This file contains a listing of every question asked of study children, parents, general classroom teachers, special education teachers, and school administrators in the spring second grade data collection round (with the exception of the direct assessment items). For each question, the question wording is provided, along with the item source, the construct the item measures, and the specific research question in Part C of this OMB package for which the item is intended to provide information. Each worksheet in this file pertains to one instrument. The worksheet name notes the specific instrument, as well as the appendix within the OMB package in which the full instrument can be found. Below is a list of the worksheet name and a full description of the instrument to which the worksheet pertains. |
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Worksheet Name | Instrument | |
App A Spring 3rd Child Quex | Spring Third-Grade Child Questionnaire, Appendix A | |
App B Spring 3rd Hearing Eval | Spring Third-Grade Child Questions for Hearing Evaluations, Appendix B | |
App C Spring 3rd Parent Interview | Spring Third-Grade Parent Interview, Appendix C | |
App D Spring 3rd TQA (Class) | Spring Third-Grade General Classroom Teacher Classroom-Level Questionnaire, Appendix D | |
App D Spring 3rd TQS (Subject) | Spring Third-Grade General Classroom Teacher Subject-Level Questionnaire, Appendix D | |
App D Spring 3rd TQC (Child) | Spring Third-Grade General Classroom Teacher Child-Level Questionnaire, Appendix D | |
App E Spring 3rd SpEd TQA | Spring Third-Grade Special Education Teacher Teacher-Level Questionnaire, Appendix E | |
App E Spring 3rd SpEd TQB (Child) | Spring Third-Grade Special Education Teacher Child-Level Questionnaire, Appendix E | |
App F Spring 3rd School Adm A | Spring Third-Grade School Administrator Questionnaire, Appendix F | |
App F Spring 3rd School Adm B | Spring Third-Grade School Administrator Questionnaire For Continuing Schools, Appendix F |
Spring Third-Grade Parent Interview, Appendix C | |||||
Section | Item # | Item Stem | Source | Construct | Research Question |
Introduction | CLQ005 | PLUG HEADPHONES INTO THE COMPUTER. POSITION LAPTOP IN FRONT OF THE CHILD. SAY: Now you are going to use the computer to tell us a little more about yourself. The computer will read some sentences and questions to you while you listen on the headphones [HOLD UP HEADPHONES]. SAY: Then you will pick the answer that best describes you by touching your answer on the computer screen [TOUCH THE MIDDLE OF THE COMPUTER SCREEN WITH ONE FINGER]. If you don’t want to pick an answer, you don’t have to. |
ECLS-K:2011 Pilot Test (modified) | Introduction | NA |
CLQ006 | POINT TO THE VOLUME CONTROL BUTTONS ON THE BOTTOM RIGHT CORNER OF THE COMPUTER SCREEN. SAY: To make the sound louder, [POINT TO THE RIGHT BUTTON] press the right button. To make the sound softer, [POINT TO THE MIDDLE BUTTON] press the middle button. If you want to turn the sound off, just turn the volume all the way down. SHOW THE CHILD HOW TO ADJUST THE SIZE OF THE HEADPHONES. SAY: Once you put the headphones on, you will hear directions about what to do. Do you have any questions? [PAUSE 23 SECONDS AND ANSWER ANY QUESTIONS.] SAY: Ok, go ahead and put these headphones on now. [HAND THE CHILD THE HEADPHONES.] Do the headphones fit OK? [ADJUST HEADPHONES IF NECESSARY.] |
ECLS-K:2011 Pilot Test (modified) | Introduction | NA | |
CLQ012 | Hello. Before we begin, let’s make sure the volume on the headphones is right for you. This is how loud it will be when the sentences are read to you. If it is too loud or too soft please change the volume now or ask for help. In a minute, sentences will appear on the screen, and they will be read to you along with a list of answers. Think about each sentence and decide how well it describes you. Once you've decided, touch your answer on the computer screen. You can touch your answer even if the computer is still reading to you. For these questions, there are no right or wrong answers, and all your answers are private. No one will be told the answers that you pick. And remember, be sure your answers tell me about YOU. Please touch the "Next" button and move to the next screen. |
ECLS-K:2011 Pilot Test (modified) | Introduction | NA | |
CLQ015 | For each sentence, decide how well it describes you. Is the sentence "Not at all true; A little bit true; Mostly true; or Very true" for you? A student, Maria, has already given an answer for one sentence to show you how to do it. The sentence read to Maria was I am neat and tidy. Maria touched the button on the screen with the answer "A little bit true" because she is not very neat, but she is not very messy either. Please touch the "Next" button and move to the next screen. |
ECLS-K:2011 Pilot Test (modified) | Introduction | NA | |
CLQ025 | If you want to change an answer, touch the "Erase" button and then touch the new answer you want to pick. If you want to go back and change any of the answers you already gave, touch the "Back" button and move to the past screen. Once there, touch the "Erase" button and then touch the new answer you want to pick. Now, let's practice. Listen to the following statement. Choose the answer that best describes you. After you choose, remember to touch the "Next" button. I like to watch TV. |
ECLS-K:2011 Pilot Test (modified) | Introduction | NA | |
CLQ028 | Great, thank you for practicing with me. One last thing before we begin: If there is a question that you do not want to answer, just touch the “Next” button to skip over it. When you touch the “Next” button without answering, the computer will ask if you want to skip the question, just to make sure you didn’t skip the question by accident. Please touch the "Next" button and move to the next screen. |
ECLS-K:2011 Pilot Test (modified) | Introduction | NA | |
Self-Description Questionnaire | CLQ030 | Let's begin. I have lots of friends. Please pick an answer and then touch the "Next" button or just touch the "Next" button to skip this question. |
Marsh, H.W. (1992). | Peer relationships | C1, C2 |
CLQ035 | I am good at SCIENCE. Please pick an answer and then touch the "Next" button or just touch the "Next" button to skip this question. |
Marsh, H.W. (1992). | Interest in Reading, Math, and Science Subjects | C1, C2 | |
CLQ050 | I enjoy doing work in SCIENCE. Please pick an answer and then touch the "Next" button or just touch the "Next" button to skip this question. |
Marsh, H.W. (1992). | Interest in Reading, Math, and Science Subjects | C1, C2 | |
CLQ055 | I like READING. Please pick an answer and then touch the "Next" button or just touch the "Next" button to skip this question. |
Marsh, H.W. (1992). | Interest in Reading, Math, and Science Subjects | C1, C2 | |
CLQ060 | I make friends easily. Please pick an answer and then touch the "Next" button or just touch the "Next" button to skip this question. |
Marsh, H.W. (1992). | Peer relationships | C1, C2 | |
CLQ065 | I cannot wait to do MATH each day. Please pick an answer and then touch the "Next" button or just touch the "Next" button to skip this question. |
Marsh, H.W. (1992). | Interest in Reading, Math, and Science Subjects | C1, C2 | |
CLQ075 | I like SCIENCE. Please pick an answer and then touch the "Next" button or just touch the "Next" button to skip this question. |
Marsh, H.W. (1992). | Interest in Reading, Math, and Science Subjects | C1, C2 | |
CLQ085 | I am interested in READING. Please pick an answer and then touch the "Next" button or just touch the "Next" button to skip this question. |
Marsh, H.W. (1992). | Interest in Reading, Math, and Science Subjects | C1, C2 | |
CLQ090 | I get along with kids easily. Please pick an answer and then touch the "Next" button or just touch the "Next" button to skip this question. |
Marsh, H.W. (1992). | Peer relationships | C1, C2 | |
CLQ095 | I cannot wait to READ each day. Please pick an answer and then touch the "Next" button or just touch the "Next" button to skip this question. |
Marsh, H.W. (1992). | Interest in Reading, Math, and Science Subjects | C1, C2 | |
CLQ100 | I am interested in MATH. Please pick an answer and then touch the "Next" button or just touch the "Next" button to skip this question. |
Marsh, H.W. (1992). | Interest in Reading, Math, and Science Subjects | C1, C2 | |
CLQ105 | I am easy to like. Please pick an answer and then touch the "Next" button or just touch the "Next" button to skip this question. |
Marsh, H.W. (1992). | Peer relationships | C1, C2 | |
CLQ120 | Other kids want me to be their friend. Please pick an answer and then touch the "Next" button or just touch the "Next" button to skip this question. |
Marsh, H.W. (1992). | Peer relationships | C1, C2 | |
CLQ130 | I like MATH. Please pick an answer and then touch the "Next" button or just touch the "Next" button to skip this question. |
Marsh, H.W. (1992). | Interest in Reading, Math, and Science Subjects | C1, C2 | |
CLQ135 | I have more friends than most other kids. Please pick an answer and then touch the "Next" button or just touch the "Next" button to skip this question. |
Marsh, H.W. (1992). | Peer relationships | C1, C2 | |
CLQ140 | I am good at READING. Please pick an answer and then touch the "Next" button or just touch the "Next" button to skip this question. |
Marsh, H.W. (1992). | Interest in Reading, Math, and Science Subjects | C1, C2 | |
CLQ145 | I am interested in SCIENCE. Please pick an answer and then touch the "Next" button or just touch the "Next" button to skip this question. |
Marsh, H.W. (1992). | Interest in Reading, Math, and Science Subjects | C1, C2 | |
CLQ155 | I enjoy doing work in MATH. Please pick an answer and then touch the "Next" button or just touch the "Next" button to skip this question. |
Marsh, H.W. (1992). | Interest in Reading, Math, and Science Subjects | C1, C2 | |
CLQ160 | I cannot wait to do SCIENCE. Please pick an answer and then touch the "Next" button or just touch the "Next" button to skip this question. |
Marsh, H.W. (1992). | Interest in Reading, Math, and Science Subjects | C1, C2 | |
CLQ165 | I enjoy doing work in READING. Please pick an answer and then touch the "Next" button or just touch the "Next" button to skip this question. |
Marsh, H.W. (1992). | Interest in Reading, Math, and Science Subjects | C1, C2 | |
CLQ170 | I am good at MATH. Please pick an answer and then touch the "Next" button or just touch the "Next" button to skip this question. |
Marsh, H.W. (1992). | Interest in Reading, Math, and Science Subjects | C1, C2 | |
Peer Victimization | CLQ180 | The next set of questions and sentences are about how often things happen to you. Think about the question or sentence and decide if these things happen "Never; Rarely; Sometimes; Often; or Very often." During this school year, how often have other students teased you, made fun of you, or called you names? Please pick an answer and then touch the "Next" button or just touch the "Next" button to skip this question. |
Espelage and Holt (2001) (modified) | Peer victimization | C3, C4 |
CLQ185 | During this school year, how often have other students told lies or untrue stories about you? Please pick an answer and then touch the "Next" button or just touch the "Next" button to skip this question. |
Espelage and Holt (2001) (modified) | Peer victimization | C3, C4 | |
CLQ190 | During this school year, how often have other students pushed, shoved, slapped, hit, or kicked you? Please pick an answer and then touch the "Next" button or just touch the "Next" button to skip this question. |
Espelage and Holt (2001) (modified) | Peer victimization | C3, C4 | |
CLQ200 | During this school year, how often have other students left you out from playing with them on purpose? Please pick an answer and then touch the "Next" button or just touch the "Next" button to skip this question. |
Espelage and Holt (2001) (modified) | Peer victimization | C3, C4 | |
Fear of negative evaluation | CLQ205, 220, 235 | Social Distress. Items not included due to copyright restrictions (3 items total) | LaGreca and Stone (1993) | Social distress | C3 |
Prosocial Behavior | CLQ215 | I try to cheer up other classmates who are upset or sad about something. Please pick an answer and then touch the "Next" button or just touch the "Next" button to skip this question. |
Zimmer-Gembeck, Geiger, and Crick (2005) | Life Satisfaction and Prosocial Behavior | C5 |
Prosocial Behavior | CLQ230 | I help out other kids when they need it. Please pick an answer and then touch the "Next" button or just touch the "Next" button to skip this question. |
Zimmer-Gembeck, Geiger, and Crick (2005) | Life Satisfaction and Prosocial Behavior | C5 |
Prosocial Behavior | CLQ245 | I say or do nice things for other classmates. Please pick an answer and then touch the "Next" button or just touch the "Next" button to skip this question. |
Zimmer-Gembeck, Geiger, and Crick (2005) | Life Satisfaction and Prosocial Behavior | C5 |
Life satisfaction | CLQ250 | The next set of sentences are about how you feel about your life. Think about the sentence and decide how well it describes you. Does the sentence describe you "Not at all; A little bit; Somewhat; Quite a bit; or Very much"? I am happy with my hobbies and free time activities. Please pick an answer and then touch the "Next" button or just touch the "Next" button to skip this question. |
NIH Toolbox for the Assesment of Neurological and Behavioral Function (NIH Toolbox) (modified) | Life Satisfaction and Prosocial Behavior | C6 |
CLQ255 | I am happy with the clothes, games, toys, and other things I have. Please pick an answer and then touch the "Next" button or just touch the "Next" button to skip this question. |
NIH Toolbox for the Assesment of Neurological and Behavioral Function (NIH Toolbox) (modified) | Life Satisfaction and Prosocial Behavior | C6 | |
CLQ260 | I am happy with how much attention I get from my parents. Please pick an answer and then touch the "Next" button or just touch the "Next" button to skip this question. |
NIH Toolbox for the Assesment of Neurological and Behavioral Function (NIH Toolbox) (modified) | Life Satisfaction and Prosocial Behavior | C6 | |
CLQ265 | I am happy with the friends I have. Please pick an answer and then touch the "Next" button or just touch the "Next" button to skip this question. |
NIH Toolbox for the Assesment of Neurological and Behavioral Function (NIH Toolbox) (modified) | Life Satisfaction and Prosocial Behavior | C6 | |
CLQ270 | I am happy with my skills and talents. Please pick an answer and then touch the "Next" button or just touch the "Next" button to skip this question. |
NIH Toolbox for the Assesment of Neurological and Behavioral Function (NIH Toolbox) (modified) | Life Satisfaction and Prosocial Behavior | C6 | |
CLQ275 | I am happy with the neighborhood and community in which I live. Please pick an answer and then touch the "Next" button or just touch the "Next" button to skip this question. |
NIH Toolbox for the Assesment of Neurological and Behavioral Function (NIH Toolbox) (modified) | Life Satisfaction and Prosocial Behavior | C6 | |
Closing | CLQ280 | Thank you for working with me. You are done answering questions on the computer. Please take off the headphones now. | ECLS-K:2011 Pilot Test | Closing | NA |
Spring Third-Grade Child Questions for Hearing Evaluations, Appendix G | |||||
Section | Item # | Item Stem | Source | Construct | Research Question |
Pre-Test Questionnaire | PTQ001 | Do you have a cold or a runny nose today? | ECLS-K:2011 fall 2nd grade | Child Health and Well-Being | PQ1; PQ2 |
PTQ002 | Did you have a cold or a runny nose yesterday? | ECLS-K:2011 fall 2nd grade | Child Health and Well-Being | PQ1; PQ2 | |
PTQ003 | Have you had an earache today? | ECLS-K:2011 fall 2nd grade - Revised | Child Health and Well-Being | PQ1; PQ2 | |
PTQ004 | Did you have an earache yesterday? | ECLS-K:2011 fall 2nd grade - Revised | Child Health and Well-Being | PQ1; PQ2 | |
PTQ005 | Which ear(s) hurt? | ECLS-K:2011 fall 2nd grade | Child Health and Well-Being | PQ1; PQ2 | |
PTQ006 | Have you listened to sounds today that were so loud you would have to shout so someone close by could hear you? | ECLS-K:2011 fall 2nd grade - Revised | Child Health and Well-Being | PQ1; PQ2 | |
PTQ007 | Did you listen to any sounds that were that loud yesterday? [Did you listen to any sounds yesterday that were so loud you would have to shout so someone close by could hear you?] | ECLS-K:2011 fall 2nd grade - Revised | Child Health and Well-Being | PQ1; PQ2 | |
