Quality of Student Life Index Consent Form for Participation in a Research Study Researcher(s): Hillary Wen, Hildy Wen Study Title: The Quality of Student Life Index, UPenn 2022WHAT IS THIS FORM? This form is called a Consent Form. It will give you information about the study so you can make an informed decision about participation in this research. This form will describe the procedures, inclusion criteria, and risks that are associated with participation. We encourage you to take some time to think this over and ask questions now and at any other time. If you decide to participate, you will be asked to sign this form. WHAT ARE SOME OF THE IMPORTANT ASPECTS OF THIS RESEARCH STUDY THAT I SHOULD BE AWARE OF? The purpose of this research study is to validate the Quality of Student Life Index. The goal of our research is to develop a comprehensive assessment of the school experience that can be measured alongside traditional indicators of school success. If you agree to participate in this study, you will be asked to complete an online survey that assesses the quality of student life, personal wellness, and satisfaction of life. There is no monetary compensation for participation in this study and all participation is completely voluntary. WHO CAN PARTICIPATE IN THIS RESEARCH STUDY? Participants must be over 18 years old or obtain signed parental permission before consenting to this study. By consenting to this research study, you are agreeing that you are at least 18 years of age or have obtained parental permission. WHAT WILL I BE ASKED TO DO AND HOW MUCH TIME WILL IT TAKE? If you agree to take part in this study, you will be asked to complete a survey that includes questions about the quality of student life at your school, your personal wellness and your satisfaction of life. This survey will take approximately 35 minutes, and should be completed in one sitting. WILL BEING IN THIS RESEARCH STUDY HELP ME IN ANY WAY? Although there are no direct benefits for participating in this study, you may learn more about your experiences and emotions surrounding your school. We hope that this work will help in shedding light on school success beyond academic performance. WHAT ARE MY RISKS OF BEING IN THIS RESEARCH STUDY? We believe there are minimal risks associated with this research study. You may find answering some questionnaire items to be upsetting as they may remind you of things you do not want to think about. Additionally, completing this survey may be dull or inconvenient at times. As researchers, we do not provide mental health services and we will not be following up with you after this study. HOW WILL MY PERSONAL INFORMATION BE PROTECTED? As with any online related activity, a breach of privacy is always possible. To the best of our ability, your answers in this study will remain confidential. We will not collect information associated with your name to further protect your privacy. All electronic files containing identifiable information will be password protected. Any computer hosting such files will also have password protection to prevent access by unauthorized users. Only the members of the research staff will have access to the passwords. At the conclusion of this study, the researchers may publish their findings. Information will be presented in summary format and you will not be identified in any publications or presentations. If at any point you indicate to the PI that you are at imminent risk to harm yourself or another person, or a child or elderly individual is at risk for abuse, your confidentiality cannot be guaranteed, and steps may be taken to ensure the public safety as required by law (for instance, by contacting the authorities). Please note that we will not ask any questions related to this risk. WHO CAN I TALK TO IF I HAVE QUESTIONS? Take as long as you like before you make a decision. We will be happy to answer any question you have about this study. If you have further questions about this project or if you have a research-related problem, you may contact the researcher(s): Hillary Wen: hillary@whentoysage.com Hildy Wen: hildy@whentoysage.com WHAT HAPPENS IF I SAY YES, BUT I CHANGE MY MIND LATER? You do not have to be in this study if you do not want to. If you agree to be in the study, but later change your mind, you may drop out at any time. There are no penalties or consequences of any kind if you decide that you do not want to participate. SUBJECT STATEMENT OF VOLUNTARY CONSENTBy clicking “I agree,” you affirm: 