PIRLS 2016 Field Test ad Recruitmet for Main Study

Progress in International Reading Literacy Study (PIRLS 2016) Field Test and Recruitment for Main Study

Appendix C PIRLS 2016 Field Test Background Questionnaires

PIRLS 2016 Field Test ad Recruitmet for Main Study

OMB: 1850-0645

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APPENDIX C
PIRLS Background Questionnaires

Table of Contents 
School Questionnaire ..................................................................................................................................................... 2 
Teacher Questionnaire ................................................................................................................................................. 14 
Student Questionnaire ................................................................................................................................................. 34 
ePIRLS 2016 Student Questionnare...............................................................................................................................58

-1-

	

School ID	

Checksum

Identification Label

PROGRESS IN INTERNATIONAL READING LITERACY STUDY

School
Questionnaire
Grade 4
National Center for Education Statistics
U.S. Department of Education
1990 K St., NW
Washington, DC 20006

Field Test Version

U.S. participation in this study is sponsored by the National Center for Education
Statistics (NCES), U.S. Department of Education, and authorized by the Education
Sciences Reform Act of 2002 (20 U.S.C., § 9543). Your responses are protected by
federal statute (20 U.S.C., § 9573) and 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.

© IEA, 2014
According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless such collection displays a valid OMB control
number. The valid OMB control number for this voluntary information collection is 1850-0645. The time required to complete this information collection is estimated
to average 40 minutes per response, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the
information collection. If you have any comments or concerns regarding the accuracy of the time estimate(s), suggestions for improving the form, or the status of your
individual submission of this form, write directly to: Progress in International Reading Literacy Study (PIRLS), National Center for Education Statistics, U.S. Department of
Education, 1990 K Street, N.W., Washington, D.C. 20006.
OMB No. 1850-0645, Approval Expires xx/xx/2017.

-2-

School Questionnaire
Your school has agreed to participate in

arrange for the assistance of another staff member

PIRLS 2016 (Progress in International Reading

to help provide this information.
Since PIRLS is an international study and all

Literacy Study), an educational research project
sponsored by the International Association for the

countries are using the same questionnaire, you

Evaluation of Educational Achievement (IEA). PIRLS

may find that some of the questions seem unusual

measures trends in student achievement in reading,

or are not entirely relevant to you or schools in the

and studies differences in national education

United States. Nevertheless, it is important that

systems in more than 40 countries in order to help

you do your best to answer all of the questions so

improve teaching and learning worldwide.

comparisons can be made across countries in the
study.

This questionnaire is addressed to school

It is estimated that you will need approximately

principals and department heads who are asked to
supply information about their schools. Since your

40 minutes to complete this questionnaire. We

school has been selected as part of a nationwide

appreciate the time and effort that this takes and

sample, your responses are very important in

thank you for your cooperation and contribution.
When you have completed the questionnaire,

helping to describe primary/elementary education

please place it in the accompanying envelope and

in the United States.

return it to the PIRLS school coordinator.

It is important that you answer each question

Your response will be combined with those from

carefully so that the information provided reflects
the situation in your school as accurately as

other participants to produce summary statistics

possible. Some of the questions will require that

and reports.
Thank you.

you look up school records, so you may wish to

PIRLS 2016
-3-

School Enrollment and Characteristics

	1

	4
What is the total enrollment of students in your
school as of March 1, 2015?

	 A.	Approximately what percentage of students in
your school have English as their native language?

_____________ students

C
_ heck one circle only.

Write in a number.

	2
What is the total enrollment of fourth grade
students in your school as of March 1, 2015?

	

More than 90%----	 A

	

76 to 90%----	 A

	

51 to 75%----	 A

	

26 to 50%----	 A	

	

25% or less----	 A	

_____________ students
Write in a number.

	 B.	Of the students currently enrolled in your school,
what percentage has been identified as limitedEnglish proficient (LEP)/English Language Learners
(ELL)?

	3
		Approximately what percentage of students in
your school have the following backgrounds?

C
_ heck one circle only.

	0%----	 A

Check one circle for each line.

	

1 to 5%----	 A

	

6 to 10%----	 A

	

11 to 25%---- 	A

	

26 to 50%----	 A

a)	 Come from economically
disadvantaged homes---------- 	A		 	A		 	A		 	A

	

51 to 75%----	 A

b)	 Come from economically
affluent homes------------------ 	A		 	A		 	A		 	A

	

76 to 90%----	 A

	

Over 90%---- 	A

	0 to 10%
		

11 to 25%

			

26 to 50%

				More than
				50%

Grade 4 School Questionnaire
-4-

2

	5	

	6

	 A.	How many people live in the city, town, or area
where your school is located?

What type of school is this?
Check one circle only.

