Form Approved
OMB No: 0920-0445
Expiration Date: xx/xx/xxxx
Physical
Education and Activity
Classroom Questionnaire
 §
§
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Physical Education and
Activity
Classroom Questionnaire
Questions
General Course Characteristics and Content 1–2
Physical Activities 3–12
Teaching and Evaluation Techniques 13–33
Students with Disabilities 34–36
Respondent Background 37–49
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. COMMENTS APPEARING IN THE MARGIN REPRESENT ASSISTANCE AVAILABLE TO THE RESPONDENT IF ADDITIONAL CLARIFICATION IS REQUIRED ON THE QUESTION OR THE SPECIFIC TERMINOLOGY USED. WHEN ASKED, THE INTERVIEWER WILL READ THESE STATEMENTS ALOUD TO THE RESPONDENT. 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 2013-2014 SCHOOL YEAR WITH A CORRESPONDING LIST OF TEACHERS FOR EACH COURSE. IF THE NUMBER OF REQUIRED PHYSICAL EDUCATION COURSES WAS TWO OR FEWER, ALL THE COURSES WERE SELECTED. IF THE NUMBER OF REQUIRED PHYSICAL EDUCATION COURSES EXCEEDED TWO, TWO 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.
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
At the end of the class, how many students were enrolled in the class?
Students
In that class, did you teach…
Yes No
ANSWER A FOR ELEMENTARY SCHOOL ONLY.
OTHERWISE, SKIP TO B.
Movement concepts and skills? 1 2
Individual or paired activities? 1 2
Group or team activities? 1 2
Aquatic activities? 1 2
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
How many contact hours did your students spend in this class on…
Number of Hours
Space awareness, such as space, directions, or levels? 0 1 2 3 4 5 6 7 8 9 10 11 12
Locomotor skills, such as walking, skipping, or hopping? 0 1 2 3 4 5 6 7 8 9 10 11 12
Manipulative skills, such as throwing, catching, kicking, or striking? 0 1 2 3 4 5 6 7 8 9 10 11 12
Non-locomotor skills, such as bending, twisting, or rocking? 0 1 2 3 4 5 6 7 8 9 10 11 12
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 spent on lead-up skills, skills specific to the activity, or modified versions of the activity.
How many contact hours did your students spend in this class on…
Number of Hours
Aerobics, such as step or low-impact? 0 1 2 3 4 5 6 7 8 9 10 11 12
Archery? 0 1 2 3 4 5 6 7 8 9 10 11 12
Badminton? 0 1 2 3 4 5 6 7 8 9 10 11 12
Bowling? 0 1 2 3 4 5 6 7 8 9 10 11 12
Canoeing or kayaking? 0 1 2 3 4 5 6 7 8 9 10 11 12
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
Climbing ropes or wall ladders? 0 1 2 3 4 5 6 7 8 9 10 11 12
Climbing walls? 0 1 2 3 4 5 6 7 8 9 10 11 12
Physical activity or fitness stations? 0 1 2 3 4 5 6 7 8 9 10 11 12
Frisbee or frisbee golf? 0 1 2 3 4 5 6 7 8 9 10 11 12
Golf? 0 1 2 3 4 5 6 7 8 9 10 11 12
Gymnastics? 0 1 2 3 4 5 6 7 8 9 10 11 12
Hiking, backpacking, or orienteering? 0 1 2 3 4 5 6 7 8 9 10 11 12
Jumping rope? 0 1 2 3 4 5 6 7 8 9 10 11 12
Martial arts? 0 1 2 3 4 5 6 7 8 9 10 11 12
Non-stationary bicycling? 0 1 2 3 4 5 6 7 8 9 10 11 12
Pilates? 0 1 2 3 4 5 6 7 8 9 10 11 12
(Q5 continued)
Number of Hours
Racquet sports, other than tennis, such as racquetball, squash, or paddleball? 0 1 2 3 4 5 6 7 8 9 10 11 12
Rock climbing? 0 1 2 3 4 5 6 7 8 9 10 11 12
Running or jogging? 0 1 2 3 4 5 6 7 8 9 10 11 12
Skating, such as roller, in-line, or ice skating, or skateboarding? 0 1 2 3 4 5 6 7 8 9 10 11 12
Skiing, such as cross-country, downhill, or water skiing? 0 1 2 3 4 5 6 7 8 9 10 11 12
Student-designed games? 0 1 2 3 4 5 6 7 8 9 10 11 12
Table tennis or Ping-Pong? 0 1 2 3 4 5 6 7 8 9 10 11 12
Tennis? 0 1 2 3 4 5 6 7 8 9 10 11 12
Track and field? 0 1 2 3 4 5 6 7 8 9 10 11 12
Walking? 0 1 2 3 4 5 6 7 8 9 10 11 12
Weight training? 0 1 2 3 4 5 6 7 8 9 10 11 12
Wrestling? 0 1 2 3 4 5 6 7 8 9 10 11 12
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 spent on lead-up skills, skills specific to the activity, or modified versions of the activity.
