National Household Education Survey (NHES) 2009 Study - Cognitive Interviews

National Household Education Survey – Survey V2

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► This survey should be filled out by an adult household member living at this address.

► Please use blue or black pen.

1. How would you rate the quality of your community’s public schools?

• Excellent

• Good

• Fair

• Poor

• Very poor

2. How would you rate the quality of public schools nationally?

• Excellent

• Good

• Fair

• Poor

• Very poor

3. What do you feel is the most important subject for today’s high school students?

Mark [X] ONE only.

• Mathematics

• English

• Science

• History

• Art and music, or

• Some other subject

4. Do you agree or disagree with the following statements about schools in your community?

		Agree ▼	Disagree ▼
a.	They are safe places during the school day	□	□
b.	They are safe places during the evening	□	□
c.	They maintain good discipline among students	□	□
f.	They maintain good relationships with the community	□	□
d.	Gangs are a problem in the schools	□	□
e.	Bullying is a problem in the schools	□	□

5. How many computers are in this household that can access the internet or World Wide Web?

|__|__| number

6. In the past 12 months, has anyone in this household taken any type of training session, seminar, or courses to improve the chances of finding a new job?

• Yes

• No

7. In the past 12 months, has anyone in this household taken any type of training session, seminar, or courses to improve the chances of keeping a current job?

• Yes

• No

8. In the past 12 months, has anyone in this household taken any type of training sessions, seminars, or courses related to the following topics?

		Yes ▼	No ▼
a.	Computer skills	□	□
b.	Stress management	□	□
c.	Health or fitness	□	□
d.	Foreign language	□	□
e.	English as a second language	□	□
f.	Hobbies	□	□
g.	Personal finance	□	□

9. Are there 25 or more books in your home right now?

• Yes

• No

10. Are there a variety of magazines and other reading materials in your home?

• Yes

• No

11. How many hours per week do you spend reading a book, magazine, or newspaper?

|__|__| hours per week

12. How many years have you lived at this address? Write “0” if less than 1 year.

|__|__| years at this address

13. Is this house owned or being bought, rented, or occupied by some other arrangement by you or someone in your household?

Mark [X] ONE only.

• Owned or being bought

• Rented

• Some other arrangement

14. How many female adults age 21 or older live at this address?

|__|__| number of females age 21 or older

15. How many male adults age 21 or older live at this address?

|__|__| number of males age 21 or older

16. Of the adults in this household is there anyone who does not read English well?

• Yes

• No

17. Of the adults in this household is there anyone who does not speak English at home?

• N o Skip to Question 19

• Y es

18. What language do they speak at home?

• Spanish

• Another language

S pecify: |_____________________|

19. What is the highest level of education among the adults in this household?

Mark [X] ONE only.

• 8^th grade or less

• Some high school, but did not graduate

• High school graduate or GED

• Some college or associate’s degree

• Four year college degree (BA or BS)

• Graduate or professional degree beyond a bachelor’s degree

19. What is the best phone number to reach you if your household qualifies for this study?

(__|__|__) |__|__|__| – |__|__|__|__|

20. How many male youth or children age 20 or younger live at this address?

|__|__| number of males age 20 or younger

21. How many female youth or children age 20 or younger live at this address?

|__|__| number of females age 20 or younger

► If anyone age 20 or younger usually lives in this household, then fill in the rest of this survey.

2 2. Answer these questions for each child age 20 or younger living in this household starting with the youngest child. It may be helpful to list their first name or initials in the space provided.

Child 1

▼

Child 2

▼

Child 3

▼

First name/initials/nickname

name

name

name

How old is this child?

Write ‘0’ if less than 1 year old.

|__|__| age in years

|__|__| age in years

|__|__| age in years

What is this child’s sex?

• Male

• Female

• Male

• Female

• Male

• Female

Is this child currently

• Attending public or private school,

• Home schooled instead of going to public or private school, or

• N ot currently in school?

Skip to child 2

• Attending public or private school,

• Home schooled instead of going to public or private school, or

• N ot currently in school?

Skip to child 3

• Attending public or private school,

• Home schooled instead of going to public or private school, or

• N ot currently in school?

Skip to child 4

What is this child’s current grade or equivalent?

• Pre-school

• Kindergarten

• 1^st to 12^th grade

|__|__| specify grade

• Above 12^th grade

• Pre-school

• Kindergarten

• 1^st to 12^th grade

|__|__| specify grade

• Above 12^th grade

• Pre-school

• Kindergarten

• 1^st to 12^th grade

|__|__| specify grade

• Above 12^th grade

Child 4

▼

Child 5

▼

Child 6

▼

First name/initials/nickname

(optional)

name

name

name

How old is this child?

Write ‘0’ if less than 1 year old.

|__|__| age in years

|__|__| age in years

|__|__| age in years

What is this child’s sex?

• Male

• Female

• Male

• Female

• Male

• Female

Is this child currently

• Attending public or private school,

• Home schooled instead of going to public or private school, or

• N ot currently in school?

Skip to child 5

• Attending public or private school,

• Home schooled instead of going to public or private school, or

• N ot currently in school?

Skip to child 6

• Attending public or private school,

• Home schooled instead of going to public or private school, or

• N ot currently in school?

Return survey

What is this child’s current grade or equivalent?

• Pre-school

• Kindergarten

• 1^st to 12^th grade

|__|__| specify grade

• Above 12^th grade

• Pre-school

• Kindergarten

• 1^st to 12^th grade

|__|__| specify grade

• Above 12^th grade

• Pre-school

• Kindergarten

• 1^st to 12^th grade

|__|__| specify grade

• Above 12^th grade