C
_ heck one circle only.

	

More than 500,000 people---- 	A

	

100,001 to 500,000 people---- 	A

	

50,001 to 100,000 people---- 	A

	

30,001 to 50,000 people---- 	A

	

15,001 to 30,000 people---- 	A

	

3,001 to 15,000 people---- 	A

	

3,000 people or fewer---- 	A

	

Regular public school--- 	A

	

A regular public school with a magnet program--- 	A

	
	
	
	

A magnet school or school with a special program
emphasis (e.g., Montessori, science/math school,
performing arts school, talented/gifted school,
foreign language immersion school, etc.)--- 	A

	
	

Special education: a school that primarily serves
students with disabilities--- 	A

	Alternative: a school designed to address the needs of
	students, typically at risk of educational failure, which
	
cannot be met in regular schools--- 	A
	Vocational--- 	A

	 B.	Which best describes the immediate area in which
your school is located?
C
_ heck one circle only.

	

Urban–Densely populated----	 A

	
	

Suburban–On fringe or
outskirts of urban area----	 A

	Medium size city or large town----	 A
	

Small town or village---- 	A

	

Remote rural----	 A

	

Charter School--- 	A

	

Private (independent)--- 	A
	

Private (religiously affiliated)--- 	A

	Other--- 	A

	7
Does your school provide free breakfast for
students?	
Check one circle only.

	

C.	Which best characterizes the average income level
of the school’s immediate area?
C
_ heck one circle only.

	

Yes, for all students---- 	A

	

Yes, for some students---- 	A

	
	

No, free breakfast is
not provided---- 	A

	High----	 A
	Medium----	 A
	Low----	 A	

	8
Does your school provide free lunch for
students?	
Check one circle only.

	

Yes, for all students---- 	A

	

Yes, for some students---- 	A

	 No, free lunch is not provided---- 	A

3

Grade 4 School Questionnaire
-5-

Instructional Time

	9

	11
Around the first of October 2014, what percentage
of students at this school were eligible to receive
free or reduced-price lunches through the National
School Lunch Program?

For the fourth grade students in your school:
	 A.	How many days per year is your school open for
instruction?
__________ days

_____________ percentage of students

Write in the number.

Write in a number.

	 B.	What is the total instructional time, excluding
breaks, in a typical day?

	10

__________ minutes

To what degree are the following health topics
emphasized in your school?

Write in the number of minutes per day.
Please convert the number of hours into minutes.	

Check one circle for each line.

	 C.	In one calendar week, how many days is the school
open for instruction?

	Very high
		

High

C
_ heck one circle only.

			Medium

	

6 days----	 A

	

5 1/2 days----	 A

b)	 Brushing teeth------------------ 	A		 	A		 	A		 	A

	

5 days----	 A

c)	 A healthy diet/nutrition-------- 	A		 	A		 	A		 	A

	

4 1/2 days----	 A

d)	 Disease prevention ------------- 	A		 	A		 	A		 	A

	

4 days----	 A

				Low

a)	 Washing hands ----------------- 	A		 	A		 	A		 	A

	Other----	 A

Grade 4 School Questionnaire
-6-

4

Resources and Technology

14

12

Does your school have a school library?

	 A.	Does your school provide a place where students
can work on their schoolwork before or after
school?

C
_ heck one circle only.

	Yes----	 A

C
_ heck one circle only.

	No----	 A 		
(If No, go to #15)

	Yes----	 A
	No----	 A 		
(If No, go to #13)
If Yes,
	 B.	Is someone available to assist them with their
schoolwork?

If Yes,
	 A. 	Approximately how many books (print and digital)
with different titles does your school library have
(exclude magazines and periodicals)?
C
_ heck one circle in each column.
	Print	

C
_ heck one circle only.

	Yes----	 A

	

	No----	 A

Digital

250 or fewer----	 A	A

	251–500----	 A	A
	501–2,000----	 A	A
	2,001–5,000----	 A	A

13

	5,001–10,000----	 A	A

As a general school policy, is student achievement
used to assign fourth grade students to classes (e.g.,
streaming, tracking)?
C
_ heck one circle only.

