Young Adult Mail Questionnaire

National Longitudinal Transition Study -2 (NLTS2)

NLTS2 YOUNG ADULT QUESTIONNAIRE

Young Adult Mail Questionnaire

OMB: 1850-0815

Document [pdf]

Download: pdf | pdf

99 - 99 - 999 - 999
SECTION A
JOHN S.
9/9/1999

YOUNG ADULT QUESTIONNAIRE
Sponsored by the U.S. Department of Education
You can help!
Thousands of young people are participating in interviews and surveys. Your answers
will be combined with theirs in reports that can change the future of youth.

Thank you!
Your support of this study is important. As a token of our appreciation for completing
this NLTS2 survey, you will receive a check for $20 in the mail approximately one
month after we have received your completed questionnaire.

Directions

Check the name and birth date in the upper right hand corner. If any information
is wrong, please cross it out and write in the correct information.
Use a BLACK pen. Blue or red pens and pencil cannot be read by our scanners.
Also, please print neatly when writing words or numbers in boxes.

Fill out the following sections, which were selected for you based on the
information your parents gave us in a telephone interview: A, D, E, H, I, K, N.

the completed questionnaire in the postage-paid envelope to:
Mail
The National Longitudinal Transition Study-2 (NLTS2)
333 Ravenswood Avenue, BS135, Menlo Park, CA 94025

Need help? Have questions?
Please contact us at [email protected] or call us toll-free at 1-866-269-7274, or
TTY 1 800-664-3875.
According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of
information unless such collection displays a valid OMB control number. The valid OMB control number for this
information collection is 1850-0815. The time required to complete this information collection is estimated to
average 18 minutes per response, including the time to review instructions, search existing data resources, gather
the data needed, and complete and review the information collection. If you have any comments concerning the
accuracy of the time estimate(s) or suggestions for improving this form, please write to: U.S. Department of
Education, Washington, D.C. 20202-4700. If you have comments or concerns regarding the status of your
individual submission of this form, write directly to: David Malouf, U.S. Department of Education, 555 New Jersey
Ave., NW--Room 508H Washington DC 20208-5550
Draft

NLTS2 Young Adult Questionnaire 2009
Section A

Page 1 of 8

99 - 99 - 999 - 999

IMPORTANT NOTE:
Please use a BLACK pen. Blue or red pens and pencil cannot be read by our scanners.
When asked to mark boxes, make an "X" through the box.
Sample:
Right
Wrong
Use block printing when you complete any text or numeric responses.
If you wish to change a response, please mark the correct response and CIRCLE it.

THIS PART OF THE NLTS2 SURVEY IS ABOUT YOUR ACTIVITIES,
INTERESTS, HEALTH, AND HOUSEHOLD ARRANGEMENTS DURING
THE 2007-2008 SCHOOL YEAR.
SOCIAL AND LEISURE TIME ACTIVITIES
The questions in this section are about what you do in your spare time.

During the last few weeks, how have you spent most of your time when you weren't
doing things like working or going to school? Please Mark (X) ALL that apply.
Spending time with family members

Playing electronic games

Spending time with friends or going
on dates

Using a computer
Watching TV, videos, or DVDs

Doing homework or chores

Listening to music

Reading for pleasure or doing hobbies

Playing sports, jogging, swimming, biking, skating

Talking on the phone with friends

Shopping, hanging out, driving around, doing nothing

Participating in organized activities

Looking for a job or applying for college

Attending entertainment events, movies, concerts

During the last 12 months, about how many days a week have you usually gotten
together with friends, outside of time you might spend at school and outside of
organized activities or groups? Please mark (X) ONE box.
Never

4 or 5 days a week

Sometimes, but not every week

6 or 7 days a week

1 day a week
2 or 3 days a week

During the last 12 months, about how often have friends called you on the phone?
Please mark (X) ONE Box.
Never

About once a week

Rarely/less than once a month

Several days a week

A few times a month, but not every week

Every day
Draft

NLTS2 Young Adult Questionnaire 2009
Section A

Page 2 of 8

99 - 99 - 999 - 999

NOTE:
When asked to mark boxes,
make an "X" through the box. Sample:

How many times did you do each of the following activities during the last week?
Please mark (X) ONE Box on EACH line.
Not
at all

1 or 2
times

3 or 4
times

5 or
more
times

Yes

a. Work around the house, such as cleaning, cooking, laundry,
yard work, or caring for a pet
b. Hobbies, such as collecting baseball cards, playing a musical
instrument, reading, or doing arts and crafts
c. Just hang out with friends
d. Buy a few things you need at the store

About how many hours a week do you usually watch TV, videos, or DVDs?
Please write number of hours in the boxes or mark (X) Don't know.
Number of hours a week:

Don't know

Do you have ...
Please mark (X) ONE Box on EACH line.
a. A driver's license or learner's permit?
b. An allowance or other money that you can decide how to spend (this could
include money earned from a job)?
c. A savings account?
d. A checking account where you write checks?
e. A credit card or charge account in your own name?

Draft

NLTS2 Young Adult Questionnaire 2009
Section A

Page 3 of 8

99 - 99 - 999 - 999
7

During the last 12 months, have you ...
Please mark (X) ONE Box on EACH line.

Yes

a. Done any volunteer or community service activity (this could include
something that was part of a school class or other group activity)?
b. Taken lessons or classes in things like art, music, dance, a foreign language,
religion, or computer skills, that were not school classes?
c. Gotten in a physical fight?

During the last 12 months, have you taken part in any group activities outside of
school, such as scouting, church or temple youth group, or non school team sports like
soccer or softball?
No
Yes X

If yes, do any of the groups you belong to include only youth with
special needs?
No
Yes

During the last 2 years, have you been …
Please mark (X) ONE Box on EACH line.

Yes

a. Arrested?
b. In jail overnight?
c. On probation or parole?
d. Stopped and questioned by the police for something other than a traffic violation?

Have you ever been arrested since leaving high school?
Not applicable, still in high school
No
Yes

Have you ever been …
PLEASE MARK (X) ONE BOX ON EACH LINE.
a. Arrested?
b. On probation of parole?

Keep up the good work!
Draft

NLTS2 Young Adult Questionnaire 2009
Section A

Page 4 of 8

99 - 99 - 999 - 999
10

How often do you use e-mail, instant messaging, or take part in chat rooms?
Please mark (X) ONE Box.
Several times a day

Once a week

Once a day

Less than once a week

Several times a week

Never

YOUR HEALTH
11

Which of the following best describes your general health?
Please mark (X) ONE Box.
Excellent

Fair

Very good

Poor

Good

In the last month, how often did a health or emotional problem cause you to miss a social
or recreational activity? Please mark (X) ONE Box.
Never
Just a few times
About once a week
Almost every day
Every day

13a

13b

Some people have a disability or special need that makes it hard for them to do some things.
Do you consider yourself to have any kind of disability or special need?
No

X PLEASE SKIP TO QUESTION 14 NEXT PAGE.

