Student Pre-Lesson Questionnaire, grades 6-8

OMB Control No.: 0648-xxxx
Expires xx/xx/20xx

NOAA’s
Learning Ocean Science
and Exploration through an Online
Environment
Student PRE-Lesson Survey (Grades 6-8)
Instructions: Thank you for taking part in this survey! By filling out this form,
you are helping to make the National Oceanic and Atmospheric Administration’s
education programs better for other students. Please tell us the truth when you
answer the questions. Your answers will not affect your grade in this class.
Later on, you will be asked by your teacher to complete another survey just like
this one. We will match your answers to see if they have changed. We want your
responses to be private, so we are asking you to provide a student code using your
birth month, birth day, and last 4 digits of your telephone number. For example, if
your birthday is January 3, and your phone number is 234-5678, your code would
be: 01-03-5678. We will match your two surveys using the code you give us.
Fill in your Student Code (ask your teacher if you need help):

Birth month (01-12)

Birth day (01-31)

Last four digits of your phone
number

Paperwork Reduction Act Statement: Public reporting burden for this collection of information is estimated to
average 15 minutes per response, including the time for reviewing instructions, searching existing data sources,
gathering and maintaining the data needed, and completing and reviewing the collection of information. Send
comments regarding this burden estimate or any other suggestions for reducing this burden to Bruce Moravchik,
NOAA National Ocean Service: [email protected], PH: 301-713-3060 ext. 219. Notwithstanding any
other provisions of the law, no person is required to respond to, nor shall any person be subjected to a penalty for
failure to comply with, a collection of information subject to the requirements of the Paperwork Reduction Act,
unless that collection of information displays a currently valid OMB Control Number.

Our questions for you:
Please tell us how much you agree with the following statements by circling the number that
matches what you think.
For example, if you really agree with what the sentence says, circle the “5” in that line. If you
kind of disagree with what the sentence says, circle a “2, and so on. Only circle one number
per each line!
I really
disagree

I kind
of
disagree

I don’t
agree or
disagree

I kind
of
agree

I really
agree

This is
not
applicable
to me

a. I like science in general.

1

2

3

4

5

0

b. I think ocean science is interesting.

1

2

3

4

5

0

c. I like using the Internet as part of
my science assignments.

1

2

3

4

5

0

d. I like using scientific information
from real ocean expeditions.

1

2

3

4

5

0

e. Using the Internet is a good way to
learn science-related topics.

1

2

3

4

5

0

f. Ocean exploration is more fun for
me than other kinds of science.

1

2

3

4

5

0

g. What I learn about ocean science
now will be useful to me when I
grow up.

1

2

3

4

5

0

h. It is my responsibility to help
protect the ocean’s resources.

1

2

3

4

5

0

i. When I grow up, I would like to be
an ocean scientist.

1

2

3

4

5

0

j. I know a lot about ocean science.

1

2

3

4

5

0