	Yes----	 A

	

More than 10,000----	 A	A

	 B. 	Approximately how many titles of magazines and
other periodicals (print and digital) does your
school library have?

	No----	 A

C
_ heck one circle in each column.
	Print	

Digital

	0----	 A	A
	1–5----	 A	A
	6–10----	 A	A
	11–30----	 A	A
	

31 or more----	 A	A

	 C.	Can students borrow print or digital materials from
the library to take home?
C
_ heck one circle only.

	Yes----	 A
	No----	 A

5

Grade 4 School Questionnaire
-7-

	15

16	
How many computers (including tablets) does your
school have for use by fourth grade students?

How much is your school’s capacity to provide
instruction affected by a shortage or inadequacy
of the following?

___________ computers

Check one circle for each line.

Write in the number.

	Not at all
		

A little

			Some
				A lot

A.	General School Resources
a)	 Instructional materials (e.g.,
textbooks) ---------------------- 	A		 	A		 	A		 	A
b)	 Supplies (e.g., papers,
pencils, materials)-------------- 	A		 	A		 	A		 	A
c)	 School buildings and
grounds------------------------- 	A		 	A		 	A		 	A
d)	 Heating/cooling and lighting
systems ------------------------- 	A		 	A		 	A		 	A
e)	 Instructional space (e.g.,
classrooms) --------------------- 	A		 	A		 	A		 	A
f)	 Technologically competent
staff ----------------------------- 	A		 	A		 	A		 	A
g)	 Audio-visual resources
for delivery of instruction
(e.g., interactive white
boards, digital projectors)------ 	A		 	A		 	A		 	A
h)	Computer technology for
teaching and learning
(e.g., computers or tablets
for student use)----------------- 	A		 	A		 	A		 	A
i)	 Resources for students with
disabilities----------------------- 	A		 	A		 	A		 	A
B.	Resources for Reading
Instruction
a)	 Teachers with a specialization
in reading----------------------- 	A		 	A		 	A		 	A
b)	 Computer software/
applications for reading
instruction ---------------------- 	A		 	A		 	A		 	A
c)	 Library resources (books,
ebooks, magazines, etc.) ------- 	A		 	A		 	A		 	A
d)	 Instructional materials for
reading (e.g., reading series,
textbooks) ---------------------- 	A		 	A		 	A		 	A
Grade 4 School Questionnaire
-8-

6

School Emphasis
on Academic Success

School Climate

17

18
How would you characterize each of the following
within your school?

	 A.	To what degree is each of the following a problem
among fourth grade students in your school?

Check one circle for each line.

Check one circle for each line.

	Very high

	Not a problem

		

		

High

			Medium

			Moderate problem

				Low

				Serious
				problem

					Very
				
	
low

a)	 Arriving late at school ---------- 	A		 	A		 	A		 	A

					

b)	 Absenteeism (i.e.,
unjustified absences)----------- 	A		 	A		 	A		 	A

a)	 Teachers’ understanding of
the school’s curricular goals---- 	A		 	A		 	A		 	A		 	A

c)	 Classroom disturbance --------- 	A		 	A		 	A		 	A

b)	 Teachers’ degree of
success in implementing
the school’s curriculum--------- 	A		 	A		 	A		 	A		 	A

d)	Cheating ------------------------ 	A		 	A		 	A		 	A
e)	Profanity------------------------ 	A		 	A		 	A		 	A

c)	 Teachers’ expectations
for student achievement ------- 	A		 	A		 	A		 	A		 	A

f)	Vandalism----------------------- 	A		 	A		 	A		 	A
g)	Theft ---------------------------- 	A		 	A		 	A		 	A

d)	 Teachers working together
to improve student
achievement-------------------- 	A		 	A		 	A		 	A		 	A

h)	Intimidation or verbal abuse
among students (including
texting, emailing, etc.) --------- 	A		 	A		 	A		 	A

e)	 Teachers’ ability to
inspire students----------------- 	A		 	A		 	A		 	A		 	A

i)	 Physical fights among
students------------------------- 	A		 	A		 	A		 	A

f)	 Parental involvement
in school activities-------------- 	A		 	A		 	A		 	A		 	A

j)	 Intimidation or verbal abuse
of teachers or staff (including
texting, emailing, etc.) --------- 	A		 	A		 	A		 	A

g)	 Parental commitment to
ensure that students are
ready to learn------------------- 	A		 	A		 	A		 	A		 	A
h)	Parental expectations for
student achievement----------- 	A		 	A		 	A		 	A		 	A