Yes

X PLEASE CONTINUE WITH QUESTION 13b BELOW.

Do you think you know what services you need to help you deal with your disability?
Please mark (X) ONE Box.
Doesn't apply. I don't need services for my disability. X PLEASE SKIP TO QUESTION 14 NEXT PAGE.
No

X PLEASE CONTINUE WITH QUESTION 13c NEXT PAGE.

Yes

X PLEASE CONTINUE WITH QUESTION 13c NEXT PAGE.

Draft

NLTS2 Young Adult Questionnaire 2009
Section A

Page 5 of 8

99 - 99 - 999 - 999
13c

13d

Do you get any services or therapies from any school, agency, or professionals
because of your disability?
No

X PLEASE SKIP TO QUESTION 14 BELOW.

Yes

X PLEASE CONTINUE WITH QUESTION 13d BELOW.

How often do you tell professionals what you think about the services they provide you?
Please mark (X) ONE Box.
Hardly ever
Sometimes
Often

How often did you feel each of the following during the last week?
Please mark (X) ONE Box on EACH line.
Never or
rarely

Sometimes

A lot of
the time

Most or
all of the
time

a. You enjoyed life.
b. You felt depressed.
c. You felt that people disliked you.
d. You were hopeful about the future.
e. You felt lonely.

How much do you feel that each of the following statements is true? Would you say not
at all, very little, somewhat, quite a bit, or very much? Please mark (X) ONE Box on
EACH line.
Not at
all

Very
little

Somewhat

Quite
a bit

Very
much

a. Adults care about you.
b. Your parents care about you.
c. Your friends care about you.
d. Your family pays attention to you.

Draft

NLTS2 Young Adult Questionnaire 2009
Section A

Page 6 of 8

99 - 99 - 999 - 999

How much is each statement below like you? Is each one not at all like you, a little like
you, or very much like you? Please mark (X) ONE Box on EACH line.
Not at all
like you

A little
like you

Very much
like you

a. You are proud of who you are.
b. You are a nice person.
c. You can make friends easily.
d. You can tell other people your age how you feel when
they upset you or hurt your feelings.
e. You feel useful and important.
f. You feel your life is full of interesting things to do.
g. You can handle most things that come your way.
h. You know how to get the information you need.
i. You can get school staff and other adults to listen to you.

ABOUT YOUR HOUSEHOLD
The following questions are about your living situation and your household.

Where do you live now?
Please mark (X) ALL that apply.
With a parent or foster parent

In a college dorm or military housing

Alone or with a spouse or roommate

In a group home or other supervised
living arrangement

With an adult family member who is
not a parent

In a medical or mental health facility

With a legal guardian who is not a
family member

In a correctional facility or youth
detention center

In a residential or boarding school
other than a college

Other (Specify, please print):

You're almost finished with Section A! Keep up the good work!
Draft

NLTS2 Young Adult Questionnaire 2009
Section A

Page 7 of 8

99 - 99 - 999 - 999
18

Do you usually feel safe in your neighborhood?
Please mark (X) ONE Box.
No
Yes

Are you ...
Please mark (X) ONE Box.
Engaged?

Divorced?

Single, never married?

Separated?

Married?

Widowed?

In a marriage-like relationship?

Great job! You're finished with Section A! Please continue to the next section.

Draft

NLTS2 Young Adult Questionnaire 2009
Section A

Page 8 of 8

99 - 99 - 999 - 999

SECTION D
JOHN S.
9/9/1999

THIS PART OF THE NLTS2 SURVEY HAS SOME MORE QUESTIONS
ABOUT YOUR HEALTH AND HOUSEHOLD ARRANGEMENTS.

YOUR HEALTH

Are you now covered by any of the following kinds of health insurance?
Please mark (X) ONE box on EACH line.
Yes

Don't
know

a. Private health insurance that you or a family member buys or gets
as a benefit from a job
b. Government-assisted or public health insurance, like Medicaid
c. Insurance for dental care
d. Insurance for vision care
e. Insurance that covers prescription medicines
f. Mental health care

Are you now taking any prescription medicine for a condition or problem related to a
disability?
No
Yes

Draft

NLTS2 Young Adult Questionnaire 2009
Section D

Page 1 of 4

99 - 99 - 999 - 999
3a

Are you taking any prescription medicine that controls your behavior or changes your
mood, such as Ritalin or an antidepressant?
No
Yes

If "Yes", was the medication prescribed to control…
Please mark all that apply.
Attention, behavior, or activity level
Emotions, such as depression or anxiety
Mood
Something else

ABOUT YOUR HOUSEHOLD
4

Are you happy with your current living arrangement, or would you like to change where
you live or who you live with? Please mark (X) ONE box.
Happy with living arrangement
Want to change living arrangement
Mixed feelings

Do you have a partner or spouse living with you now?
No
Yes

If "Yes", does your spouse or partner have a paid job now?
No
Yes

During the last 2 years, have you received benefits from TANF (Temporary Assistance to
Needy Families) or the state welfare program?
No
Yes

If "Yes", are you getting money from TANF now?
No
Yes

During the last 2 years, have you received Food Stamps for your own needs?
No
Yes

If "Yes", are you getting Food Stamps now?
No
Yes
Draft

NLTS2 Young Adult Questionnaire 2009
Section D

Page 2 of 4

99 - 99 - 999 - 999
7c

During the last 2 years, have you received food and information on healthy food and
health care from the WIC program (The Special Supplement Nutrition Program for
Women, Infants, and Children)?
No
Yes

If "Yes", are you getting this food and information now?
No
Yes

During the last 2 years, have you received money or benefits from SSI (Supplemental
Security Income)?
No
Yes

If "Yes", are you receiving benefits from SSI now?
No
Yes

Which of the incomes below best describes your total income in the last tax year,
including salaries or other earnings, money from public assistance, and so on, before
taxes. (Please include income both for you and your spouse, if you have one.)
Please mark (X) ONE box.
None

$30,001 to $35,000

$5,000 or less

$35,001 to $40,000

$5,001 to $10,000

$40,001 to $45,000

$10,001 to $15,000

$45,001 to $50,000

$15,001 to $20,000

Over $50,001

$20,001 to $25,000

Don't know

$25,001 to $30,000

Great job! You're finished with section D! Please go to the next section.

