NAEP 2008 - Wave 3

Student with
Disabilities (SD)
Questionnaire
(For 2008 R/M/S)
Cover to come from Pearson

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General Directions for Completing this Questionnaire
The student named on the front cover of this questionnaire has been selected to
participate in the National Assessment of Educational Progress (NAEP) and has been
identified as a student with disabilities (SD). NAEP’s definition of SD includes only:
• students with an Individualized Educational Program (IEP), for reasons other than being
gifted or talented; or
• students with 504 Plans.
The decision tree below illustrates the steps in determining how best to include this
student in NAEP. By answering the questions in this questionnaire, you will provide the
information needed to make this determination.

sd decision tree
How does this student participate in your state academic assessment in the NAEP
subject that the student has been selected to take as identified on the front cover?

A
Takes the
regular academic
assessment
with no
accommodations

B
Takes the
regular academic
assessment
with
accommodations

C
Takes an
alternate or
modified
assessment

Assess the
student on
NAEP with no
accommodations

Determine whether
the accommodations
that this student
needs are allowed on
NAEP

Determine if
this student can
be included in
NAEP

Please answer the questions on pages 5–8 about this student and return the completed
questionnaire to the person in your school who is coordinating NAEP activities.

Thank you very much for your help!

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VC324407

1. Why is this student classified as SD? (Fill in one oval.)

A This student has a disability and has an IEP. (Continue)
B This student has a Section 504 Plan. (Continue)
C This student has a disability, but the student’s IEP or 504 Plan is in process and/or
the student’s status is unclear. (Continue)

D This student does not have an IEP or 504 plan, but requires an accommodation to be
tested. (Continue)

E This student has an IEP because he/she is classified as gifted and talented. (Do not
complete this questionnaire. Return it to the person coordinating NAEP at your
school.)

Vc299587

On NAEP each student takes the assessment in one subject. The subject this student has
been selected to take is identified on the front cover in the box labeled “This student will
be assessed in NAEP in the following subject:”. Refer to this subject when answering the
questions below.
If the subject is reading or mathematics, refer to the state assessment used for reporting
adequate yearly progress under No Child Left Behind. If this student does not take a state test
in this subject refer to local testing or instructional practice.

2. How does the student participate in your state academic assessment in the NAEP subject
that the student has been selected to take? (Fill in one oval.)

A This student takes the regular academic assessment with no accommodations. ➔
Skip to page 8 and answer questions 7–9.

B This student takes the regular academic assessment with accommodations. ➔ Go to
pages 6, 7, and 8 and answer questions 3–9.

C This student takes an alternate or modified state academic assessment. ➔
Skip to page 7 and answer question 6, then complete page 8.

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VC324588

3. Which accommodations does this student receive on the state assessment in the NAEP
subject identified on the front cover of this questionnaire?

Fill in the oval in Column A for each accommodation that this student receives for your
state’s assessment in the NAEP subject indicated on the front cover of this questionnaire.
If this student does not take a state assessment in the NAEP subject, please indicate the
accommodations this student receives for local testing or instruction.
column a

Accommodations
student receives on
state assessment in
NAEP subject

This Student

column b

column c

Are these accommodations
allowed on NAEP if received
on state test?
Math
Science
Reading

If allowed on
NAEP, who provides
accommodation?

Presentation Format
Has directions read aloud/repeated in English or receives Standard NAEP practice
assistance to understand directions

\
\
Has directions only signed
\
Has test items signed
\
Has occasional words or phrases read aloud
\
Has all or most of the test materials read aloud
\
Uses a Braille version of the test
\
Uses a large print version of the test
\
Uses magnifying equipment

NAEP provides

Y

Y

Y

School provides

N

Y

Y

School provides

N

Y

Y

NAEP provides

N

Y

Y

NAEP provides

Y

Y

Y

†

Y

Y

Y

NAEP provides

Y

Y

Y

School provides

Response Format
Responds in sign language

Y

Y

Y

School provides

Uses a Braille typewriter to respond

Y

Y

Y

School provides

Y

Y

Y

School provides

N

N

N

NA

Y

Y

Y

School provides

\
\
Points to answers or responds orally to a scribe
\
Tape records answers
\
Uses a computer or typewriter to respond
\

Spell/grammar check not allowed

Uses a template to respond

Y
Y
Y
\
Uses a large marking pen or special writing tool
Y
Y
Y
\
Writes directly in the test booklet
Standard NAEP practice
\

School provides
School provides
NA

Setting Format
Takes the test in a small group (5 or fewer)

Y

Y

Y

NAEP provides*

Takes the test one-on-one

Y

Y

Y

NAEP provides*

Y

Y

Y

School provides

Y

Y

Y

School provides

Y

Y

Y

School provides

Receives extended time

Y

Y

Y

NAEP provides**

Is given breaks during the test

Y

Y

Y

NAEP provides

N

N

N

NA

Uses a calculator, including talking or Braille calculator
N
N
N
for computation tasks

NA

\
\
Takes the test in a study carrel
\
Receives preferential seating, special lighting, or furniture
\
Must have test administered by familiar person
\
Timing Accommodations

\
\
\
Takes test session over several days
Other Accommodations

\
\
Uses an abacus, arithmetic tables, graph paper
\
Uses dictionary, thesaurus, or spelling/grammar-checking

N

N

N

NA

N

N

N

NA

software or devices
Receives other accommodations

\

NA = not applicable
† NAEP provides Braille versions of math and reading tests for grades 4 and 8 only. School provides Braille versions: all grades for science, and grade 12 for math and reading.
*NAEP provides staff to conduct small group or one-on-one sessions after regular sessions.
**If state test is untimed, student would require extended time on a timed assessment, such as NAEP.
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Answer Question 4 and, if necessary, Question 5 using the information in Columns A and B
on page 6.
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4. Are all of the accommodations this student receives on the state assessment as recorded
in Column A allowed on NAEP (Column B)? (Fill in one oval.)

A Yes. This student should be assessed with these accommodations, as allowed on
NAEP. ➔ Skip to page 8 and answer questions 7, 8, and 9.

B No. ➔ Answer question 5 below.

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5. Can this student be assessed with only the accommodations allowed on NAEP? (Fill in
one oval.)

A Yes. This student should be assessed with only the accommodations allowed on
NAEP. ➔ Skip to page 8 and answer questions 7, 8, and 9.

B No. This student should not be assessed on NAEP. ➔ Skip to page 8.

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6. Could the student participate in NAEP with any of the accommodations allowed on
NAEP as listed in Column B on page 6? (Fill in one oval.)

A Yes. List the accommodations allowed on NAEP and include the student in NAEP.
➔ Go to page 8 and answer questions 7, 8, and 9.

B No. This student should not be assessed on NAEP.
➔ Go to page 8 and answer questions 7, 8, and 9.

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VB338417

7. Which of the following describes this
student’s identified disability(ies)? (Fill
in all ovals that apply.)

A Specific learning disability
B Hearing impairment/deafness
C Visual impairment/blindness

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8. What is the degree of this student’s
disability(ies)?

A Profound/Severe
B Moderate
C Mild

D Speech or language impairment
E Mental retardation
VC121987

F Emotional disturbance
G Orthopedic impairment

9. What grade level of instruction is this
student currently receiving in the
subject indicated on the front cover?

H Traumatic brain injury

A This student is currently not

I Autism
J Developmental delay (age 9 or
younger)

K Other health impairment
L Other (specify)

receiving instruction in this
subject.

B At or above grade level
C One year below grade level
D Two or more years below grade
level

E I don’t know.

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