PTQ008 | Do you have tubes in your ears now that a doctor put there [to keep you from getting earaches]? | ECLS-K:2011 fall 2nd grade - Revised | Child Health and Well-Being | PQ1; PQ2 | |
PTQ009 | Do you have to wear earplugs when you swim or take a bath or shower? | ECLS-K:2011 fall 2nd grade | Child Health and Well-Being | PQ1; PQ2 | |
PTQ010 | In which ear do you have the tube(s)? | ECLS-K:2011 fall 2nd grade | Child Health and Well-Being | PQ1; PQ2 | |
PTQ011 | In which ear do you wear the earplug(s)? | New | Child Health and Well-Being | PQ1; PQ2 | |
PTQ012 | Is it easier for you to hear out of one ear than the other? | ECLS-K:2011 fall 2nd grade - Revised | Child Health and Well-Being | PQ1; PQ2 | |
PTQ013 | Which ear is easier to hear with? | ECLS-K:2011 fall 2nd grade - Revised | Child Health and Well-Being | PQ1; PQ2 |
Spring Third-Grade Parent Interview, Appendix C | |||||
Section | Item # | Item Stem | Source | Construct | Research Question |
Introduction | INQ.005 | {In the fall of 2010/In the spring of 2011/In the fall of 2011/In the spring of 2012/In the fall of 2012/In the spring of 2013}, we spoke with {NAME OF RESPONDENT} who took part in the Early Childhood Longitudinal Study, Kindergarten Class of 2010-2011 on {DATE OF LAST INTERVIEW}. Am I talking to the same person? | ECLS-K | Introduction | NA |
INQ.010 | May I please speak with {NAME OF PREVIOUS ROUND RESPONDENT}? | ECLS-K | Introduction | NA | |
INQ.015 | Are you the parent or guardian in this household who knows the most about {CHILD}'s care, education, and health? | NHES:2007 (modified) | Introduction | NA | |
INQ.020 | May I please speak with the parent or guardian in the household who knows the most about {CHILD}'s care, education, and health? | NHES:2007 (modified) | Introduction | NA | |
INQ.025 | May I please speak with a household member who is 18 or older and knows about {CHILD}'s care, education, and health? | NHES:2007 (modified) | Introduction | NA | |
INQ.030 | May I have your name please? | ECLS-K | Introduction | NA | |
INQ.060 | [May I have your name, please?] | ECLS-K | Introduction | NA | |
INQ.070 | [May I have your name, please?] | ECLS-K | Introduction | NA | |
INQ.080/080b | (As I mentioned earlier), you and {CHILD} were selected to take part in the Early Childhood Longitudinal Study Kindergarten Class of 2010-2011, which is sponsored by the U.S. Department of Education, National Center for Education Statistics. I have some questions for you that ask about {CHILD}’s school and home experiences. The information I collect in this interview will be extremely valuable in understanding the development of children and how their school experiences can be improved. All responses that relate to or describe identifiable characteristics of individuals may be used only for statistical purposes and may not be disclosed, or used, in identifiable form for any other purpose, except as required by law. This call will be recorded for quality control purposes. |
ECLS-K | Introduction | NA | |
INQ.090/090b | {In the fall of 2010/In the spring of 2011/In the fall of 2011/In the spring of 2012/In the fall of 2012/In the spring of 2013}, you took part in the Early Childhood Longitudinal Study Kindergarten Class of 2010-2011, which is sponsored by the U.S. Department of Education, National Center for Education Statistics. I have some questions for you that ask about {CHILD}’s school and home experiences since our last interview. The information I collect in this interview will be extremely valuable in understanding the development of young children and how their early school experiences can be improved. All responses that relate to or describe identifiable characteristics of individuals may be used only for statistical purposes and may not be disclosed, or used, in identifiable form for any other purpose, except as required by law. This call will be recorded for quality control purposes. |
ECLS-K | Introduction | NA | |
INQ.130 | Before we begin the interview, I would like to verify some information. I have recorded {CHILD's FIRST, MIDDLE, AND LAST NAME} as {CHILD}'s full name. Is this correct? | ECLS-K | Introduction | NA | |
INQ180 | I have recorded that {CHILD}'s home address is…Is this still correct? | ECLS-K | Introduction | NA | |
INQ190 | What is {CHILD}'s home address? | Introduction | NA | ||
INQ.200 | I have recorded that {PHONE NUMBER} is {CHILD}'s family's current home phone number. Is this correct? | ECLS-K | Introduction | NA | |
INQ.205 | {What is {CHILD}'s family's current home phone number?} | ECLS-K | Introduction | NA | |
INQ.300 | Next, I have a few questions about {CHILD}'s background. Was {CHILD} born in this country, that is, in any of the fifty states or the District of Columbia? | ECLS-K | Country of origin for sample child | PQ1, PQ3 | |
INQ.310/312OS | In what country or territory was {CHILD} born? | ECLS-K | Country of origin for sample child | PQ1, PQ3 | |
INQ.320 | In what year did {CHILD} come to the United States to stay? | ECLS-K | Length of residence in U.S. for sample child | PQ1, PQ3 | |
INQ.330 | Is {CHILD} a U.S. citizen? | ECLS-K | Citizenship of child | PQ1, PQ3 | |
Parent's Involvement with Child's School | PIQ.051 | Now, I'd like to ask you about {CHILD}'s school. To what extent did you or someone else in your household choose where to live so that {CHILD} could attend {his/her} current school? Would you say that {CHILD} being able to go to {his/her} current school was … | ECLS-K | Parent's choice of school for child | PQ5 |
PIQ.060 | Is {CHILD} attending {his/her} regularly assigned school or a school that you or someone else in your household chose? | ECLS-K | Parent's choice of school for child | PQ5 | |
PIQ.065 | Does {CHILD} attend a school? | ECLS-K | School attendance by homeschooled child | PQ5 | |
PIQ.066 | How many hours each week does {CHILD} usually go to a school for instruction? Please do not include time spent in extracurricular activities. | ECLS-K | School attendance by homeschooled child | PQ5 | |
PIQ.120 | How far in school do you expect {CHILD} to go? Would you say you expect {him/her} … | ECLS-K | Parent’s educational expectations for child | PQ3, PQ5 | |
PIQ.127 | Since the beginning of this school year, how many times have any of {CHILD}’s teachers or {his/her} school contacted (you/any adult in your household) about any behavior problems {he/she} is having in school? | NHES | School communication with parents | PQ5 | |
PIQ.128 | [Since the beginning of this school year, how many times have any of {CHILD}’s teachers or {his/her} school contacted (you/any adult in your household) about...] How about any problems {he/she} is having with school work? | NHES | School communication with parents | PQ5 | |
PIQ.129 | [Since the beginning of this school year, how many times have any of {CHILD}’s teachers or {his/her} school contacted (you/any adult in your household) about...] How about anything {CHILD} is doing particularly well or better in school? | NHES | School communication with parents | PQ5 | |
PIQ.130 | Since the beginning of this school year, have you or the other adults in your household attended an open house or a back-to-school night? | ECLS-K | Parent participation in school activities | PQ5 | |
PIQ.140 | [Since the beginning of this school year, have you or the other adults in your household…] Attended a meeting of a PTA, PTO, or Parent-Teacher Organization? | ECLS-K | Parent participation in school activities | PQ5 | |
PIQ.150 | [Since the beginning of this school year, have you or the other adults in your household…] Gone to a regularly-scheduled parent-teacher conference with {CHILD}'s teacher or meeting with {CHILD}'s teacher? | ECLS-K | Parent attendance at parent-teacher conferences and meetings | PQ5 | |
PIQ.160 | [Since the beginning of this school year, have you or the other adults in your household…] Attended a school or class event, such as a play, sports event, or science fair? | ECLS-K | Parent participation in school activities | PQ5 | |
PIQ.170 | [Since the beginning of this school year, have you or the other adults in your household…] Served as a volunteer in {CHILD}’s classroom or elsewhere in the school? |
NHES:2007 | Parent participation in school activities | PQ5 | |
PIQ.185 | During this school year, how many times have you or other adults in your household gone to meetings or participated in activities at {CHILD}'s school? |
ECLS-K | Parent participation in school activities | PQ5 | |
PIQ190 | For each of the following statements, please tell me how well {CHILD}'s school has done with each activity during this school year. The school lets you know between report cards how {CHILD} is doing in school. Would you say {CHILD}'s school… Does this very well Just OK, or Doesn't do this at all? | ECLS-K | School communication with parents | PQ5 | |
PIQ210 | The school makes you aware of chances to volunteer at the school. Would you say {CHILD}'s school… Does this very well Just OK, or Doesn't do this at all? |
ECLS-K | School communication with parents | PQ5 | |
PIQ300 | About how many parents of children in {CHILD}'s class do you talk with regularly, either in person, on the phone, or by texting, e-mailing, or using a social networking site? | ECLS-K | Parent networks | PQ5 | |
PIQ.490 | Would you say that you are very satisfied, somewhat satisfied, somewhat dissatisfied, or very dissatisfied with the school {CHILD} attends this year? | NHES | Parent's satisfaction with the teachers and school | PQ5 | |
PIQ.510 | How often does {CHILD} do homework at home? Would you say… | ECLS-K | Frequency child does homework at home | PQ4, PQ5 | |
PIQ.550 | How often do you check that {CHILD} has completed all homework? Would you say never, rarely, sometimes, or always? |
ECLS-K | Homework monitoring by parents | PQ4, PQ5 | |
Family Structure | FSQ.010 | Now I have a few questions about your household. We have listed that (READ NAMES FROM MATRIX) lived in this household at the time of our last interview. As I read each person's name again, please tell me if he or she still lives in this household. Does {NAME} still live in this household? |
ECLS-K | Household roster: current | PQ1, PQ3 |
FSQ.015/015OS | Why is {NAME} no longer living in this household? | ECLS-K | Household roster: former household member's status | PQ1, PQ3 | |
FSQ020 | {Other than the people I just asked about, is there anyone else currently living in this household? For example, anyone who has moved in or any babies born since our last interview? Please tell me the names and ages of all the other people who normally live here. Please do not include anyone staying here temporarily who usually lives somewhere else.} {Now I have a few questions about your household. We have noted that you and {CHILD} currently live in this household. First I’d like to ask you some questions about yourself, then I’d like you to please tell me the names and ages of all the other people who normally live here. Please do not include anyone staying here temporarily who usually lives somewhere else.} |
ECLS-K | Household roster: current | PQ1, PQ3 | |
FSQ.025 | ENTER LAST NAME OF {NAME}. | ECLS-K | Household roster: current | PQ1, PQ3 | |
FSQ.030 | How old {are you/is {NAME}}? | ECLS-K | Household roster: current | PQ1, PQ3 | |
FSQ.040 | CODE IF OBVIOUS. OTHERWISE, ASK: {Are you/Is {NAME} male or female?} | ECLS-K | Household roster: current | PQ1, PQ3 | |
FSQ.045 | CHECK HOUSEHOLD MATRIX. | ECLS-K | Household roster: current | PQ1, PQ3 | |
FSQ.060 | Have we missed anyone who usually lives here who is temporarily away from home or living in a dorm at school, or any babies or small children? | ECLS-K | Household roster: current | PQ1, PQ3 | |
FSQ.110 | Do you have a spouse or partner who lives in this household? | ECLS-K | Marital status of the primary caretakers | PQ1, PQ3 | |
FSQ.120 | Who in the household is your spouse or partner? | ECLS-K | Marital status of the primary caretakers | PQ1, PQ3 | |
FSQ.121 | During our last interview with this household (family), it was reported that you were {the girlfriend or female partner of {CHILD}’s parent or guardian}/the boyfriend or male partner of {CHILD}’s parent or guardian/the female guardian of {CHILD}/the male guardian of {CHILD}/{CHILD}’s relative, but not a guardian/not related to {CHILD}/{CHILD}'s {RELATIONSHIP}}. Has there been a change in your relationship to {CHILD}? | ECLS-K | Change in family relationship of key parent figures to child | PQ1, PQ3 | |
FSQ.122 | During our last interview with this household (or family), it was reported that {NAME OF SPOUSE/PARTNER} was {the girlfriend or female partner of {CHILD}’s parent or guardian/the boyfriend or male partner of {CHILD}’s parent or guardian/{CHILD}’s relative, but not a guardian/the female guardian of {CHILD}/the male guardian of {CHILD}/not related to {CHILD}/{CHILD}'s {RELATIONSHIP}}. Has there been a change in the relationship of {NAME OF SPOUSE/PARTNER} to {CHILD}? | ECLS-K | Change in family relationship of key parent figures to child | PQ1, PQ3 | |
FSQ.130 | What is {your/{NAME}'s} relationship to {CHILD}? |
ECLS-K | Change in family relationship of key parent figures to child | PQ1, PQ3 | |
FSQ.140 | {Are you/Is {NAME}} {CHILD}'s… Biological or birth mother, Adoptive mother, Step mother, Foster mother or female guardian, or Other female parent or guardian? |
ECLS-K | Change in family relationship of key parent figures to child | PQ1, PQ3 | |
FSQ.150 | {Are you/Is {NAME}} {CHILD}'s… Biological or birth father, Adoptive father, Step father, Foster father or male guardian, or Other male parent or guardian? |
ECLS-K | Change in family relationship of key parent figures to child | PQ1, PQ3 | |
FSQ.160 | {Are you/Is {NAME}} {CHILD}'s… Full sister, Half sister, Step sister, Adoptive sister, or Foster sister? |
ECLS-K | Change in family relationship of key parent figures to child | PQ1, PQ3 | |
FSQ.170 | {Are you/Is {NAME}} {CHILD}'s… Full brother, Half brother, Step brother, Adoptive brother, or Foster brother? |
ECLS-K | Change in family relationship of key parent figures to child | PQ1, PQ3 | |
FSQ.180/181 | {Are you/Is {NAME}} {CHILD}'s… CODE NON-RELATIVE RELATIONSHIP BELOW IF MORE DESCRIPTIVE. |
ECLS-K | Change in family relationship of key parent figures to child | PQ1, PQ3 | |
FSQ.190 | {Are you/Is {NAME}} Hispanic or Latino? | ECLS-K | Ethnicity of child, parent figures, respondent and respondent's spouse (if no mother or father figures) | PQ1, PQ3 | |
FSQ.195 | What is {your/{NAME}'s} race? You may name one or more races to indicate what {you/NAME} {consider/considers} {yourself/himself/herself} to be. | ECLS-K | Race of child, parent figures, respondent and respondent's spouse (if no mother or father figures) | PQ1, PQ3 | |
FSQ.196a | Though we may have asked you about {CHILD}'s race and ethnicity in the past, I do have a few more questions I'd like to ask about that now. Is {CHILD} a member of a Spanish, Hispanic, or Latino group? | ECLS-K | Ethnicity of child, parent figures, respondent and respondent's spouse (if no mother or father figures) | PQ1, PQ3 | |
FSQ.196b | Which of the following Spanish, Hispanic, or Latino groups best describes {CHILD}'s origin? Is {he/she}… | ECLS-K | Ethnicity of child, parent figures, respondent and respondent's spouse (if no mother or father figures) | PQ1, PQ3 | |
FSQ.197a | Is {CHILD} a member of an Asian group? | ECLS-K | Ethnicity of child, parent figures, respondent and respondent's spouse (if no mother or father figures) | PQ1, PQ3 | |
FSQ.197b | Which of the following Asian groups best describes {CHILD}'s origin? Is {he/she}… | ECLS-K | Ethnicity of child, parent figures, respondent and respondent's spouse (if no mother or father figures) | PQ1, PQ3 | |
FSQ.198a | Is {CHILD} a member of a Pacific Islander group? | ECLS-K | Ethnicity of child, parent figures, respondent and respondent's spouse (if no mother or father figures) | PQ1, PQ3 | |
FSQ.198b | Which of the following Pacific Islander groups best describes {CHILD}'s origin? Is {he/she}… | ECLS-K | Ethnicity of child, parent figures, respondent and respondent's spouse (if no mother or father figures) | PQ1, PQ3 | |
FSQ.200a | {FILL 1} currently married, separated, divorced, widowed, in a domestic partnership, or {FILL 2} never been married {FILL 3}? | ECLS-K | Marital status of the primary caretakers | PQ1, PQ3 | |
FSQ.200b | See matrix. | ECLS-K | Marital status of the primary caretakers | NA | |
