Civic Engagement Survey

1. Have you ever worked for a local (state, regional, city) government? Please check all that apply.

• No, I have not worked for a local government.
• City, my role is/was Please enter an 'other' value for this selection.
• State, my role is/was Please enter an 'other' value for this selection.
• Regional (e.g. county), my role is/was Please enter an 'other' value for this selection.
• Other, my role is/was Please enter an 'other' value for this selection.

2. Have you ever worked for a local governance body? (A local governance body is an independent organization that provides regulatory or management oversight of a public function and is usually publicly funded.)

• No, I have not worked for a local governance body.
• Public School District Administration, my role is/was Please enter an 'other' value for this selection.
• Public University Administration, my role is/was Please enter an 'other' value for this selection.
• Public Utilities Commission, my role is/was Please enter an 'other' value for this selection.
• Other, my role is/was Please enter an 'other' value for this selection.

3. Have you ever worked for the federal government? Please check all that apply.

• No, I have not worked for the federal government.
• Executive Branch - employee, my role is/was Please enter an 'other' value for this selection.
• Executive Branch - contractor, my role is/was Please enter an 'other' value for this selection.
• Legislative Branch, my role is/was Please enter an 'other' value for this selection.
• Judicial Branch, my role is/was Please enter an 'other' value for this selection.
• Other, my role is/was Please enter an 'other' value for this selection.

4. Tell us about your general engagement with municipal, regional, state, and federal governments. Please check all that apply.

Space Cell	Municipal	Regional (e.g. County)	State	Federal
Attended or watched a legislative session (e.g. city council meeting, state legislature, US Congress)	Attended or watched a legislative session (e.g. city council meeting, state legislature, US Congress): Municipal	Attended or watched a legislative session (e.g. city council meeting, state legislature, US Congress): Regional (e.g. County)	Attended or watched a legislative session (e.g. city council meeting, state legislature, US Congress): State	Attended or watched a legislative session (e.g. city council meeting, state legislature, US Congress): Federal
Read legislative records (e.g. city council meeting minutes, Congressional record)	Read legislative records (e.g. city council meeting minutes, Congressional record): Municipal	Read legislative records (e.g. city council meeting minutes, Congressional record): Regional (e.g. County)	Read legislative records (e.g. city council meeting minutes, Congressional record): State	Read legislative records (e.g. city council meeting minutes, Congressional record): Federal
Read about policies and initiatives on a government website	Read about policies and initiatives on a government website: Municipal	Read about policies and initiatives on a government website: Regional (e.g. County)	Read about policies and initiatives on a government website: State	Read about policies and initiatives on a government website: Federal
Attended an advisory body meeting	Attended an advisory body meeting: Municipal	Attended an advisory body meeting: Regional (e.g. County)	Attended an advisory body meeting: State	Attended an advisory body meeting: Federal
Met with an elected official	Met with an elected official: Municipal	Met with an elected official: Regional (e.g. County)	Met with an elected official: State	Met with an elected official: Federal
Met with a non-elected official	Met with a non-elected official: Municipal	Met with a non-elected official: Regional (e.g. County)	Met with a non-elected official: State	Met with a non-elected official: Federal
Paid attention to the progress of legislation	Paid attention to the progress of legislation: Municipal	Paid attention to the progress of legislation: Regional (e.g. County)	Paid attention to the progress of legislation: State	Paid attention to the progress of legislation: Federal

5. Tell us about your direct engagement with municipal, regional, state, and federal governments. Please check all that apply.

Space Cell	Municipal	Regional (e.g. County)	State	Federal
Provided public comments on a proposed policy	Provided public comments on a proposed policy: Municipal	Provided public comments on a proposed policy: Regional (e.g. County)	Provided public comments on a proposed policy: State	Provided public comments on a proposed policy: Federal
Advised or counseled government as an expert	Advised or counseled government as an expert: Municipal	Advised or counseled government as an expert: Regional (e.g. County)	Advised or counseled government as an expert: State	Advised or counseled government as an expert: Federal
Applied for an advisory body	Applied for an advisory body: Municipal	Applied for an advisory body: Regional (e.g. County)	Applied for an advisory body: State	Applied for an advisory body: Federal
Appointed to an advisory body	Appointed to an advisory body: Municipal	Appointed to an advisory body: Regional (e.g. County)	Appointed to an advisory body: State	Appointed to an advisory body: Federal
Run for elected office	Run for elected office: Municipal	Run for elected office: Regional (e.g. County)	Run for elected office: State	Run for elected office: Federal
Served as an elected representative	Served as an elected representative: Municipal	Served as an elected representative: Regional (e.g. County)	Served as an elected representative: State	Served as an elected representative: Federal
Drafted or participated in the development and/or passage of legislation	Drafted or participated in the development and/or passage of legislation: Municipal	Drafted or participated in the development and/or passage of legislation: Regional (e.g. County)	Drafted or participated in the development and/or passage of legislation: State	Drafted or participated in the development and/or passage of legislation: Federal
Drafted or participated in the development and/or passage of a ballot measure	Drafted or participated in the development and/or passage of a ballot measure: Municipal	Drafted or participated in the development and/or passage of a ballot measure: Regional (e.g. County)	Drafted or participated in the development and/or passage of a ballot measure: State	Drafted or participated in the development and/or passage of a ballot measure: Federal
Advocated for a government policy	Advocated for a government policy: Municipal	Advocated for a government policy: Regional (e.g. County)	Advocated for a government policy: State	Advocated for a government policy: Federal