Draft

NLTS2 Young Adult Questionnaire 2009
Section D

Page 3 of 4

99 - 99 - 999 - 999

Draft

NLTS2 Young Adult Questionnaire 2009
Section D

Page 4 of 4

99 - 99 - 999 - 999

SECTION E
JOHN S.
9/9/1999

THIS PART OF THE NLTS2 SURVEY IS ABOUT THINGS SOME YOUNG
PEOPLE DO.
PERSONAL INTERESTS AND ACTIVITIES

Are you registered to vote?
No
Yes

During the past 30 days, on how many days did you do each of the following things?
Please mark (X) ONE box on EACH line.
Never

1 or 2
days

3 to 5
days

6 to 9
days

10 to 19
days

20 to 29
days

All 30
days

a. Smoke cigarettes
b. Have at least one drink
of alcohol

On the days you smoke, about how many cigarettes do you smoke in a day? Please write
the number of cigarettes you smoke in a day in the boxes below or mark (X) Don't know OR
Does not apply.
Number of cigarettes in a day.

OR
Don't know

OR
Does not apply. I do not smoke cigarettes.

Draft

NLTS2 Young Adult Questionnaire 2009
Section E

Page 1 of 4

99 - 99 - 999 - 999
4a

Have you ever had sexual intercourse?
No

X PLEASE SKIP TO QUESTION 5 NEXT PAGE.

Yes

Have you had sexual intercourse in the last 3 months?
No
Yes

The last time you had sexual intercourse, did you or your partner use
a condom?
No
Yes

The last time you had sexual intercourse, did you or your partner use
or do anything else to keep from getting pregnant?
No
Yes

Have you ever had or fathered any children?
No
Yes

If "Yes", during the last 2 years, how many children have you had or
fathered? Please write number of children in the past two years in the
box below or mark (X) No children in the past 2 years.
Number of children in past 2 years

OR
No children in the past 2 years

Draft

NLTS2 Young Adult Questionnaire 2009
Section E

Page 2 of 4

99 - 99 - 999 - 999
5

During the past 30 days, on how many days did you carry a weapon, such as a gun, knife,
or club? Please mark (X) ONE box.
Never

4 or 5 days

1 day

6 days or more

2 or 3 days

During the last 30 days, how many times did you do each of the following?
Please mark (X) ONE box on EACH line.
Never

1 or 2
times

3 to 9
times

10 to 19
times

20 to 39
times

40 times
or more

a. Use marijuana
b. Use any form of cocaine, including
powder, crack, or free base

During the last 30 days, how often have you used any other kind of illegal drugs, such as
LSD, PCP, ecstasy, mushrooms, speed, ice, heroin, or pills that you took without a
doctor's prescription? Please write the number of times in the boxes below or
mark (X) Never OR Don't know.
Number of times.

OR
Never

OR
Don't know

Do you belong to a gang?
No
Yes

Congratulations! You are finished with section E! Please go to the next section.
Draft

NLTS2 Young Adult Questionnaire 2009
Section E

Page 3 of 4

99 - 99 - 999 - 999

Draft

NLTS2 Young Adult Questionnaire 2009
Section E

Page 4 of 4

99 - 99 - 999 - 999

SECTION H
JOHN S.
9/9/1999

THIS PART OF THE NLTS2 SURVEY IS ABOUT YOUR EXPERIENCES
ATTENDING:
2-YEAR JUNIOR OR COMMUNITY COLLEGE

Since leaving high school, have you taken classes from a 2-year, junior or community
college?
No

X PLEASE SKIP TO QUESTION 1 NEXT SECTION.

Yes

X PLEASE CONTINUE WITH QUESTION 2 BELOW.

During the last 2 years, have you taken any classes from a 2-year, junior, or community
college?
No
Yes

About how long after leaving high school was it before you started going to a 2-year
college? Please write a number in ONE of the sets of boxes OR mark "Don't know".
Number of weeks

Don't know

OR
Number of months

OR
Number of years
Draft

NLTS2 Young Adult Questionnaire 2009
Section H

Page 1 of 6

99 - 99 - 999 - 999
4a

Are you going to a 2-year or community college now?
Yes
No

If "No", are you not going because you... Please mark (X) ONE box.
are on vacation.
graduated or completed the program.
some other reason

If "some other reason", why did you stop going to a 2-year or
community college? Please print your answer in the box below.

Have you gotten a diploma, certificate, or license from a 2-year or community college?
Yes
No

If "No", are you working toward a diploma, certificate, or license?
Yes
No

Have you been enrolled in a 2-year college continuously during the school year (not
counting time off for vacations), or have you been enrolled off and on, taking classes some
semesters or quarters but not others? (If you are not going to a 2-year college now, please
answer the remaining questions about the time when you did go to a 2-year college.)
Please mark (X) ONE box.
Enrolled continuously during the school year
Enrolled off and on

How many total credits have you earned at a 2-year or community college?
Total number of semester credits
Total number of quarter credits

Have you attended a 2-year or community college full-time or part-time?
Please mark (X) ONE box.
Full-time (in class 12 hours or more a week)
Part-time (in class fewer than 12 hours a week)
Both, sometimes one, sometimes the other
Draft

NLTS2 Young Adult Questionnaire 2009
Section H

Page 2 of 6

99 - 99 - 999 - 999
8a

Have you taken mostly vocational courses to train for a job, like computer or business
courses, or have you taken mostly academic courses, like English or science?
Please mark (X) ONE box.
Mostly vocational courses
Mostly academic courses
Both academic and vocational courses
Neither, classes are for personal interest

What is/was your major or primary course of study in a 2-year or community college?
Enter major:

OR
Undecided

If you have any kind of learning problem, disability, or special need, was the 2-year or
community college aware that you had a disability? Please mark (X) ONE box.
Not applicable. I don't have a learning problem, disability, or special need.
School was aware before I enrolled there
School was aware after I enrolled there
School not aware

10a

Have you received help at this school to get your school work done?
No
Yes

10b

If "Yes", what help? Please mark (X) ALL that apply.
Tutoring
Attending study centers
Attending writing centers

11a

Have you had any special arrangements from the school for testing?
No
Yes

11b

If "Yes", what special arrangements? Please mark (X) ALL that apply.
More time for taking tests
Having tests and other materials read to you
Different tests
Different grading standards
Different settings (like another room) to take tests
Instructions given to you in sign language or manual communication
A scribe (person) records your answers for you
Draft

NLTS2 Young Adult Questionnaire 2009
Section H

Page 3 of 6

99 - 99 - 999 - 999
12a

Have you received any accommodations in how your class assignments are provided?
No
Yes

12b

If "Yes", what accommodations? Please mark (X) ALL that apply.
More time to finish assignments
Different assignments
(like shorter assignments or different lab assignments in a science class)

13a

Has there been any person assigned to help you in class?
No
Yes X

13b

If "Yes", what kind of person? Please mark (X) ALL that apply.
A reader or interpreter
Note taker in class
A personal aide or instructional assistant to help you in class
Tutor
Support person (like a counselor) who monitors your academic progress
and helps you manage your academic workload

