25 Health Education Classroom Questionnaire

School Health Policies and Practices Study 2012

Appendix G-22 Physical Education_Classroom

Classroom Data Collection

OMB: 0920-0445

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OMB No: 0920-0445

Expiration Date: xx/xx/xxxx

Physical Education and Activity
Classroom Questionnaire

6 January 2011

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Public reporting burden for this collection of information is estimated to average 40 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 and Activity
Classroom Questionnaire

Questions

General Course Characteristics and Content 1–2

Physical Activities 3–13

Teaching and Evaluation Techniques 14–34

Students with Disabilities 35–37

Respondent Background 38–50

NOTE: THROUGHOUT THIS QUESTIONNAIRE, TEXT THAT APPEARS IN ALL CAPITAL LETTERS WILL NOT BE READ ALOUD TO RESPONDENTS.

THIS QUESTIONNAIRE WILL BE ADMINISTERED USING COMPUTER ASSISTED PERSONAL INTERVIEW TECHNOLOGY. THE INTERVIEWER WILL READ THE QUESTIONS ALOUD AND TYPE RESPONSES TO THE QUESTIONS INTO THE LAPTOP 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.

NOTE: PRIOR TO THE INTERVIEW, PHYSICAL EDUCATION COURSES, TEACHERS, AND SECTIONS WERE RANDOMLY SELECTED AT EACH SCHOOL. IN ELEMENTARY SCHOOLS, THE SCHOOL CONTACT PROVIDED A LIST OF ALL GRADES IN WHICH PHYSICAL EDUCATION IS REQUIRED. TWO GRADES WERE RANDOMLY SELECTED FROM THIS LIST (UNLESS THERE WERE ONLY TWO OR FEWER GRADES, IN WHICH CASE ALL WERE SELECTED). FOR EACH SELECTED GRADE, ONE TEACHER WAS RANDOMLY SELECTED TO BE INTERVIEWED. WHEN NECESSARY, A SECTION (E.G., MORNING KINDERGARTEN CLASS) WAS RANDOMLY SELECTED FOR THE TEACHER TO FOCUS ON THROUGHOUT THE INTERVIEW. IN MIDDLE SCHOOLS AND HIGH SCHOOLS, THE SCHOOL CONTACT PROVIDED A LIST OF ALL REQUIRED PHYSICAL EDUCATION COURSES FOR THE 2005–06 SCHOOL YEAR WITH A CORRESPONDING LIST OF TEACHERS FOR EACH COURSE. IF THE NUMBER OF REQUIRED PHYSICAL EDUCATION COURSES WAS EIGHT OR FEWER, ALL THE COURSES WERE SELECTED. IF THE NUMBER OF REQUIRED PHYSICAL EDUCATION COURSES EXCEEDED EIGHT, EIGHT COURSES WERE RANDOMLY SELECTED. FOR EACH SELECTED COURSE, ONE TEACHER WAS RANDOMLY SELECTED TO BE INTERVIEWED AND ONE SECTION OF THAT TEACHER’S COURSE (E.G., 2ND PERIOD PHYSICAL EDUCATION 101) WAS RANDOMLY SELECTED FOR HIM/HER TO FOCUS ON THROUGHOUT THE INTERVIEW.

The first questions I am going to ask you are about the general characteristics and content of a required physical education course or class that you teach. By “physical education,” I mean class time that is spent teaching a physical education curriculum. Please do not include instruction on physical activity topics that are part of health education or any other subject. Also, do not consider regularly scheduled recess. Throughout this interview, please think about what took place when you taught _____ section of this course.

ANSWER Q1 FOR MIDDLE AND HIGH SCHOOL ONLY. OTHERWISE, SKIP TO Q2.

  1. Was this class a combined health education and physical education course? By “health education,” I mean topics not directly related to physical activity, such as alcohol or other drug use prevention.

Yes 1

No 2

  1. At the end of the class, how many students were enrolled in the class?

Students

  1. In that class, did you teach…

Yes No

ANSWER A FOR ELEMENTARY SCHOOL ONLY. OTHERWISE, SKIP TO B.

  1. Movement concepts and skills? 1 2

  2. Individual or paired activities? 1 2

  3. Group or team activities? 1 2

  4. Aquatic activities? 1 2

  5. Dance activities? 1 2

ANSWER Q4 IF MOVEMENT CONCEPTS AND SKILLS WERE TAUGHT IN THIS CLASS (Q3A IS “YES”). OTHERWISE, SKIP TO THE INSTRUCTIONS BEFORE Q5.