FSQ.212/212OS | Now I have a few questions about {your/{NAME}'s} country of birth. In what country {were/was} {you/{NAME}} born? | ECLS-K | Country of origin for parents | PQ1, PQ3 | |
FSQ.213 | How old {was/were} {you/{NAME}} when {you/{he/she}} first moved to {any of the fifty states in the United States or the District of Columbia/the United States}? | ECLS-K | Length of residence in U.S. for parents | PQ1, PQ3 | |
Primary Language(s) Spoken | PLQ.020 | Is any language other than English regularly spoken in your home? | ECLS-K | Languages spoken in the home | PQ1, PQ3 |
PLQ.083 | How often {do/does} {you/NAME} use a language other than English in speaking to {CHILD}? Would you say never, sometimes, often, or very often? | ECLS-K | Languages spoken in the home | PQ1, PQ3 | |
PLQ.090 | How often does {CHILD} use a language other than English in speaking to {you}/{NAME}? Would you say never, sometimes, often, or very often? | ECLS-K | Languages spoken in the home | PQ1, PQ3 | |
Home Environment, Activities, and Cognitive Stimulation | HEQ.040 | About how many books does {CHILD} have in your home now, including library books? Please only include books that are for children. | ECLS-K | Literacy materials in the home | PQ4 |
HEQ.210 | In the past week, how often did {CHILD} read to {himself/herself} or to others outside of school? Would you say… Never Once or twice a week 3 to 6 times a week, or Every day? |
ECLS-K | Frequency of reading activities with child | PQ2, PQ4 | |
HEQ.215 | Generally, how many minutes did {CHILD} read at each of these times? | ECLS-K | Frequency of reading activities with child | PQ2, PQ4 | |
HEQ.225 | In an average week, how often does {CHILD} use a home computer or other electronic device to play with programs that teach {him/her} something, like math or reading skills? Would you say … Never, Once or twice a week, 3 to 6 times a week, or Every day |
ECLS-K:2011 (modified) | Use of electronic/computer devices | PQ4 | |
HEQ.280 | Is {CHILD} tutored on a regular basis, by someone other than you or a family member, in a specific subject, such as reading, math, science, or a foreign language? | ECLS-K | Tutoring | PQ5 | |
HEQ.290/290OS | What is {CHILD} tutored in? | ECLS-K | Tutoring | PQ5 | |
HEQ300 | Outside of school hours in the past year, has {CHILD} participated in: Academic activities, like science, computers, math lab, or taking a class to learn a language other than English? | NHES 2007 (modified) | Child activities outside of school hours | PQ4 | |
HEQ305 | As part of {CHILD}’s participation in that activity, did {he/she} ever take a field trip focused on science activities, for example to a science museum or center, a science lab, a planetarium, or a nature center? | NCES | Child activities outside of school hours: science related field trips | PQ4 | |
HEQ310 | [Outside of school hours in the past year, has {CHILD} participated in:] Organized athletic activities, like basketball, soccer, baseball, or gymnastics? | ECLS-K | Child activities outside of school hours | PQ4 | |
HEQ320 | [Outside of school hours in the past year, has {CHILD} participated in:] Organized clubs or recreational programs, like scouts? | ECLS-K | Child activities outside of school hours | PQ4 | |
HEQ325 | As part of {CHILD}’s participation in that program, did {he/she} ever take a field trip focused on science activities, for example to a science museum or center, a science lab, a planetarium, or a nature center? | NCES | Child activities outside of school hours: science related field trips | PQ4 | |
HEQ330 | [Outside of school hours in the past year, has {CHILD} participated in:] Music lessons, for example, piano, instrumental music, or singing lessons? | ECLS-K | Child activities outside of school hours | PQ4 | |
HEQ340 | [Outside of school hours in the past year, has {CHILD} participated in:] Drama classes? | ECLS-K | Child activities outside of school hours | PQ4 | |
HEQ350 | [Outside of school hours in the past year, has {CHILD} participated in:] Art classes or lessons, for example, painting, drawing, or sculpture? | ECLS-K | Child activities outside of school hours | PQ4 | |
HEQ370 | [Outside of school hours in the past year, has {CHILD} participated in:] Organized performing arts programs, such as children's choirs, dance programs, or theater performances? | ECLS-K | Child activities outside of school hours | PQ4 | |
HEQ.391 | [Outside of school hours in the past year, has {CHILD} participated in:] Religious activities or instruction? | ECLS-K | Child activities outside of school hours | PQ4 | |
HEQ.393 | Did {CHILD}’s participation in {academic activities /organized athletic activities/ organized clubs or recreational programs/ music lessons/ drama classes / art classes or lessons/ organized performing arts programs/ religious activities or instruction /any of these activities} help to cover the hours when you needed adult supervision for {him/her}? |
ECLS-K | Whether child activities serve as child care | PQ6 | |
HEQ.520 | Now, I have a question about meals. In a typical week, please tell me the number of days your family eats the evening meal together. | ECLS-K (modified) | Frequency of family dinner together | PQ4 | |
HEQ.600a/b | On an average school night, how many hours of sleep does {CHILD} get? | Youth Risk Behavior Survey (YRBS) | Amount of sleep | PQ4 | |
Social Skills, Problem Behaviors, and Approaches Toward Learning | SSQ020 a/b/c/d | Items asking how often the child has had problems with four behaviors related to working memory over the past 6 months. Items not included due to copyright restrictions (4 items total). | Behavior Rating Inventory of Executive Function (BRIEF) |
Child's working memory | PQ1, PQ2 |
Child Care | CCQ.005 | Next, I'd like to talk with you about the child care arrangements you have for {CHILD} this year. First, I'd like to talk to you about all the child care {CHILD} now receives on a regular basis from someone other than {you/{his/her} parents} {or {his/her} guardians}. This does not include occasional baby-sitting or backup care providers. |
ECLS-K | Participation in child care | PQ6 |
CCQ010 | Is {CHILD} now receiving care from a relative on a regular basis (including care provided before or after school)? This may include grandparents, brothers and sisters, or any relatives other than {you/{CHILD}'s parents} {or {CHILD}’s guardians}. | ECLS-K | Participation in relative care | PQ6 | |
CCQ.060 | How many different regular care arrangements do you currently have with relatives? | ECLS-K | Participation in relative care | PQ6 | |
CCQ.065 | {Let's talk about the relative who provides the most care for {CHILD} now.} Who is the relative who cares for {CHILD}? | ECLS-K | Participation in relative care | PQ6 | |
CCQ.070 | Is the care provided by {{CHILD}'s {RELATIVE}/that relative} in your home or another home? | ECLS-K | Participation in relative care | PQ6 | |
CCQ.075 | Does {CHILD} receive that care before school, after school, or on weekends? | ECLS-K | Time child spends in care arrangements | PQ6 | |
CCQ.080 | Is the care that {CHILD} receives from {{his/her} {RELATIVE}/that relative} regularly scheduled at least once each week? | ECLS-K | Time child spends in care arrangements | PQ6 | |
CCQ.085 | How many days each week does {CHILD} receive care from {{his/her} {RELATIVE}/that relative}? | ECLS-K | Time child spends in care arrangements | PQ6 | |
CCQ.090 | How many hours each week does {CHILD} receive care from {{his/her} {RELATIVE}/that relative}? | ECLS-K | Time child spends in care arrangements | PQ6 | |
CCQ.110 | You said that {CHILD} was cared for by {NUMBER} other {relatives/relative} on a regular basis. How many hours each week does {CHILD} receive care from {these/this} other {relatives/relative}? | ECLS-K | Time child spends in care arrangements | PQ6 | |
CCQ.115 | {Now I'd like to ask you about any care {CHILD} receives from nonrelatives in a private home, not including child care centers.} Is {CHILD} now receiving care in a private home on a regular basis from someone who is not related to {him/her} (including care provided before or after school)? This includes home child care providers, regular sitters or neighbors. {It does not include child care centers.} | ECLS-K | Participation in nonrelative care | PQ6 | |
CCQ.165 | How many different regular care arrangements do you currently have with nonrelatives? | NHES ECPP and ECLS-B | Participation in nonrelative care | PQ6 | |
CCQ.170 | {Let's talk about the nonrelative who provides the most care for {CHILD} now.} Is that care provided in your home or another home? | ECLS-K | Participation in nonrelative care | PQ6 | |
CCQ.175 | Does {CHILD} receive that care before school, after school, or on weekends? | ECLS-K | Time child spends in care arrangements | PQ6 | |
CCQ.180 | Is the care that {CHILD} receives from that person regularly scheduled at least once each week? | ECLS-K | Time child spends in care arrangements | PQ6 | |
CCQ.185 | How many days each week does {CHILD} receive care from that person? | ECLS-K | Time child spends in care arrangements | PQ6 | |
CCQ.190 | How many hours each week does {CHILD} receive care from that person? | ECLS-K | Time child spends in care arrangements | PQ6 | |
CCQ.205 | You said that {CHILD} was cared for by {NUMBER} other {nonrelative/nonrelatives} on a regular basis. How many hours each week does {CHILD} receive care from {this nonrelative/these nonrelatives}? | ECLS-K | Time child spends in care arrangements | PQ6 | |
CCQ.260 | {Now I'd like to ask you about any care {CHILD} receives from day care centers or before- or after-school programs.} Is {CHILD} now attending a day care center or a before- or after-school program at a school or in a center on a regular basis? | ECLS-K | Participation in center-based care | PQ6 | |
CCQ.325 | How many different day care centers or before- or after-school care programs does {CHILD} currently go to on a regular basis? | ECLS-K | Participation in center-based care | PQ6 | |
CCQ.330 | {Let's talk about the program where {CHILD} spends the most time now.} Is that program located in the school {CHILD} currently attends? | ECLS-K | Participation in center-based care | PQ6 | |
CCQ.335 | Does {CHILD} go to that program before school, after school, or on weekends? | ECLS-K | Time child spends in care arrangements | PQ6 | |
CCQ.340 | Does {CHILD} go to that program on a regularly scheduled basis at least once each week? | ECLS-K | Time child spends in care arrangements | PQ6 | |
CCQ.350 | How many days each week does {CHILD} go to that program? | ECLS-K | Time child spends in care arrangements | PQ6 | |
CCQ.353 | As part of {CHILD}’s participation in that program, did {he/she} ever take a field trip focused on science activities, for example to a science museum or center, a science lab, a planetarium, or a nature center? | NCES | Science related field trips in center-based care | PQ6 | |
CCQ.355 | Other than regular school hours, how many hours each week does {CHILD} go to that program? | ECLS-K | Time child spends in care arrangements | PQ6 | |
CCQ.375 | You said that {CHILD} attended {NUMBER} other day care {center/centers} or before- or after-school {program/programs} on a regular basis. How many hours each week does {CHILD} attend {this program/these programs}? | ECLS-K | Time child spends in care arrangements | PQ6 | |
CCQ.376 | Sometimes children spend time caring for themselves, either at home or somewhere else, without an adult or older child responsible for them. Does {CHILD} spend time caring for {himself/herself} on a regular basis before or after school? | ECLS-K | Time child spends in self-care | PQ6 | |
CCQ.377 | How many hours per week does {CHILD} take care of {himself/herself}? | ECLS-K | Time child spends in self-care | PQ6 | |
Non-Resident Parents | NRQ.040 | How long has it been since {CHILD} last had a visit, a phone call, a video call, an e-mail, a text or other electronic message, or received a card or letter from {his/her} {biological/adoptive} {father/mother}? |
ECLS-K (modified) | Current contact and nature of relationship with biological/adoptive parents no longer living in household | PQ1, PQ3, PQ4 |
NRQ.123 | How many times have {CHILD} and {his/her} {biological/adoptive} {father/ mother} talked on the telephone or in a video call to each other, e-mailed, texted, or had some other type of contact that was not in person in the past 4 weeks? | ECLS-K (modified) | Current contact and nature of relationship with biological/adoptive parents no longer living in household | PQ1, PQ3, PQ4 | |
Country of Origin for Non-Resident Biological Parents | COQ.005/OS | In what country was {his/her} biological mother born? | ECLS-K | Country of origin for nonresident parents | PQ1, PQ3 |
COQ.010 | How old was {CHILD’}’s biological mother when she first moved to {any of the fifty states in the United States or the District of Columbia /the United States}? | ECLS-K | Country of origin for nonresident parents | PQ1, PQ3 | |
COQ.020/OS | In what country was {his/her} biological father born? | ECLS-K | Country of origin for nonresident parents | PQ1, PQ3 | |
COQ025 | How old was {CHILD’}’s biological father when he first moved to {any of the fifty states in the United States or the District of Columbia /the United States}? | ECLS-K | Country of origin for nonresident parents | PQ1, PQ3 | |
Discipline, Warmth and Emotional Supportiveness | DWQ.010 | {CHILD} and I often have warm, close times together. Please tell me whether each statement is never true for you, sometimes true for you, often true for you, or very often true for you. | ECLS-K | Parent-child relationship: warmth | PQ4 |
DWQ.015 | [Now, I'm going to read some statements. Please tell me whether each statement is completely true, mostly true, somewhat true, or not at all true.] Most of the time I feel that {CHILD} likes me and wants to be near me. |
ECLS-K | Parent-child relationship: warmth | PQ4 | |
DWQ.025 | [Now, I'm going to read some statements. Please tell me whether each statement is completely true, mostly true, somewhat true, or not at all true.] Even when I'm in a bad mood, I show {CHILD} a lot of love. |
ECLS-K | Parent-child relationship: warmth | PQ4 | |
DWQ.035 | [Now, I'm going to read some statements. Please tell me whether each statement is completely true, mostly true, somewhat true, or not at all true.] I express affection by hugging, kissing and holding {CHILD}. |
ECLS-K | Parent-child relationship: warmth | PQ4 | |
DWQ070a/b/c/d/e/f | Please tell me whether each statement is never true for you, sometimes true for you, often true for you, or very often true for you. a. Even if I am really busy, I make time to listen to {CHILD}. Would you say it's never true, sometimes true, often true, or very often true? b. I discourage {CHILD} from talking about {his/her} worries because it upsets {him/her}. c. I encourage {CHILD} to talk about {his/her} troubles. d. I encourage {CHILD} to tell me about {his/her} friends and activities. e. I encourage {CHILD} to express {his/her} opinions. f. When I lose my patience with {CHILD}’s questions and demands, I just don’t listen to {CHILD} anymore. |
ECLS-K | Parent-child relationship: communication | PQ4 | |
DWQ077a/b/c | The following are a number of statements about your family. Please tell me how often each typically occurs in your home. a. You threaten to punish {CHILD} and then do not actually punish {him/her}. Would you say this occurs never, almost never, sometimes, often, or always? b. {CHILD} talks you out of being punished after {he/she} has done something wrong. c. You let {CHILD} out of punishment early, like lift restrictions earlier than you originally said? |
Short form of Alabama Parenting Questonnaire | Inconsistent Discipline | PQ4 | |
DWQ.080a/b | Now I’d like to ask some questions about {CHILD}’s television viewing. We want you to include television shows, videos, or DVDs watched on a TV, computer, or handheld device like an iPad or cellphone; but not games played on gaming systems like Playstation, Wii, Xbox or handheld devices. On any given weekday, how many hours of television, videotapes, or DVDs on average does {CHILD} watch? |
ECLS-K (modified) | Time child spent watching television | PQ4 | |
DWQ.081 a/b | Now I’d like to ask some questions about the amount of time {CHILD} plays video games. We want you to include games played on systems like Playstation, Wii, or Xbox, or on handheld devices such as a Nintendo DS, Sony PSP, iPod, iPad, or cellphone, or games played on the computer. On any given weekday, how much time does {CHILD} spend playing video games? Please do not include time {CHILD} spends on the computer doing educational activities or homework. |