14a

Have you received any therapies from the school?
No
Yes

14b

If "Yes", what kinds of therapies? Please mark (X) ALL that apply.
Psychological or mental health services or counseling
Social work services
Occupational therapy or life skills training

15a

Have you been allowed to use any different kinds of technology in class?
No
Yes

15b

If "Yes", what kinds of technology? Please mark (X) ALL that apply.
Large print or Braille materials or large print computer
Books on tape
Use of computer or spell checker in class or during test taking
Computer software designed for students with disabilities
Computer hardware adapted to your needs
(like an alternative keyboard, switch interface)
Special use of calculator (like when other students don't get to use one)
Listening/recording devices, tape recorder
Written materials (like copies of lectures, outlines, course notes)

You're almost finished with Section H! Continue the good work!
Draft

NLTS2 Young Adult Questionnaire 2009
Section H

Page 4 of 6

99 - 99 - 999 - 999
16a

Have there been any adaptations or changes to your classrooms?
No
Yes

16b

If "Yes", what adaptions or changes? Please mark (X) ALL that apply.
Physical changes to the classroom, special desks
Changes to equipment (like different lab equipment in a science class)

17a

Have there been any supports from the school for you outside of class?
No
Yes

17b

If "Yes", what supports? Please mark (X) ALL that apply.
A behavior management program
Help with learning strategies or study skills (like a writing center)
Support group for students with disabilities
Early registration

18a

Have you had any services or supports from the school to help you live, or get around
at school?
No
Yes

18b

If "Yes", what services or supports? Please mark (X) ALL that apply.
Transportation assistance (to get to classes)
Housing assistance (like modified living arrangements)
Orientation and mobility services
Social activities for students with disabilities
Food service arrangements or accommodations
Medical supports

19a

Has your school provided any other supports?
No
Yes

19b

If "Yes", what other supports? Please mark (X) ALL that apply.
Service coordination or case management
Child care
Other
Draft

NLTS2 Young Adult Questionnaire 2009
Section H

Page 5 of 6

99 - 99 - 999 - 999

Besides what the school had available, have you gotten any services or help on your own
while you have been at a 2-year college?
No
Yes

How useful have all the services, accommodations, and help with school work been in
helping you stay in school and do your best there? Please mark (X) ONE box.
Does not apply. I have not received any services or accommodations.
Very useful
Somewhat useful
Not very useful
Not at all useful

Do you think you have received enough services, accommodations, and help with school
work to do your best there? Please mark (X) ONE box.
Does not apply. I do not need services or accommodations.
Definitely getting enough
Probably getting enough
Probably not getting enough
Definitely not getting enough

If you did not receive any services, accommodations, or help with school work, would it
have been helpful to you to have services, accommodations, or help? Please mark (X)
ONE box.
Does not apply, I received services, accommodations or help with school work
No
Yes

Congratulations! You are finished with section H! Please go to the next section.

Draft

NLTS2 Young Adult Questionnaire 2009
Section H

Page 6 of 6

99 - 99 - 999 - 999

SECTION I
JOHN S.
9/9/1999

THIS PART OF THE NLTS2 SURVEY IS ABOUT YOUR EXPERIENCES
AFTER HIGH SCHOOL ATTENDING:
VOCATIONAL, BUSINESS, OR TECHNICAL SCHOOL

Since leaving high school, have you taken any classes from post secondary vocational,
business, or technical school?
No

X PLEASE SKIP TO QUESTION 1 NEXT SECTION.

Yes

X PLEASE CONTINUE WITH QUESTION 2 BELOW.

During the last 2 years, have you taken any classes from a post secondary vocational,
business, or technical school?
No
Yes

About how long after leaving high school was it before you started going to a vocational,
business, or technical school? Please write a number in ONE of the sets of boxes OR mark
"Don't know".
Number of weeks

Don't know

OR
Number of months

OR
Number of years
Draft

NLTS2 Young Adult Questionnaire 2009
Section I

Page 1 of 8

99 - 99 - 999 - 999
4a

Are you going to a post secondary vocational, business, or technical school now?
Yes
No

If "No", are you not going because you... Please mark (X) ONE box.
are on vacation.
graduated or completed the program.
some other reason

If "some other reason", why did you stop going to a post secondary
vocational, business, or technical school? Please print your answer in
the box below.

Have you gotten a diploma, certificate, or license from a vocational, business, or
technical school?
No

If "No", are you working toward a diploma, certificate, or license?
Yes
No

Yes

If "Yes", how long was the program that you took that led to this
diploma, certificate, or license? Please write a number in ONE of the
sets of boxes OR mark "Don't know".
Number of weeks

Don't know

OR
Number of months

OR
Number of years

Draft

NLTS2 Young Adult Questionnaire 2009
Section I

Page 2 of 8

99 - 99 - 999 - 999
6a

Have you attended school continuously during the school year (not counting time off for
vacations), or have you been enrolled off and on, taking classes some semesters or
quarters but not others? (If you are not going to a vocational, business, or technical
school now, please answer the remaining questions about the time when you did go to
such a school.) Please mark (X) ONE box.
Enrolled continuously during the school year
Enrolled off and on

Have you attended school full-time or part-time?
Please mark (X) ONE box.
Full-time (in class 12 hours or more a week)
Part-time (in class fewer than 12 hours a week)

What kind of job(s) have your vocational courses trained you for?
Type of job(s):

If you have any kind of learning problem, disability, or special need, was the vocational,
business, or technical school aware that you had a disability? Please mark (X) ONE box.
Not applicable. I don't have a learning problem, disability, or special need.
School was aware before I enrolled there
School was aware after I enrolled there
School not aware

Draft

NLTS2 Young Adult Questionnaire 2009
Section I

Page 3 of 8

99 - 99 - 999 - 999
9a

Have you ever received help at this school to get your school work done?
No
Yes

If "Yes", what help? Please mark (X) ALL that apply.
Tutoring
Attending study centers
Attending writing centers

10a

Have you had any special arrangements from the school for testing?
No
Yes

10b

11a

Have you received any accommodations in how your class assignments are provided?
No
Yes

11b

If "Yes", what accommodations? Please mark (X) ALL that apply.
More time to finish assignments
Different assignments
(like shorter assignments or different lab assignments in a science class)

12a

Has there been any person assigned to help you in class?
No
Yes

12b

NLTS2 Young Adult Questionnaire 2009
Section I

Page 4 of 8

99 - 99 - 999 - 999

13a

Have you received any therapies from the school?
No
Yes

13b

If "Yes", what kinds of therapies? Please mark (X) ALL that apply.
Psychological or mental health services or counseling
Social work services
Occupational therapy or life skills training