How many contact hours did your students spend in this class on…
Number of Hours
	Baseball, softball, or
whiffleball?	0	1	2	3	4	5	6	7	8	9	10	11	12
Basketball? 0 1 2 3 4 5 6 7 8 9 10 11 12
Dodgeball or bombardment? 0 1 2 3 4 5 6 7 8 9 10 11 12
Touch or flag football? 0 1 2 3 4 5 6 7 8 9 10 11 12
Hockey, such as field, floor, roller, or ice hockey? 0 1 2 3 4 5 6 7 8 9 10 11 12
Kickball? 0 1 2 3 4 5 6 7 8 9 10 11 12
Lacrosse? 0 1 2 3 4 5 6 7 8 9 10 11 12
Soccer? 0 1 2 3 4 5 6 7 8 9 10 11 12
Student-designed games? 0 1 2 3 4 5 6 7 8 9 10 11 12
Ultimate frisbee? 0 1 2 3 4 5 6 7 8 9 10 11 12
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
How many contact hours did your students spend in this class playing…
Number of Hours
Duck-duck-goose? 0 1 2 3 4 5 6 7 8 9 10 11 12
Elimination tag? 0 1 2 3 4 5 6 7 8 9 10 11 12
King of the hill or capture the flag? 0 1 2 3 4 5 6 7 8 9 10 11 12
Red rover? 0 1 2 3 4 5 6 7 8 9 10 11 12
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 5
The next questions are about the amount of time spent on dance activities. Please include any time you spent on lead-up skills, skills specific to the activity, or modified versions of the activity.
How many contact hours did your students spend in this class on…
Number of Hours
Folk or multicultural dances? 0 1 2 3 4 5 6 7 8 9 10 11 12
Performing art dances, such as ballet, jazz, tap, or modern dances? 0 1 2 3 4 5 6 7 8 9 10 11 12
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
Square dances? 0 1 2 3 4 5 6 7 8 9 10 11 12
During a typical class period, how many minutes did you provide for students to…
Minutes
Change clothes before class? _____
Have roll taken, listen to announcements,
	and
participate in other administrative tasks while
not
	being physically active?	_____
Do warm-up activities? _____
Receive instruction through lecture or demonstration? _____
Do skills drills? _____
Participate in games, sports, or dance? _____
Do cool-down activities? _____
Shower or change clothes after activities? _____
SHOW CARD 6
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,” I mean some advanced planning on your part was involved; the subject was not just brought up in class.
Did you teach about…
Yes No
The difference between physical
	activity, exercise,
and fitness?	1	2
The difference between moderate and
	vigorous
physical activity?	1	2
The physical, psychological, or social
	benefits
of physical activity?	1	2
The role of physical activity in reducing
	risk for chronic
diseases, such as diabetes, heart disease, or
	osteoporosis?	1	2
Health-related fitness, that is,
	cardiovascular endurance,
muscular endurance, muscular
	strength, flexibility,
and body composition?	1	2
Skill-related fitness, that is, agility,
	power, balance, speed,
and coordination?	1	2
Phases of an exercise session, that is
	warm-up, workout,
and cool down?	1	2
How much physical activity is enough, that
	is, determining
frequency, intensity, duration, and type of
	physical activity?	1	2
(Q10 continued)
Yes No
Mechanics of movement, such as the role of
	muscles
in movement, force absorption, or throwing
	mechanisms?	1	2
Setting personal goals for physical activity participation? 1 2
ANSWER K AND L FOR MIDDLE AND HIGH SCHOOL ONLY.
OTHERWISE, SKIP
TO M.
Developing an individualized physical activity plan? 1 2
Monitoring progress toward reaching goals
	in
an individualized physical activity plan?	1	2
Identifying and overcoming barriers to physical activity? 1 2
Opportunities for physical activity in the community? 1 2
How to find valid information, services, or
	products
related to physical activity and fitness?	1	2
Balancing food intake and physical activity
	to maintain
a healthy weight?	1	2
The importance of healthy eating? 1 2
Preventing injury during physical activity? 1 2
Weather-related safety, for example avoiding
	heat stroke,
hypothermia, and sunburn while physically
	active?	1	2
Dangers of using performance-enhancing
	drugs
and supplements, such as steroids?	1	2
When planning to teach or teaching the class, did you use…
Yes No
Any state-developed curricula
	or standards
	for
physical education?	1	2
Any district-developed curricula
	or standards
	for
physical education?	1	2
Any school-developed curricula
	or standards
	for
physical education?	1	2
Internet resources, such as PE Central or
	NASPE’s
Teacher’s
	Toolbox?	1	2
Any commercially developed curricula? 1 2
A commercially developed student textbook? 1 2
A commercially developed teacher's guide? 1 2
Physical education student performance
	assessment
materials?	1	2
Any materials from health organizations,
	such as
the American Heart Association or the American
Cancer
	Society?	1	2
Any materials from the President’s
	Council on Fitness,
Sports and Nutrition?	1	2
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
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 INTRODUCTION TO Q15.