ECLS-K (modified) | Time child spent playing video games | PQ4 | |
Child's Health and Well-Being | CHQ.021 | Has {CHILD} had an ear infection since last spring? | ECLS-K:2011 (modified) | Ear infections since last spring | PQ1, PQ2 |
CHQ.022 | Has {CHILD} had an ear ache since last spring? | ECLS-K:2011 (modified) | Ear aches since kindergarten | PQ1, PQ2 | |
CHQ.023 | Since last spring, how many times did a doctor, nurse, or other medical professional tell you that {CHILD} had an ear infection? | ECLS-K:2011 (modified) | Ear infections since last spring | PQ1, PQ2 | |
CHQ.024/024OS | How have {CHILD}’s {ear infections/ear aches} been treated by your doctor, nurse, or other medical professional since last spring? | ECLS-K:2011 (modified) | Ear infections/aches treatment since last spring | PQ1, PQ2 | |
CHQ.025 | Since last spring, were the tubes placed in the right ear, left ear, or both ears when your child had surgery to place tubes in {his/her} ears? IF NEEDED: Please consider all surgeries since last spring if {CHILD} had more than one to place ear tubes. |
ECLS-K:2011 (modified) | Ear tubes | PQ1, PQ2 | |
CHQ.026 | Has a doctor, nurse, or other medical professional ever told you that {CHILD} has asthma? | ECLS-K | Asthma | PQ1, PQ2 | |
CHQ.027 | Does {he/she} receive treatment for this condition? | ECLS-K | Asthma | PQ1, PQ2 | |
CHQ.040a/b/c | What kind of health insurance or health care coverage does {CHILD} have? By health insurance I mean any kind of coverage that pays for health care expenses. Please do not include private plans that only provide extra cash while hospitalized. a. Does {he/she} have a private health insurance plan (from employer, workplace, or purchased directly or through a state or local government program or community program). b. Does {he/she} have a public health insurance plan, such as Medicaid, the Children's Health Insurance Program (CHIP), or health care through the military? c. Does {he/she} have any health insurance? |
ECLS-K (modified) | Health insurance coverage | PQ1, PQ3 | |
CHQ.060 | In a typical week, on how many days does {CHILD} get exercise that causes rapid breathing, perspiration, and a rapid heartbeat for 20 continuous minutes or more? | ECLS-K | Exercise/physical activities | PQ1, PQ2 | |
CHQ.070a/b/c/d/e/f/g/h/OS | What types of exercise or physical activity does {CHILD} get? How about… a. Group sports? b. Individual sports? c. Dance? d. Recreational sports or outdoor activities? e. Martial Arts? f. Playground activities? g. General exercising? h. Anything else? |
ECLS-K | Types of exercise | PQ1, PQ2 | |
CHQ.095 | For the next set of questions, please base your answer on how {CHILD} compares to other children of the same age. {CHILD} is independent and takes care of {himself/herself} … Better than other children {his/her} age, As well as other children, Slightly less well than other children, or Much less well than other children? |
ECLS-K | Behavioral comparison to peers: Independence and ability to take care of him/herself | PQ1, PQ2 | |
CHQ.100 | Does {CHILD} pay attention… Better than other children {his/her} age, As well as other children, Slightly less well than other children, or Much less well than other children? |
ECLS-K | Behavioral comparison to peers: Attention | PQ1, PQ2 | |
CHQ.105 | Does {CHILD} learn, think, and solve problems… Better than other children {his/her} age, As well as other children, Slightly less well than other children, or Much less well than other children? |
ECLS-K | Behavioral comparison to peers: Learn, think, solve problems | PQ1, PQ2 | |
CHQ.106 | Does {CHILD} show good coordination in moving {his/her} arms and legs? Would you say {he/she} does this… Better than other children {his/her} age, As well as other children, Slightly less well than other children, or Much less well than other children? |
ECLS-K | Behavioral comparison to peers: Child's coordination | PQ1, PQ2 | |
CHQ.107 | Would you say {CHILD} behaves and relates to other children… Better than other children {his/her} age, As well as other children, Slightly less well than other children, or Much less well than other children? |
ECLS-K (modified) | Behavioral comparison to peers: Relating to children | PQ1, PQ2 | |
CHQ.108 | Would you say {CHILD} behaves and relates to adults… Better than other children {his/her} age, As well as other children, Slightly less well than other children, or Much less well than other children? |
ECLS-K:2011 | Behavioral comparison to peers: Relating to adults | PQ1, PQ2 | |
CHQ.109 | Thinking about {CHILD}'s overall activity level, would you say {he/she} is … Less active than other children {his/her} age, About as active, Slightly more active, or A lot more active than other children {his/her} age? |
ECLS-K | Behavioral comparison to peers: Overall activity level | PQ1, PQ2 | |
CHQ.110 | Does {CHILD} have any emotional or psychological difficulties? | ECLS-K:2011 | Emotional and psychological difficulties | PQ1, PQ2 | |
CHQ.111 | Do you think this is a mild problem, a moderate problem, or a severe problem? | ECLS-K:2011 | Emotional and psychological difficulties | PQ1, PQ2 | |
CHQ.115 | {Since last spring has {CHILD}/Has {CHILD} ever} been evaluated by a professional because of an issue with {independence and taking care of {himself/herself} {or}/paying attention {or}/learning, thinking, and solving problems {or}/ coordination in moving {his/her} arms and legs {or}/behaving and relating to other children {or}/ behaving and relating to adults {or}/{his/her} overall activity level {or}/{his/her} emotional or psychological difficulties}? | ECLS-K:2011 | Evaluation of disabilities and health conditions | PQ1, PQ2 | |
CHQ.120 | {Since last spring, have you obtained/Did you obtain} a diagnosis or diagnoses of a problem from a professional? | ECLS-K:2011 | Diagnoses of disabilities and health conditions | PQ1, PQ2 | |
CHQ.125/125OS | What was the diagnosis or were the diagnoses? | ECLS-K:2011 | Diagnoses of disabilities and health conditions | PQ1, PQ2 | |
CHQ126/126OS | What type of autism spectrum disorder does {CHILD} have? Is it autism, Asperger's Disorder, Pervasive Developmental Disorder, something else or was it identified generally as Autism Spectrum Disorder? | ECLS-K:2011 | Diagnoses of disabilities and health conditions: Autism spectrum disorder | PQ1, PQ2 | |
CHQ.130/131 | How old was {CHILD} when the first diagnosis of a problem related to {a learning disability/Attention Deficit Disorder (ADD)/Attention Deficit Hyperactivity Disorder (ADHD)/a developmental delay/autism, Asperger’s disorder, Pervasive Developmental Disorder (PDD), or other autism spectrum disorder/dyslexia/dyscalculia/an intellectual disability, severe cognitive disability, or mental retardation/an orthopedic impairment/a serious emotional disturbance/a traumatic brain injury/a panic disorder/separation anxiety disorder/obsessivecompulsive disorder/a generalized anxiety disorder/an {other} anxiety disorder/bipolardisorder/depression/speech/a sensory deficit disorder/oppositional defiant disorder/{TEXT FROM OTHER SPECIFY}} was made? |
ECLS-K:2011 | Diagnoses of disabilities and health conditions | PQ1, PQ2 | |
CHQ.135a/b | What was the month and year when the diagnosis was made? | ECLS-K:2011 | Diagnoses of disabilities and health conditions | PQ1, PQ2 | |
CHQ.140 | Is {CHILD} now taking any prescription medicine for the condition related to {his/her} {learning disability/Attention Deficit Disorder (ADD)/Attention Deficit Hyperactivity Disorder (ADHD)/developmental delay/autism, Asperger’s disorder, Pervasive Developmental Disorder (PDD), or other autism spectrum disorder/dyslexia/dyscalculia/intellectual disability, severe cognitive disability, or mental retardation/orthopedic impairment/serious emotional disturbance/traumatic brain injury/panic disorder/separation anxiety disorder/obsessive compulsive disorder/generalized anxiety disorder/{other} anxiety disorder/bipolar disorder/depression/speech problems/sensory deficit disorder/oppositional defiant disorder{TEXT FROM OTHER SPECIFY}}? |
ECLS-K:2011 | Prescription medications | PQ1, PQ2 | |
CHQ.155 | Is {CHILD} medicated for ADD or ADHD at school, at home, or both? | ECLS-K:2011 | Prescription medications | PQ1, PQ2 | |
CHQ.173 | How long has {CHILD} taken such prescription medicine for {a learning disability/Attention Deficit Disorder (ADD)/Attention Deficit Hyperactivity Disorder (ADHD)/a developmental delay/autism, Asperger’s disorder, Pervasive Developmental Disorder (PDD), or other autism spectrum disorder/dyslexia/dyscalculia/an intellectual disability, severe cognitive disability, or mental retardation/an orthopedic impairment/a serious emotional disturbance/a traumatic brain injury/a panic disorder/separation anxiety disorder/obsessive compulsive disorder/a generalized anxiety disorder/an {other} anxiety disorder/bipolar disorder/depression/speech problems/a sensory deficit disorder/oppositional defiant disorder/{TEXT FROM OTHER SPECIFY}}, in total? Less than one month, Less than a year, 1 to 2 years, 3 to 4 years, or 5 years or more? |
ECLS-K:2011 | Prescription medications | PQ1, PQ2 | |
CHQ.200 | For the next question, please base your answer on how {CHILD} compares to other children of the same age. Does {CHILD} pronounce words, communicate with and understand others… Better than other children {his/her} age, As well as other children, Slightly less well than other children, or Much less well than other children? |
ECLS-K:2011 | Communication: comparison to peers | PQ1, PQ2 | |
CHQ.206 e | Since last spring, has your child had a problem with stuttering? | ECLS-K:2011 | Communication problems | PQ1, PQ2 | |
CHQ.210 | {Since last spring has {CHILD}/Has {CHILD} ever} been evaluated by a professional because of {his/her} ability to communicate? | ECLS-K | Evaluation of communication problems | PQ1, PQ2 | |
CHQ.215 | Did you obtain a diagnosis or diagnoses of a problem related to {his/her} ability to communicate from a professional? | ECLS-K | Diagnoses for communication problems | PQ1, PQ2 | |
CHQ.216 | Which best describes {CHILD}’s hearing? If {CHILD} has a hearing aid or other assistive device, please consider {his/her} hearing without the hearing aid or assistive device. Would you say {CHILD} has… excellent hearing, good hearing, a little trouble hearing, moderate trouble hearing, a lot of trouble hearing, or is {CHILD} deaf? |
ECLS-K | Hearing ability | PQ1, PQ2 | |
CHQ.217 | Please indicate whether the following statement describes {CHILD}'s hearing. If {CHILD} has a hearing aid or other assistive device, please consider {his/her} hearing without the hearing aid or assistive device. {CHILD} can usually hear and understand what a person says without seeing his or her face if that person whispers to {him/her} from across a quiet room. | ECLS-K | Hearing ability | PQ1, PQ2 | |
CHQ.218 | [Please indicate whether the following statement describes {CHILD}'s hearing. If {CHILD} has a hearing aid or other assistive device, please consider {his/her} hearing without the hearing aid or assistive device.] {CHILD} can usually hear and understand what a person says without seeing his or her face if that person talks in a normal voice to {him/her} from across a quiet room. | ECLS-K:2011 | Hearing ability | PQ1, PQ2 | |
CHQ.219 | [Please indicate whether the following statement describes {CHILD}'s hearing. If {CHILD} has a hearing aid or other assistive device, please consider {his/her} hearing without the hearing aid or assistive device.] {CHILD} can usually hear and understand what a person says without seeing his or her face if that person shouts to {him/her} from across a quiet room. | ECLS-K:2011 | Hearing ability | PQ1, PQ2 | |
CHQ.220 | [Please indicate whether the following statement describes {CHILD}'s hearing. If {CHILD} has a hearing aid or other assistive device, please consider {his/her} hearing without the hearing aid or assistive device.] {CHILD} can usually hear and understand what a person says without seeing his or her face if that person speaks loudly into {his/her} ears or better ear. | ECLS-K:2011 | Hearing ability | PQ1, PQ2 | |
CHQ.221 | Is {CHILD}’s hearing worse in one ear? | ECLS-K:2011 | Hearing ability | PQ1, PQ2 | |
CHQ.222 | Which best describes {CHILD}'s hearing in {his/her} worse ear? If {CHILD} has a hearing aid or other assistive device, please consider {his/her} hearing without the hearing aid or assistive device. In {his/her} worse ear, would you say {CHILD} has… Excellent hearing, Good hearing, A little trouble hearing, Moderate trouble hearing, A lot of trouble hearing, or is {CHILD} Deaf? |
ECLS-K:2011 | Hearing ability | PQ1, PQ2 | |
CHQ.235 | {Besides the ECLS-K:2011 hearing evaluation done for this study, {since last spring has/since the fall of 2012 has/Has}/{Since last spring has/Since the fall of 2012 has/Has} {CHILD}'s hearing {ever} been evaluated by a professional? | ECLS-K (modified) | Evaluated for hearing ability | PQ1, PQ2 | |
CHQ.245 | Did you obtain a diagnosis of a problem from a professional? | ECLS-K | Diagnoses for hearing ability | PQ1, PQ2 | |
CHQ.246/246OS | What was the diagnosis? | ECLS-K:2011 | Diagnoses of disabilities and health conditions | PQ1, PQ2 | |
CHQ250a/b/c | How old was {CHILD} when the first diagnosis of a problem related to {his/her} {ability to communicate/hearing} was made? | ECLS-K:2011 | Diagnoses of disabilities and health conditions | PQ1, PQ2 | |
CHQ.255a/b | What was the month and year the problem with {CHILD}'s {ability to communicate/hearing} was diagnosed? | ECLS-K:2011 | Diagnoses of disabilities and health conditions | PQ1, PQ2 | |
CHQ.256a | {Since the fall of 2012 /Since last spring/Since the spring of 2012/Since the spring of 2011}, has {CHILD} worn a hearing aid? | ECLS-K:2011 | Use of hearing aid | PQ1, PQ2 | |
CHQ.256b | Has {CHILD} ever worn a hearing aid? | ECLS-K:2011 (modified) | Use of hearing aid | PQ1, PQ2 | |
CHQ.257a/b | At what age was the recommendation that {CHILD} wear a hearing aid first made? | ECLS-K:2011 | Use of hearing aid | PQ1, PQ2 | |
CHQ.258 | How often does {CHILD} use the hearing aid(s) in school? Would you say… All of the time, Most of the time, Sometimes, Rarely, or Never? |
ECLS-K:2011 | Use of hearing aid | PQ1, PQ2 | |
CHQ.259 | Please indicate whether the following statement describes {CHILD}'s hearing when wearing {his/her} hearing aid(s). {CHILD} can usually hear and understand what a person says without seeing his or her face if that person whispers to {him/her} from across a quiet room. | ECLS-K:2011 | Hearing ability: with hearing aid | PQ1, PQ2 | |
CHQ.260 | [Please indicate whether the following statement describes {CHILD}'s hearing when wearing {his/her} hearing aid(s). ] {CHILD} can usually hear and understand what a person says without seeing his or her face if that person talks in a normal voice to {him/her} from across a quiet room. | ECLS-K:2011 | Hearing ability: with hearing aid | PQ1, PQ2 | |
CHQ.261 | [Please indicate whether the following statement describes {CHILD}'s hearing when wearing {his/her} hearing aid(s). ] {CHILD} can usually hear and understand what a person says without seeing his or her face if that person shouts to {him/her} from across a quiet room. | ECLS-K:2011 | Hearing ability: with hearing aid | PQ1, PQ2 | |
CHQ.262 | [Please indicate whether the following statement describes {CHILD}'s hearing when wearing {his/her} hearing aid(s).] {CHILD} can usually hear and understand what a person says without seeing his or her face if that person speaks loudly into {his/her} {better} ear. | ECLS-K:2011 | Hearing ability: with hearing aid | PQ1, PQ2 | |
CHQ.263 | {Since last spring has/Has} a doctor or other health care professional {ever} recommended that {CHILD} wear a hearing aid? | ECLS-K:2011 | Use of hearing aid | PQ1, PQ2 | |
CHQ.264a/b | At what age was the recommendation that {CHILD} wear a hearing aid first made? | ECLS-K:2011 | Use of hearing aid | PQ1, PQ2 | |
CHQ.270 | Does {CHILD} have a cochlear implant? | ECLS-K | Use of cochlear implant | PQ1, PQ2 | |
CHQ.271 | In what year was it implanted? | ECLS-K | Use of cochlear implant | PQ1, PQ2 | |
CHQ.272a/b | How old was {CHILD} when it was implanted? | ECLS-K:2011 | Use of cochlear implant | PQ1, PQ2 | |
CHQ.273 | In what years were they implanted? | ECLS-K | Use of cochlear implant | PQ1, PQ2 | |
