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Appendix C. Instruments–Teacher Survey (Start and End of Year)
Screenshots of programmed surveys
Word version (used for instrument development)
1
OMB Control No. 2700-XXXX
Approval expires xx/xx/20xx
NES START of YEAR TEACHER SURVEY
National Aeronautics and Space Administration
www.nasa.gov
Welcome! This survey is being conducted by Abt Associates Inc. for the National
Aeronautics and Space Administration (NASA) as part of its efforts to learn about the teachers
who participate in the NASA Explorer Schools (NES) program. Teachers who use NES materials
in their classrooms are being asked to complete this voluntary survey. The information we
receive from you will help NASA improve the NES project and understand the relationship
between NES and students’ interest in and understanding of science, technology, engineering,
and mathematics (STEM). We estimate that it will take approximately 10 minutes to complete
the survey. Thank you very much for your cooperation!
Participation in the study is voluntary and nonparticipation will have no impact on you or your
school. You may skip questions on the survey or discontinue participation at any time. There is
minimal risk of breach of confidentiality, and we have put in place procedures in place to
minimize this risk. You will never be identified by name, and your responses to this survey will
be combined with other teachers’ responses and reported in a summary. All information that
would permit identification of individual respondents will be used only by persons engaged in
and for the purposes of the survey, and will not be disclosed or released to others for any
purpose except as required by law. NASA will not have access to the individual survey
responses; other researchers may have access to de-identified survey results (i.e., they will not
know your identity).
If you have questions about the study, please contact the study director, Alina Martinez of Abt
Associates Inc. at 855-646-3308 (toll-free) or email at
[email protected]. For more information about this data collection,
including OMB clearance and burden estimates, you may contact Lori Parker, NASA PRA
Clearance Officer at [email protected], 202-358-1351 (toll number). For questions about
your rights as a participant in this study, contact Teresa Doksum at the Abt Associates Inc.
Institutional Review Board at 877-520-6835 (toll-free).
Consent
Please continue with the survey if you agree to participate in this study.
Paperwork Reduction Act Statement - This information collection meets the requirements of 44 U.S.C. § 3507, as amended by
section 2 of the Paperwork Reduction Act of 1995. You do not need to answer these questions unless we display a valid Office of
Management and Budget control number. We estimate that it will take about 10 minutes to read the instructions, gather the facts, and
answer the questions. You can find additional information on this program at
http://www.nasa.gov/offices/education/programs/national/nes2/home/index.html You may send comments on our time estimate
above to: [email protected]. Please send only comments relating to our time estimate to this address,
not the completed form.
2
OMB Control No. 2700-XXXX
Approval expires xx/xx/20xx
1. Please rate how comfortable you are teaching each of the following content areas
in your classroom.
