Certificates Focus Groups and National Adult Training and Education Survey (NATES) Cog Labs
NCES Cognitive, Pilot, and Field Test Studies System
NATES Draft Questionnaire
Certificates Focus Groups and National Adult Training and Education Survey (NATES) Cog Labs
OMB: 1850-0803
THE 2013 NATIONAL ADULT TRAINING AND EDUCATION SURVEY
DRAFT, August 13, 2012
How many of the people living in this household are ages 16-65?
If no one in this house is ages 16-65, please enter “0” in the box and return the questionnaire in
the postage-paid envelope. It is important that you return your questionnaire.
Of these people ages 16-65, how many have graduated from high school or otherwise left high school?
If no one in this house ages 16-65 has graduated from or left high school, please enter “0” in the
box and return the questionnaire in the postage-paid envelope. Otherwise, please enter the
number of people ages 16-65 who have graduated from or left high school, and have each of
these people complete a questionnaire. If you have any questions or need additional
questionnaires, please contact us toll-free at XXX-XXX-XXXX.
This survey includes sections on professional certifications and licenses, educational certificates and other education degrees and classes, apprenticeship programs, and other classes taken for work or personal interest. You will be asked to answer only the sections that apply to you.
EDUCATIONAL ATTAINMENT
What is the highest degree or level of school you have completed? (Mark one.) [ACS Q11, low end rev.]
Elementary or high school, but no high school diploma or GED Go to question 4
High school diploma, GED, or other high school completion Go to question 3
Some college credit but less than one year of college credit Go to question 3
1 or more years of college credit, no degree Go to question 3
Associate’s degree (for example, AA, AS)
Bachelor’s degree (for example, BA, BS)
Master’s degree (for example, MA, MS, MEng, MEd, MSW, MBA)
Professional degree beyond a bachelor’s degree (for example, MD, DDS, DVM, LLB, JD)
Doctorate degree (for example, PhD, EdD)
What was the major or field of study for your highest level of education? If there was more than one, please choose the one you consider most important. [ACS Q12-BA only]
Write in: _[code to CIP]______________________________________________________________
Did you complete your high school requirements through a regular high school diploma, or through the GED or other high school equivalency? (Mark one.) [NHES:05 AA4Rev]
Regular high school diploma
GED or other high school equivalency
Do you have a professional certification or a state or industry license? A professional certification or license shows you are qualified to perform a specific job and includes things like Licensed Realtor, Certified Medical Assistant, Certified Construction Manager, a Project Management Professional or PMP certification, or an IT certification. [ATES CN1]
Yes
No Go to question 20
Thinking of all the certifications and licenses you have, did you get any of them for work-related reasons, or were they all for personal interest? (Mark one.) [ATES CN6Rev]
One or more for work-related reasons
All for personal interest Go to question 20
CERTIFICATION AND LICENSURE
We would like to know a few details about the certification or license that you earned most recently. Please answer the questions in this section only about this MOST RECENT certification or license.
In what year did you get your MOST RECENT certification or license? [ATES CN5]
Write in year: __ __ __ __
Who awarded this certification or license? (Mark one.) [ATES CN14Rev]
Federal, state, or local government
Professional or trade association (for example, Pediatric Nursing Certification Board, National Exercise and Sports Trainers Association, CompTIA)
Business or company (for example, Microsoft, 3M Company, Xerox)
Other group or organization (specify: ___________________________________________)
Why did you get this certification or license? (Mark one for each item.) [new, cf. NHES:05, SIPP]
Yes No
□ □ To get a job
□ □ To change careers
□ □ To get a promotion or raise in pay
□ □ To stay current in my field or expand my job skills
□ □ To start my own business
□ □ To meet an employer requirement
□ □ Other (specify: _____________________________________________________)
Did you have to demonstrate skills while on the job or pass a test or exam to get this certification or license? [ATES CN10aRev]
Yes
No
What kind of courses, training, or instruction did you take in order to prepare for this certification or license? (Mark all that apply.) [new]
I did not need any courses, training, or instruction
I took vocational or occupationally focused high school courses
I took courses from a trade school, community or technical college, or other college or university
I took courses from a private company or my employer
I participated in on-the-job training, an internship, or an apprenticeship
I studied on my own
I took other courses, training, or instruction (specify: ______________________________)
D
