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

1 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.

First name, initials, or

nickname

▼

Age

▼

School Enrollment

Select ONE or specify grade

▼

1)

name

years

Home school

□

Enrolled in Kindergarten

□

Enrolled in 1^st – 12^th

grade

Not Enrolled

in K – 12^th

□

2)

name

years

Home school

□

Enrolled in Kindergarten

□

Enrolled in 1^st – 12^th

grade

Not Enrolled

in K – 12^th

□

3)

name

years

Home school

□

Enrolled in Kindergarten

□

Enrolled in 1^st – 12^th

grade

Not Enrolled

in K – 12^th

□

4)

name

years

Home school

□

Enrolled in Kindergarten

□

Enrolled in 1^st – 12^th

grade

Not Enrolled

in K – 12^th

□

5)

name

years

Home school

□

Enrolled in Kindergarten

□

Enrolled in 1^st – 12^th

grade

Not Enrolled

in K – 12^th

□

6)

name

years

Home school

□

Enrolled in Kindergarten

□

Enrolled in 1^st – 12^th

grade

Not Enrolled

in K – 12^th

□

► Once you have filled in your answers for all the children living in this household, return this survey in the postage paid envelope or mail it to:

NHES Study

Westat

1650 Research Blvd

Rockville, MD 20850