6. Tell us about your election participation in municipal, regional, state, and federal governments. Please check all that apply.

Space Cell	Municipal	Regional (e.g. County)	State	Federal
Voted in an election with an executive office on the ballot (e.g. mayor, governor, President)	Voted in an election with an executive office on the ballot (e.g. mayor, governor, President): Municipal	Voted in an election with an executive office on the ballot (e.g. mayor, governor, President): Regional (e.g. County)	Voted in an election with an executive office on the ballot (e.g. mayor, governor, President): State	Voted in an election with an executive office on the ballot (e.g. mayor, governor, President): Federal
Voted in an election when an executive office was not on the ballot	Voted in an election when an executive office was not on the ballot: Municipal	Voted in an election when an executive office was not on the ballot: Regional (e.g. County)	Voted in an election when an executive office was not on the ballot: State	Voted in an election when an executive office was not on the ballot: Federal
Donated to a candidate	Donated to a candidate: Municipal	Donated to a candidate: Regional (e.g. County)	Donated to a candidate: State	Donated to a candidate: Federal
Campaigned for a candidate	Campaigned for a candidate: Municipal	Campaigned for a candidate: Regional (e.g. County)	Campaigned for a candidate: State	Campaigned for a candidate: Federal

8. Do you consider yourself well-informed about municipal, regional, state, and/or federal government policies and initiatives?

Space Cell	Yes	Somewhat	No
Municipal	Municipal: Yes	Municipal: Somewhat	Municipal: No
Regional (e.g. County)	Regional (e.g. County): Yes	Regional (e.g. County): Somewhat	Regional (e.g. County): No
State	State: Yes	State: Somewhat	State: No
Federal	Federal: Yes	Federal: Somewhat	Federal: No

9. Which information sources do you use to learn about municipal, regional, state, and federal policies and initiatives?

• National network news
• National newspaper (e.g. The New York Times, The Washington Post, LA Times, etc)
• Local television news
• Cable news
• National news magazines
• Local news magazines
• Non-advocacy policy information sites
• Advocacy-oriented policy information sites
• Social Media
• Blogs
• None of the above
• Other Please enter an 'other' value for this selection.

10. Do you access any of the following government sources of information? Please check all that apply.

• Municipal government website
• Municipal government social media
• Regional/county government website
• Regional/county government social media
• State government website
• State government social media
• Federal government website
• Federal government social media
• None of the above
• Other Please enter an 'other' value for this selection.

12. Are you interested in becoming more involved with your local (city, regional, state) government?

• Yes
• No
• Maybe

13. What prevents you from becoming more involved in local (city, regional, state) government? Please check all that apply.

• Do not feel local issues are important
• Do not know how to get involved locally
• Do not have the time for local engagement
• Am more interested in national issues
• Am not interested in government engagement
• Do not know the time commitment required
• Unfamiliar with procedures like Robert's Rules of Order
• May be against my workplace policies
• Nothing
• Other Please enter an 'other' value for this selection.

14. What types of local (city, regional, state) government engagement are you interested in? Please check all that apply.

• Elected office
• Appointment to board or commission
• Local advocacy
• Expert adviser (formal appointment)
• Expert adviser (informal)
• I'm not sure what options exist.
• None, I'm not interested in local government engagement.
• Other Please enter an 'other' value for this selection.

16. Which of the following would be of interest to you? Please check all that apply.

• Social events with other STEM professionals interested in local engagement
• Events to meet civic leaders
• Informal discussions with other STEM professionals who are locally engaged
• Mentorship for local engagement
• Events to discuss topics related to local engagement (e.g. how to apply to a city commission)
• Content on how to get involved in local government
• Content or events to discuss local policy topics
• Content or events to discuss connection between national and local policy
• Content from other STEM professionals about their experiences
• Listings of local engagement opportunities
• None of the above