o you have to earn continuing education units (CEUs) or other professional development credits to maintain this certification or license? [ATES CN11Rev]
Yes
No Go to question 14
Which one of the following best describes the MOST RECENT activity you engaged in to earn your CEUs or other professional development credits for this certification or license? (Mark one.) [new]
Have not yet had to meet these requirements go to question 14
Attended conference or demonstration (on-line or in-person)
Completed class or seminar (on-line or in-person)
Read instructional materials (on-line or hardcopy)
Other (specify: ___________________________________________________________)
Who was the main provider of the instruction or learning materials for the activity you indicated in question 12? (Mark one.) [new]
My employer
A group other than my employer:
Professional or trade association
Labor union or labor organization
Community or technical college, trade school, college, or university
Federal, state, or local government
Private training company
Other (specify: _________________________________________________________)
What is the name of your MOST RECENT certification or license? Please do not use abbreviations. [ATES CN3A]
Write in: _[code to SOC]____________________________________________________________
What kind of work is this certification or license for? (For example: teaching, vocational nursing, computer network administration, auditing, truck driving) [ATES CN3]
Write in: _[code to SOC]____________________________________________________________
Could this certification or license be used if you wanted to get a job with any employer in that line of work? If you have a state certification or license that can be used state-wide, please answer “yes”. [ATES CN15b]
Yes
No
I
s this certification or license for the job you have now? If you are currently not employed, please answer “no”. (Mark one.) [ATES CN12Rev, CN13]
No
Y
es,
and it is required for my job Go to question 20Yes, but it is NOT required for my job
Is this certification or license for a job you held in the past, or for a job you plan to hold in the future? (Mark one for each item.) [new]
Yes No
□ □ For a job that I held in the past
□ □ For a job that I plan to hold in the future
Other than your most recent certification or license, do you have another certification or license for the job you have now? If you are currently not employed, please answer “no”. [new]
Yes
No
Some people complete a program of study at a trade school, community or technical college, or other college or university in order to earn an educational certificate rather than a degree. Sometimes this is called a vocational diploma, for example, a cosmetology or mechanics diploma, which differs from a high school diploma. Have you ever earned this type of educational certificate? [ATES, CT1Rev]
Yes
No Go to question 30 after the orange section
Thinking of all the educational certificates you have, which one of the following best describes them? (Mark one.) [new]
All of my educational certificates were for people who had at least a bachelor’s degree Go to question 30 after the orange section
One or more of my educational certificates were NOT for people who had a bachelor’s degree
EDUCATIONAL CERTIFICATES
Of the educational certificates or diplomas you earned after high school, we would like to know a few details about the one you earned most recently. We will use the word “certificate” to refer to this educational certificate or diploma. Please answer the questions in this section about this MOST RECENT certificate.
In what year did you earn this MOST RECENT certificate? [ATES CT6]
Write in year: __ __ __ __
H
ow long did it take you to earn this certificate? (Mark one.) [new—FSA uses 10 week min.]
Less than 10 weeks (2 ½ months)
10 weeks (2 ½ months) or more, but less than one year
One year or more
I don’t know
What type of school awarded this certificate? (Mark one.) [ATES CT8Rev]
Trade, vocational, or business school
Community or technical college
Other college or university
Other type of school (specify: _________________________________________________)
Was this certificate part of the coursework or training for a professional certification or a state or industry license? [ATES CT2cRev]
Yes
No
What was the primary subject or field of study for this certificate? [ATES CT3Rev]
Write in: _[code to CIP]_____________________________________________________________)
Is the subject field of this certificate related to the job you have now? If you are currently not employed, please answer “no.” [ATES CT12Rev]
No
Yes Go to question 29
Is the subject field of this certificate related to a job you held in the past or to a job you plan to hold in the future? (Mark one for each item.) [new]
Yes No
□ □ Related to a job that I held in the past
□ □ Related to a job that I plan to hold in the future
Why did you get this certificate? (Mark one for each item.) [new, cf. NHES:05, SIPP]
Yes No
□ □ To get a job
□ □ To change careers
□ □ To get a promotion or raise in pay
□ □ To stay current in my field or expand my job skills