	 B.	To what degree is each of the following a problem
among teachers in your school?

i)	 Parental support for
student achievement----------- 	A		 	A		 	A		 	A		 	A

Check one circle for each line.
Not a problem

j)	 Parental pressure for the
school to maintain high
academic standards------------- 	A		 	A		 	A		 	A		 	A

		

Minor problem

			Moderate problem
				Serious
				problem

k)	 Students’ desire to do
well in school ------------------- 	A		 	A		 	A		 	A		 	A

a)	 Arriving late or
leaving early -------------------- 	A		 	A		 	A		 	A

l)	 Students’ ability to reach
school’s academic goals -------- 	A		 	A		 	A		 	A		 	A

b)	Absenteeism-------------------- 	A		 	A		 	A		 	A

m)	Students’ respect for
classmates who excel
in school ------------------------ 	A		 	A		 	A		 	A		 	A

7

Minor problem

Grade 4 School Questionnaire
-9-

School Readiness

Reading in Your School

19	

20
About how many of the students in your school can
do the following when they begin the first grade of
primary/elementary school?

At which grade do the following reading skills
and strategies first receive a major emphasis in
instruction in your school?

Check one circle for each line.

Check one circle for each line.

	Less than 25%

	First grade or earlier

		

		

25–50%

Second grade

			51–75%

			Third grade

				More than
				75%

				Fourth
				grade

a)	 Recognize most of the
letters of the alphabet --------- 	A		 	A		 	A		 	A

				 Not in
				 these
				 grades

b)	 Tell a story ---------------------- 	A		 	A		 	A		 	A

a)	 Knowing letters of the
alphabet ------------------------ 	A		 	A		 	A		 	A		 	A

c)	 Read some words--------------- 	A		 	A		 	A		 	A
d)	 Read sentences ----------------- 	A		 	A		 	A		 	A

b)	 Knowing letter-sound
relationships -------------------- 	A		 	A		 	A		 	A		 	A

e)	 Read a story--------------------- 	A		 	A		 	A		 	A

c)	 Reading words ------------------ 	A		 	A		 	A		 	A		 	A

f)	 Write letters of the alphabet --- 	A		 	A		 	A		 	A

d)	 Reading isolated sentences ---- 	A		 	A		 	A		 	A		 	A

g)	 Write some words -------------- 	A		 	A		 	A		 	A

e)	 Reading connected text -------- 	A		 	A		 	A		 	A		 	A
f)	 Locating information within
the text ------------------------- 	A		 	A		 	A		 	A		 	A
g)	 Identifying the main idea
of a text ------------------------- 	A		 	A		 	A		 	A		 	A
h)	Explaining or supporting
understanding of a text -------- 	A		 	A		 	A		 	A		 	A
i)	 Comparing a text with
personal experience ------------ 	A		 	A		 	A		 	A		 	A
j)	 Comparing different texts ------ 	A		 	A		 	A		 	A		 	A
k)	 Making predictions about
what will happen next in
a text---------------------------- 	A		 	A		 	A		 	A		 	A
l)	 Making generalizations and
drawing inferences based
on a text ------------------------ 	A		 	A		 	A		 	A		 	A
m)	Describing the style or
structure of a text -------------- 	A		 	A		 	A		 	A		 	A
n)	Determining the author’s
perspective or intention -------- 	A		 	A		 	A		 	A		 	A

Grade 4 School Questionnaire
- 10 -

8

Principal Professional
Development and Experience

21

24
By the end of this school year, how many years will
you have been a principal altogether?

Do you hold any of the following professional
qualifications in educational leadership?
Check one circle for each line.

_____________ years

	Yes

Please round to the nearest whole number.

		No

a) Certificate or license------------------------------- 	A	
	 	A

22
By the end of this school year, how many years will
you have been a principal at this school?

b) An academic Master’s degree,
postgraduate certificate program
(e.g., teaching) or first professional
degree (e.g., law, medicine, dentistry)----------- 	A	
	 	A

_____________ years

c) A doctorate (Ph.D. or Ed.D.)------------------------ 	A	
	 	A

Please round to the nearest whole number.

