity to the people I know best Strongly disagree	Volunteering is an important activity to the people I know best Disagree	Volunteering is an important activity to the people I know best Somewhat disagree	Volunteering is an important activity to the people I know best Neither agree nor disagree	Volunteering is an important activity to the people I know best Somewhat agree	Volunteering is an important activity to the people I know best Agree	Volunteering is an important activity to the people I know best Strongly agree
I feel it is important to help others	I feel it is important to help others Strongly disagree	I feel it is important to help others Disagree	I feel it is important to help others Somewhat disagree	I feel it is important to help others Neither agree nor disagree	I feel it is important to help others Somewhat agree	I feel it is important to help others Agree	I feel it is important to help others Strongly agree
Social security system should be privatized	Social security system should be privatized Strongly disagree	Social security system should be privatized Disagree	Social security system should be privatized Somewhat disagree	Social security system should be privatized Neither agree nor disagree	Social security system should be privatized Somewhat agree	Social security system should be privatized Agree	Social security system should be privatized Strongly agree

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* 12. Political orientation is usually described along a continuum from liberal to conservative. “Liberal” is usually taken to mean having a focus on equality, community, and the power of collective action. “Conservative” is usually taken to mean having a focus on individual responsibility and personal liberty.

	Liberal			Moderate			Conservative
Where do you see yourself along this continuum?	Where do you see yourself along this continuum? Liberal	Where do you see yourself along this continuum?	Where do you see yourself along this continuum?	Where do you see yourself along this continuum? Moderate	Where do you see yourself along this continuum?	Where do you see yourself along this continuum?	Where do you see yourself along this continuum? Conservative