□ □ To start my own business
□ □ To get a professional certification or license
□ □ Other (specify: ____________________________________________________)
In a formal apprenticeship program, an apprentice receives both instruction and on-the-job training and is paid a training salary. Have you ever participated in this type of apprenticeship program? (Do not count student teaching, medical internship or residency, or unpaid internships. Mark one.) [new]
Y
es,
I have COMPLETED this type of programYes, I am currently participating in this type of program Go to question 36 after
No, I have not participated in this type of program the purple section
In what year did you complete this apprenticeship program? [NHES:05 AF5]
Write in year: __ __ __ __
Did this apprenticeship program lead to a Certificate of Completion of Apprenticeship from your state or from the U.S. Department of Labor? [new]
Yes
No
I don’t know
As part of this apprenticeship program, did you take any courses from a community or technical college or from another college or university? [new]
Yes
No
Was this apprenticeship program for the job or industry you work in now? If you are currently not employed, please answer “no”. [new]
Yes Go to question 36
No
What occupation was this apprenticeship program for? (For example: carpenter, electrician, water treatment operator, emergency medical technician) [new]
Write in: _[code to SOC]___________________________________________________________
Are you currently taking classes from a trade school, community or technical college, or other college or university? If you are on summer break or another school break, please answer “yes”. [new]
Yes
No Go to question 47 after the blue section
Are you taking these classes to earn a diploma, certificate, or degree? (Do not count professional certifications or licenses.) [new]
Yes
No Go to question 40 in the blue section
What diploma, certificate, or degree are you earning? (Mark one.) [NHES:05 AD2Rev]
Diploma or certificate below the bachelor’s degree level
Associate’s degree (for example, AA, AS, AAS)
Bachelor’s degree (for example, BA, AB, BS, BFA)
Certificate above the bachelor’s degree level
Master’s degree (for example, MA, MS, MEng, MEd)
Professional or doctorate degree (for example, MD, DDS, DVM, LLB, JD, PhD, EdD)
Are you going to school full time or part time? If you are on a school break, please respond for your enrollment before you went on break. (Mark one.) [NHES:05 AD11Rev]
F
ull
time Go to question 47 after
the blue section
Part time
COLLEGE
CLASSES
How many classes are you currently taking? (Mark one.) [new]
One class
Two or more classes
Which one of the following best describes the type of classes you are taking? (Mark one.) [new]
All my classes are for college credit
Some of my classes are for college credit, some are not for credit
All of my classes are not for credit
I don’t know whether my classes are for college credit
Why are you are taking these classes? (Mark one for each item.) [NHES:05 AH2 and PIAAC, revised; NHES:05 AH2eRev, AH6Rev]
Yes No
□ □ To get a job
□ □ To change careers
□ □ To get a promotion or raise in pay
□ □ To stay current in my field or expand my job skills
□ □ To start my own business
□ □ To get a professional certification or license
□ □ To earn CEUs or other professional development credits
□ □ To help me decide if I want to get a diploma, certificate, or degree
□ □ Classes are required to enter a college program
□ □ Personal interest in the subject of the classes
□ □ Other (specify: ______________________________________________________)
What is the primary subject or field of study for these classes? If you are taking classes in different subjects, please list the subject you consider your main interest or focus. [NPSAS]
Write in: _[code to CIP]_____________________________________________________________
Did your employer require that you take any of these classes? [NHES:05 AH11]
Yes
No
Not relevant—I am not employed or I am self-employed Go to question 47
after the blue section
For any of these classes, is your employer paying your tuition or fees, or reimbursing you for your tuition or fees? (Mark one.) [NHES:05 AH16Rev; cf. PIAAC BQ11]
Yes, my employer is paying all of the tuition and fees
Yes, my employer is paying part of the tuition and fees
No
Are any of these classes designed specifically for employees at your company? [new]
Yes
No
I don’t know
OTHER THAN THE CLASSES YOU DESCRIBED ABOVE, in the past 12 months, have you completed any other courses, training, or formal instruction, either at work or outside of work? This includes work-related courses, seminars, or workshops on topics such as job safety, work ethics or other regulations, equipment use, communication or team-building, computer or technical skills, management skills, or other job skills. It also includes sessions, seminars, or classes on topics not related to work, such as fitness classes, art, dance or music lessons, Bible study, learning to speak English, or basic education classes for those who have not completed high school.