CHQ.274 | [In what years were they implanted?] | ECLS-K | Use of cochlear implant | PQ1, PQ2 | |
CHQ.275a/b | {How old was {CHILD} when it was implanted in the left ear?}{How old was {CHILD} when they were implanted?} | ECLS-K:2011 | Use of cochlear implant | PQ1, PQ2 | |
CHQ.276a/b | {How old was {CHILD} when it was implanted in the right ear?}{How old was {CHILD} when they were implanted?} | ECLS-K:2011 | Use of cochlear implant | PQ1, PQ2 | |
CHQ.277 | Please indicate whether the following statement describes {CHILD}'s hearing when wearing {his/her} cochlear implant {s}. {CHILD} can usually hear and understand what a person says without seeing his or her face if that person whispers to {him/her} from across a quiet room. | ECLS-K:2011 | Hearing ability: with cochlear implant | PQ1, PQ2 | |
CHQ.278 | [Please indicate whether the following statement describes {CHILD}'s hearing when wearing {his/her} cochlear implant {s}.]{CHILD} can usually hear and understand what a person says without seeing his or her face if that person talks in a normal voice to {him/her} from across a quiet room. | ECLS-K:2011 | Hearing ability: with cochlear implant | PQ1, PQ2 | |
CHQ.279 | [Please indicate whether the following statement describes {CHILD}'s hearing when wearing {his/her} cochlear implant {s}.] {CHILD} can usually hear and understand what a person says without seeing his or her face if that person shouts to {him/her} from across a quiet room. | ECLS-K:2011 | Hearing ability: with cochlear implant | PQ1, PQ2 | |
CHQ.280 | [Please indicate whether the following statement describes {CHILD}'s hearing when wearing {his/her} cochlear implant {s}.] {CHILD} can usually hear and understand what a person says without seeing his or her face if that person speaks loudly into {his/her} {better} ear. | ECLS-K:2011 | Hearing ability: with cochlear implant | PQ1, PQ2 | |
CHQ.285 | Now I want to ask you about {CHILD}’s vision. Without the use of eyeglasses or contact lenses, does {CHILD} have difficulty seeing objects in the distance or letters on paper? | ECLS-K | Vision ability | PQ1, PQ2 | |
CHQ.286 | Is {CHILD}’s difficulty with seeing objects in the distance, things up close (like letters on paper) or both? | ECLS-K:2011 | Vision ability | PQ1, PQ2 | |
CHQ.290 | {Since last spring has/Has} {CHILD}'s vision {ever} been evaluated by an eye care professional? | ECLS-K (modified) | Evaluated for vision ability | PQ1, PQ2 | |
CHQ.300 | Did you obtain a diagnosis of a vision-related problem from an eye care professional? | ECLS-K (modified) | Diagnoses for vision-related problems | PQ1, PQ2 | |
CHQ.301/301OS | What was the diagnosis? | ECLS-K:2011 | Diagnoses of disabilities and health conditions | PQ1, PQ2 | |
CHQ.305a/b | How old was {CHILD} when the first diagnosis of a problem was made? | ECLS-K:2011 | Diagnoses of disabilities and health conditions | PQ1, PQ2 | |
CHQ.310a/b | What was the month and year the diagnosis was made? | ECLS-K:2011 | Diagnoses of disabilities and health conditions | PQ1, PQ2 | |
CHQ.311 | Has {CHILD} been prescribed glasses or contact lenses to improve {his/her} vision? | ECLS-K:2011 | Use of glasses or contact lenses | PQ1, PQ2 | |
CHQ.312 | How often does {CHILD} wear glasses or contact lenses? All of the time, Most of the time, Sometimes, Rarely, or Never? |
ECLS-K:2011 | Use of glasses or contact lenses | PQ1, PQ2 | |
CHQ.313 | Does {CHILD} have glasses or contact lenses? | ECLS-K:2011 | Use of glasses or contact lenses | PQ1, PQ2 | |
CHQ.314 | Do {CHILD}’s glasses or contacts help {him/her} see things up close, see things in the distance, or both? | ECLS-K:2011 | Use of glasses or contact lenses | PQ1, PQ2 | |
CHQ.330 | Would you say {CHILD}'s health is … Excellent, Very good, Good, Fair, or Poor? |
ECLS-K | Child's general health | PQ1, PQ2 | |
CHQ.340 | During this school year, has {CHILD} received therapy services or taken part in a program for children with disabilities? | ECLS-K | Services for disabilities | PQ1, PQ2 | |
CHQ.420 | During this school year, did {CHILD} participate in a special education program? | ECLS-K (modified) | Services for disabilities | PQ1, PQ2 | |
CHQ.430 | Overall, how satisfied are you with the progress {CHILD} has made in the special services or special education program this school year? Are you… Completely satisfied, Very satisfied, Fairly satisfied, Somewhat dissatisfied, or Very dissatisfied? |
ECLS-K:2011 | Services for disabilities | PQ1, PQ2 | |
Peer Victimization | VIQ.010 | Now, I have some questions about problems {CHILD} may have had with other children. During this school year have other children ever teased, made fun of, or called {CHILD} names? |
Espelage and Holt (2001) (modified) |
Peer victimization | PQ1 |
VIQ.020 | How often has this happened? Would you say … Rarely, Sometimes, Often, or Very often?: |
Espelage and Holt (2001) (modified) | Peer victimization | PQ1 | |
VIQ.030 | During this school year have other children ever pushed, shoved, slapped, hit, or kicked {CHILD}? | Espelage and Holt (2001) (modified) | Peer victimization | PQ1 | |
VIQ.040 | How often has this happened? Would you say … Rarely, Sometimes, Often, or Very often? |
Espelage and Holt (2001) (modified) | Peer victimization | PQ1 | |
VIQ.050 | During this school year have other children ever intentionally excluded or left {CHILD} out from playing with them? |
Espelage and Holt (2001) (modified) | Peer victimization | PQ1 | |
VIQ.060 | How often has this happened? Would you say … Rarely, Sometimes, Often, or Very often? |
Espelage and Holt (2001) (modified) | Peer victimization | PQ1 | |
VIQ.070 | During this school year, have other children ever told lies or untrue stories about {CHILD}? | Espelage and Holt (2001) (modified) | Peer victimization | PQ1 | |
VIQ.080 | How often has this happened? Would you say … Rarely, Sometimes, Often, or Very often? |
Espelage and Holt (2001) (modified) | Peer victimization | PQ1 | |
Parent's Psychological Well-Being and Health | PPQ.100 | I'm going to read some statements that may relate to how you have felt about yourself and your life during the past week. For each statement I read, please indicate how often in the past week you felt or behaved this way. There are no right or wrong answers. How often during the past week have you felt that you were bothered by things that don't usually bother you? Would you say never, some of the time, a moderate amount of the time, or most of the time? |
ECLS-K | Depression and subjective well-being | PQ1, PQ3 |
PPQ.110 | How often during the past week have you felt that you did not feel like eating, that your appetite was poor? | ECLS-K | Depression and subjective well-being | PQ1, PQ3 | |
PPQ.120 | How often during the past week have you felt that you could not shake off the blues even with help from your family or friends? | ECLS-K | Depression and subjective well-being | PQ1, PQ3 | |
PPQ.130 | How often during the past week have you felt that you had trouble keeping your mind on what you were doing? | ECLS-K | Depression and subjective well-being | PQ1, PQ3 | |
PPQ.140 | How often during the past week have you felt depressed? | ECLS-K | Depression and subjective well-being | PQ1, PQ3 | |
PPQ.150 | How often during the past week have you felt that everything you did was an effort? | ECLS-K | Depression and subjective well-being | PQ1, PQ3 | |
PPQ.160 | How often during the past week have you felt fearful? | ECLS-K | Depression and subjective well-being | PQ1, PQ3 | |
PPQ.170 | How often during the past week have you felt your sleep was restless? | ECLS-K | Depression and subjective well-being | PQ1, PQ3 | |
PPQ.180 | How often during the past week have you felt that you talked less than usual? | ECLS-K | Depression and subjective well-being | PQ1, PQ3 | |
PPQ.190 | How often during the past week have you felt lonely? | ECLS-K | Depression and subjective well-being | PQ1, PQ3 | |
PPQ.200 | How often during the past week have you felt sad? | ECLS-K | Depression and subjective well-being | PQ1, PQ3 | |
PPQ.210 | How often during the past week have you felt that you could not get going? | ECLS-K | Depression and subjective well-being | PQ1, PQ3 | |
PPQ.220 | Now, I would like to ask you about your health. In general, would you say that your health is… Excellent, Very good, Good, Fair, or Poor? |
ECLS-K | Parent health | PQ1, PQ3, PQ5 | |
Food Security | FDQ.130a/b/c | These next questions are about whether your family is able to afford the food that you need. I am going to read you several statements that people have made about their food situation. For these statements, please tell me whether the statement was often true, sometimes true, or never true for {you/your household} in the last 12 months, that is, since last {CURRENT MONTH}, 2013. a. {I/We} worried whether {my/our} food would run out before {I/we} got money to buy more. Was that often true, sometimes true, or never true for {you/your household} in the last 12 months? b. The food that {I/we} bought just didn't last, and {I/we} didn't have money to get more. Was that often true, sometimes true, or never true for {you/your household} in the last 12 months? c. {I/We} couldn't afford to eat balanced meals. |
ECLS-K | Family food security | PQ1, PQ3 |
FDQ.140 | In the last 12 months, did {you/you or other adults in your household} ever cut the size of your meals or skip meals because there wasn't enough money for food? | ECLS-K | Family food security | PQ1, PQ3 | |
FDQ.150 | How often did this happen? Would you say… Almost every month Some months, but not every month, or In only 1 or 2 months? |
ECLS-K | Family food security | PQ1, PQ3 | |
FDQ.160 | In the last 12 months, did you ever eat less than you felt you should because there wasn't enough money for food? | ECLS-K | Adult food security | PQ1, PQ3 | |
FDQ.170 | In the last 12 months, were you ever hungry but didn't eat because there wasn't enough money for food? | ECLS-K | Adult food security | PQ1, PQ3 | |
FDQ.180 | In the last 12 months, did you lose weight because there wasn't enough money for food? | ECLS-K | Adult food security | PQ1, PQ3 | |
FDQ.190 | In the last 12 months, did {you/you or other adults in your household} ever not eat for a whole day because there wasn't enough money for food? | ECLS-K | Adult food security | PQ1, PQ3 | |
FDQ.191 | How often did this happen? Would you say… Almost every month Some months, but not every month, or In only 1 or 2 months? |
ECLS-K | Adult food security | PQ1, PQ3 | |
Parent's Education | PEQ.020 | {Now I have a few questions about education and job training.} What is the highest grade or year of school that {you/{NAME}} {have/has} completed? | ECLS-K:2011 (modified) | Parent education | PQ1, PQ3 |
PEQ.021 | {Do/Does} {you/{NAME}} have a high school diploma, or its equivalent, such as a GED, or neither? | ECLS-K | Parent education | PQ1, PQ3 | |
Parent's Employment | EMQ.200 | Which best describes {your/NAME'S} current employment situation? {Are you/Is {NAME}}… working part-time, working full-time, a stay-at-home parent or guardian, or not working? |
Westat | Parent employment | PQ1, PQ3 |
EMQ.210 | Since {CHILD} was born, {have you/has {NAME}} served on active duty in the U.S. Armed Forces, military Reserves, or National Guard? Active duty does not include training for the Reserves or National Guard, but DOES include activation, for example, for the war in Afghanistan. | United States Census Bureau (modified) | Active duty military service: since child was born | PQ1, PQ3 | |
EMQ.215 | {Are you/Is {NAME}} currently on active duty in the U.S. Armed Forces, military Reserves, or National Guard? | United States Census Bureau (modified) | Active duty military service: current | PQ1, PQ3 | |
Parent Income and Assets | PAQ.100 | {In studies like this, households are sometimes grouped according to income.} What was the total income of all persons in your household over the past year, including salaries or other earnings, interest, retirement, and so on for all household members? Was it… $25,000 or less, or More than $25,000? |
ECLS-K | Annual family income | PQ1, PQ3 |
PAQ.110 | Was it… $5,000 or less $5,001 to $10,000 $10,001 to $15,000 $15,001 to $20,000 $20,001 to $25,000 $25,001 to $30,000 $30,001 to $35,000 $35,001 to $40,000 $40,001 to $45,000 $45,001 to $50,000 $50,001 to $55,000 $55,001 to $60,000 $60,001 to $65,000 $65,001 to $70,000 $70,001 to $75,000 $75,001 to $100,000 $100,001 to $200,000 $200,001 or more |
ECLS-K | Annual family income | PQ1, PQ3 | |
PAQ.120 | What was your total household income last year, to the nearest thousand? | ECLS-K | Annual family income | PQ1, PQ3 | |
PAQ.140/140OS | What is your current housing situation? Do you… own your own house or condominium rent your house or apartment exchange services for housing not pay for housing live in temporary housing or a shelter, or have another type of arrangement (SPECIFY)? |
ECLS-K | Housing | PQ1, PQ3 | |
Mobility and Tracking Updates | CMQ.010 | Have you moved since {DATE OF LAST INTERVIEW}? | ECLS-K | Child Mobility | NA |
CMQ.020/020OS | Why did you move? | ECLS-K | Child Mobility | NA | |
CMQ.060 | Just to make sure I can reach you for the next interview, which will take place next school year, I'd like to ask a few questions about how to find you. Is there a second phone number, such as a work number, a friend or relative's number, or a beeper or cell phone number, where you can sometimes be reached? |
ECLS-K | Closing | NA | |
CMQ.100 | Just to make sure I can reach you for the next interview, which will take place next school year, I'd like to ask a few questions about how to find you. I have recorded {PHONE NUMBER} as a second phone number where you can sometimes be reached. Is this the right number? | ECLS-K | Closing | NA | |
CMQ.140 | What is that telephone number? | ECLS-K | Closing | NA | |
CMQ.150/155 | Where is that telephone located? | ECLS-K | Closing | NA | |
CMQ.200 | I have recorded that {NAME OF RELATIVE/FRIEND} at {PHONE NUMBER} on {STREET ADDRESS, LINE 1} {STREET ADDRESS, LINE 2} {CITY} {STATE} {ZIP CODE} will always know where you are if you move. Is this still true? |
ECLS-K | Closing | NA | |
CMQ.205 | Is there a relative or friend, who does not live in this household, who will always know where you are if you move? | ECLS-K | Closing | NA | |
CMQ.210/220/230/240/250/255/255OS/260/270 | What is the name, address, and telephone number of that person? | ECLS-K | Closing | NA | |
CMQ.280 | What is the person's relationship to you? | ECLS-K | Closing | NA | |
CMQ.382 | I have also recorded that your e-mail address is {EMAIL ADDRESS}. Is that correct? | ECLS-K | Closing | NA | |
CMQ.383 | Is there an e-mail address where we could reach you? | ECLS-K | Closing | NA | |
CMQ.384 | What is your e-mail address? | ECLS-K | Closing | NA | |
CMQ.680 | WAS THIS INTERVIEW CONDUCTED BY TELEPHONE OR IN-PERSON? | ECLS-K | Closing | NA | |
CMQ.690/690OS | WAS THIS INTERVIEW CONDUCTED IN ENGLISH, SPANISH, A CHINESE LANGUAGE, VIETNAMESE, OR ANOTHER LANGUAGE? | ECLS-K | Closing | NA | |
CMQ.695 | WHERE WAS THIS INTERVIEW CONDUCTED? | ECLS-K | Closing | NA | |
CMQ.700 | Thank you very much for your cooperation and for taking the time to participate in the Early Childhood Longitudinal Study. | ECLS-K | Closing | NA | |
CMQ.701 | We would like to call the parent or guardian for {CHILD} at the household where {he/she} lives. Could you please give me the name and telephone number for the home that I should call? | ECLS-K | Closing | NA | |
CMQ.702 | We would like to call back when {this person/{CHILD}’s parent or guardian is available. Please tell me when we should call back. | ECLS-K | Closing | NA | |
CMQ.703 | Thank you. | ECLS-K | Closing | NA | |
CMQ.720 | PRESS 1 AND ENTER TO SAVE AND EXIT THIS CASE. | ECLS-K | Closing | NA |
Spring Third-Grade General Classroom Teacher Classroom-Level Questionnaire, Appendix D | |||||
Section | Item # | Item Stem | Source | Construct | Research Question |
Classroom and Student Characteristics | A1 | As of today’s date, how many children… Are currently enrolled in your class? Have joined the class since the beginning of the school year? Have left the class since the beginning of the school year? Are boys? Are girls? | ECLS-K | Classroom characteristics: enrollment, gender distribution | TQ1; TQ3 |
A2 | What grade levels are included in your class? | ECLS-K | Classroom characteristics: grade levels within class | TQ1 | |
A3 | During this school year have you taught the following subjects to any or all of the students in your class? | New | Classroom characteristics: subjects taught | TQ3 | |