SHOW CARD 1

  1. How many contact hours did your students spend in this class on…

Number of Hours

  1. Space awareness, such as space, directions, or levels? 0 1 2 3 4 5 6 7 8 9 10 11 12

  2. Locomotor skills, such as walking, skipping, or hopping? 0 1 2 3 4 5 6 7 8 9 10 11 12

  3. Manipulative skills, such as throwing, catching, kicking, or striking? 0 1 2 3 4 5 6 7 8 9 10 11 12

  4. Non-locomotor skills, such as bending, twisting, or rocking? 0 1 2 3 4 5 6 7 8 9 10 11 12

  5. Combination movement skills, such as combining traveling, balancing, and weight transfer? 0 1 2 3 4 5 6 7 8 9 10 11 12

ANSWER Q5 IF INDIVIDUAL OR PAIRED ACTIVITIES WERE TAUGHT IN THIS CLASS (Q3B IS “YES”). OTHERWISE, SKIP TO THE INSTRUCTIONS BEFORE Q6.

SHOW CARD 2

The next questions are about the amount of time spent on individual or paired activities. Please include any time you might spend on lead-up skills, skills specific to the activity, or modified versions of the activity.

  1. How many contact hours did your students spend in this class on…

Number of Hours

  1. Aerobics, such as step or low impact? 0 1 2 3 4 5 6 7 8 9 10 11 12

  2. Archery? 0 1 2 3 4 5 6 7 8 9 10 11 12

  3. Badminton? 0 1 2 3 4 5 6 7 8 9 10 11 12

  4. Bowling? 0 1 2 3 4 5 6 7 8 9 10 11 12

  5. Canoeing or kayaking? 0 1 2 3 4 5 6 7 8 9 10 11 12

  6. Cardiovascular exercise machines, such as rowers, ski machines, stair climbers, stationary bikes, or treadmills? 0 1 2 3 4 5 6 7 8 9 10 11 12

  7. Climbing ropes or wall ladders? 0 1 2 3 4 5 6 7 8 9 10 11 12

  8. Climbing walls? 0 1 2 3 4 5 6 7 8 9 10 11 12

  9. Physical activity or fitness stations? 0 1 2 3 4 5 6 7 8 9 10 11 12

  10. Frisbee or frisbee golf? 0 1 2 3 4 5 6 7 8 9 10 11 12

  11. Golf? 0 1 2 3 4 5 6 7 8 9 10 11 12

  12. Gymnastics? 0 1 2 3 4 5 6 7 8 9 10 11 12

  13. Hiking, backpacking, or orienteering? 0 1 2 3 4 5 6 7 8 9 10 11 12

  14. Jumping rope? 0 1 2 3 4 5 6 7 8 9 10 11 12

  15. Martial arts? 0 1 2 3 4 5 6 7 8 9 10 11 12

  16. Non-stationary bicycling? 0 1 2 3 4 5 6 7 8 9 10 11 12

  17. Pilates? 0 1 2 3 4 5 6 7 8 9 10 11 12

(Q5 continued)

Number of Hours

  1. Racquet sports, other than tennis, such as racquetball, handball, squash, or paddleball? 0 1 2 3 4 5 6 7 8 9 10 11 12

  2. Rock climbing? 0 1 2 3 4 5 6 7 8 9 10 11 12

  3. Running or jogging? 0 1 2 3 4 5 6 7 8 9 10 11 12

  4. Skating, such as roller, in-line, or ice skating? 0 1 2 3 4 5 6 7 8 9 10 11 12

  5. Skiing, such as cross country, downhill, or water skiing? 0 1 2 3 4 5 6 7 8 9 10 11 12

  6. Student-designed games? 0 1 2 3 4 5 6 7 8 9 10 11 12

  7. Table tennis or ping pong? 0 1 2 3 4 5 6 7 8 9 10 11 12

  8. Tennis? 0 1 2 3 4 5 6 7 8 9 10 11 12

  9. Track and field? 0 1 2 3 4 5 6 7 8 9 10 11 12

  10. Walking? 0 1 2 3 4 5 6 7 8 9 10 11 12

  11. Weight training? 0 1 2 3 4 5 6 7 8 9 10 11 12

  12. Wrestling? 0 1 2 3 4 5 6 7 8 9 10 11 12

  13. Yoga? 0 1 2 3 4 5 6 7 8 9 10 11 12

ANSWER Q6 IF GROUP OR TEAM ACTIVITIES WERE TAUGHT IN THIS CLASS (Q3C IS “YES”). OTHERWISE, SKIP TO THE INSTRUCTIONS BEFORE Q8.