Neither
Somewh
comfort
Somewh
Very
at
able nor
at
Very
uncomfo
uncomfo
uncomf
comfort
comfort
rtable
rtable
ortable
able
able
1
2
Algebra
Astrobiology
Biology
Climate Change
Data Analysis
Distance Rate Problems
Earth and Space Science
Engineering or Engineering Design
Forces and Motion
Geometry and Vectors
Graphing
Interpreting Data
Metabolism
Microgravity
Newton’s Laws of Motion
Physical Science or Physics
Plant Biology/Botany
Probability
Pythagorean Theorem
Satellite Data or Imagery
Solar Energy and Radiation
Transfer of Energy
Water Cycle
Weather
3
3
4
5
OMB Control No. 2700-XXXX
Approval expires xx/xx/20xx
2. Please rate how familiar you are with each of the following NES modules.
Somewh
Expert or
Not at all
at
extremel
familiar
familiar
1
2
Black Hole Math
Earth Climate Course
Engineering Design Challenge:
Lunar Plant Growth Chamber
Engineering Design Challenge:
Spacecraft Structures
Engineering Design Challenge:
Water Filtration
Exploring Space Through Math:
The Weightless Wonder
Exploring Space Through Math:
Lunar Rover
GENESIS: Exploring Data A First
Look
GENESIS: What Are We Made Of:
The Sun, Earth, and You
Fingerprints of Life? Extremophiles:
It’s Just Right
Lunar Nautics: Designing a Mission
to Live and Work on the Moon
Math and Science @ Work: Lunar
Surface Instrumentation
MESSENGER: Cooling with
Sunshades
MESSENGER: Staying Cool
My NASA Data: Solar Cell Energy
Availability from Around the
Country
On the Moon Educator Guide: On
Target
On the Moon Educator Guide:
Feel the Heat
Rockets Educator Guide: High
Power Paper Rockets
Satellite Meteorology: Monitoring
the Global Environment
Smart Skies: Line-up with Math
4
Familiar
Very familiar
y familiar
3
4
5
OMB Control No. 2700-XXXX
Approval expires xx/xx/20xx
3. Please rate how familiar you are with each of the following NASA Now events.
Expert or
Not at all
Somewh
familiar
at familiar
1
2
Familiar
3
Very
extremely
familiar
familiar
4
5
NASA Now: Search for Life
Earth Science Week: Exploring
Energy
Flight Testing and the Global Hawk
Simulated Lunar Operations
(SLOPE)
A-Train: Clouds
Inflatable Structures
A-Train: Monitoring the Earth
System
Background
4. Approximately how many hours have you spent exploring the NES Virtual campus?
5. How satisfied were you with the Virtual Campus? Please circle the number below that
best represents your opinion.
Somewh
at
Neither
Very
unsatisfi
satisfied nor
Somewhat
Very
Not
unsatisfied
ed
unsatisfied
satisfied
satisfied
applicable
1
2
3
4
5
X
6. Do you have any suggestions for improving the virtual campus?
__________________________________________________
__________________________________________________
7. Please list the name(s) of the course(s) where you plan to use NES materials, and the
grade level(s) of students in each course.
Course Name
Grade level
8. Including this year, how many years have you been a classroom teacher?
____________________
9. Including this year, how many years have you taught subjects related to science
technology, engineering, or mathematics?_________________________
5
OMB Control No. 2700-XXXX
Approval expires xx/xx/20xx
10. What is the highest degree you have received?
Bachelor’s
Master’s
Doctorate
Other, Please specify: ______________________
11. What is your gender? Please check one only.
o Male
o Female
12. Do you consider yourself to be Hispanic or Latino? Please check one only.
o Yes
o No
13. What is your race? Please check one or more.
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
6
OMB Control No. 2700-XXXX
Approval expires xx/xx/20xx
NES END of YEAR TEACHER SURVEY
National Aeronautics and Space Administration
www.nasa.gov
Welcome! This survey is being conducted by Abt Associates Inc. for the National
Aeronautics and Space Administration (NASA) as part of its efforts to learn about the teachers who
participate in the NASA Explorer Schools (NES) program. Teachers who use NES materials in their
classrooms are being asked to complete this voluntary survey. The information we receive from you will
help NASA improve the NES project and understand the relationship between NES and students’ interest
in and understanding of science, technology, engineering, and mathematics (STEM). We estimate that it
will take approximately 10 minutes to complete the survey. Thank you very much for your cooperation!
Participation in the study is voluntary and nonparticipation will have no impact on you or your school.
You may skip questions on the survey or discontinue participation at any time. There is minimal risk of
breach of confidentiality, and we have put in place procedures in place to minimize this risk. You will
never be identified by name, and your responses to this survey will be combined with other teachers’
responses and reported in a summary. All information that would permit identification of individual
respondents will be used only by persons engaged in and for the purposes of the survey, and will not be
disclosed or released to others for any purpose except as required by law. NASA will not have access to
the individual survey responses; other researchers may have access to de-identified survey results (i.e.,
they will not know your identity).
If you have questions about the study, please contact the study director, Alina Martinez of Abt
Associates Inc. at 855-646-3308 (toll-free) or email at [email protected]. For
more information about this data collection, including OMB clearance and burden estimates, you may
contact Lori Parker, NASA PRA Clearance Officer at [email protected], 202-358-1351 (toll number).
For questions about your rights as a participant in this study, contact Teresa Doksum at the Abt
Associates Inc. Institutional Review Board at 877-520-6835 (toll-free).
Consent
Please continue with the survey if you agree to participate in this study.
