Student Post-Pilot Survey

Do not write your name on this survey, or on the answer form.

NES Pilot Student Survey (Pre-Pilot)

Do not write your name of this survey, or on the answer form.

Part 1: Participant Identification

School Name: ___________________________

Circle Grade Level:

6 7 8 9 10 11 12

What is your gender? Check one.

___ Male

___ Female

What is your Ethnicity? Check one.

___ Hispanic or Latino

___ Not Hispanic or Latino

What is your Race? Check one or more.

___ American Indian or Alaskan Native

___ Native Hawaiian or other Pacific Islander

___ Asian

___ White

___ Black or African American

Part 2: Student experience, attitudes and expectations

Please indicate how much you agree with the following statements

Q1:  I am interested in NASA.

___ Strongly Disagree  

___ Disagree 

___ Neutral

___ Agree  

___ Strongly Agree

Q2:  I am interested in Science.

___ Strongly Disagree  

___ Disagree 

___ Neutral

___ Agree  

___ Strongly Agree

Q3:  I am interested in Technology.

___ Strongly Disagree  

___ Disagree 

___ Neutral

___ Agree  

___ Strongly Agree

Q4:  I am interested in Engineering.

___ Strongly Disagree  

___ Disagree 

___ Neutral

___ Agree  

___ Strongly Agree

Q5:  I am interested in Mathematics.

___ Strongly Disagree  

___ Disagree 

___ Neutral

___ Agree  

___ Strongly Agree

Q6:  I know a lot about NASA.

___ Strongly Disagree  

___ Disagree 

___ Neutral

___ Agree  

___ Strongly Agree

Q7:  I am good at Science.

___ Strongly Disagree  

___ Disagree 

___ Neutral

___ Agree  

___ Strongly Agree

Q8:  I am good at Technology.

___ Strongly Disagree  

___ Disagree 

___ Neutral

___ Agree  

___ Strongly Agree

Q9:  I am good at Engineering.

___ Strongly Disagree  

___ Disagree 

___ Neutral

___ Agree  

___ Strongly Agree

Q10:  I am good at Mathematics.

___ Strongly Disagree  

___ Disagree 

___ Neutral

___ Agree  

___ Strongly Agree

Q11:  I am interested in careers at NASA.

___ Strongly Disagree  

___ Disagree 

___ Neutral

___ Agree  

___ Strongly Agree

Q12:  I am interested in careers in Science.

___ Strongly Disagree  

___ Disagree 

___ Neutral

___ Agree  

___ Strongly Agree

Q13:  I am interested in careers in Technology.

___ Strongly Disagree  

___ Disagree 

___ Neutral

___ Agree  

___ Strongly Agree

Q14:  I am interested in careers in Engineering.

___ Strongly Disagree  

___ Disagree 

___ Neutral

___ Agree  

___ Strongly Agree

Q15:  I am interested in careers in Mathematics.

___ Strongly Disagree  

___ Disagree 

___ Neutral

___ Agree  

___ Strongly Agree

Q16: Which NASA activity would be interesting to you? Check all that apply

___ High school internship/work at a NASA Center

___ Additional NASA classroom activities

___ College internship/work at a NASA Center

___ College research experience

___ Visit from a NASA educator, scientist, or engineer

___ Visit from a NASA astronaut

___ Seminar/lecture by a NASA or aerospace professional

___ Participate in a launch event

___ Video downlink from International Space Station of Space Shuttle

___ Radio call to an astronaut

___ Library lesson about NASA

___ NASA TV-based activity

___ NASA computer-based activity

___ Visit to a museum, science center or planetarium

___ Competition

___ Career fair

___ After school or club activity

___ Webcast

___ Videoconference

___ Other

___ I am not interested in future NASA experiences