Wrap- around Early Care and Education Program (WECEP) Questionnaire

	Teachers/Care Providers: About the ECLS-K Child
	Prepared for the U.S. Department of Education National Center for Education Statistics by: Westat 1600 Research Boulevard Rockville, Maryland 20850

L A B E L

Use a black or blue ball point pen or #2 pencil to complete this questionnaire.

According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 1850-0750. Approval expires 03/31/2012. The time required to complete this information collection is estimated to average 12 minutes per response, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the information requested. If you have any comments concerning the accuracy of the time estimate or suggestions for improving the survey instrument, 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 response to this survey, write directly to: National Center for Education Statistics, 1990 K Street, N.W., Room 9086, Washington, D.C. 20006-5650.

The collection of information in this survey is authorized by Public Law 107-279 Education Sciences Reform Act of 2002, Title I, Part C, Sec. 151(b) and Sec. 153(a). Participation is voluntary. You may skip questions you do not wish to answer; however, we hope that you will answer as many questions as you can. Your responses are protected from disclosure by federal statute (PL 107-279, Title I, Part C, Sec. 183). All responses that relate to or describe identifiable characteristics of individuals may be used only for statistical purposes and may not be disclosed, or used, in identifiable form for any other purpose, unless otherwise compelled by law. Data will be combined to produce statistical reports. No individual data that links your name, address, telephone number, or identification number with your responses will be included in the statistical reports.

Dear Caregiver/Teacher,

In this questionnaire, we would like to get information about a particular child in your before-/after-school care setting. The child’s name is on the cover of this questionnaire. The information you give us is being gathered for research purposes only and will be protected from disclosure to the fullest extent allowable by law. We will not tell parents any information you give us in this questionnaire or report information about individual caregivers, teachers, children, or programs. What you tell us will be combined with information from other questionnaires for research and statistical reports. Taking part in the study is completely voluntary. You may stop at any time or choose not to answer a question you do not want to answer.

This questionnaire takes about 12 minutes to finish. Please put your answers directly on the questionnaire by marking the boxes or writing your answers in the spaces given. Your best guesses are okay as answers.

THANK YOU VERY MUCH FOR YOUR HELP.

MARKING DIRECTIONS

PLEASE READ CAREFULLY AND USE A BLACK OR BLUE BALL POINT PEN OR A SOFT LEAD (#2) PENCIL TO WRITE ON THIS QUESTIONNAIRE. DO NOT USE A FELT-TIP PEN.

MARKING BOXES

It is important that you mark an “X” in the box next to your answers and print clearly.

Shown below is the correct way to mark your answers, along with examples of incorrect ways.

Correct Mark:

Incorrect Marks:

Light and thin, outside the box, thick or scrawled.

      

How to Change an Answer:

Completely black out the box of the incorrect answer and mark an “X” in the box next to the correct answer.

      

PRINTING ANSWERS IN BOXES:

Print entire answer in box. Answers should be printed clearly and should not touch or cross any of the box lines. Do not cross zeroes or sevens. That is, do not write a zero with a line through it like this – 0, and do not write a seven with a line through it like this – 7.

Write numbers like this:

1  2  3  4  5  6  7  8  9  0

Write words like this:

John Smith

Caregiver/Teacher Interview (Child Level), ECLS-K: 2011

Please answer the questions below specifically about the child named on the cover of this questionnaire.

1. How many months and years have you been watching after or teaching this child?

PLEASE ANSWER FOR BOTH YEARS AND MONTHS.

Source: CF005

NOTE: If it is less than one month, please write “1” for months.

	AND
Number of years		Number of months

2. Typically, how many days each week do you watch after or teach this child?

Source: CF010

Number of days

3. How many hours each week do you watch after or teach this child?

Source: CF015

NOTE: If the hours each week vary, answer for the average number of hours.

Number of hours

3. Including yourself, how many adults usually help watch after or teach this child at the same time?

Source: CF040 (was not numbered in original)

NOTE: If the number of adults can vary, answer for the majority of the time that this child is in care. If you watch after or teach the child both before and after school, for the same amount of time before and after school, answer for the number of adults after school.