Paperwork Reduction Act Statement - This information collection meets the requirements of 44 U.S.C. § 3507, as amended by section 2 of the
Paperwork Reduction Act of 1995. You do not need to answer these questions unless we display a valid Office of Management and Budget
control number. We estimate that it will take about 10 minutes to read the instructions, gather the facts, and answer the questions. You can find
additional information on this program at http://www.nasa.gov/offices/education/programs/national/nes2/home/index.html You may send
comments on our time estimate above to: [email protected]. Please send only comments relating to our time
estimate to this address, not the completed form.
7
OMB Control No. 2700-XXXX
Approval expires xx/xx/20xx
1. Please rate how comfortable you are teaching each of the following content areas in your
classroom.
Neither
Area
Algebra
Somewh
comfort
Somewh
Very
at
able nor
at
Very
uncomfo
uncomfo
uncomf
Comfort
Comforta
rtable
rtable
ortable
able
ble
1
2
Astrobiology
Biology
Climate Change
Data Analysis
Distance Rate Problems
Earth and Space Science
Engineering or Engineering Design
Forces and Motion
Geometry and Vectors
Graphing
Interpreting Data
Metabolism
Microgravity
Newton’s Laws of Motion
Physical Science or Physics
Plant Biology/Botany
Probability
Pythagorean Theorem
Satellite Data or Imagery
Solar Energy and Radiation
Transfer of Energy
Water Cycle
Weather
8
3
4
5
OMB Control No. 2700-XXXX
Approval expires xx/xx/20xx
2. Please rate how familiar you are with each of the following NES modules.
Somewh
Expert or
Not at all
at
extremel
familiar
familiar
1
2
Black Hole Math
Earth Climate Course
Engineering Design Challenge: Lunar
Plant Growth Chamber
Engineering Design Challenge:
Spacecraft Structures
Engineering Design Challenge: Water
Filtration
Exploring Space Through Math: The
Weightless Wonder
Exploring Space Through Math: Lunar
Rover
GENESIS: Exploring Data A First Look
GENESIS: What Are We Made Of: The
Sun, Earth, and You
Fingerprints of Life? Extremophiles: It’s
Just Right
Lunar Nautics: Designing a Mission to
Live and Work on the Moon
Math and Science @ Work: Lunar
Surface Instrumentation
MESSENGER: Cooling with Sunshades
MESSENGER: Staying Cool
My NASA Data: Solar Cell Energy
Availability from Around the Country
On the Moon Educator Guide: On Target
On the Moon Educator Guide: Feel the
Heat
Rockets Educator Guide: High Power
Paper Rockets
Satellite Meteorology: Monitoring the
Global Environment
Smart Skies: Line-up with Math
9
Familiar
Very familiar
y familiar
3
4
5
OMB Control No. 2700-XXXX
Approval expires xx/xx/20xx
3. Please rate how comfortable you are implementing each of the following NES modules in
your classroom.
