Critical item Questionnaire

HIGH SCOOL LONGITUDINAL STUDY 2009 ABBREVIATED PARENT QUESTIONNAIRE

OMB No.: 1850-0852 Exp. Date: 07/31/2011

1. Does your 9^th grader have biological, adoptive, step- or foster parents who live in your household?

О (1) Yes, one parent in household

О (2) Yes, two parents in household

О (3) No

2. What is your relationship to your 9^th grader?

О (1) Biological mother

О (2) Biological father

О (3) Adoptive mother

О (4) Adoptive father

О (5) Stepmother

О (6) Stepfather

О (7) Foster mother

О (8) Foster father

О (9) Female partner of 9^th grader’s parent or guardian

О (10) Male partner of 9^th grader’s parent or guardian

О (11) Grandmother

О (12) Grandfather

О (13) Other female relative

О (14) Other male relative

О (15) Other female guardian

О (16) Other male guardian

3. What is the highest level of education you have completed?

О (1) Less than high school

О (2) High school diploma or GED

О (3) Associate’s degree

О (4) Bachelor’s degree

О (5) Master’s degree

О (6) Educational Specialist diploma

О (7) Ph.D., M.D., law degree or other high level professional degree

4. What is your job title?

• If you did not work for pay or income in the past week, answer for your most recent job.

• If you have/had more than one job, describe the one at which you work/worked the most hours.

______________________________________________________________________________________

What do you actually do in that job? That is, what are your main activities or duties?

______________________________________________________________________________________

______________________________________________________________________________________

5. Do you have a spouse or partner who lives in the same household as you and your 9^th grader?

О (1) Yes, a spouse  Go to Question 6 on reverse side

О (2) Yes, a partner  Go to Question 6 on reverse side

О (3) No  Skip to Question 9 on the reverse side

6. What is your spouse or partner’s relationship to your 9^th grader?

О (1) Biological mother

О (2) Biological father

О (3) Adoptive mother

О (4) Adoptive father

О (5) Stepmother

О (6) Stepfather

О (7) Foster mother

О (8) Foster father

О (9) Female partner of 9^th grader’s parent or guardian

О (10) Male partner of 9^th grader’s parent or guardian

О (11) Grandmother

О (12) Grandfather

О (13) Other female relative

О (14) Other male relative

О (15) Other female guardian

О (16) Other male guardian

7. What is the highest level of education your spouse or partner has completed?

О (1) Less than high school

О (2) High school diploma or GED

О (3) Associate’s degree

О (4) Bachelor’s degree

О (5) Master’s degree

О (6) Educational Specialist diploma

О (7) Ph.D., M.D., law degree or other high level professional degree

8. What is your spouse or partner’s job title?

• If your spouse/partner did not work for pay or income in the past week, answer for his/her most recent job.

• If your spouse/partner has/had more than one job, describe the one at which he or she works/worked the most hours.

______________________________________________________________________________________

What does he/she actually do in that job? That is, what are his/her main activities or duties?

______________________________________________________________________________________

______________________________________________________________________________________

9. Income is a key family characteristic that factors into many research questions including how family finances affect students’ ability to go to college. This information is critically important to the success of this study and will be kept completely confidential.

It would be extremely helpful if you would indicate which of the following ranges best estimates your total household income from all sources prior to taxes and deductions in calendar year 2008. Please include all income such as income from work, investments and alimony.

О (1) 15,000 or less

О (2) 15,001 - 35,000

О (3) 35,001 – 55,000

О (4) 55,001 – 75,000

О (5) 75,001 – 95,000

О (6) 95,001 – 115,000

О (7) 115,001 – 135,000

О (8) 135,001 – 155,000

О (9) 155,001 – 175,000

О (10) 175,001 – 195,000

О (11) 195,001 – 215,000

О (12) 215,001 – 235,000

О (13) More than 235,000

THANK YOU FOR YOUR COOPERATION.

The public reporting burden for collection of this information is estimated to average 5 minutes. 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, DC 20202-4651. If you have comments or concerns regarding the status of your individual submission of this form, write directly to: National Center for Education Statistics, ECICSD, 1990 K Street, N.W., Washington, DC, 20006.