Number of adults

3. Are you related to this child?

Source: UP010

NOTE: By related we mean a grandparent, sister/brother, aunt/uncle, cousin or any relative other than this child’s parent or guardian.

Yes

No (SKIP TO 7)

3. How are you related to him/her?

Source: UP012

Grandmother

Grandfather

Aunt

Uncle

Sister

Brother

Cousin

Other relative (Please specify)

7. Do you live with this child?

Source: UP028

Yes

No

8. Do you watch after this child in the home where he/she lives?

Source: UP026

Yes

No

9. What language or languages do you speak most when watching after or teaching this child?

Source: CF055b

NOTE: If your language is not listed below, please write it in under “some other language.”

English Arabic Chinese language/dialect Farsi Filipino language French German Greek Hmong

Italian Japanese Korean Polish Portuguese Spanish Vietnamese Some other language (Specify)

10. Do you watch after or teach other children at the same time that you are watching after or teaching this child?

NOTE: If you watch after or teach the child both before and after school, and the number of children varies before and after school, answer for the number of children after school.

Source: OC005

Yes

No (SKIP TO 16)

11. How many children do you typically watch after or teach at the same time as this child?

Source: OC010

NOTE: Please include all children you watch after or teach before and after school at the same time as this child, including your own children, but do NOT include this child. If there are a different number of children cared for before school and after school, answer for after school.

Number of children

12. How many of the children you watch after or teach at the same time as this child are related to you?

Source: NEW

Number of children (If none, write “0.”)

13. What is the age of the youngest child you watch after or teach at the same time as this child?

Source: NEW

NOTE: Please include your own children and all children you watch after or teach before and after school.

Months (if less than 2 years old)

OR

Years (if more than 2 years old)

14. How many of the other children that you watch after or teach at the same time as this child speak a language other than English?

Source: OC040

NOTE: Please include all children you watch after or teach before and after school at the same time as this child, including your own children, but do NOT include this child. If there are a different number of children cared for before school and after school, answer for after school.

Number of children who speak a language other than English

15. How many of the other children that you currently watch after or teach at the same time as this child have special health needs? This includes those children with a diagnosed physical, cognitive, or behavioral disability, with a chronic illness or medical problem, or with emotional problems.

Source: OC041 (no number in original file)

NOTE: Please include all children you watch after or teach before and after school at the same time as this child, including your own children, but do NOT include this child. If there are a different number of children cared for before school and after school, answer for after school.

Number of children with special needs

16. How many hours is a television or video on while this child is in your care?

NOTES: Count the whole time the child is in your care, both before and after school.

Source: NEW

If the TV or videos are on for less than an hour, write “0” hours.

Number of hours

OR

There is no TV, or it is not turned on while this child is in my care (SKIP TO 18)

17. On average, how much time per day does this child watch television or videos while in your care?

NOTE: Please report both hours and minutes. Source: NEW

Source: LE50

	AND
Number of hours		Number of minutes

OR

This child does not watch TV or videos in my care.

18. About how many children’s books are available to this child?

Source: LE005

Number of children’s books

19. Do you have a computer available for him/her to use?

Yes

No (SKIP TO 22)

20. How many days per week (in a typical week) does this child use the computer?

Source: LE020a

Never (SKIP TO 22)

One

Two

Three

Four

Five

Six

Seven

21. On average, on days that this child uses the computer, how many minutes per day does he/she use the computer?

Source: LE020b

Number of minutes

22. Now, we have some questions about activities you or other child care providers/teachers might do with this child, either alone or in a group. On average, how many times per week do you do each of the following activities with this child?

Source: LE030a-e

NOTE: Please write a number for each activity. If you do not do an activity with this child, write “0.”