SHOW CARD 3

The next questions are about the amount of time spent on group or team activities. Please include any time you might spend on lead-up skills, skills specific to the activity, or modified versions of the activity.

  1. How many contact hours did your students spend in this class on…

Number of Hours

  1. Baseball, softball,
    or whiffleball? 0 1 2 3 4 5 6 7 8 9 10 11 12

  2. Basketball? 0 1 2 3 4 5 6 7 8 9 10 11 12

  3. Dodgeball or bombardment? 0 1 2 3 4 5 6 7 8 9 10 11 12

  4. Touch or flag football? 0 1 2 3 4 5 6 7 8 9 10 11 12

  5. Hockey, such as field, floor, roller, or ice hockey? 0 1 2 3 4 5 6 7 8 9 10 11 12

  6. Kickball? 0 1 2 3 4 5 6 7 8 9 10 11 12

  7. Lacrosse? 0 1 2 3 4 5 6 7 8 9 10 11 12

  8. Soccer? 0 1 2 3 4 5 6 7 8 9 10 11 12

  9. Student-designed games? 0 1 2 3 4 5 6 7 8 9 10 11 12

  10. Ultimate frisbee? 0 1 2 3 4 5 6 7 8 9 10 11 12

  11. Volleyball? 0 1 2 3 4 5 6 7 8 9 10 11 12

ANSWER Q7 IF THIS SCHOOL IS AN ELEMENTARY SCHOOL AND GROUP OR TEAM ACTIVITIES WERE TAUGHT IN THIS CLASS (Q3C IS “YES”). OTHERWISE, SKIP TO THE INSTRUCTIONS BEFORE Q8.

SHOW CARD 4

  1. How many contact hours did your students spend in this class playing…

Number of Hours

  1. Duck-duck-goose? 0 1 2 3 4 5 6 7 8 9 10 11 12

  2. Elimination tag? 0 1 2 3 4 5 6 7 8 9 10 11 12

  3. King of the hill or capture the flag? 0 1 2 3 4 5 6 7 8 9 10 11 12

  4. Red rover? 0 1 2 3 4 5 6 7 8 9 10 11 12

  5. Relay races? 0 1 2 3 4 5 6 7 8 9 10 11 12

ANSWER Q8 IF DANCE ACTIVITIES WERE TAUGHT IN THIS CLASS (Q3E IS “YES”). OTHERWISE, SKIP TO Q9.

SHOW CARD 6

The next questions are about the amount of time spent on dance activities. Please include any time you might spend on lead-up skills, skills specific to the activity, or modified versions of the activity.

  1. How many contact hours did your students spend in this class on…

Number of Hours

  1. Ballroom dances? 0 1 2 3 4 5 6 7 8 9 10 11 12

  2. Folk or multicultural dances? 0 1 2 3 4 5 6 7 8 9 10 11 12

  3. Performing art dances, such as ballet, jazz, tap, or modern dances? 0 1 2 3 4 5 6 7 8 9 10 11 12

  4. Social dances, such as ballroom dances, line dances, hip hop, or party dances? 0 1 2 3 4 5 6 7 8 9 10 11 12

  5. Square dances? 0 1 2 3 4 5 6 7 8 9 10 11 12

  1. During a typical class period, how many minutes did you provide for students to…

Minutes

  1. Change clothes before class? _____

  2. Have roll taken, listen to announcements,
    and participate in other administrative tasks
    while not being physically active? _____

  3. Do warm-up activities? _____

  4. Receive instruction through lecture or demonstration? _____

  5. Do skills drills? _____

  6. Participate in games, sports, or dance? _____

  7. Do cool-down activities? _____

  8. Shower or change clothes after activities? _____

SHOW CARD 7

This card lists topics that are taught in physical education. As I read the list of topics on the card, please tell me if you taught about each one in the class. By “teach”, some advanced planning on your part was involved; the subject was not just brought up in class.