Have you completed any instruction or training like this IN THE PAST 12 MONTHS? [NHES:05 AG1Rev]
Yes
No Go to question 53 after the pink section
OTHER INSTRUCTION OR TRAINING
In the past 12 months, which of the following types of instruction or training have you completed? (Mark all that apply.) [SEPT Q1Rev, PIAAC B_Q27a-cUSX for basic skills]
Job training
Safety and compliance training (includes information on company or professional procedures and regulations concerning legal, ethical, and safety issues)
Communication or team training (includes training to improve communication in the workplace, encourage teamwork, or to re-organize work teams and work flow)
Management training (includes training in supervising employees and in implementing employment practices, regulations, and policies)
Job skills training (includes training to develop the skills you need to do your work, such as sales and customer relations training, professional or technical skill development, use of computer applications, and other practical job skills)
Basic skills education
Basic reading, writing or arithmetic instruction (instruction for adults at the elementary or high school level)
High school completion (classes to prepare for the GED or other adult high school program)
English language instruction (classes to learn to speak English)
Personal development (instruction related to hobbies and interests outside of work)
Other (specify: ______________________________________________________________)
Did any one of these activities last, in total, at least 8 hours? [new]
Yes
No Go to question 53 after the pink section
We would like to know a few details about your most recently completed instruction or training that lasted at least 8 hours. Please answer the questions in the rest of this section only about this MOST RECENT completed instruction or training that lasted AT LEAST 8 HOURS.
Which one of the following best describes this instruction or training? (Mark one.) [SEPT Q1Rev]
Safety and compliance training
Communication or team training
Management training
Job skills training
Basic reading, writing, or arithmetic instruction
High school completion
English language instruction
Personal interest or development Go to question 53 after the pink section
Other (specify: ______________________________________________________________)
Was this instruction or training that your employer offered at no charge during working hours? [new]
Yes
No
Not relevant—I was self-employed or not employed when I took the course or instruction
Why did you take this instruction or training? (Mark one for each item.) [NHES:05 AH6Rev]
Yes No
□ □ To get a job
□ □ To change careers
□ □ To get a promotion or raise in pay
□ □ To stay current in my field or expand my job skills
□ □ To start my own business
□ □ To get a professional certification or license
□ □ To earn CEUs or other professional development credits
□ □ To meet an employer requirement
□ □ Other (specify: _______________________________________________________)
EMPLOYMENT
Which one of the following best describes your current employment situation? If you are on vacation or sick leave from a job, please select one of the “employed” responses. (Mark one.) [PIAAC C_Q07Rev and NHES:11 Q104Rev]
Employed full time Go to question 55
Employed part time only (no full-time work)
Not employed Go to question 65
What is the main reason you work part-time? (Mark one.) [CPS Mar Q45rev]
I cannot find a full-time job
My employer has a shortage of work or materials
I want to work part time or am only able to work part-time
Other reason (specify: ________________________________________________________)
Are you employed by government, a private company, or a nonprofit organization or are you self-employed? If you have more than one job, please answer this question and questions 56-60 for the job for which you work the most hours. (Mark one.) [CPS Mthly]
Government
Private company
Nonprofit organization
Self employed
For whom do you work? [CPS Q47a, ACS Q42, NHES:05 AL21]
Name of company, business,
organization, or other employer: _[code to NAICS]_________________________________________
What kind of business or industry is this? [CPS Q47b, ACS Q43, NHES:05 AL21] (For example: hospital, newspaper publishing, mail order house, auto engine manufacturing, bank [ACS])
Write in: _[code to NAICS]_____________________________________________________________
Is this business or industry mainly manufacturing, wholesale trade, retail trade, or something else (agriculture, construction, service, government, etc.)? (Mark one.) [CPS Q47b1, ACS Q44]
Manufacturing
Wholesale trade
Retail trade
Something else
What kind of work do you do? [CPS Q47c, ACS Q45, NHES:05 AL23] (For example: registered nurse, personnel manager, supervisor of order department, secretary, accountant [ACS])
Write in: _[code to SOC]_______________________________________________________________
What are your most important activities or duties at this job? [CPS Q47d1, ACS Q46, NHES:05 AL23] (For example: patient care, directing hiring policies, supervising order clerks, typing and filing, reconciling financial records [ACS])
Write in: _[code to SOC]_______________________________________________________________
Are you a member of a labor union or of an employee association similar to a union (for example, AFL-CIO, Change to Win Federation, NEA)? [CPS Mthly ERNCOV--added examples]
Yes
No
How many hours PER WEEK do you usually work for pay or income, counting all jobs? [NHES:11 Q105, ACS Q40Rev]
__ __ hours per week
IN THE PAST 12 MONTHS, how many months have you worked for pay or income? Include paid vacation and sick leave. [NHES:11 Q107]
__ __ months
Which category best fits your earnings from wages, salary, commissions, bonuses or tips, from all jobs over the PAST 12 MONTHS? Report amount before deductions for taxes, bonds, dues or other items. (Mark one.) [ACS Q47aRev, NHES:11 Q133 categories ]
$0 to $10,000
$10,001 to $20,000
$20,001 to $30,000
$30,001 to $40,000
$40,001 to $50,000 Go to question 75
$50,001 to $60,000
$60,001 to $75,000
$75,001 to $150,000
$150,001 or more
Which one of the following best describes why you are currently not employed? (Mark one.) [PIAAC C_Q07Rev and NHES:11 Q104Rev]
Unemployed or out of work
H
omemaker
or caretaker of children/familyStudent
Retired Go to question 75
Disabled
Other (specify: ____________________________)
When did you last work at a job for pay or income? Please write in the month and year. [CPS Mthly LKDATY]
Month: _______________________________ Year: __ __ __ __
Have never worked at a job for pay or income
Have you been actively looking for work in the past 4 weeks? [NHES:11 Q106]
Yes
No
Last week, could you have started a job if offered one, or returned to work if recalled? (Mark one.) [ACS Q37; not in NHES:11]
Yes
No, because of temporary illness
No, for some other reason (in school, etc.)