A4 | How many of the children in your class are repeating this grade this year? | ECLS-K | Classroom characteristics: number of repeaters | TQ2; TQ3 | |
A5 | How many children in your class…Are classified as Gifted and Talented? Are participating in a Gifted and Talented program? | ECLS-K | Classroom characteristics: number of gifted and talented | TQ3 | |
A6 | How many children in your class…Are tardy on an average day? Are absent on an average day? | ECLS-K | Students tardy or absent | TQ2 | |
A7 | How many children in your class are below grade level, about on grade level, or above grade level in each of the following subjects? | ECLS-K | Students above or below grade level in reading/math | TQ3 | |
A8 | At this point in the school year, how would you rate the behavior of the children in your class? | ECLS-K | Overall behavior of the class | TQ1 | |
A9 | Items asking the percentage of the students in the classroom who demonstrate behaviors or characteristics that either disrupt or create a challenging learning environment. Items not included due to copyright restrictions (4 items total). | New. From Abry, Swanson, & Fabes (2012) | Classroom climate (student difficulties) | TQ2 | |
A10 | How many children in your class have a diagnosed disability? | ECLS-K | Number of students with disabilities | TQ3 | |
A11 | Do you have any children who are English language learners in your class? (English language learners are children whose native language is one other than English and whose skills in listening, speaking, reading, or writing English are such that they have difficulty understanding school instruction in English.) | ECLS-K | Number of English language learners | TQ3 | |
A12 | How many English language learners (ELLs) do you have in your class? | ECLS-K | Number of English language learners | TQ3 | |
A13 | Which languages are spoken by you or any other teacher or aide to the ELL children in your class for academic instruction, instructional support, or conversation? | ECLS-K | Languages used in the classroom | TQ3 | |
Class Organization and Resources | B1 | During a typical day, how much time per day would you estimate that you spend on classroom discipline and handling disruptive behavior? | ECLS-K | Time spent on discipline | TQ1 |
B2 | How often does the typical child in your class usually work on lessons or projects in the following general subject areas, whether as a whole class, in small groups, or in individualized arrangements? | ECLS-K | Use of class time, by subject area | TQ1 | |
B3 | On the days children work in these areas, how much time does the typical child in your class usually work on lessons or projects in the following general subject areas? | ECLS-K | Use of class time, by subject area | TQ1 | |
B4 | How often do the children in your class go to the school library or media center? | ECLS-K | Visit library and borrow materials, frequency | TQ1 | |
B5 | How many days a week do children have recess? | ECLS-K | Class activities (outside of class)/ recess | TQ1 | |
B6 | On days when children have recess, between the school day starting time and the dismissal time, how many times a day do children have recess? | ECLS-K | Class activities (outside of class)/ recess | TQ1 | |
B7 | In a typical day, how much time do children in your class spend in the following activities? | ECLS-K | Use of class time (outside of class)/ lunch, recess | TQ1 | |
B8 | Do any of the following staff members provide direct instruction to students in your class who are struggling or at risk of failure in reading or math? | Adapted from Reading First Impact Study--Teacher Survey | Response to Intervention-related policies and practices | TQ8 | |
B9 | How frequently do you or your students use computers or the following electronic devices for instructional purposes? Please include any desktop, laptop, or other computer-type devices. |
ECLS-K | Availability, use, and adequacy of materials | TQ1 | |
B10 | In an average week, how many days a week is homework assigned? Please count homework assigned over the weekend as one day. | ECLS-K | Use of homework | TQ1 | |
B11 | On days when homework is assigned, how much time do you expect children to spend on homework in the following areas? | ECLS-K | Use of homework | TQ1 | |
Parent Involvement | C1 | How many regularly scheduled conferences do you have with a parent or guardian of each child in your class during the school year? | ECLS-K | Parent-teacher conferences | TQ5 |
C2 | What percentage of children in your class have parents who participate in the following activities? | ECLS-K | Parent involvement in school | TQ5 | |
Evaluation and Grading Practices | D1 | How important is each of the following in evaluating the children in your class for reporting to parents? | ECLS-K | Methods of assessing children's progress | TQ1 |
D2 | How often do you use a formal assessment in READING for the following purposes? | ECLS-K:2011 Grade 1 | Response to Intervention-related policies and practices | TQ8 | |
D3 | How often do you use a formal assessment in MATH for the following purposes? | ECLS-K:2011 Grade 1 | Response to Intervention-related policies and practices | TQ8 | |
School and Staff Activities | E1 | Did you participate in any professional development* within the last 12 months | ECLS-K:2011 Grade 1 | Professional development activities | TQ4 |
E2 | How often did you participate in professional development activities covering the following topics in the last 12 months? | Adapted from Reading First Impact Study--Teacher Survey | Response to Intervention-related policies and practices | TQ8 | |
E3 | Have you received support from any of the following staff members during the current academic year? | ECLS-K:11 Grade 1 | Response to Intervention-related policies and practices | TQ8 | |
Views on School Climate and School Environment | F1 | Please indicate the extent to which you agree or disagree with each of the following statements about your school. | ECLS-K | School climate | TQ4 |
F2 | To what extent do you agree or disagree with the following statements? | ECLS-K | Teacher’s sense of efficacy; Job satisfaction | TQ4 | |
F3 | To what extent do you agree or disagree with the following statements? | ECLS-K | Teacher’s sense of efficacy; Job satisfaction | TQ4 | |
F4 | For each of the following statements about READING, indicate how strongly you agree or disagree. | Adapted from WA (RTI) and HB 2136: Spring 2010 | Response to Intervention-related policies and practices | TQ8 | |
F5 | For each of the following statements about MATH, indicate how strongly you agree or disagree. | Adapted from WA (RTI) and HB 2136: Spring 2010 | Response to Intervention-related policies and practices | TQ8 | |
Teacher Background | G1 | What is your gender? | ECLS-K | Teacher demographic information | TQ4 |
G2 | In what year were you born? | ECLS-K | Teacher demographic information | TQ4 | |
G3 | Are you Hispanic or Latino? | ECLS-K | Teacher demographic information | TQ4 | |
G4 | Which best describes your race? | ECLS-K | Teacher demographic information | TQ4 | |
G5 | What is the highest level of education you have completed? | ECLS-K | Teacher's education | TQ4 | |
G6 | Counting this school year, how many years have you taught each of the following grades and programs, including years in which you taught part time? | ECLS-K | Teaching experience, by school and grade | TQ4 | |
G7 | Counting this school year, how many years have you been a school teacher, including years in which you taught part-time? | ECLS-K | Teaching experience, by school and grade | TQ4 | |
G8 | Is this school year the first year you have taught in this school? | New | Number of years teaching in current school | TQ4 | |
G9 | If you have an associate's or bachelor's degree, indicate your undergraduate major field of study. | ECLS-K | Teacher's education: major field of study | TQ4 | |
G10 | If you have a graduate degree, indicate the major field of study of your highest level graduate degree. | ECLS-K | Teacher's education: major field of study | TQ4 | |
G11 | Have you ever taken a college course that addressed issues related to the following? | ECLS-K:2011 Grade 1 | Teacher's education: coursework | TQ4 | |
G12 | Which of the following describes the teaching certificate you currently hold in THIS state? | ECLS-K | Type of teaching certification held | TQ4 | |
G13 | Date questionnaire completed |
Spring Third-Grade General Classroom Teacher Subject-Level Questionnaire, Appendix D | |||||
Section | Item # | Item Stem | Source | Construct | Research Question |
Reading and Language Arts Instruction | A1 | From the first day of school until today, please indicate how many days each of the following READING skills and concepts has been covered in your class. Please include the time during which you provide direct instruction as well as the time you spend supervising students as they work. | ECLS-K, updated to reflect "Common Core State Standards," corestandards.org | Time spent on specific activities and skills in reading/language arts | TQ1 |
Mathematics Instruction | B1 | From the first day of school until today, please indicate how many days each of the following MATH skills and concepts has been covered in your class. Please include the time during which you provide direct instruction as well as the time you spend supervising students as they work. | ECLS-K, updated to reflect "Common Core State Standards," corestandards.org | Time spent on specific activities and skills in mathematics | TQ1 |
Science Instruction | C1 | From the first day of school until today, please indicate how often each of the following SCIENCE skills and concepts has been covered in your class. Please include the time during which you provide direct instruction as well as the time you spend supervising students as they work. | ECLS-K | Skills taught in science | TQ1 |
C2 | For this school year as a whole, please indicate if each of the following SCIENCE topics or skills is taught in your class either in your class in its own unit or lesson or as part of a unit/lesson on a different topic. | ECLS-K, updated to reflect "Next Generation Science Standards," NSTA.org | Topics taught in science | TQ1 | |
Social Studies Instruction | D1 | For this school year as a whole, please indicate if each of the following SOCIAL STUDIES topics or skills is taught in your class either in your class in its own unit or lesson or as part of a unit/lesson on a different topic. | ECLS-K | Topics taught in social studies | TQ1 |
Spring Third-Grade General Classroom Teacher Child-Level Questionnaire, Appendix D | |||||
Section | Item # | Item Stem | Source | Construct | Research Question |
Social Skills | A1-A26 | Items not included due to copyright restrictions (26 items total) | SSRS Elementary Scale A; ECLS-K | Social skills and approaches to learning | TQ7 |
Classroom Behaviors Questionnaire | B1-B13 | Items not included due to copyright restrictions (13 items total) | TMCQ | Social skills and approaches to learning | TQ7 |
Student-Teacher Interactions | C1-C15 | Items not included due to copyright restrictions (15 items total) | STRS | Level of closeness between child and teacher; level of conflict between child and teacher | TQ6; TQ7 |
Peer Relationships | D1-D9 | Items asking how often certain statements related to the child's relationships with peers apply to the child. Items not included due to copyright restrictions (9 items total) | New. The Child Behavior Scale. Gary W. Ladd (2010) | Peer acceptance/exclusion | TQ7 |
D10 a/b/c/d | During this school year, how often have other students… a. Teased, made fun of, or called this student names? b. Pushed, shoved, slapped, hit, or kicked this student? c. Told lies or untrue stories about this student? d. Intentionally excluded or left this student out from playing with them? |
Source: Adapted from Espelage and Holt (2001). | Target of victimization by other students | TQ7 | |
D11 a/b/c/d | During this school year, how often has this student… a. Teased, made fun of, or called other students names? b. Pushed, shoved, slapped, hit, or kicked other students? c. Told lies or untrue stories about other students? d. Intentionally excluded or left other students out from playing with them? |
Source: Adapted from Espelage and Holt (2001). | Victimization of other students by this student | TQ7 | |
Student Information | E1 | How long has this child been in your classroom this school year? | ECLS-K | Family mobility | TQ3 |
E2 | Please indicate the total number of absences for this child for the current school year. | ECLS-K | Attendance | TQ3; TQ7 | |
E3 | Does this child receive (or has he/she received during this school year) instruction in any of the following types of programs in your school? | ECLS-K | Receipt of remedial or gifted services | TQ3; TQ7 | |
E4 | Is English this child's native language? | ECLS-K | Native language other than English | TQ3; TQ7 | |
E5 | Does this child participate in an instructional program designed to teach English language skills to children with limited English proficiency? | ECLS-K | Receipt of instruction for English language learners | TQ3; TQ7 | |
E6 | Would you say the instruction this child receives is primarily … | Adapted from the "Types of language instruction educational programs," provided by the National Clearinghouse for English Language Acquisition. | Receipt of instruction for English language learners | TQ3; TQ7 | |
E7 | How often does this child usually receive specialized language instruction of the following program types? | ECLS-K | Receipt of instruction for English language learners | TQ3; TQ7 | |
E8 | On the days when this child receives specialized language instruction, for how much time does he/she receive instruction of the following program types? | ECLS-K | Receipt of instruction for English language learners | TQ3; TQ7 | |
E9 | During this school year, how often is this child's academic instruction provided in his/her native language? | ECLS-K | Receipt of instruction for English language learners | TQ3; TQ7 | |
E10 | Does this child have an IEP on record with the school? | ECLS-K | IEP status | TQ3; TQ7 | |
E11 | Does this child receive instruction in any of the following types of programs in your school? | ECLS-K | Receipt of special education services | TQ3; TQ7 | |
E12 | During structured play time, how does this child compare with other children in the class in terms of physical activity? | ECLS-K | Comparison to peers: physical activity | TQ7 | |
E13 | During unstructured play time, how does this child compare with other children in the class in terms of physical activity? | ECLS-K | Comparison to peers: physical activity | TQ7 | |
E14 | Overall, how would you rate this child’s academic skills in each of the following areas, based on curriculum standards for his/her current grade level? | ECLS-K | Comparison to peers: academic skills for current grade level | TQ7 | |
E15 a/b/c/d | Items asking how often the child has had problems with four behaviors related to working memory over the past 6 months. Items not included due to copyright restrictions (4 items total). | New. BRIEF- Behavior Rating Inventory of Executive Function | Working memory (an aspect of executive function) | TQ7 | |
E16 | How often does this child work to the best of his/her ability? | ECLS-K | Working to the best of one's ability | TQ7 | |
E17 | How many instructional groups based on achievement or ability levels in READING do you currently have in this child's class? | ECLS-K | Use of achievement grouping: Reading | TQ1; TQ3 | |
E18 | In which reading instructional group is this child currently placed? | ECLS-K | Placement in achievement grouping: Reading | TQ7 | |
E19 | How many instructional groups based on achievement or ability levels in MATHEMATICS do you currently have in this child's class? | ECLS-K | Use of achievement grouping: Math | TQ1; TQ3 | |
E20 | In which mathematics instructional group is this child currently placed? | ECLS-K | Placement in achievement grouping: Math | TQ7 | |
E21 | How involved at the school would you say this child’s parents/guardians are? | ECLS-K | Parent involvement in school activities | TQ5 | |
E22 | Are you this child's primary teacher in the following subject areas? | ECLS-K | N/A | N/A | |
E23 | Date questionnaire completed |
Spring Third-Grade Special Education Teacher Teacher-Level Questionnaire, Appendix E | ||||
Item # | Item Stem | Source | Construct | Research Question |
