Form Approved
OMB No: 0920-0445
Expiration Date: xx/xx/xxxx
Physical
Education and Activity
State Questionnaire
5 January 2011
Public reporting burden for this collection of information is estimated to average 30 minutes per response, including the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and completing and reviewing the collection of information. An agency may not conduct or sponsor, and a person is not required to respond to a collection of information unless it displays a currently valid OMB control number. Send comments regarding this burden estimate or any other aspect of this collection of information, including suggestions for reducing this burden to: CDC/ATSDR Reports Clearance Officer, 1600 Clifton Road NE, Mailstop D-74, Atlanta, GA 30333; Attention PRA (0920-0445).
Physical Education
State
Questionnaire
Questions
Standards 1–2
State Assistance to Districts and Schools 3–9
Elementary School Instruction 10–12
Middle School Instruction 13–15
High School Instruction 16–18
Fitness Testing 19–20
Certification, Licensure, or Endorsement 21
Professional Development 22
Collaboration 23–24
Interscholastic Sports 25
Physical Education Coordinator 26–34
THIS QUESTIONNAIRE WILL BE ADMINISTERED USING WEB-BASED INTERVIEW TECHNOLOGY. AS THE RESPONDENT TYPES RESPONSES TO THE QUESTIONS INTO THE COMPUTER, THE INTERVIEW PROGRAM WILL 1) DISPLAY THE CORRECT TENSE OF VERBS, 2) PROVIDE ALTERNATE ANSWERS TO QUESTIONS (E.G., NOT APPLICABLE, “I DON’T KNOW”), 3) NAVIGATE COMPLEX SKIP PATTERNS, AND 4) PERFORM OTHER USEFUL FUNCTIONS. THE PROGRAMMING SPECIFICATIONS FOR THE INTERVIEW ARE NOT INCLUDED IN THIS PRINTED VERSION OF THE QUESTIONNAIRE.
Some questions in this questionnaire will ask about physical education in your state. Physical education refers to class time that is spent teaching physical education. Please do not include instruction on physical activity topics that are part of health education or any other subject or course. Also, do not consider regularly scheduled recess. You have been identified as the person who knows the most about how physical education is provided throughout all grades in your state. As you think about the questions, please consider all physical education provided to students in your state.
For the purposes of this questionnaire, “elementary school” refers to a school that contains any of grades K–5. “Middle school” refers to a school that contains any of grades 6–8. Some jurisdictions may refer to these schools as “junior high schools.” “High school” refers to a school that contains any of grades 10–12. Some jurisdictions may refer to these schools as “senior high schools.”
The first questions ask about your state’s physical education standards. These standards might cover student expectations and performance outcomes for physical education.
Has your state adopted national or state physical education standards?
Yes 1
No 2 SKIP TO Q3
Are these physical education standards based on the National Standards for Physical Education from the National Association for Sport and Physical Education?
Yes 1
No 2
The next questions ask about state assistance to districts and schools.
During the past 2 years, did your state develop, revise, or assist in developing model policies, policy guidance, or other materials to inform district or school policy on each of the following physical education topics?
Yes No
Time requirements for elementary
school
physical education 1 2
Time requirements for middle school
physical
education 1 2
Time and graduation requirements for high
school
physical education 1 2
Certification or licensure requirements
for
physical education teachers 1 2
Professional development or continuing
education
requirements to maintain certification or
licensure 1 2
Use of physical activity as a punishment
during
physical education class 1 2
Exemptions or waivers for physical
education
requirements for participation in other
activities 1 2
Using fitness tests 1 2
Assessing student achievement of physical
education
standards 1 2
During the past 2 years, did your state develop, revise, or assist in developing model policies, policy guidance, or other materials to inform district or school policy on each of the following physical activity topics?
Yes No
Recess 1 2
Physical activity outside of physical
education
and recess, such as classroom-based physical
activity 1 2
Walking or biking to or from school 1 2
Preventing, recognizing, and responding
to
concussions among students 1 2
Measuring or monitoring student weight
status,
such as body mass index (BMI) 1 2
During the past 2 years, did your state distribute to district or school staff model policies, policy guidance, or other materials to inform district or school policy on each of the following physical education topics?