Neither
Somewh
comfort
Somewh
Very
at
able nor
at
Very
uncomf
uncomfor
uncomf
comfort
comfort
ortable
table
ortable
able
able
4
5
1
2
Black Hole Math
Earth Climate Course
Engineering Design Challenge: Lunar Plant
Growth Chamber
Engineering Design Challenge: Spacecraft
Structures
Engineering Design Challenge: Water
Filtration
Exploring Space Through Math: The
Weightless Wonder
Exploring Space Through Math: Lunar Rover
GENESIS: Exploring Data A First Look
GENESIS: What Are We Made Of: The Sun,
Earth, and You
Fingerprints of Life? Extremophiles: It’s Just
Right
Lunar Nautics: Designing a Mission to Live
and Work on the Moon
Math and Science @ Work: Lunar Surface
Instrumentation
MESSENGER: Cooling with Sunshades
MESSENGER: Staying Cool
My NASA Data: Solar Cell Energy
Availability from Around the Country
On the Moon Educator Guide: On Target
On the Moon Educator Guide: Feel the Heat
Rockets Educator Guide: High Power Paper
Rockets
Satellite Meteorology: Monitoring the Global
Environment
Smart Skies: Line-up with Math
10
3
OMB Control No. 2700-XXXX
Approval expires xx/xx/20xx
4. Please rate how familiar you are with each of the following NASA Now events.
Somewh
Expert or
Not at all
at
extremel
familiar
familiar
1
2
Familiar
3
NASA Now: Search for Life
Earth Science Week: Exploring Energy
Flight Testing and the Global Hawk
Simulated Lunar Operations (SLOPE)
A-Train: Clouds
Inflatable Structures
A-Train: Monitoring the Earth System
Shuttle Engineering Challenge:
Guidance, Navigation, and Flight Control
Black Holes
Expedition 26
The Mechanics of Solar Panels
X-48B Research Aircraft and Green
Technology
EPOXI Flyby Spacecraft: Close
Encounters of the Comet Kind
Microbes @ NASA: Early Earth
Ecosystems
Operation IceBridge
Path of an Astronaut
Suited for Spacewalking
Robonaut 2
11
Very familiar
y familiar
4
5
OMB Control No. 2700-XXXX
Approval expires xx/xx/20xx
5. Please rate how comfortable you are in implementing each of the following NASA Now events in
your classroom.
Neither
Somewh
comfort
Somewh
Very
at
able nor
at
Very
uncomf
uncomfor
uncomf
comfort
comfort
ortable
table
ortable
able
able
1
2
3
4
5
NASA Now: Search for Life
Earth Science Week: Exploring Energy
Flight Testing and the Global Hawk
Simulated Lunar Operations (SLOPE)
A-Train: Clouds
Inflatable Structures
A-Train: Monitoring the Earth System
Shuttle Engineering Challenge: Guidance,
Navigation, and Flight Control
Black Holes
Expedition 26
The Mechanics of Solar Panels
X-48B Research Aircraft and Green Technology
EPOXI Flyby Spacecraft: Close Encounters of the
Comet Kind
Microbes @ NASA: Early Earth Ecosystems
Operation IceBridge
Path of an Astronaut
Suited for Spacewalking
Robonaut 2
6. Which NES module(s) did you use in your classroom this year? Please check all that
apply:
Black Hole Math
GENESIS: Exploring Data
Earth Climate Course
Engineering Design Challenge:
Lunar Plant Growth Chamber
Engineering Design Challenge:
Spacecraft Structures
Engineering Design Challenge:
Water Filtration
A First Look
GENESIS: What Are We Made Of:
The Sun, Earth, and You
Fingerprints of Life? Extremophiles:
It’s Just Right
Lunar Nautics: Designing a Mission
to Live and Work on the Moon
Exploring Space Through Math:
The Weightless Wonder
Exploring Space Through Math:
Lunar Rover
Math and Science @ Work: Lunar
Surface Instrumentation
MESSENGER: Cooling with
Sunshades
12
MESSENGER: Staying Cool
My NASA Data: Solar Cell
Energy Availability from
Around the Country
On the Moon Educator Guide:
On Target
On the Moon Educator Guide:
Feel the Heat
Rockets Educator Guide: High
Power Paper Rockets
Satellite Meteorology:
Monitoring the Global
Environment
Smart Skies: Line-up with
Math
OMB Control No. 2700-XXXX
Approval expires xx/xx/20xx
7. What is the primary subject matter of the course where you used NES materials?
Please check only one for each course.
General Science
General Math
Engineering
Technology
Earth Science
Biology
Chemistry
Physics
Algebra
Geometry
Calculus
Other: ________________________
8. What are the grade levels of the students in the course(s) where you used NES
materials? Please check all that apply.
1
2
3
4
5
6
7
8
9
10
11
12
9. Approximately how many hours have you spent exploring the NES Virtual campus?
o 0-1
o 1-3
o 3-5
o 5-8
o 8-10
o More than 15
13
OMB Control No. 2700-XXXX
Approval expires xx/xx/20xx
10. How satisfied were you with the Virtual Campus? Please circle the number below
that best represents your opinion.
Somewh
at
Neither
Very
unsatisfi
satisfied nor
Somewhat
Very
Not
unsatisfied
ed
unsatisfied
satisfied
satisfied
Applicable
1
2
3
4
5
X
11. Do you have any suggestions for improving the virtual campus?
_______________________________________
14
File Type | application/pdf |
File Title | Microsoft Word - Appendix C. Teacher Surveys (Pre and Post) 5.24.11 |
Author | MartinezA1 |
File Modified | 2011-05-24 |
File Created | 2011-05-24 |