SHOW CARD 7
When teaching the class, how often did you…
				Almost
			Some-	Always
or
	Never	Rarely	times	Always	N/A
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
Call students by name? 1 2 3 4
Engage in physical activity
	with
students?	1	2	3	4
Select team captains? 1 2 3 4
Have team captains choose
	team
members?	1	2	3	4
Encourage prosocial behaviors,
	that is,
cooperation, conflict resolution, and
helping
	others?	1	2	3	4
Organize games that
	eliminated
students?	1	2	3	4
Use protective clothing and safety
	gear
that is appropriate to child’s size and
in good
	shape?	1	2	3	4	5
Have many students stand in line
	or
on the sidelines watching others and
waiting for a
	turn?	1	2	3	4
Use safe, age-appropriate equipment? 1 2 3 4
Organize activities in which fewer
	than
half of the students were physically
active at the
	same time?	1	2	3	4
Minimize exposure to sun, smog,
	and
extreme temperatures?	1	2	3	4
(Q13 continued)
				Almost
			Some-	Always
or
	Never	Rarely	times	Always	N/A
Allow highly skilled students
	to
dominate activities and games?	1	2	3	4
Offer activities that take into
	account
gender and cultural differences in
students’
	interests?	1	2	3	4
Provide students with options
	for
performing physical activities at
varying skill
	levels?	1	2	3	4
Use infection control practices
	for
handling blood and other bodily fluids?	1	2	3	4	5
When teaching the class, how often did you…
				Almost
			Some-	Always or
	Never	Rarely	times	Always
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
Use smaller numbers of students
	per
team and more teams for traditional
sports
	games?	1	2	3	4
Ensure all students have a piece
	of
physical activity or fitness equipment?	1	2	3	4
Keep students active when
	checking
attendance?	1	2	3	4
SHOW CARD 8
The next questions ask about the use of various teaching methods.
How often did you use…
			Some-	
	Never	Rarely	times	Often
Competitive group activities? 1 2 3 4
Cooperative group activities? 1 2 3 4
Skills drills? 1 2 3 4
Physical activity or fitness stations? 1 2 3 4
Pledges or contracts for behavior change? 1 2 3 4
Guest speakers? 1 2 3 4
Peer teaching? 1 2 3 4
Heart rate monitors? 1 2 3 4
Physical activity monitors, such
	as
pedometers?	1	2	3	4
The Internet? 1 2 3 4
Student physical activity logs or journals? 1 2 3 4
Field trips as a method of instruction? 1 2 3 4
Did you ask students to…
Yes No
Perform volunteer work with a
	local physical activity
program or event, for example Little
	League or a fun run?	1	2
Participate in or attend a community health fair? 1 2
Gather information about physical activity
	programs
that are available in the community, for example
	activities
at clubs or parks?	1	2
Did you…
Yes No
Provide families of all students
	in the class with
information on the class?	1	2
Give students homework or projects that
	involve
family members?	1	2
Invite families of all students in the class
	to attend
the class?	1	2
Provide strategies to help students promote
	physical
activity among family members?	1	2
Collect suggestions from students about the class? 1 2
Collect suggestions from students’
	families about
the class?	1	2
Did you invite your principal or other school administrators to observe the class?
Yes 1
No 2
In this class, did you give…
Yes No
Written tests of students’
	knowledge related to
physical education?	1	2
Skill performance tests related to physical education? 1 2
Fitness tests? 1 2
ANSWER Q20–Q25 IF YOU GAVE FITNESS TESTS IN THIS CLASS (Q19C IS “YES”). OTHERWISE, SKIP TO THE INSTRUCTIONS BEFORE Q26.
How many times did you give fitness tests in this class?
Once 1
Twice 2
Three or more times 3
SHOW CARD 9
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
Did you schedule time during class periods for the students in this class to practice for the fitness tests?
Yes 1
No 2
Did you compare these students’ fitness test scores with…
Yes No
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
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
The students’ prior fitness test scores? 1 2
The students’ fitness goals? 1 2
Did you provide students with an explanation of what their fitness test scores meant?
Yes 1
No 2
Did you share the students’ fitness test scores with…
Yes No
Students’ parents or guardians? 1 2
The principal or other school administrators? 1 2
ANSWER Q26 FOR MIDDLE AND HIGH SCHOOL ONLY. OTHERWISE, SKIP TO Q31.