  1. Did you teach about

Yes No

  1. The difference between physical activity, exercise,
    and fitness? 1 2

  2. The difference between moderate and vigorous
    physical activity? 1 2

  3. The physical, psychological, or social benefits
    of physical activity? 1 2

  4. The role of physical activity in reducing risk for chronic
    diseases, such as diabetes, heart disease or osteoporosis? 1 2

  5. Health-related fitness, that is, cardiovascular endurance,
    muscular endurance, muscular strength, flexibility,
    and body composition? 1 2

  6. Skill-related fitness, that is, agility, power, balance, speed,
    and coordination? 1 2

(Q10 continued)

Yes No

  1. Phases of an exercise session, that is warm-up, workout,
    and cool down? 1 2

  2. How much physical activity is enough, that is, determining
    frequency, intensity, duration, and type of physical activity? 1 2

  3. Mechanics of movement, such as the role of muscles
    in movement, force absorption, or throwing mechanisms? 1 2

  4. Setting personal goals for physical activity participation? 1 2

ANSWER K AND L FOR MIDDLE AND HIGH SCHOOL ONLY. OTHERWISE, SKIP TO M.

  1. Developing an individualized physical activity plan? 1 2

  2. Monitoring progress toward reaching goals in
    an individualized physical activity plan? 1 2

  3. Identifying and overcoming barriers to physical activity? 1 2

  4. Opportunities for physical activity in the community? 1 2

  5. How to find valid information, services, or products
    related to physical activity and fitness? 1 2

  6. Balancing food intake and physical activity? 1 2

  7. The importance of healthy eating? 1 2

  8. Preventing injury during physical activity? 1 2

  9. Weather-related safety, for example avoiding heat stroke,
    hypothermia, and sunburn while physically active? 1 2

  10. Dangers of using performance-enhancing drugs
    and supplements, such as steroids? 1 2

  1. When planning to teach or teaching the class, did you use

Yes No

  1. Any state-developed curricula or standards
    for physical education? 1 2

  2. Any district-developed curricula or standards
    for physical education? 1 2

  3. Any school-developed curricula or standards
    for physical education? 1 2

  4. Internet resources, such as PE Central or NASPE’s
    Teacher’s Toolbox? 1 2

  5. Any commercially-developed curricula? 1 2

  6. A commercially-developed student textbook? 1 2

  7. A commercially-developed teacher's guide? 1 2

  8. Physical Education performance assessment materials 1 2

  9. Any materials from health organizations, such as
    the American Heart Association or the American
    Cancer Society? 1 2

  10. Any materials from the President’s Council on Fitness,
    Sports and Nutrition? 1 2

  1. When preparing lessons for a physical education class, what percent of time do you typically allocate for students to be physically active?

0% to 24% 1

25% to 49% 2

50% to 74% 3

75% to 100% 4

  1. How influential are the following factors in determining which activities are taught in your physical education class?

Not at all A little A lot

Whether the activity is…

  1. Identified within the written curriculum? 1 2 3

  2. Designed to ensure students are active? 1 2 3

  3. Designed to teach students a specific
    sport skill? 1 2 3

  4. Designed to improve student competence? 1 2 3

  5. Able to maximize students’ opportunity
    to practice? 1 2 3

  6. Part of a developmentally appropriate
    sequence? 1 2 3

  7. Appropriate for the facilities available? 1 2 3

Now, I would like to ask a few more general questions about the class. Please remember to answer these questions about this class only.

IF ONLINE COURSE, SKIP TO THE INSTRUCTIONS BEFORE Q16

SHOW CARD 8

  1. When teaching the class, how often did you…

Almost
Some- Always or
Never Rarely times Always N/A

  1. Practice active supervision, that is,
    observing, listening to students,
    anticipating and effectively responding
    to unsafe situations, and discouraging
    pushing and bullying? 1 2 3 4

  2. Select team captains? 1 2 3 4

  3. Have team captains choose
    team members? 1 2 3 4

  4. Encourage prosocial behaviors, that is,
    cooperation, conflict resolution,
    and helping others? 1 2 3 4

  5. Organize games that
    eliminated students? 1 2 3 4

  6. Use protective clothing and safety gear
    that is appropriate to child’s size and
    in good shape? 1 2 3 4 5

  7. Have many students stand in line or
    on the sidelines watching others and
    waiting for a turn? 1 2 3 4

  8. Use safe, age-appropriate equipment? 1 2 3 4

  9. Organize activities in which fewer
    than half of the students were
    physically active? 1 2 3 4

  10. Minimize exposure to sun, smog, and
    extreme temperatures? 1 2 3 4

(Q14 continued)