14a

Have you been allowed to use any different kinds of technology in class?
No
Yes

14b

If "Yes", what kinds of technology? Please mark (X) ALL that apply.
Large print or Braille materials or large print computer
Books on tape
Use of computer or spell checker in class or during test taking
Computer software designed to meet your needs
Computer hardware adapted to your needs
(like an alternative keyboard, switch interface)
Special use of calculator (like when other students don't get to use one)
Listening/recording devices, tape recorder
Written materials (like copies of lectures, outlines, course notes)

15a

Have there been any adaptations or changes to your classrooms?
No
Yes

15b

If "Yes", what adaptions or changes? Please mark (X) ALL that apply.
Physical changes to the classroom, special desks
Changes to equipment (like different lab equipment in a science class)

You're almost finished with Section I! Continue the good work!
Draft

NLTS2 Young Adult Questionnaire 2009
Section I

Page 5 of 8

99 - 99 - 999 - 999

16a

Have there been any supports from the school for you outside of class?
No
Yes

16b

17a

Have you had any services or supports from the school to help you live, or get around
at school?
No
Yes

17b

18a

Has your school provided any other supports?
No
Yes

18b

If "Yes", what other supports? Please mark (X) ALL that apply.
Service coordination or case management
Child care
Other

Besides what the school had available, have you gotten any services or help on your own
to help you do your best in school?
No
Yes

Draft

NLTS2 Young Adult Questionnaire 2009
Section I

Page 6 of 8

99 - 99 - 999 - 999
20

Congratulations! You are finished with section I! Please go to the next section.
Draft

NLTS2 Young Adult Questionnaire 2009
Section I

Page 7 of 8

99 - 99 - 999 - 999

Draft

NLTS2 Young Adult Questionnaire 2009
Section I

Page 8 of 8

99 - 99 - 999 - 999

SECTION J
JOHN S.
9/9/1999

THIS PART OF THE NLTS2 SURVEY IS ABOUT YOUR EXPERIENCES
ATTENDING:
4-YEAR COLLEGE OR UNIVERSITY

Since leaving high school, have you taken any classes from a 4-year college or
university?
No

X PLEASE SKIP TO QUESTION 1 NEXT SECTION.

Yes

X PLEASE CONTINUE WITH QUESTION 2 BELOW.

During the last 2 years, have you taken any classes from a 4-year college or university?
No
Yes

About how long after leaving high school was it before you started going to a 4-year
college or university? Please write a number in ONE of the sets of boxes OR mark
"Don't know".
Number of weeks

Don't know

OR
Number of months

OR
Number of years

Draft

NLTS2 Young Adult Questionnaire 2009
Section J

Page 1 of 6

99 - 99 - 999 - 999
4a

Are you going to a 4-year college or university now?
Yes
No

If "No", are you not going because you... Please mark (X) ONE box.
are on vacation.
graduated or completed the program.
some other reason

If "some other reason", why did you stop going to a 4-year college or
university? Please print your answer in the box below.

Have you gotten a diploma, certificate, or license from a 4-year college or university?
Yes
No

If "No", are you working toward a diploma, certificate, or license?
Yes
No

Have you been enrolled in a 4-year college or university continuously during the school
year (not counting time off for vacations), or have you been enrolled off and on, taking
classes some semesters or quarters but not others? (If you are not going to a 4-year
college or university now, please answer the remaining questions about the time when
you did go to a 4-year college or university.) Please mark (X) ONE box.
Enrolled continuously during the school year
Enrolled off and on

How many total credits have you earned at a 4-year college or university?
Total number of semester credits
Total number of quarter credits

Have you attended a 4-year college or university full-time or part-time?
Please mark (X) ONE box.
Full-time (in class 12 hours or more a week)
Part-time (in class fewer than 12 hours a week)
Both, sometimes one, sometimes the other
Draft

NLTS2 Young Adult Questionnaire 2009
Section J

Page 2 of 6

99 - 99 - 999 - 999
8

What is/was your major or primary course of study in a 4-year college or university?
Enter major:

OR
Don't know; no major declared yet

If you have any kind of learning problem, disability, or special need, was the 4-year
college or university aware that you had a disability? Please mark (X) ONE box.
Not applicable. I don't have a learning problem, disability, or special need.
School was aware before I enrolled there
School was aware after I enrolled there
School not aware

10a

Have you received help at this school to get your school work done?
No
Yes

10b

If "Yes", what help? Please mark (X) ALL that apply.
Tutoring
Attending study centers
Attending writing centers

11a

Have you had any special arrangements from the school for testing?
No
Yes

11b

12a

Have you received any accommodations in how your class assignments are provided?
No
Yes

12b

If "Yes", what accommodations? Please mark (X) ALL that apply.
More time to finish assignments
Different assignments
(like shorter assignments or different lab assignments in a science class)

Draft

NLTS2 Young Adult Questionnaire 2009
Section J

Page 3 of 6

99 - 99 - 999 - 999

13a

Has there been any person assigned to help you in class?
No
Yes X

13b

14a

Have you received any therapies from the school?
No
Yes

14b

If "Yes", what kinds of therapies? Please mark (X) ALL that apply.
Psychological or mental health services or counseling
Social work services
Occupational therapy or life skills training

15a

Have you been allowed to use any different kinds of technology in class?
No
Yes

15b

16a

Have there been any adaptations or changes to your classrooms?
No
Yes

16b

If "Yes", what adaptions or changes? Please mark (X) ALL that apply.
Physical changes to the classroom, special desks
Changes to equipment (like different lab equipment in a science class)

You're almost finished with Section J! Continue the good work!
Draft

NLTS2 Young Adult Questionnaire 2009
Section J

Page 4 of 6

99 - 99 - 999 - 999

17a

Have there been any supports from the school for you outside of class?
No
Yes

17b

18a

Have you had any services or supports from the school to help you live, or get around
at school?
No
Yes

18b

19a

Has your school provided any other supports?
No
Yes

19b

If "Yes", what other supports? Please mark (X) ALL that apply.
Service coordination or case management
Child care
Other

Draft

NLTS2 Young Adult Questionnaire 2009
Section J

Page 5 of 6

99 - 99 - 999 - 999

Besides what the school had available, have you gotten any services or help on your own
to help you do your best at school?
No
Yes

How useful have the services, accommodations, and help with school work been in
helping you stay in school and do your best there? Please mark (X) ONE box.
Does not apply. I have not received any services or accommodations.
Very useful
Somewhat useful
Not very useful
Not at all useful

Great job! You're finished with Section J! Please continue to the next section.

Draft

NLTS2 Young Adult Questionnaire 2009
Section J

Page 6 of 6

99 - 99 - 999 - 999

SECTION K
JOHN S.
9/9/1999

THIS PART OF THE NLTS2 SURVEY IS ABOUT YOUR WORK
EXPERIENCES.
JOBS DURING THE LAST 2 YEARS

Have you ever had a job other than work around the house?
No

X PLEASE SKIP TO QUESTION 57a PAGE 16.