Were students required to develop individualized physical activity plans?
Yes 1
No 2 SKIP TO Q31
ANSWER Q27 IF YOU GAVE FITNESS TESTS IN THIS CLASS (Q19C IS “YES”). OTHERWISE, SKIP TO Q28.
Did students use their fitness test scores to help develop individualized physical activity plans?
Yes 1
No 2
Did you provide students with individual feedback on their physical activity plans?
Yes 1
No 2
Did you provide students with instruction on how to monitor adherence to their physical activity plans?
Yes 1
No 2
Did you require that students’ plans include…
Yes No
Physical activity goals? 1 2
Fitness goals? 1 2
Specific rewards for meeting goals? 1 2
Scheduled times for engaging in physical activity? 1 2
A process for assessing progress toward
	goals,
such as self-monitoring or self-management?	1	2
Identification of barriers to physical
	activity and 
strategies to overcome them?	1	2
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 10
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.
Did you assess students based on…
Yes No
Attendance? 1 2
Wearing appropriate clothing for physical activity? 1 2
Level of participation? 1 2
Attitude? 1 2
Knowledge tests? 1 2
Movement skills performance tests? 1 2
Level of physical activity outside of
	physical education
class, as measured by physical activity
	logs, pedometers,
or other measures?	1	2
ANSWER H IF YOU GAVE FITNESS TESTS IN THIS CLASS (Q19C IS “YES”). OTHERWISE, SKIP TO THE INSTRUCTIONS BEFORE Q33.
Physical fitness test scores? 1 2
ANSWER Q33 IF YOU REQUIRED STUDENTS TO DEVELOP INDIVIDUALIZED PHYSICAL ACTIVITY PLANS IN THIS CLASS (Q26 IS “YES”). OTHERWISE, SKIP TO THE INTRODUCTION TO Q34.
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.
Were there any students with long-term physical, medical, or cognitive disabilities in the class?
Yes 1
No 2 SKIP TO THE INTRODUCTION TO Q37
Was there…
Yes No
An adapted physical education
	teacher or specialist
who taught students with
	disabilities?	1	2
A special education teacher with whom you
	coordinated
activities for students with disabilities?	1	2
A physical or occupational therapist who
	came in to assist
students with disabilities?	1	2
A teacher or aide who came in to assist
	students
with disabilities?	1	2
In teaching these students, did you use…
Yes No
Simplified instructional content
	or variations in the
amount or difficulty of material
	taught?	1	2
More skill modeling, practice, or repetition? 1 2
Modified equipment or facilities? 1 2
Modified instructional strategies? 1 2
Modified assessment? 1 2
Peer teaching or coaching? 1 2
My last set of questions asks about your teaching experience and educational background.
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 Q39.
Have you
	ever taught an online or distance physical education class for any
	of
grades K–12?
Yes 1
No 2
Do you coach an interscholastic sport?
Yes 1
No 2
Do you have an undergraduate degree?
Yes 1
No 2 SKIP TO Q46
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 Q44
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 Q46
In what
	area or areas was your graduate work?
MARK ALL THAT APPLY
Physical education 1
Health education 2
Other education 3
Kinesiology, exercise physiology,
or exercise science	4
Other (Specify) 5
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
Elementary school? 1 2 3
Middle school? 1 2 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 11
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.
During the past two years, did you receive any professional development 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 and obese children
	during
physical education?	1	2
(Q47 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
physical activity clubs or intramural sports
	programs?	1	2
Developing, implementing, and evaluating a
	comprehensive
school physical activity program?	1	2
Establishing walking or biking to school programs? 1 2
Assessing student weight status using body
	mass index,
skinfolds, or bioelectric impedance?	1	2
Aligning physical education standards to
	curriculum,
instruction, or student assessment?	1	2
Teaching online or distance education courses? 1 2
Helping classroom teachers integrate
	physical activity
into their classrooms?	1	2
SHOW CARD 12
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
Administering or using fitness tests 6
Helping students develop individualized
physical activity
plans	7
Injury prevention and first aid 8
(Q48 continued)
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 and
obese 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 physical
activity clubs or
intramural sports programs	18
Developing, implementing, and evaluating
a comprehensive school
physical
activity program	19
Establishing walking or biking to
school programs	20
Assessing student weight status using
body mass index,
skinfolds,
or bioelectric impedance	21
Aligning physical education standards 
to curriculum,
instruction, or student 
assessment	22
Teaching online or distance education
courses	23
Helping classroom teachers integrate
physical activity into
their classrooms	24
None of these 25
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 and Activity Classroom Questionnaire—Public Use
	Version	
| File Type | application/msword | 
| File Title | Form Approved | 
| Author | dallen | 
| Last Modified By | Alice Roberts | 
| File Modified | 2012-12-12 | 
| File Created | 2012-12-12 |