23
What is the highest level of formal education you
have completed?
C
_ heck one circle only.

	
	
	

Did not complete a 4-year
college or university degree
(i.e., Bachelor’s degree)----	 A

	
	
	

Completed a 4-year college
or university degree
(i.e., Bachelor’s degree)----	 A

	
	
	
	
	

Completed an academic Master’s
degree, postgraduate certificate
program (e.g., teaching) or first
professional degree (e.g.,
law, medicine, dentistry)----	 A

	 Completed a doctorate (Ph.D. or Ed.D.)----	 A

9

Grade 4 School Questionnaire
- 11 -

Leadership Activities

25	
During the past year, approximately how much time
have you spent on the following school
leadership activities in your role as a school
principal?
Check one circle for each line.
	No time
		

A little time

			Some time
				

A lot of time

a)	 Promoting the school’s
educational vision or goals ----- 	A		 	A		 	A		 	A
b)	 Developing the school’s
curricular and
educational goals --------------- 	A		 	A		 	A		 	A
c)	 Monitoring teachers’
implementation of the
school’s educational goals
in their teaching ---------------- 	A		 	A		 	A		 	A
d)	 Monitoring students’
learning progress to ensure
that the school’s educational
goals are reached --------------- 	A		 	A		 	A		 	A
e)	 Keeping an orderly
atmosphere in the school ------ 	A		 	A		 	A		 	A
f)	 Addressing disruptive
student behavior --------------- 	A		 	A		 	A		 	A
g)	 Advising teachers who have
questions or problems with
their teaching ------------------- 	A		 	A		 	A		 	A
h)	Initiating educational
projects or improvements ------ 	A		 	A		 	A		 	A
i)	 Participating in professional
development activities
specifically for school
principals ----------------------- 	A		 	A		 	A		 	A

Thank You
Thank you for the thought, time, and effort you have
put into completing this questionnaire.
Grade 4 School Questionnaire
- 12 -

10

PROGRESS IN INTERNATIONAL READING LITERACY STUDY

School
Questionnaire
Grade 4

Field Test Version

© IEA, 2014
International Association
for the Evaluation of
Educational Achievement

pirls.bc.edu

- 13 -

	

School ID	

	 Link Number	

Class ID	

Teacher ID

Checksum	

Identification Label

PROGRESS IN INTERNATIONAL READING LITERACY STUDY

Teacher Questionnaire
Grade 4
National Center for Education Statistics
U.S. Department of Education
1990 K St., NW
Washington, DC 20006

Field Test Version

U.S. participation in this study is sponsored by the National Center for Education
Statistics (NCES), U.S. Department of Education, and authorized by the Education
Sciences Reform Act of 2002 (20 U.S.C., § 9543). Your responses are protected by
federal statute (20 U.S.C., § 9573) and 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.

© IEA, 2014

According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless such collection displays a valid OMB control
number. The valid OMB control number for this voluntary information collection is 1850-0645. The time required to complete this information collection is estimated
to average 40 minutes per response, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the
information collection. If you have any comments or concerns regarding the accuracy of the time estimate(s), suggestions for improving the form, or the status of your
individual submission of this form, write directly to: Progress in International Reading Literacy Study (PIRLS), National Center for Education Statistics, U.S. Department of
Education, 1990 K Street, N.W., Washington, D.C. 20006.
OMB No. 1850-0645, Approval Expires xx/xx/2017.

- 14 -

Teacher Questionnaire
Your school has agreed to participate in

you teach when answering these class-specific

PIRLS 2016 (Progress in International Reading

questions. It is important that you answer each

Literacy Study), an educational research project

question carefully so that the information that

sponsored by the International Association for the

you provide reflects your situation as accurately as

Evaluation of Educational Achievement (IEA). PIRLS

possible.
Since PIRLS is an international study and all

measures trends in student achievement in reading
and studies differences in national education

countries are using the same questionnaire, you may

systems in more than 40 countries in order to help

find that some of the questions seem unusual or are

improve teaching and learning worldwide.

not entirely relevant to you or schools in the United
States. Nevertheless, it is important that you do your

This questionnaire is addressed to teachers of
fourth grade students, and seeks information about

best to answer all of the questions so comparisons

teachers’ academic and professional backgrounds,

can be made across countries in the studies.
It is estimated that you will need approximately

classroom resources, instructional practices, and
attitudes toward teaching. Since your class has

40 minutes to complete this questionnaire. We

been selected as part of a nationwide sample, your

appreciate the time and effort that this takes and

responses are very important in helping to describe

thank you for your cooperation and contribution.

primary/elementary education in the United States.