Yes

If "Yes", have you ever been fired from a job?
No
Yes

Have you had any paid jobs during the past 2 years other than work around the house?
No

X PLEASE SKIP TO QUESTION 57a PAGE 16.

Yes

If "Yes", have you ever been fired from a job any time during the past
2 years?
No
Yes

How many paid jobs have you had altogether during the past 2 years?
Number of paid jobs during the past 2 years

Draft

NLTS2 Young Adult Questionnaire 2009
Section K

Page 1 of 18

99 - 99 - 999 - 999
4

What is the longest time you have worked at a particular job during the past 2 years?
Please write a number in ONE of the sets of boxes OR mark "Don't know".
Number of weeks

Number of months

Number of years

Don't know

Have you ever had a job other than work around the house any time since high school?
Does not apply, I am still in high school

X PLEASE SKIP TO QUESTION 7 BELOW.

No
Yes

How many paid jobs have you had since leaving high school?
Please write a number in the boxes.
Number of paid jobs since leaving high school

What is the longest amount of time you have worked at a particular job since leaving
high school? Please write a number in ONE of the sets of boxes OR mark "Don't know".
Number of weeks

Number of months

Number of years

Don't know

Have you ever been fired from a job any time since high school?
No
Yes

JOBS HELD NOW
7

Do you have a paid job NOW, other than work around the house?
No

X PLEASE SKIP TO QUESTION 32a PAGE 10.

Yes

X PLEASE CONTINUE WITH QUESTION 8 BELOW.

How many different paid jobs do you have now?
Number of paid jobs now

Thinking about all the jobs you have, about how many hours a week do you usually work?
Number of hours a week usually worked
Draft

NLTS2 Young Adult Questionnaire 2009
Section K

Page 2 of 18

99 - 99 - 999 - 999
10a

What is your job title at this job (where you spend the most time)? (If you have more than
one paid job now, please answer the next questions about the job where you spend the
most time.) Please enter your job title.

10b

What are your main job duties at this job? Please describe.

About how many hours a week do you usually work at this job?
Number of hours a week usually worked

About how long have you had this job?
Please write a number in ONE of the sets of boxes OR mark "Don't know".
Number of weeks

Don't know

OR
Number of months

OR
Number of years

About how much are you paid per hour at this job? Please write amount in the boxes below.

Pay per hour

Are you paid more now than when you started this job?
No
Yes

Draft

NLTS2 Young Adult Questionnaire 2009
Section K

Page 3 of 18

99 - 99 - 999 - 999

Have you been promoted or taken on more responsibility since you started this job?
No
Yes

As part of this job, do you get ...
Please mark (X) ONE Box on EACH line.
Yes

Yes

a. Paid vacation or sick leave?
b. Health insurance?
c. Retirement benefits, like a 401k?

At this job, do you think ...
Please mark (X) ONE Box on EACH line.
a. You are pretty well paid for your work?
b. You are treated pretty well by others at your job?
c. You have lots of chances to work your way up?
d. You put your education and training to good use?

How well do you get along with coworkers? Please mark (X) ONE box.
Very well
Pretty well
Not very well
Not at all well

How well do you get along with your boss? Please mark (X) ONE box.
Very well
Pretty well
Not very well
Not at all well

Draft

NLTS2 Young Adult Questionnaire 2009
Section K

Page 4 of 18

99 - 99 - 999 - 999

How much do you usually like your job? Please mark (X) ONE box.
Very much
Fairly well
Not much
Not at all

About how long did you look for a job before you found the one you have now?
Please write a number in ONE of the sets of boxes OR mark "Don't know" or "Not applicable".
Number of weeks

Don't know

Number of months

Not applicable, didn't really look for this job.

OR
OR
Number of years

How did you find this job? Please mark (X) ALL that apply.
You got the job yourself.
You used an employment agency or other service program.
Someone at school helped you.
A family member helped you.
A friend or someone else you know helped you (e.g., a neighbor, a friend of a family member).

Has someone from an agency or program stayed in touch with you to check on how you
are doing on the job?
No
Yes

Draft

NLTS2 Young Adult Questionnaire 2009
Section K

Page 5 of 18

99 - 99 - 999 - 999

If you have any kind of learning problem, disability, or special need, is your employer
aware of it? Please mark (X) ONE box.
Does not apply. I don't have a learning problem, disability, or special need.

25a1

X PLEASE SKIP TO QUESTION 26 PAGE 8.

Yes

X PLEASE CONTINUE WITH QUESTION 25a1 BELOW.

X PLEASE SKIP TO
QUESTION 26 PAGE 8.

Are there any accommodations in your work assignments or supervision?
No

X PLEASE CONTINUE WITH QUESTION 25b1 BELOW.

Yes

25a2

If "Yes", what accommodations? Please mark (X) ALL that apply.
More training or training tailored to your needs
More or different supervision or mentoring
Different expectations for productivity or performance
Instructions given to you in a different form (like pictures, sign language,
or verbally instead of, or in addition to, written instructions)

25b1

Are there any accommodations in your work schedule because of a disability?
No
Yes

25b2

If "Yes", what accommodations? Please mark (X) ALL that apply.
Flexible times for arriving at and leaving work
Slower pace for getting the job done
More breaks, longer breaks
More paid sick leave or paid time off for medical needs, therapy appointments, etc.

25c1

Is any person assigned to help you at this job?
No
Yes

25c2

If "Yes", what person? Please mark (X) ALL that apply.
Reader or interpreter
Job coach
Personal aide

Draft

NLTS2 Young Adult Questionnaire 2009
Section K

Page 6 of 18

99 - 99 - 999 - 999
25d1

Are there any adaptations to the equipment you use at work?
No
Yes

25d2

If "Yes", what adaptations? Please mark (X) ALL that apply.
Large print, Braille, or large print computer
Written materials on audio or videotape
Computer software or hardware adapted for your needs
(like special keyboard, switch interface, peripherals or voice recognition)
Headset for hands-free phone use or sound magnification
Different equipment (other than a computer) or changes to equipment you use on the job
TTY or TTD
Adapted workstation

25e1

Are there any adaptations to your workplace?
No
Yes

25e2

If "Yes", what adaptations? Please mark (X) ALL that apply.
Different furniture arrangement
Changes to building (like widened doors, restrooms made accessible)

25f1

Do you have any services or supports to help you get around at work?
No
Yes

25f2

If "Yes", what services or supports? Please mark (X) ALL that apply.
Transportation help to get around at work
Special parking close by
Emergency/evacuation plans tailored for you

25f3

Do you have any other type of help at work?
No
Yes

Draft

NLTS2 Young Adult Questionnaire 2009
Section K

Page 7 of 18

99 - 99 - 999 - 999

25g

How useful have these accommodations been in helping you keep your job and do your
best there? Please mark (X) ONE box.
Not applicable, I have not received any accommodations.
Very useful
Somewhat useful
Not very useful
Not at all useful

25h

Do you think you are getting enough accommodations or other help at your job?
Not applicable, I have not received any accommodations.
No
Yes

25i

At your job, do most of the workers have disabilities?
No
Yes

YOUR PREVIOUS JOB

Did you have a paid job before the one you have now, other than work around the house
or a school-sponsored job?
No

X PLEASE SKIP TO QUESTION 1 NEXT SECTION.