1) that you are at least 18 years of age or have obtained parental permission2) that the purpose and nature of this research have been sufficiently explained, that you have read and understood the consent form, and that you agree to participate in this research study3) you will not discuss the contents of this study with anyone other than the researchers (unless you are harmed due to participation)4) that you are currently a studentYou are free to withdraw at any time without incurring any penalty simply by closing this browser. You may print a copy of this page for your records. I agreeI do not agreeCreate Your UsernameDateUsernameNote: This will also be your REFERRAL CODE so remember this username so you can share it with your friends & classmates!Email AddressYour information is used for identification purposes only and will not be shared outside our team. (We will use this email to reach you if your name gets picked for the gift card raffle)Referral CodeIf a friend shared this assessment with you, enter their referral code here!School InformationSchoolThe School of Arts & SciencesThe Wharton SchoolAnnenberg School for CommunicationSchool of Dental MedicineStuart Weitzman School of DesignGraduate School of EducationSchool of Engineering and Applied SciencePenn Carey LawPerelman School of MedicineSchool of NursingSchool of Social Policy & PracticeSchool of Veterinary MedicineCurrent level of studyI am a high school studentI am a university studentI am a graduate studentCityState/ProvinceCountry AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaAustraliaArubaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBruneiBulgariaBurkina FasoBurundiCambodiaCameroonCanadaCape VerdeCayman IslandsCentral African RepublicChadChileChina, People's Republic ofChristmas IslandCocos IslandsColombiaComorosCongo, Democratic Republic of theCongo, Republic of theCook IslandsCosta RicaCôte d'IvoireCroatiaCubaCuraçaoCyprusCzech RepublicDenmarkDjiboutiDominicaDominican RepublicEast TimorEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrance, MetropolitanFrench GuianaFrench PolynesiaFrench South TerritoriesGabonGambiaGeorgiaGermanyGuernseyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuineaGuinea-BissauGuyanaHaitiHeard Island And Mcdonald IslandHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsraelItalyJamaicaJapanJerseyJohnston IslandJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKosovoKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacauNorth MacedoniaMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontserratMontenegroMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNetherlands AntillesNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairn IslandsPolandPortugalPuerto RicoQatarReunion IslandRomaniaRussiaRwandaSaint Kitts and NevisSaint LuciaSaint Vincent and the GrenadinesSamoaSaint HelenaSaint Pierre & MiquelonSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and South SandwichSpainSri LankaStateless PersonsSudanSudan, SouthSurinameSvalbard and Jan MayenSwazilandSwedenSwitzerlandSyriaTaiwan, Republic of ChinaTajikistanTanzaniaThailandTogoTokelauTongaTrinidad and TobagoTunisiaTurkeyTurkmenistanTurks And Caicos IslandsTuvaluUgandaUkraineUnited Arab EmiratesUnited KingdomUS Minor Outlying IslandsUnited States of America (USA)UruguayUzbekistanVanuatuVatican CityVenezuelaVietnamVirgin Islands, BritishVirgin Islands, U.S.Wallis And Futuna IslandsWestern SaharaYemen Arab Rep.Yemen DemocraticZambiaZimbabweStudent InformationAgeGenderSelectFemaleMaleNon-binaryLGBTQIA+OtherUnweighted GPASelect(A) 3.8 - 4.0(A-) 3.4 - 3.7(B+) 3.1 - 3.3(B) 2.8 - 3.0(B-) 2.4 - 2.7(C+) 2.1 - 2.3(C) 1.8 - 2.0(C-) 1.4 - 1.7(D+) 1.1 - 1.3(D-) 0.8 - 1.0(F) 0.0EthnicitySelectAmerican Indian or Alaska NativeAsianBlack or African AmericanHispanic or LatinoNative Hawaiian or Other Pacific IslanderWhiteTotal Yearly Household Income in USDSelect$32,048 or less$32,048 - $53,413$53,413 - $106,827$106,827 - $373,894$373,894 and upHighest Level of Education You Plan to CompleteSelectSome High SchoolHigh School DiplomaTechnical SchoolAssociates degree (E.g.: AA, AS)Bachelor’s degree (E.g.: BA, BS)Master’s degree (E.g.: MA, MS, MEd, MBA)Professional degree (E.g.: MD, DDS, JD)Doctorate degree (E.g.: PhD, EdD)the highest grade or degree you plan to complete in the futureCheck here if your parents are immigrantsCheck here if you are currently employedQSLI Assessment1 - Strongly disagree2 - Disagree3 - Somewhat disagree4 - Neither agree nor disagree5 - Somewhat