Almost
Some- Always or
Never Rarely times Always N/A

  1. Allow highly skilled students to dominate
    activities and games? 1 2 3 4

  2. Offer activities that take into account
    gender and cultural differences
    in students’ interests? 1 2 3 4

  3. Provide students with options for
    performing physical activities at varying
    skill levels? 1 2 3 4

  4. Use infection control practices for
    handling blood and other bodily fluids? 1 2 3 4 5

  1. When teaching the class, how often did you…

Almost
Some- Always or
Never Rarely times Always

  1. Use alternative or modified rules for
    traditional games to keep students active
    (e.g., have all students run bases
    in softball)? 1 2 3 4

  2. Use smaller numbers of students per
    team and more teams for traditional
    sports games? 1 2 3 4

  3. Ensure all students have a piece of
    manipulative, physical activity,
    or fitness equipment? 1 2 3 4

  4. Keep students active during roll call? 1 2 3 4

SHOW CARD 9

The next questions ask about the use of various teaching methods.

  1. How often did you use…

Almost
Some- Always or
Never Rarely times Always

  1. Competitive group activities? 1 2 3 4

  2. Cooperative group activities? 1 2 3 4

  3. Skills drills? 1 2 3 4

  4. Physical activity or fitness stations? 1 2 3 4

  5. Pledges or contracts
    for behavior change? 1 2 3 4

  6. Guest speakers? 1 2 3 4

  7. Peer teaching? 1 2 3 4

  8. Heart rate monitors? 1 2 3 4

  9. Physical activity monitors,
    such as pedometers? 1 2 3 4

  10. The Internet? 1 2 3 4

  11. Student physical activity logs
    or journals? 1 2 3 4

  12. Field trips as a method of instruction? 1 2 3 4

  1. Did you ask students to…

Yes No

  1. Perform volunteer work with a local physical activity
    program or event, for example Little League or a fun run? 1 2

  2. Participate in or attend a community health fair? 1 2

  3. Gather information about physical activity programs
    that are available in the community, for example activities
    at clubs or parks? 1 2

  1. Did you…

Yes No

  1. Provide families of all students in the class with
    information on the class? 1 2

  2. Give students homework or projects that involve
    family members? 1 2

  3. Invite families of all students in the class to attend
    the class? 1 2

  4. Provide strategies to help students promote physical
    activity among family members? 1 2

  5. Collect suggestions from students about the class? 1 2

  6. Collect suggestions from students’ families
    about the class? 1 2

  1. Did you invite your principal or other school administrators to observe the class?

Yes 1

No 2

  1. In this class, did you give…

Yes No

  1. Written tests of students’ knowledge related
    to physical education? 1 2

  2. Skill performance tests related to physical education? 1 2

  3. Fitness tests? 1 2

ANSWER Q21–Q26 IF YOU GAVE FITNESS TESTS IN THIS CLASS (Q20C IS “YES”). OTHERWISE, SKIP TO THE INSTRUCTIONS BEFORE Q27.

  1. How many times did you give fitness tests in this class?

Once 1

Twice 2

Three or more times 3

SHOW CARD 10

  1. What fitness tests did you use in this class?
    MARK ALL THAT APPLY

Fitnessgram 1

The Physical Fitness Test,
from the President’s Challenge 2

Other (Specify) 3

  1. Did you schedule time during class periods for the students in this class to practice for the fitness tests?

Yes 1

No 2

  1. Did you compare these students’ fitness test scores with…

Yes No

  1. National, state, or local criterion referenced standards?
    By this I mean students’ fitness test scores that are
    considered to be consistent with good health for their
    age and gender? 1 2

  2. National, state, or local normative standards?
    By this I mean fitness test scores of students relative to the
    performance of children in a reference group; the reference
    group may be one from national, state, or local samples,
    including those of other students in the class? 1 2

  3. The student’s prior fitness test scores? 1 2

  4. The student’s fitness goals? 1 2

  1. Did you provide students with an explanation of what their fitness test scores meant?

Yes 1

No 2

  1. Did you share the students’ fitness test scores with…

Yes No

  1. Students’ parents or guardians? 1 2

  2. The principal or other school administrators? 1 2

ANSWER Q27 FOR MIDDLE AND HIGH SCHOOL ONLY. OTHERWISE, SKIP TO Q32.