Yes No
Time requirements for elementary
school
physical education 1 2
Time requirements for middle school
physical
education 1 2
Time and graduation requirements for high
school
physical education 1 2
Certification or licensure requirements
for
physical education teachers 1 2
Professional development or continuing
education
requirements to maintain certification or
licensure 1 2
Use of physical activity as a punishment
during
physical education class 1 2
Exemptions or waivers for physical
education
requirements for participation in other
activities 1 2
Using fitness tests 1 2
Assessing student achievement of physical
education
standards 1 2
During the past 2 years, did your state distribute to district or school staff model policies, policy guidance, or other materials to inform district or school policy on each of the following physical activity topics?
Yes No
Recess 1 2
Physical activity outside of physical
education
and recess, such as classroom-based physical
activity 1 2
Walking or biking to or from school 1 2
Preventing, recognizing, and responding
to
concussions among students 1 2
Measuring or monitoring student weight
status,
such as body mass index (BMI) 1 2
During the past 2 years, did your state distribute to district or school staff the Physical Education Curriculum Analysis Tool (PECAT)?
Yes 1
No 2
The next question asks about technical assistance your state may have provided to district or school staff. Technical assistance refers to tailored guidance to meet the specific needs of the district or school that may be provided through phone, e-mail, Internet, or in-person meetings.
During the past 12 months, has your state provided technical assistance to district or school staff on…
Yes No
Using the Physical Education
Curriculum Analysis
Tool (PECAT) to help assess physical
education curricula? 1 2
Using data to plan or evaluate physical
education
policies or practices? 1 2
Time requirements for elementary
school
physical education? 1 2
Time requirements for middle school
physical
education? 1 2
Time and graduation requirements for high
school
physical education? 1 2
Certification or licensure requirements
for
physical education teachers? 1 2
Professional development or continuing
education
requirements to maintain certification or
licensure? 1 2
Use of physical activity as a punishment
during
physical education class? 1 2
Exemptions or waivers for physical
education
requirements for participation in other
activities? 1 2
Using fitness tests? 1 2
Assessing student achievement of
physical
education standards? 1 2
Recess? 1 2
Physical activity outside of physical
education and recess,
such as classroom-based physical
activity? 1 2
(Q8 continued)
Yes No
Walking or biking to or from school? 1 2
Preventing, recognizing, and responding to
concussions
among students? 1 2
Measuring or monitoring student weight
status,
such as body mass index (BMI)? 1 2
During the past 2 years, did your state develop, revise, or assist in developing or improving each of the following items?
Yes No
Physical education curricula 1 2
Physical education standards 1 2
A framework or course of study for physical education 1 2
Instructional strategies for physical education 1 2
Lesson plans or learning activities for physical education 1 2
Plans or tools for assessing or evaluating
students
in physical education 1 2
The next questions ask about elementary school instruction.
Has your state adopted standards for elementary school physical education?
Yes 1
No 2 SKIP TO Q12
Do the standards adopted by your state for elementary school physical education specifically address…
Yes No
Competence in motor skills and
movement patterns
needed to perform a variety of physical
activities? 1 2
Understanding of movement concepts,
principles,
strategies, and tactics as they apply to the
learning
and performance of physical activities? 1 2
Regular participation in physical activity? 1 2
Achievement and maintenance of a
health-enhancing
level of physical fitness? 1 2
Responsible personal and social behavior
that respects
self and others in physical activity
settings? 1 2
Value for physical activity for health,
enjoyment,
challenge, self-expression, and/or social
interaction? 1 2
The next questions ask about resources that state agencies may provide to districts or schools for elementary school physical education.
During the past two years, has your state provided…
Yes No
A list of one or more recommended
elementary school
physical education curricula? 1 2
Physical education standards for elementary school? 1 2
A framework or course of study
for elementary
physical education? 1 2
Lesson plans or learning activities for
elementary school
physical education? 1 2
Plans or tools for assessing or evaluating
students
in elementary school physical education? 1 2
The next questions ask about middle school instruction.
Has your state adopted standards for middle school physical education?