Yes

X PLEASE CONTINUE WITH QUESTION 27 BELOW.

At your last job, did you usually work ...
Please mark (X) ONE box.
More hours per week than at the job you have now
About the same number of hours as the job you have now
Fewer hours than at the job you have now
Draft

NLTS2 Young Adult Questionnaire 2009
Section K

Page 8 of 18

99 - 99 - 999 - 999

When you left that job was your pay ...
Please mark (X) ONE box.
More than you get right now
Less than you get right now
About the same as you get right now

At that job, did you get ...
Please mark (X) ONE Box on EACH line.
Yes

a. Paid vacation or sick leave?
b. Health insurance?
c. Retirement benefits, like a 401k?

At that job, did most of the other workers have disabilities?
No
Yes

How did you leave that job?
Please mark (X) ONE box.
You quit.
You were fired.
You were laid off.
It was a temporary job that ended.

X IF YOU HAVE A PAID JOB NOW,
PLEASE SKIP TO QUESTION 1 NEXT SECTION.

Draft

NLTS2 Young Adult Questionnaire 2009
Section K

Page 9 of 18

99 - 99 - 999 - 999

YOUR MOST RECENT JOB IF YOU ARE NOT WORKING NOW
32a

Please think about the last job you had -- the job you had most recently. What was you
job title at that job? Please enter your job title.

32b

What were your main job duties at that job? Please describe.

About how many hours a week did you usually work at that job?
Number of hours a week usually worked

About how long did you have that job?
Please write a number in ONE of the sets of boxes OR mark "Don't know".
Number of weeks

Don't know

OR
Number of months

OR
Number of years

When you left your last job, about how much are you paid per hour?
Please write amount in the boxes below.

Pay per hour

Were you being paid more when you left that job than when you started it?
No
Yes
Draft

NLTS2 Young Adult Questionnaire 2009
Section K

Page 10 of 18

99 - 99 - 999 - 999

Were you promoted or did you take on more responsibility while you had that job?
No
Yes

As part of your last job, did you get ...
Please mark (X) ONE Box on EACH line.
Yes

Yes

a. Paid vacation or sick leave?
b. Health insurance?
c. Retirement benefits, like a 401k?

At that job, did you think ...
Please mark (X) ONE Box on EACH line.
a. You were pretty well paid for your work?
b. You were treated pretty well by others at your job?
c. You had lots of chances to work your way up?
d. You put your education and training to good use?

At your last job, how well did you get along with your coworkers?
Please mark (X) ONE box.
Very well
Pretty well
Not very well
Not at all well

At that job, how well did you get along with your boss?
Please mark (X) ONE box.
Very well
Pretty well
Not very well
Not at all well
Draft

NLTS2 Young Adult Questionnaire 2009
Section K

Page 11 of 18

99 - 99 - 999 - 999

How much did you usually like your job? Please mark (X) ONE box.
Very much
Fairly well
Not much
Not at all

How did you find your last job? Please mark (X) ALL that apply.
You got the job yourself.
You used an employment agency or other service program.
Someone at school helped you.
A family member helped you.
A friend or someone else you know helped you (e.g., a neighbor, a friend of a family member).

Did someone from an agency or program stay in touch with you to check on how you
were doing on your last job?
No
Yes

Draft

NLTS2 Young Adult Questionnaire 2009
Section K

Page 12 of 18

99 - 99 - 999 - 999

If you have any kind of learning problem, disability, or special need, was your employer
aware of it? Please mark (X) ONE box.
Does not apply. I don't have a learning problem, disability, or special need.

46a

X PLEASE SKIP TO QUESTION 56 PAGE 15.

Yes

X PLEASE CONTINUE WITH QUESTION 46a BELOW.

X PLEASE SKIP TO
QUESTION 56 PAGE 15.

Were there any accommodations in your work assignments or supervision?
No
Yes

46b

47a

Were there any accommodations in your work schedule because of a disability?
No
Yes

47b

48a

Was any person assigned to help you at this job?
No
Yes

48b

If "Yes", what person? Please mark (X) ALL that apply.
Reader or interpreter
Job coach
Personal aide

Draft

NLTS2 Young Adult Questionnaire 2009
Section K

Page 13 of 18

99 - 99 - 999 - 999

49a

Were there any adaptations to the equipment you used at work?
No
Yes

49b

50a

Were there any adaptations to your workplace?
No
Yes

50b

If "Yes", What adaptations? Please mark (X) ALL that apply.
Different furniture arrangement
Changes to building (like widened doors, restrooms made accessible)

51a

Did you have any services or supports to help you get around at work?
No
Yes

51b

If "Yes", what services or supports? Please mark (X) ALL that apply.
Transportation help to get around at work
Special parking close by
Emergency/evacuation plans tailored for you

Did you have any other type of help at work?
No
Yes

Draft

NLTS2 Young Adult Questionnaire 2009
Section K

Page 14 of 18

99 - 99 - 999 - 999

How useful were these accommodations in helping you keep that job and do your best
there? Please mark (X) ONE box.
Not applicable, I did not receive any accommodations.
Very useful
Somewhat useful
Not very useful
Not at all useful

Do you think you got enough accommodations or other help at that job?
Not applicable, I did not receive any accommodations.
No
Yes

At that job, did most of the workers have disabilities?
No
Yes

How did you leave your last job?
Please mark (X) ONE box.
You quit.
You were fired.
You were laid off.
It was a temporary job that ended.
Some other reason, please specify:

Draft

NLTS2 Young Adult Questionnaire 2009
Section K

Page 15 of 18

99 - 99 - 999 - 999

57a

Are you looking for a paid job now?
No

X PLEASE SKIP TO QUESTION 58 NEXT PAGE.