  1. Were students required to develop individualized physical activity plans?

Yes 1

No 2 SKIP TO Q32

ANSWER Q28 IF YOU GAVE FITNESS TESTS IN THIS CLASS (Q20C IS “YES”). OTHERWISE, SKIP TO Q29.

  1. Did students use their fitness test scores to help develop individualized physical activity plans?

Yes 1

No 2

  1. Did you provide students with individual feedback on their physical activity plans?

Yes 1

No 2

  1. Did you provide students with instruction on how to monitor adherence to their physical activity plans?

Yes 1

No 2

  1. Did you require that their plans include...

Yes No

  1. Physical activity goals? 1 2

  2. Fitness goals? 1 2

  3. Specific rewards for meeting goals? 1 2

  4. Scheduled times for engaging in physical activity? 1 2

  5. A process for assessing progress toward goals,
    such as self-monitoring or self-management? 1 2

  6. Identification of barriers to physical activity? 1 2

  1. Did you require that students keep a log of the physical activities they engaged in outside of the class?

Yes 1

No 2

SHOW CARD 11

As I read the list of assessment criteria on this card, please tell me if you used them to assess your students in physical education.

  1. Did you assess students based on…

Yes No

  1. Their attendance? 1 2

  2. Wearing appropriate clothing for physical activity? 1 2

  3. Their level of participation? 1 2

  4. Their attitude? 1 2

  5. Their performance on knowledge tests? 1 2

  6. Their final scores on movement skills performance tests? 1 2

  7. Their improvement in movement skills performance
    test scores? 1 2

  8. Their level of physical activity outside of physical education
    class, as measured by physical activity logs, pedometers,
    or other measures? 1 2

  9. Their demonstration of self-management skills,
    such as goal setting or self assessment? 1 2

ANSWER J IF YOU GAVE FITNESS TESTS IN THIS CLASS (Q20C IS “YES”). OTHERWISE, SKIP TO THE INSTRUCTIONS BEFORE Q34.

  1. Physical fitness test scores? 1 2

ANSWER Q34 IF YOU REQUIRED STUDENTS TO DEVELOP INDIVIDUALIZED PHYSICAL ACTIVITY PLANS IN THIS CLASS (Q27 IS “YES”). OTHERWISE, SKIP TO THE INTRODUCTION TO Q35.

  1. Did you assess students based on the quality of their individualized physical activity plans?

Yes 1

No 2

My next questions ask about teaching students with long-term physical, medical, or cognitive disabilities, such as Down syndrome or conditions that require permanent use of a wheelchair.

  1. Were there any students with long-term physical, medical, or cognitive disabilities in the class?

Yes 1

No 2 SKIP TO THE INTRODUCTION TO Q38

  1. Was there…

Yes No

  1. An adapted physical education teacher or specialist
    who taught students with disabilities? 1 2

  2. A special education teacher with whom you coordinated
    activities for students with disabilities? 1 2

  3. A physical or occupational therapist who came in to assist
    students with disabilities? 1 2

  4. A teacher or aide who came in to assist students
    with disabilities? 1 2

  1. In teaching these students, did you use…

Yes No

  1. Simplified instructional content or variations in the amount
    or difficulty of material taught? 1 2

  2. More skill modeling, practice, or repetition? 1 2

  3. Modified equipment or facilities? 1 2

  4. Modified assessment? 1 2

  5. Peer teaching or coaching? 1 2

My last set of questions asks about your teaching experience and educational background.

  1. Counting this year as a full year and including years spent teaching physical education at any other schools, how many years of experience do you have teaching physical education?

Years

IF THIS IS AN ONLINE PHYSICAL EDUCATION CLASS, SKIP TO Q40.

  1. Have you ever taught an online or distance physical education class for any of
    grades K–12?

Yes 1

No 2

  1. Do you coach an interscholastic sport?

Yes 1

No 2

  1. Do you have an undergraduate degree?

Yes 1

No 2 SKIP TO Q47

  1. 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

  1. Did you have an undergraduate minor?

Yes 1

No 2 SKIP TO Q45

  1. 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

  1. Do you have a graduate degree?

Yes 1

No 2 SKIP TO Q47

  1. 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

  1. Currently, are you certified, endorsed, or licensed by the state to teach physical education in…

State does not
offer certification,
licensure, or
endorsement
to teach physical
education
Yes No at this level

  1. Elementary school? 1 2 3

  2. Middle school? 1 2 3

  3. High school? 1 2 3

My next questions are about professional development, which might include workshops, conferences, continuing education, graduate courses, or any other kind of in-service.