1 | What is your gender? | ECLS-K | Teacher demographic information | SEQ4 |
2 | In what year were you born? | ECLS-K | Teacher demographic information | SEQ4 |
3 | Are you Hispanic or Latino? | ECLS-K | Teacher demographic information | SEQ4 |
4 | Which best describes your race? | ECLS-K | Teacher demographic information | SEQ4 |
5 | What is the highest level of education you have completed? | ECLS-K | Teacher’s education | SEQ4 |
6 | Is this school year the first year you have taught at this school? | New | Number of years teaching in current school | TQ4 |
7 | Counting this school year, how many total years have you been working with children receiving special education or related services, including years in which you worked part time? | ECLS-K | Teaching experience in special education | SEQ4 |
8 | Counting this school year, how many total years have you been working with children in any school, including years in which you worked part time? This would include other assignments such as teaching in a regular classroom or otherwise providing services to children. |
ECLS-K | Total years teaching experience | SEQ4 |
9 | Which of the following credentials, licenses, or certificates do you have for working with children with disabilities? | ECLS-K | Teaching certification, credentials, and licenses | SEQ4 |
10 | Have you taken the exam for National Board for Professional Teaching Standards certification? | ECLS-K | Teaching certification, credentials, and licenses | SEQ4 |
11 | Have you ever taken a college course in the following areas? | ECLS-K | Teacher’s education | SEQ4 |
12 | Have you ever taken a college course that addressed issues related to the following? | ECLS-K:2011 Grade 1 | Teacher’s education | SEQ4 |
13 | Which of the following best describes your current position in this school? | ECLS-K | Teaching position and assignment | SEQ4 |
14 | How do you classify your main assignment at this school, that is, the activity at which you spend most of your time during this school year? | ECLS-K | Teaching position and assignment | SEQ4 |
15 | During this school year, where have you worked with children with IEPs? | ECLS-K | Locations in which teacher delivers services | SEQ1, SEQ3, SEQ5 |
16 | Please indicate the extent to which you agree or disagree with each of the following statements. | ECLS-K | Teacher’s sense of efficacy; Job satisfaction | SEQ4 |
17 | During the school year, how many children with IEPs have you worked with or provided services for, on average, each week? (Include children you work with directly, as well as children for whom you consult with the general education teacher and/or another special education teacher service provider? | ECLS-K | Teaching student caseload | SEQ4, SEQ5 |
18 | Date Questionnaire Completed |
Spring Third-Grade Special Education Teacher Child-Level Questionnaire, Appendix E | ||||
Item # | Item Stem | Source | Construct | Research Question |
1 | Is this child currently receiving gifted/talented services through an IEP, or has the child received such services during this school year? | ECLS-K | Child's receipt of services: gifted/talented | SEQ1 |
2 | Is this child currently receiving special education services through an IEP due to a disability or has the child received such services during this school year? | ECLS-K | Child's receipt of services: special education | SEQ1 |
3 | In what capacity or capacities do you teach or provide services to this child? | ECLS-K | Type of special education services | SEQ1 |
4 | When was this child first determined eligible for special education or related services? | ECLS-K | Length of diagnosis and services | SEQ7 |
5 | Is this the first school year that the child has been receiving special education services? | ECLS-K | Age/Grade of first IEP and services for child | SEQ7 |
6 | When did this child first start receiving special education or related services? | ECLS-K | Age/Grade of first IEP and services for child | SEQ7 |
7 | To what extent were you involved in planning the transition from last year's special education program to this year's special education program for this child? | ECLS-K | Transition activities | SEQ7 |
8 | To what extent did you communicate with the person(s) who provided special education for this child last year? | ECLS-K | Transition activities | SEQ1 |
9 | Have you reviewed this child’s records related to special education services provided before this school year? | ECLS-K | Transition activities | SEQ1 |
10 | What is this child’s primary disability as identified on the child’s IEP? | ECLS-K | Child’s disability | SEQ2 |
11 | During this school year, for which of the following disabilities has this child received special education or related services, whether for the child’s primary disability or another of his/her disabilities? | ECLS-K | Child’s disability | SEQ2 |
12 | During this school year, has this child received any special education or related services because of a diagnosed Attention Deficit Disorder (ADD) or Attention Deficit Hyperactivity Disorder (ADHD)? | ECLS-K | Child's disability | SEQ2 |
13 | During this school year, which of the following describe(s) the IEP goals for this child? | ECLS-K | IEP goals | SEQ5 |
14 | During this school year, which of the following related services have been provided through the school to this child? | ECLS-K | Type of special education services | SEQ1, SEQ2 |
15 | During this school year, has this child received any of the following? | ECLS-K | Type of special education services | SEQ1, SEQ2 |
16 | During this school year, has this child’s primary placement been a general education classroom? | ECLS-K | Child’s classroom placement | SEQ3, SEQ5 |
17 | During this school year, approximately how many hours per week of direct special education and related services (that is, service provided directly to the child, from a teacher or another adult) has this child received? | ECLS-K | Frequency of special education services | SEQ1 |
18 | Of the hours of direct special education and related services reported above, approximately how many of those hours per week were the instruction/services provided outside of a general education classroom but within the school setting? | ECLS-K | Frequency of special education services: outside general education classroom | SEQ1 |
19 | During this school year, what teaching practices and methods have you and/or other special education service providers used with this child? | ECLS-K | Teaching methods and materials | SEQ1, SEQ2 |
20 | During this school year, which of the following best describes the curriculum materials used with this child in the general education classroom? | ECLS-K | Teaching methods and materials | SEQ1, SEQ2 |
21 | During this school year, which of the following best describes the curriculum materials used with this child in the special education classroom/program? | ECLS-K | Teaching methods and materials | SEQ1, SEQ2 |
22 | During this school year, which of the following assistive technologies and devices has this child used? | ECLS-K | Teaching methods and materials: assistive technology | SEQ1, SEQ2 |
23 | Does this child have a computer, laptop, or word processing device assigned to him/her for use full time this school year? | ECLS-K | Teaching methods and materials: assistive technology | SEQ2, SEQ5 |
24 | During this school year, on average, how often have you met with general education teacher(s) to discuss this child’s program or progress? | ECLS-K | Staff communication | SEQ5, SEQ7 |
25 | On average, how long were the meetings with the general education teacher(s) to discuss this child’s program or progress? | ECLS-K | Staff communication | SEQ5, SEQ7 |
26 | During this school year, approximately how often have you communicated with this child’s parents about this child’s program or progress (by phone, in person, or in writing, including e-mail)? | ECLS-K | Parent communication | SEQ6 |
27 | During this school year, has this child received formal individual evaluations in any of the following areas for purposes of developing IEP goals? | ECLS-K | IEP goal development | TQ3, SEQ7 |
28 | To what extent is this child expected to achieve the same general education goals as other children at his/her grade level? | ECLS-K | Expectation for achievement of general education goals | TQ3, SEQ5 |
29 | What percentage of this child’s current IEP goals have been met or nearly met at this point in the school year? | ECLS-K | IEP goal achievement | SEQ1 |
30 | Which of the following best expresses the likelihood that this child will continue to receive some level of special education services (through an IEP) in the next school year? | ECLS-K | IEP goal achievement | TQ3, SEQ7 |
31 | During this school year, to what extent has this child participated in any grade-level assessment administered as part of the school’s testing program? | ECLS-K | Participation in assessment | TQ3, SEQ5 |
32 | Did this child receive special accommodations to participate in the school's regular testing or assessment program this school year? |
ECLS-K | Participation in assessment: special accommodations | TQ3, SEQ5 |
33 | In which grade is this child enrolled? | ECLS-K | Current grade level | N/A |
34 | Date Questionnaire Completed |
Spring Third-Grade School Administrator Questionnaire, Appendix F | |||||
Section | Item # | Item Stem | Source | Construct | Research Question |
School Characteristics | A1 | How many instructional days will this school provide during this academic year? | ECLS-K | Length of school year | SAQ1 |
A2 | School enrollment. WRITE IN THE APPROXIMATE NUMBER OF CHILDREN FOR EACH OF THE FOLLOWING. | ECLS-K | Enrollment and attendance | SAQ2 | |
A3 | Approximately, what is the Average Daily Attendance for your school this year? | ECLS-K | Enrollment and attendance | SAQ7 | |
A4 | Mark all grade levels included in your school. | ECLS-K | School type (public/private/affiliation; grades; magnet; etc) | SAQ2 | |
A5 | Which of the following characterizes your school? | ECLS-K | School type (public/private/affiliation; grades; magnet; etc) | SAQ2 | |
A6 | In what year did this school start providing instruction as a public CHARTER school? | ECLS-K | School type (public/private/affiliation; grades; magnet; etc) | SAQ2 | |
A7 | Which of the following characterizes your public CHARTER school? | ECLS-K | School type (public/private/affiliation; grades; magnet; etc) | SAQ2 | |
A8 | Approximately how many or what percentage of the children in your school belongs to each of the following racial/ethnic groups? | ECLS-K | Student demographic information: race/ethnicity distribution | SAQ2 | |
A9 | If your school is a private, magnet, or charter school, please check here and SKIP TO Q A12. | ECLS-K:2011 Grade 1 | School type (public/private/affiliation; grades; magnet; etc) | SAQ2 | |
A10 | About what percentage of the children enrolled in this school attend from outside of this school’s assigned attendance area because…. | ECLS-K | Student demographic information: transfers from outside attendance area | SAQ2 | |
A11 | About what percentage of the children enrolled in this school are eligible for free or reduced-price lunch? | ECLS-K | Student demographic information: indicator of poverty | SAQ2 | |
School Facilities and Resources | B1 | In general, how adequate are each of the following school facilities for meeting the needs of the children in your school? | ECLS-K | Adequacy of facilities and resources | SAQ2 |
School-Family-Community Connections | C10 | Are any of the following programs or services for parents and families available at your school site? Please include programs run by the school and those run by outside groups. | ECLS-K | School-based programs or services for parents and families | SAQ3, SAQ4 |
C2 | Please indicate how often each of the following activities is provided by your school. | ECLS-K | School-based programs or services for parents and families | SAQ3, SAQ4 | |
C3 | Indicate how much you agree or disagree with the following statements about the school’s community and parents. | ECLS-K | Parent involvement | SAQ3 | |
C4 | How much of a problem are the following in the neighborhood where this school is located? | ECLS-K | Neighborhood problems | SAQ6 | |
C5 | To the best of your knowledge how often do the following types of problems occur at your school? | ECLS-K | School safety | SAQ7 | |
C6 | Does your school take either of the following measures to ensure the safety of children? | ECLS-K | Measures taken to ensure school safety | SAQ7 | |
C7 | To what extent is each of the following matters a problem in this school? Indicate whether each is a SERIOUS problem, a MODERATE problem, a MINOR problem, or NOT a problem in this school. | ECLS-K | Enrollment and attendance; School climate; Teacher mobility | SAQ7 | |
C8 | During the past year, to what extent did any of the following changes occur at your school? | ECLS-K | Recent changes at the school | SAQ2 | |
C9 | During the past year, did any of the following changes occur at your school? | ECLS-K | Recent changes at the school | SAQ2 | |
School Policies and Practices | D1 | How many second-grade children were retained at their current grade level last school year? | ECLS-K | Retention policies and practices | SAQ2 |
D2 | How many third-grade children were retained at their current grade level last school year? | ECLS-K | Retention policies and practices | SAQ2 | |
D3 | Is a school-wide positive behavioral intervention and support program (for example, Positive Behavioral Support, Positive Behavioral Intervention System) implemented at your school? | Adapted from FRSS 99 Dropout Prevention Services and Programs survey | Response to Intervention-related policies and practices | SAQ9 | |
D4 | For each of the following statements about READING and MATH, indicate how strongly you agree or disagree. | Adapted from WA (RTI) and HB 2136: Spring 2010 | Response to Intervention-related policies and practices | SAQ9 | |
D5 | Is Response to Intervention (RtI) currently used at your school in third grade, either partially or fully implemented? | Adapted from IDEA national Assessment Implementation Study (LEA) | Response to Intervention-related policies and practices | SAQ9 | |
D6 | Is RtI currently implemented at your school in third grade in the following areas? | Adapted from IDEA national Assessment Implementation Study (LEA) | Response to Intervention-related policies and practices | SAQ9 | |
D7 | Approximately how many years ago did your school begin implemementing RtI in third grade in any subject? | ECLS-K:2011 Grade 1 | Response to Intervention-related policies and practices | SAQ9 | |
D8 | For the 2013-2014 school year, how has your school made information available to parents/guardians to help them understand how RtI is being implemented in your school? | Adapted from IDEA national Assessment Implementation Study (LEA) | Response to Intervention-related policies and practices | SAQ9 | |
School Programs for Particular Students | E1 | Do any of the children in this school come from a home where a language other than English is spoken? | ECLS-K | Student demographic information: language other than English | SAQ2 |
E2 | What percentage of children in this school and in third grade are English language learners (ELL)? | ECLS-K | Delivery of instruction to English Language Learners (ELL) and services for language minority (LM) families | SAQ2 | |
E3 | Please indicate what type(s) of specialized language instruction is provided to third-grade English language learners in your school. | Adapted from the "Types of language instruction educational programs," provided by the National Clearinghouse for English Language Acquisition. | Delivery of instruction to English Language Learners (ELL) and services for language minority (LM) families | SAQ4 | |
E4 | Are any of the following services provided to families of children from households where a language other than English is spoken? | ECLS-K | Delivery of instruction to English Language Learners (ELL) and services for language minority (LM) families | SAQ5 | |
E5 | Since the beginning of this school year (2013-2014), how many students have been NEWLY evaluated at your school to determine if they are eligible for an IEP? | Adapted from IDEA national Assessment Implementation Study (LEA) | Evaluation for IEP | SAQ9 | |