Yes 1
No 2 SKIP TO Q15
Do the standards adopted by your state for middle school physical education specifically address…
Yes No
Competence in motor skills and
movement patterns
needed to perform a variety of physical
activities? 1 2
Understanding of movement concepts,
principles,
strategies, and tactics as they apply to the
learning
and performance of physical activities? 1 2
Regular participation in physical activity? 1 2
Achievement and maintenance of a
health-enhancing
level of physical fitness? 1 2
Responsible personal and social behavior
that respects
self and others in physical activity
settings? 1 2
Value for physical activity for health,
enjoyment,
challenge, self-expression, and/or social
interaction? 1 2
The next questions ask about resources that state agencies may provide to districts or schools for middle school physical education.
During the past two years, has your state provided…
Yes No
A list of one or more recommended
middle school
physical education curricula? 1 2
Physical education standards for middle school? 1 2
A framework or course of study
for middle school
physical education? 1 2
Lesson plans or learning activities for
middle school
physical education? 1 2
Plans or tools for assessing or evaluating
students
in middle school physical education? 1 2
The next questions ask about high school instruction.
Has your state adopted standards for high school physical education?
Yes 1
No 2 SKIP TO Q18
Do the standards adopted by your state for high school physical education specifically address…
Yes No
Competence in motor skills and
movement patterns
needed to perform a variety of physical
activities? 1 2
Understanding of movement concepts,
principles,
strategies, and tactics as they apply to the
learning
and performance of physical activities? 1 2
Regular participation in physical activity? 1 2
Achievement and maintenance of a
health-enhancing
level of physical fitness? 1 2
Responsible personal and social behavior
that respects
self and others in physical activity
settings? 1 2
Value for physical activity for health,
enjoyment,
challenge, self-expression, and/or social
interaction? 1 2
The next questions ask about resources that state agencies may provide to districts or schools for high school physical education.
During the past two years, has your state provided…
Yes No
A list of one or more recommended
high school
physical education curricula? 1 2
Physical education standards for high school? 1 2
A framework or course of study
for high school
physical education? 1 2
Lesson plans or learning activities for high
school
physical education? 1 2
Plans or tools for assessing or evaluating
students
in high school physical education? 1 2
Do districts or schools in your state report fitness test data to the state education agency or state health department?
Yes 1
No 2 SKIP TO Q21
Does your state use fitness test data to…
Yes No
Monitor student fitness levels? 1 2
Monitor student obesity rates? 1 2
Assess student performance in physical education? 1 2
Inform the development or improvement of
policies,
standards, or instruction for physical education? 1 2
The next questions ask about types of certification, licensure, or endorsement your state may offer for physical education teachers.
Does your state offer certification, licensure, or endorsement for…
Yes No
Physical education for grades K–12? 1 2
Physical education for elementary school? 1 2
Physical education for middle school? 1 2
Physical education for high school? 1 2
Combined physical education and health
education
for grades K–12? 1 2
Combined physical education and health
education
for elementary school? 1 2
Combined physical education and health
education
for middle school? 1 2
Combined physical education and health
education
for high school? 1 2
The next questions are about professional development for those who teach physical education. This might include workshops, conferences, continuing education, graduate courses, or any other kind of in-service.
During the past two years, has your state provided funding for or offered professional development to those who teach physical education on…
Yes No
Methods to increase the amount of
class time students
are engaged in moderate to vigorous
physical activity? 1 2
Methods to promote gender equity in physical
education
and sports? 1 2
Using technology such as computers or video
cameras
for physical education? 1 2
Using physical activity monitoring devices
such as
pedometers or heart rate monitors for physical
education? 1 2
Encouraging family involvement in physical activity? 1 2
Administering or using fitness tests? 1 2
Helping students develop individualized
physical
activity plans? 1 2
Injury prevention and first aid? 1 2
How to prevent, recognize, and respond to
concussions
among students? 1 2
Teaching physical education to students with
long-term
physical,
medical, or cognitive disabilities? 1 2
Teaching individual or paired activities or sports? 1 2
Teaching team or group activities or sports? 1 2
Teaching movement skills and concepts? 1 2
Assessing or evaluating student
performance
in physical education? 1 2
Developing and using student portfolios
for
physical education? 1 2
Teaching methods to promote inclusion and
active
participation of overweight children during
physical
education? 1 2
(Q22 continued)
Yes No
Chronic health conditions, for example
asthma
or diabetes, including recognizing and responding
to
severe symptoms or reducing triggers? 1 2
Methods for developing, implementing, and
evaluating
intramural or physical activity clubs? 1 2
Developing, implementing, and evaluating
comprehensive
school physical activity programs? 1 2
Establishing walking or biking to school programs? 1 2
Assessing student weight status using body
mass
index (BMI), skinfolds, or bioelectric impedance? 1 2
Physical education standards? 1 2
Teaching online or distance education courses? 1 2
Transforming traditional face-to-face
courses into
an online format? 1 2
Using the Physical Education Curriculum
Analysis
Tool (PECAT) to help assess physical education
curricula? 1 2
Using data
to plan or evaluate physical education
policies or
practices? 1 2
The next questions ask about collaboration among physical education staff and other staff in your state.