SHOW CARD 12

As I read the list of topics on this card, please tell me if you received any professional development on each one during the past two years.

  1. During the past two years, did you receive any professional development on...

Yes No

  1. Methods to increase the amount of class time students
    are engaged in moderate to vigorous physical activity? 1 2

  2. Methods to promote gender equity in physical education
    and sports? 1 2

  3. Using technology such as computers or video cameras
    for physical education? 1 2

  4. Using physical activity monitoring devices, such as
    pedometers or heart rate monitors for physical education? 1 2

  5. Encouraging family involvement in physical activity? 1 2

  6. Administering or using fitness tests? 1 2

  7. Helping students develop individualized physical
    activity plans? 1 2

  8. Injury prevention and first aid? 1 2

  9. How to prevent, recognize, and respond to concussions
    among students? 1 2

  10. Teaching physical education to students with long-term
    physical, medical, or cognitive disabilities? 1 2

  11. Teaching individual or paired activities or sports? 1 2

  12. Teaching team or group activities or sports? 1 2

  13. Teaching movement skills and concepts? 1 2

  14. Assessing or evaluating student performance in
    physical education? 1 2

  15. Developing and using student portfolios for
    physical education? 1 2

(Q48 continued)

Yes No

  1. Teaching methods to promote inclusion and active
    participation of overweight children during
    physical education? 1 2

  2. Chronic health conditions, for example asthma or diabetes,
    including recognizing and responding to severe symptoms
    or reducing triggers? 1 2

  3. Methods for developing, implementing, and evaluating
    intramural or physical activity clubs? 1 2

  4. Developing, implementing, and evaluating comprehensive
    school physical activity programs? 1 2

  5. Establishing walking or biking to school programs? 1 2

  6. Assessing student weight status using body mass index,
    skinfolds, or bioelectric impedance? 1 2

  7. Physical education standards? 1 2

  8. Teaching online or distance education courses? 1 2

  9. Transforming traditional face-to-face courses into
    an online format? 1 2

SHOW CARD 13

  1. Which of these topics would you like to receive further professional development on?
    MARK ALL THAT APPLY

Methods to increase the amount of class time
students are engaged in moderate to vigorous
physical activity 1

Methods to promote gender equity in physical
education and sports 2

Using technology such as computers or video
cameras for physical education 3

Using physical activity monitoring devices,
such as pedometers or heart rate monitors
for physical education 4

Encouraging family involvement
in physical activity 5

(Q49 continued)

Administering or using fitness tests 6

Helping students develop individualized
physical activity plans 7

Injury prevention and first aid 8

How to prevent, recognize, and respond
to concussions among students 9

Teaching physical education to students
with long-term physical, medical,
or cognitive disabilities 10

Teaching individual or paired activities
or sports 11

Teaching team or group activities or sports 12

Teaching movement skills and concepts 13

Assessing or evaluating student performance
in physical education 14

Developing and using student portfolios
for physical education 15

Teaching methods to promote inclusion
and active participation of overweight
children during physical education 16

Chronic health conditions, for example asthma
or diabetes, including recognizing and
responding to severe symptoms or
reducing triggers 17

Methods for developing, implementing,
and evaluating intramural or physical
activity clubs 18

Developing, implementing, and evaluating
comprehensive school physical
activity programs 19

Establishing walking or biking
to school programs 20

Assessing student weight status using
body mass index, skinfolds,
or bioelectric impedance 21

(Q49 continued)

Physical education standards 22

Teaching online or distance education courses 23

Transforming traditional face-to-face courses
into an online format 24

None of these 25

  1. My supervisor may wish to call you to ask about how I conducted this interview. Would you please tell me a telephone number where we might reach you starting with the area code?

( ) -

1) Daytime or

2) Evening/Weekend

Thank you very much for taking the time to complete this interview.



Physical Education Classroom Questionnaire—Public Use Version

File Typeapplication/msword
File TitleForm Approved
Authordallen
Last Modified Byarp5
File Modified2011-03-09
File Created2011-03-03

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