	Number of times per week
a. Read books to this child
b. Tell stories to this child
c. Sing songs with this child
d. Play games or do puzzles with this child
e. Build something or play with construction toys with this child

23. In the past month, how many times have you and this child (alone or with the group of children you watch after/teach) visited the library? Please only consider trips made during the time that this child was in your care.

NOTE: If none, write “0.”

Source: LE031 (no number in original file)

Number of times

24. In the past month, how many times have you and this child (alone or with the group of children you watch after/teach) visited a bookstore? Please only consider trips made during the time that this child was in your care.

NOTE: If none, write “0.”

Source: LE031 (no number in original file)

Number of times

25. In the past month, how many times have you and this child (alone or with the group of children you watch after/teach) visited a playground? Please only consider trips made during the time that this child was in your care.

NOTE: If none, write “0.”

Source: LE031 (no number in original file)

Number of times

IF YOU PROVIDE BEFORE-SCHOOL CARE TO THIS CHILD, CONTINUE WITH 26.

OTHERWISE, SKIP TO BOX BEFORE 28.

26. What time does this child usually become your responsibility for before-school care?

Source: WA005a (no number in original file)

PLEASE WRITE THE TIME.

	:

27. What time does this child stop being your responsibility for before-school care?

Source: WA005b (no number in original file)

PLEASE WRITE THE TIME AND MARK “AM” OR “PM.”

	:		AM PM

IF YOU PROVIDE AFTER-SCHOOL CARE TO THIS CHILD, CONTINUE WITH 28.

OTHERWISE, SKIP TO 30.

28. What time does this child usually become your responsibility for after-school care?

Source: WA005c (no number in original file)

PLEASE WRITE THE TIME AND MARK “AM” OR “PM.”

	:		AM PM

29. What time does this child stop being your responsibility for after-school care?

Source: WA005d (no number in original file)

PLEASE WRITE THE TIME AND MARK “AM” OR “PM.”

	:		AM PM

30. Do you ever watch after or teach this child (either regularly or as needed)… (MARK YES OR NO FOR EACH ROW.)

Yes

No

After 8 PM?

Overnight?

On the weekends?

31. In a typical day, how much time does this child spend in the following kinds of activities? 

NOTE: Please report either minutes or hours but not both.

Source: NEW

	Hours	Minutes
a. Adult-directed whole class activities
b. Adult-directed small group activities
c. Adult-directed individual activities
d. Child-selected activities
e. Play outdoors

32. Below is a list of activities that children may participate in. Think about the time when this child is in your care. For each activity, please mark whether it is available in your care setting for this child to participate in daily, weekly, monthly, occasionally, or never. MARK ONE RESPONSE ON EACH ROW.

Source: WA018a-w; x and y are NEW

	Every day	At least once a week	At least once a month	A few times a year	Never
a. Creative arts or crafts such as painting, sewing, or carpentry
b. Construction or building with blocks, Legos, or sand
c. Science activities or experiments
d. Board or card games, puzzles
e. Reading independently or in small groups
f. Creative writing
g. Time for doing homework
h. Computer or electronic games
i. Television watching
j. Video or movie viewing
k. Cooking or food preparation
l. Unstructured dramatic play or dress up play
m. Storytelling, role-playing, or theatrical activities
n. Movement, dance, or exercise activities
o. Musicmaking, music appreciation or singing activities
p. Unstructured physically active play such as running or climbing
q. Organized individual skillbuilding sports such as swimming, track, field, gymnastics
r. Organized team sports such as soccer
s. Field trips, excursions
t. Socializing
u. Outdoor play
v. Adult directed/led activities

33. How often does this child receive tutoring or academic help from an adult (for example, help with homework) while he or she is in your care or at your program? MARK ONLY ONE RESPONSE.

Source: WA018a-w; x and y are NEW

Every day

At least once a week

At least once a month

A few times a year

Never

As needed

34. Do you keep a folder or record on this child?

Source: WA110

Yes

No

END, PART 2

Date Questionnaire Completed:

MONTH		DAY		YEAR

THANK YOU FOR YOUR COOPERATION.