During the past 12 months, have state-level physical education staff worked on physical education activities with state-level…
State does
not have staff
Yes No in this area
Health education staff? 1 2 3
Health services staff? 1 2 3
Mental health or social services staff? 1 2 3
Child nutrition or nutrition services staff? 1 2 3
During the past 12 months, have state-level physical education staff worked on physical education activities with staff or members from…
State does
not have
this agency
Yes No or organization
The state health department? 1 2 3
Action for Healthy Kids? 1 2 3
Alliance for a Healthier Generation? 1 2 3
An AAHPERD state affiliate? 1 2 3
The Governor’s
Council on Physical Fitness
and Sports? 1 2 3
The state parks or recreation department? 1 2 3
The state department of transportation? 1 2 3
A state-level
school nurses’ association
or organization? 1 2 3
A state-level
physicians’ organization, such
as the American Academy of
Pediatrics? 1 2 3
A state-level
health organization, such as
the American Heart Association or
the
American Cancer Society? 1 2 3
A state-level
parents’ organization, such as
the Parent Teacher
Association (PTA)? 1 2 3
A state-level
youth organization, such as
the Boys and Girls Club? 1 2 3
(Q24 continued)
State does
not have
this agency
Yes No or organization
A state-level
school health committee,
council, or team? 1 2 3
Colleges or universities? 1 2 3
Businesses? 1 2
A professional sports team? 1 2 3
During the past two years, has your state education agency provided any funding for or offered professional development to coaches of interscholastic sports?
Yes 1
No 2
Currently, does someone in your state oversee or coordinate physical education?
Yes 1
No 2 That is the last
question.
Thank you very much for taking the time to complete
this questionnaire.
Are you this person?
Yes 1
No 2 That is the last
question.
Thank you very much for taking the time to complete
this questionnaire.
The last few questions ask about your educational background.
Do you have an undergraduate degree?
Yes 1
No 2 SKIP TO Q34
What did you major in?
MARK
ALL THAT APPLY
Physical education 1
Health education 2
Other education 3
Kinesiology, exercise physiology,
or exercise science 4
Other (Specify) 5
Did you have an undergraduate minor?
Yes 1
No 2 SKIP TO Q32
What
did you minor in?
MARK ALL THAT APPLY
Physical education 1
Health education 2
Other education 3
Kinesiology, exercise physiology,
or exercise science 4
Other (Specify) 5
Do you have a graduate degree?
Yes 1
No 2 SKIP TO Q34
In what area or areas?
MARK
ALL THAT APPLY
Physical education 1
Health education 2
Other education 3
Kinesiology, exercise physiology,
or exercise science 4
Other (Specify) 5
Are you certified, licensed, or endorsed by the state to teach physical education at the…
State does not
offer certification,
licensure,
or
endorsement
to teach
physical
education
Yes No at this level
Elementary school level? 1 2 3
Middle school level? 1 2 3
High school level? 1 2 3
Thank you very much for taking the time to participate in this study.
If you would like more information about this study or would like clarification of any questions in this questionnaire, please call 800-287-1815.
Physical Education and
Activity State Questionnaire—National Review Version
File Type | application/msword |
File Title | Form Approved |
Author | dallen |
Last Modified By | arp5 |
File Modified | 2011-03-09 |
File Created | 2011-03-03 |