agree6 - Agree7 - Strongly agreeI am satisfied with my ability to balance academics and other aspects of my life *1234567I am satisfied with the quality of my life as a student *1234567I have no desire to change schools *1234567I am proud to be a student at my school *1234567I take interest in the courses offered *1234567I am satisfied with the extracurricular activities offered by my school and the greater school community *1234567I am getting the right amount of challenge in my classes and coursework *1234567The faculty are knowledgeable in their subject areas *1234567Students treat one another with kindness and respect *1234567I am gaining important subject knowledge *1234567I see the importance of attending school *1234567Students and faculty have fun at school *1234567I feel engaged with the school community *1234567I feel comfortable approaching faculty for academic-related issues *1234567The faculty create a stimulating environment for students to learn *1234567The school resources are generally helpful and effective (school nurse, counselor, school bus commute) *1234567Students and faculty embrace the school spirit *1234567I have close friends here that I feel comfortable opening up to *1234567My school helps me cultivate meaningful relationships (family, friends, mentors) *1234567I feel comfortable approaching school staff for non-academic-related issues *1234567I am satisfied with the quality of training I get at school *1234567My school creates a safe environment for all students to be themselves *1234567While in school, I am continuously growing as an individual *1234567Students are encouraged to apply their skills and talents outside the classroom *1234567Student grades are generally an accurate reflection of their work *1234567The faculty care about my success *1234567The physical classroom settings are comfortable and conducive to learning (temperature, seating, arrangement, appearance of classroom) *1234567My school works hard to ensure that every student has equal opportunity to succeed here *1234567My school values the health and wellbeing of its students *1234567I feel that my voice is heard and that my opinion matters *1234567I have agency over my big life decisions and the general course of my life *1234567I feel that attending school is beneficial to my mental health *1234567My school focuses on helping students become more effective communicators *1234567I feel more confident in my ability to succeed professionally after graduation *1234567In school, I am developing effective emotional skills to manage fear, stress, and negative emotions *1234567The lessons learned in school are valuable and applicable to life *1234567The work I’m given is of value and not just busy work *1234567I feel that attending school is beneficial to my physical health *1234567While in school, I am continuously learning about myself *1234567In school, I am encouraged to cultivate my interests outside of academics (hobbies, recreational activities) *1234567My experience in school encourages me to think about what I want for my career *1234567My school helps students to develop an effective learning process *1234567My school equips me with the management skills to become more organized and efficient *1234567I believe that skill can be developed through hard work *1234567My school gives me access to outside opportunities (job fairs, internship programs) *1234567I feel more confident in my ability to live a purposeful and meaningful life *1234567I feel safe at my school *1234567Student Wellbeing1 - Strongly disagree2 - Disagree3 - Somewhat disagree4 - Neither agree nor disagree5 - Somewhat agree6 - Agree7 - Strongly agreeI lead a purposeful and meaningful life *1234567My social relationships are supportive and rewarding *1234567I am engaged and interested in my daily activities *1234567I actively contribute to the happiness and wellbeing of others *1234567I am competent and capable in the activities that are important to me *1234567I am a good person and live a good life *1234567I am optimistic about my future *1234567People respect me *1234567School Satisfaction1 - Strongly disagree2 - Moderately Disagree3 - Slightly disagree4 - Slightly agree5 - Moderately agree6 - Strongly agreeI look forward to going to school *123456I like being in school *123456School is interesting *123456I wish I didn’t have to go to school *123456There are many things about school I don’t like *123456I enjoy school activities *123456I learn a lot at school *123456Send Message