At your last job, were you employed by government, a private company, or a nonprofit organization, or were you self-employed? (Mark one.) [CPS Mthly]
Government
Private company
Nonprofit organization
Self employed
At your last job, for whom did you work? [CPS Q47a, ACS Q42, NHES:05 AL21]
Name of company, business,
organization, or other employer: _[code to NAICS]_________________________________________
What kind of business or industry was this? [CPS Q47b, ACS Q43, NHES:05 AL21] (For example: hospital, newspaper publishing, mail order house, auto engine manufacturing, bank [ACS])
Write in: _[code to NAICS]_____________________________________________________________
Was this business or industry mainly manufacturing, wholesale trade, retail trade, or something else (agriculture, construction, service, government, etc.)? (Mark one.) [CPS Q47b1, ACS Q44]
Manufacturing
Wholesale trade
Retail trade
Something else
At your last job, what kind of work did you do? [CPS Q47c, ACS Q45, NHES:05 AL23] (For example: registered nurse, personnel manager, supervisor of order department, secretary, accountant [ACS])
Write in: _[code to SOC]_______________________________________________________________
What were your most important activities or duties at this job? [CPS Q47d1, ACS Q46, NHES:05 AL23] (For example: patient care, directing hiring policies, supervising order clerks, typing and filing, reconciling financial records [ACS])
Write in: _[code to SOC]_______________________________________________________________
BACKGROUND
Are you male or female? [NHES:11 Q94]
Male
Female
How old are you? [NHES:11 Q108]
__ __ years old
What is your current marital status? (Mark one.) [NPSAS N12MARR]
Single, never married
Married
Living with partner
Separated
Divorced
Widowed
Are you of Hispanic or Latino origin? [NPSAS N12HISP]
Yes
No
What is your race? Choose one or more. [NPSAS N12RAC1]
White
Black or African American
Asian
American Indian or Alaska Native
Native Hawaiian or other Pacific Islander
What was the first language you learned to speak? (Mark one.) [NHES:11 Q56, revised response categories]
English Go to question 82
A language other than English
English and another language equally
What language do you speak most at home NOW? (Mark one.) [NHES:11 Q97, revised response categories]
English
A language other than English
English and another language equally
Where were you born? (Mark one.) [NHES:11 Q98]
One of the 50 United States or the District of Columbia Go to question 84
One of the U.S. territories (Puerto Rico, Guam, American Samoa, U.S. Virgin Islands, or Mariana Islands)
Another country
How old were you when you first moved to the 50 United States or the District of Columbia? [NHES:11 Q99]
__ __ years old
Which category best fits the total income of all persons in your household over the past 12 months? Include your own income. Include money from jobs or other earnings, pensions, interest, rent, Social Security payments, and so on. (Mark one.) [NHES:11 Q133]
$0 to $10,000
$10,001 to $20,000
$20,001 to $30,000
$30,001 to $40,000
$40,001 to $50,000
$50,001 to $60,000
$60,001 to $75,000
$75,001 to $150,000
$150,001 or more
THANK YOU.
Please return this questionnaire in the postage-paid envelope
provided.
If you have lost the envelope, mail the questionnaire to:
U.S. Census Bureau
ATTN: xxxxx
1201 E. 10th Street
Jeffersonville, IN 47132-0001
| File Type | application/msword |
| Author | Authorised User |
| Last Modified By | Lisa Hudson |
| File Modified | 2012-08-13 |
| File Created | 2012-08-13 |
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