E6 | Of those students who have been NEWLY evaluated at your school this school year (2013-2014), how many were found eligible for an IEP, including those who may have an IEP for speech only? | Adapted from IDEA national Assessment Implementation Study (LEA) | Special education eligibility | SAQ9 | |
E7 | What method(s) are used in your school to determine special education ELIGIBILITY for students with learning disabilities? | Adapted from IDEA national Assessment Implementation Study (LEA) | Special education eligibility | SAQ9 | |
E8 | Approximately what percentage of your third-graders are in each of the following instructional programs? | ECLS-K | Delivery of special education and related services to children with disabilities | SAQ4 | |
E9 | Where are children with Individualized Education Programs (IEPs) typically served in this school? | ECLS-K | Delivery of special education and related services to children with disabilities | SAQ4 | |
Federal Programs: Title I, Adequate Yearly Progress, and Title III | F1 | Did your school receive Federal Title I funds for this school year? | ECLS-K | Services and programs: Title I | SAQ2 |
F2 | Is your school operating a Title I targeted assistance or schoolwide program? | ECLS-K | Services and programs: Title I | SAQ4 | |
F3 | This school year, did your school use Title I funds for any of the following purposes? | ECLS-K | Services and programs: Title I | SAQ2 | |
F4 | Did your school receive Federal Title III funds for this school year? (Title III is “Language Instruction for Limited English Proficient and Immigrant Students.”) | ECLS-K | Services and programs: Title III | SAQ2 | |
F5 | This school year, did your school use Title III funds for any of the following purposes? | ECLS-K | Services and programs: Title III | SAQ4 | |
F6 | At the end of the LAST school year (2012-2013), did this school make Adequate Yearly Progress (AYP)? (Adequate Yearly Progress is your state’s measure of yearly progress toward achieving state academic standards.) | ECLS-K:2011 Grade K, from NCLB regulations | School status relative to Adequate Yearly Progress (AYP) | SAQ2 | |
F7 | At the end of the LAST school year (2013-2012), was this school identified for improvement due to Adequate Yearly Progress (AYP) requirements? (A school is identified for improvement if it does not make Adequate Yearly Progress for two consecutive years or more in the same content area.) |
ECLS-K:2011 Grade K, from NCLB regulations | School status relative to Adequate Yearly Progress (AYP) | SAQ2 | |
F8 | Please indicate in PART 1 whether any of the following actions have taken place in your school in the past three years. For each action that you mark as having taken place, please indicate in PART 2 whether the action took place at your school in response to being identified for improvement due to AYP requirements. | ECLS-K:2011 Grade K, from NCLB regulations | School status relative to Adequate Yearly Progress (AYP) | SAQ2 | |
F9 | Does this school have grade 3 students? | ECLS-K | State assessment data | SAQ2 | |
F10 | Based on recent state assessments, what percentage of the grade 3 students in your school in the prior school year (2012-2013) scored “proficient” or above in the subjects in this table? Please also indicate the percentage of students scoring proficient or above that was needed to meet your AYP (Adequate Yearly Progress) goals for that school year. | ECLS-K | State assessment data | SAQ2 | |
Staffing and Teacher Characteristics | G1 | Approximately how many staff members does your school currently have in the following categories? | ECLS-K | Total number of full- and part-time teachers, specialists, nurses, and paraprofessionals | SAQ2 |
G2 | Does your school currently have any staff members (full- or part-time) in the following categories? | ECLS-K | Numbers of full- and part-time teachers, specialists, nurses, and paraprofessionals | SAQ2 | |
G3 | Does your school currently have any staff members who do the following as their primary role or one of their primary roles? | ECLS-K:2011, Grade 1 | Response to Intervention-related policies and practices | SAQ9 | |
G4 | Please indicate the number of regular classroom teachers who have joined or left your school since October 1, 2013. | ECLS-K | Teacher mobility | SAQ2 | |
G5 | Are monetary incentives such as cash bonuses, salary increases, or different steps on the salary schedule used in your school to reward teachers for... a) Improved student performance on state tests? b) Reaching target goals on state tests? | ECLS-K | Teacher Incentives | SAQ2 | |
G6 | If a person other than the school administrator has completed the previous sections, please write in the name and title of the person who completed the majority of the sections. | ECLS-K | N/A | ||
G7 | How long has the individual listed above been employed at this school? | ECLS-K | N/A | ||
School Administrator Characteristics | H1 | What is your gender? | ECLS-K | School administrator demographic information | SAQ8 |
H2 | In what year were you born? | ECLS-K | School administrator demographic information | SAQ8 | |
H3 | Are you Hispanic or Latino? | ECLS-K | School administrator demographic information | SAQ8 | |
H4 | Which best describes your race? | ECLS-K | School administrator demographic information | SAQ8 | |
H5 | How many years of experience do you have in each of the following positions, including years in which you worked part time? | ECLS-K | School administrator's experience | SAQ8 | |
H6 | Through which, if any, of the types of training programs below did you receive preparation for fulfilling your role as a school administrator? | ECLS-K:2011, Grade K | School administrator's formal education and training | SAQ8 | |
H7 | What is the highest level of education you have completed? | ECLS-K | School administrator's formal education and training | SAQ8 | |
H8 | What was your major field(s) of study in the highest degree you completed? | ECLS-K | School administrator's formal education and training | SAQ8 | |
H9 | What is your best estimate of the percentage of children in your school you know by name? | ECLS-K | School administrator’s familiarity with students | SAQ8 | |
H10 | During school hours, do you speak a language other than English with students at your school whose native language is not English? | ECLS-K | School administrator’s use of a non-English language | SAQ8 | |
H11 | Do you speak a language other than English with students’ families whose native language is not English? | ECLS-K | School administrator’s use of a non-English language | SAQ8 | |
H12 | If you do not speak a language other than English with EITHER students OR students’ families whose native language is not English, mark here and SKIP TO Q H15. | ECLS-K | School administrator’s use of a non-English language | SAQ8 | |
H13 | What language(s) other than English do you speak with students at your school or with their families? | ECLS-K | School administrator’s use of a non-English language | SAQ8 | |
H14 | Date questionnaire completed/Questionnaire completed by |
Spring Third-Grade School Administrator Questionnaire For Continuing Schools, Appendix F | |||||
Section | Item # | Item Stem | Source | Construct | Research Question |
School Characteristics | A1 | How many instructional days will this school provide during this academic year? | ECLS-K | Length of school year | SAQ1 |
A2 | School enrollment. WRITE IN THE APPROXIMATE NUMBER OF CHILDREN FOR EACH OF THE FOLLOWING. | ECLS-K | Enrollment and attendance | SAQ2 | |
A3 | Approximately what is the Average Daily Attendance for your school this year? | ECLS-K | Enrollment and attendance | SAQ7 | |
A4 | About what percentage of the children enrolled in this school are eligible for free or reduced-price lunch? | ECLS-K | Student demographic information: indicator of poverty | SAQ2 | |
School-Family-Community Connections | B1 | Please indicate how often each of the following activities is provided by your school. | ECLS-K | School-based programs or services for parents and families | SAQ3 |
B2 | Indicate how much you agree or disagree with the following statements about the school’s community and parents. | ECLS-K | Parent involvement | SAQ3 | |
B3 | To the best of your knowledge how often do the following types of problems occur at your school? | ECLS-K | School safety | SAQ7 | |
B4 | Does your school take any of the following measures to ensure the safety of children? | Measures taken to ensure school safety | SAQ7 | ||
B5 | To what extent is each of the following matters a problem in this school? Indicate whether each is a SERIOUS problem, a MODERATE problem, a MINOR problem or NOT a problem in this school. | ECLS-K | Enrollment and attendance; School climate; Teacher mobility | SAQ7 | |
B6 | During the past year, to what extent did any of the following changes occur at your school? | ECLS-K | Recent changes at the school | SAQ2 | |
B7 | During the past year, did any of the following changes occur at your school? | ECLS-K | Recent changes at the school | SAQ2 | |
School Policies and Practices | C1 | How many second-grade children were retained at their current grade level last school year? | ECLS-K | Retention policies and practices | SAQ2 |
C2 | How many third-grade children were retained at their current grade level last school year? | ECLS-K | Retention policies and practices | SAQ2 | |
C3 | Is a school-wide positive behavioral intervention and support program (for example, Positive Behavioral Support, Positive Behavioral Intervention System) implemented at your school? | Adapted from FRSS 99 Dropout Prevention Services and Programs survey | Response to Intervention-related policies and practices | SAQ9 | |
C4 | For each of the following statements about READING and MATH, indicate how strongly you agree or disagree. | Adapted from WA (RTI) and HB 2136: Spring 2010 | Response to Intervention-related policies and practices | SAQ9 | |
C5 | Is Response to Intervention (RtI) currently used at your school in third grade, either partially or fully implemented? | Adapted from IDEA national Assessment Implementation Study (LEA) | Response to Intervention-related policies and practices | SAQ9 | |
C6 | Is RtI currently implemented at your school in third grade in the following areas? | Adapted from IDEA national Assessment Implementation Study (LEA) | Response to Intervention-related policies and practices | SAQ9 | |
C7 | Approximately how many years ago did your school begin implemementing RtI in third grade in any subject? | New | Response to Intervention-related policies and practices | SAQ9 | |
C8 | For the 2013-2014 school year, how has your school made information available to parents/guardians to help them understand how RtI is being implemented in your school? | Adapted from IDEA national Assessment Implementation Study (LEA) | Response to Intervention-related policies and practices | SAQ9 | |
School Programs for Particular Populations | D1 | Do any of the children in this school come from a home where a language other than English is spoken? | ECLS-K | Student demographic information: language other than English | SAQ2 |
D2 | What percentage of children in this school and in third grade are English language learners (ELL)? | ECLS-K | Delivery of instruction to English Language Learners (ELL) and services for language minority (LM) families | SAQ2 | |
Children with Special Needs | D3 | Since the beginning of this school year (2013-2014), how many students have been NEWLY evaluated at your school to determine if they are eligible for an IEP? | Adapted from IDEA national Assessment Implementation Study (LEA) | Evaluation for IEP | SAQ9 |
D4 | Of those students who have been NEWLY evaluated at your school this school year (2013-2014), how many were found eligible for an IEP, including those who may have an IEP for speech only? | Adapted from IDEA national Assessment Implementation Study (LEA) | Special education eligibility | SAQ9 | |
D5 | What method(s) are used in your school to determine special education ELIGIBILITY for students with learning disabilities? | Adapted from IDEA national Assessment Implementation Study (LEA) | Special education eligibility | SAQ9 | |
D6 | Approximately what percentage of your third-graders are in each of the following instructional programs? | ECLS-K | Delivery of special education and related services to children with disabilities | SAQ4 | |
Federal Programs: Title I, Adequate Yearly Progress, and Title III | E1 | Did your school receive Federal Title I funds for this school year? | ECLS-K | Services and programs: Title I | SAQ2 |
E2 | Is your school operating a Title I targeted assistance or schoolwide program? | ECLS-K | Services and programs: Title I | SAQ4 | |
Title III Funding and Programs | E3 | Did your school receive Federal Title III funds for this school year? (Title III is “Language Instruction for Limited English Proficient and Immigrant Students.”) | ECLS-K | Services and programs: Title III | SAQ2 |
Staffing and Teacher Characteristics | F1 | Approximately how many staff members does your school currently have in the following categories? | ECLS-K | Total number of full- and part-time teachers, specialists, nurses, and paraprofessionals | SAQ2 |
F2 | Does your school currently have any staff members (full- or part-time) in the following categories? | Numbers of full- and part-time teachers, specialists, nurses, and paraprofessionals | SAQ2 | ||
F3 | Does your school currently have any staff members who do the following as their primary role or one of their primary roles? | New | Response to Intervention-related policies and practices | SAQ9 | |
F4 | Please indicate the number of regular classroom teachers who have joined or left your school since October 1, 2013. | ECLS-K | Teacher mobility | SAQ2 | |
F5 | Are monetary incentives such as cash bonuses, salary increases, or different steps on the salary schedule used in your school to reward teachers for... a) Improved student performance on state tests? b) Reaching target goals on state tests? | ECLS-K | Teacher Incentives | SAQ2 | |
F6 | If a person other than the school administrator has completed the previous sections, please write in the name and title of the person who completed the majority of the sections. | ECLS-K | N/A (respondent’s name) | ||
F7 | How long has the individual listed above been employed at this school? | ECLS-K | N/A | ||
School Administrator Characteristics | G1 | What is your gender? | ECLS-K | School administrator demographic information | SAQ8 |
G2 | In what year were you born? | ECLS-K | School administrator demographic information | SAQ8 | |
G3 | Are you Hispanic or Latino? | ECLS-K | School administrator demographic information | SAQ8 | |
G4 | Which best describes your race? | ECLS-K | School administrator demographic information | SAQ8 | |
G5 | How many years of experience do you have in each of the following positions, including years in which you worked part-time)? | ECLS-K | School administrator's experience | SAQ8 | |
G6 | Through which, if any, of the types of training programs below did you receive preparation for fulfilling your role as a school administrator? | ECLS-K:2011, Grade K | School administrator's formal education and training | SAQ8 | |
G7 | What is the highest level of education you have completed? | ECLS-K | School administrator's formal education and training | SAQ8 | |
G8 | What was your major field(s) of study in the highest degree you completed? | ECLS-K | School administrator's formal education and training | SAQ8 | |
G9 | What is your best estimate of the number of children in your school you know by name? | ECLS-K | School administrator’s familiarity with students | SAQ8 | |
G10 | During school hours, do you speak a language other than English with students at your school whose native language is not English? | ECLS-K | School administrator’s use of a non-English language | SAQ8 | |
G11 | Do you speak a language other than English with students’ families whose native language is not English? | ECLS-K | School administrator’s use of a non-English language | SAQ8 | |
G12 | If you do not speak a language other than English with EITHER students OR students’ families whose native language is not English, mark here and SKIP TO Q G15. | ECLS-K | School administrator’s use of a non-English language | SAQ8 | |
G13 | What language(s) other than English do you speak with students at your school or with their families? | ECLS-K | School administrator’s use of a non-English language | SAQ8 | |
G14 | Date questionnaire completed/Questionnaire completed by |
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