Yes

57b

If "Yes", about how long have you been looking for work?
Please write a number in ONE of the sets of boxes OR mark "Don't know".
Number of weeks

Don't know

OR
Number of months

OR
Number of years

57c

What have you done in the past month to find a job?
Please mark (X) ALL that apply.
Checked with state, private, or school-based employment agencies
Checked with a military recruiter
Checked with family and friends
Checked job listings in newspapers or on-line
Checked with an employer
Placed or answered ads
Applied for jobs
Nothing
Other

X IF YOU HAVE BEEN LOOKING FOR WORK,
PLEASE SKIP TO QUESTION 1 NEXT SECTION.

Draft

NLTS2 Young Adult Questionnaire 2009
Section K

Page 16 of 18

99 - 99 - 999 - 999

Why have you decided not to look for work right now?
Please mark (X) ALL that apply.
I just don't want to look for work right now.
I am raising children and choose not to work right now.
I am going to school or am in a training program.
I don't need or don't want a job right now.
I don't know how to find a job.
I am not interested in the kinds of jobs I could get.
I gave up looking; no one would hire me when I tried to find a job.
There aren't any jobs available.
My family doesn't want me to work.
I don't have any way to get to a job.
I would lose government benefits if I worked (such as SSI).
I am waiting to hear about a job or about to start a job.
Other.

Great job! You're finished with Section K! Please continue to the next section.

Draft

NLTS2 Young Adult Questionnaire 2009
Section K

Page 17 of 18

99 - 99 - 999 - 999

Draft

NLTS2 Young Adult Questionnaire 2009
Section K

Page 18 of 18

99 - 99 - 999 - 999

SECTION L
JOHN S.
9/9/1999

THIS PORTION OF THE NLTS2 SURVEY IS ABOUT
LEAVING HIGH SCHOOL.

Are you enrolled in high school now?
No

X PLEASE CONTINUE WITH QUESTION 2 BELOW.

Yes

X PLEASE SKIP TO QUESTION 1 NEXT SECTION.

Are you not in high school now because you:
Mark (X) one box.
Are on school vacation

Dropped out or stopped going

Graduated with a regular diploma

Were suspended

Graduated with a certificate of completion

Were expelled

Took a test for a diploma without taking
all of your high school classes

Older than the age limit
Some other reason, please specify:

When did you leave high school?

/
month

year

Did you graduate from high school?
No

X PLEASE CONTINUE WITH QUESTION 5a ON NEXT PAGE.

Yes

X PLEASE SKIP TO QUESTION 1 NEXT SECTION.

Draft

NLTS2 Young Adult Questionnaire 2009
Section L

Page 1 of 2

99 - 99 - 999 - 999

Since leaving high school, have you taken classes or tests to earn a high school diploma
or certificate, such as a GED course?
No

X PLEASE SKIP TO QUESTION 1 NEXT SECTION.

Yes

If "Yes", did you get a high school diploma or certificate for this work?
No
Yes

In the past 2 years, have you taken classes or tests to earn a high school diploma or
certificate?
No
Yes

If "Yes", are you taking classes to earn a high school diploma or
certificate now?
No
Yes

Great job! You're finished with Section L. Please continue to the next section.

Draft

NLTS2 Young Adult Questionnaire 2009
Section L

Page 2 of 2

99 - 99 - 999 - 999
SECTION M
JOHN S.
9/9/1999

THIS PORTION OF THE NLTS2 SURVEY IS ABOUT SERVICES.
These questions are about services or help you might be receiving from someone other
than family or friends, like help from agencies, schools, therapists, health care providers,
or other professionals.
IMPORTANT NOTE:
Please use a BLACK pen. Blue or red pens and pencil cannot be read by our scanners.
When asked to mark boxes, make an "X" through the box.
Sample:
Right
Wrong
Use block printing when you complete any text or numeric responses.
If you wish to change a response, please mark the correct response and CIRCLE it.

Since leaving high school, have you received any services or help, other than from
family or friends?
Does not apply, I am still in high school
Yes X

X PLEASE SKIP TO QUESTION 2a ON NEXT PAGE.

If "Yes", what kinds of services or help? Please mark (X) ALL that apply.
Vocational or career help (like career counseling, help in finding a job, training in
job skills or vocational education) from someone other than from an employer,
family, or friend
Financial aid, like paying for college classes or training
Educational assistance or tutoring
Reader or interpreter, such as a sign language interpreter
Independent living or occupational therapy (like instruction or help with doing
things such as managing money, cooking or keeping house)
Childcare services or parenting skills training
Mental health, counseling, or psychological services
Social work services
Physical therapy
Devices or assistive technology services (like help getting or using equipment
that helps people with a disability or problem, such as a special calculator or
reading machine)
Transportation assistance because of a disability
Medical services for diagnosis or evaluation related to a disability
I have not received any services since leaving high school
Other services (Please specify):

Draft

NLTS2 Young Adult Questionnaire 2009
Section M

Page 1 of 2

99 - 99 - 999 - 999
2a

Are you receiving any services now, other than from family or friends?
No

X PLEASE SKIP TO QUESTION 3a BELOW.

Yes

If "Yes", what services are you receiving now?

Do you think think you are getting enough services?
No

Yes

How often do you tell professionals what you think about the services
they provide you?
Hardly ever

Sometimes

Often

Do you think you need any services?
No

X PLEASE SKIP TO THE NEXT SECTION.

Yes

If "Yes", what service or services do you think you need?

Have you or someone in your family tried to get this service or services?
No

Yes

Are you on a waiting list?
No

Yes

Great job! You're finished with Section M. Please continue to the next section.

Draft

NLTS2 Young Adult Questionnaire 2009
Section M

Page 2 of 2

99 - 99 - 999 - 999

SECTION N
JOHN S.
9/9/1999

We are planning to send your $20 reward to the address below:
12345 MAIN STREET

APT 1

BIG CITY

99999

If the printed address above is incorrect, please provide the correct address below.
Please print neatly.
Telephone number (area code first)

(

)

E-mail address
Street address
City

State

Zip
-

The study would like to contact you again in 2 years to see how you are doing then. We
want to be sure we don't lose track of you. Please give the name and address of someone,
other than your parent/guardian, who is likely to know where you are if you move.

Name (first, last)
Telephone number (area code first)

(

)

E-mail address
Street address
City

State

Zip
-

THANK YOU VERY MUCH FOR YOUR TIME IN TAKING PART
IN THIS IMPORTANT STUDY.
Please return the completed questionnaire in the postage-paid envelope to:
The National Longitudinal Transition Study-2 (NLTS2)
333 Ravenswood Avenue, BS135, Menlo Park, CA 94025
Draft

NLTS2 Young Adult Questionnaire 2009
Section N

Page 1 of 2

99 - 99 - 999 - 999

Draft

NLTS2 Young Adult Questionnaire 2009
Section N

Page 2 of 2

File Type	application/pdf
File Title	NLTS2_YoungAdultA_2009 (41669 -
Author	rorpitelli
File Modified	2008-05-20
File Created	2008-05-19