When you have completed the questionnaire,

Some of the questions in the questionnaire refer
to the “PIRLS class” or “this class”. This is the class

please place it in the accompanying envelope and
return it to the PIRLS school coordinator.
Your response will be combined with those from

that is identified on the front of this booklet, and
which will be tested as part of PIRLS in your school.

other participants to produce summary statistics

If you teach some but not all of the students in the

and reports.
Thank you.

PIRLS class, please think only of the students that

PIRLS 2016
- 15 -

About You

	1

	4
By the end of this school year, how many years will
you have been teaching altogether?

What is the highest level of formal education you
have completed?
Check one circle only.

_____________ years

Please round to the nearest whole number.

	2

	

Did not complete high school---- 	A

	

Completed high school---- 	A

C	 ompleted a 2-year college or university
	
degree (i.e., Associate’s degree)---- 	A

Are you female or male?

C	 ompleted a 4-year college or university
	
degree (i.e., Bachelor’s degree)---- 	A

Check one circle only.

	Female ---- 	A

	
	
	

	Male ---- 	A

Completed a Master’s degree
or professional degree (MD,
DDS, lawyer, minister)---- 	A

	Completed a doctorate (Ph.D. or Ed.D.)----	A

	3
How old are you?
Check one circle only.

	

Under 25 ---- 	A

	25–29 ---- 	A
	30–39 ---- 	A
	40–49 ---- 	A
	50–59 ---- 	A
	

60 or more ---- 	A

Grade 4 Teacher Questionnaire
- 16 -

2

	5

	6	

	 A.	During your college or university education, what
was your major or main area(s) of study?

In the past two years, how many hours in total
have you spent in formal in-service/professional
development (e.g., workshops, seminars, lesson
studies, etc.) that dealt directly with reading or
teaching reading (e.g., reading theory, instructional
methods)?

Check one circle for each line.
	Yes
		No

a)	Education—Primary/Elementary --------------- 	 A		 	A

Check one circle only.

b)	Education—Secondary -------------------------- 	 A		 	A

	None ----	 A

c)	English -------------------------------------------- 	 A		 	A

	

Less than 6 hours ----	 A

d)	Mathematics -------------------------------------- 	 A		 	A

	

6–15 hours ----	 A

e)	Science-------------------------------------------- 	 A		 	A

	

16–35 hours ----	 A

	

More than 35 hours ----	 A

f)	Other ---------------------------------------------- 	 A		 	A
	 B.	As part of your formal education and/or training,
to what extent did you study the following areas?
Check one circle for each line.
	Not at all
		
		

Overview or introduction
to topic

			
It was an area
			of emphasis

a)	English -------------------------- 	A		

h)	Second language learning ----- 	A		

	A		
	A		
	A		
	A		
	A		
	A		
	A		
	A		

i)	 Assessment methods
in reading ----------------------- 	A		

	A		 	A

b)	Literature ----------------------- 	A		
c)	 Pedagogy/teaching reading --- 	A		
d)	 Educational psychology -------- 	A		
e)	 Remedial reading --------------- 	A		
f)	 Reading theory ----------------- 	A		
g)	 Special education --------------- 	A		

3

	A
	A
	A
	A
	A
	A
	A
	A

Grade 4 Teacher Questionnaire
- 17 -

School Emphasis on Academic Success

	7
How would you characterize each of the following within your school?
Check one circle for each line.

Check one circle for each line.

	Very high

	Very high

		

		

High

High

			Medium

			Medium

				Low

				Low

					Very
					low

					Very
					low

k)	 Students’ desire to do
well in school ------------------- 	A		

	A		 	A		 	A		 	A

l)	 Students’ ability to reach
school’s academic goals -------- 	A		

	A		 	A		 	A		 	A

m)	Students’ respect for
classmates who excel
in school ------------------------ 	A		

	A		 	A		 	A		 	A

n)	Clarity of the school’s
educational objectives---------- 	A		

	A		 	A		 	A		 	A

o)	 Collaboration between
school leadership and
teachers to plan instruction---- 	A		

	A		 	A		 	A		 	A

	A		 	A		 	A		 	A

g)	 Parental commitment to
ensure that students are
ready to learn------------------- 	A		

p)	 Amount of instructional
support provided to teachers
by school leadership------------ 	A		

	A		 	A		 	A		 	A

	A		 	A		 	A		 	A

h)	Parental expectations for
student achievement----------- 	A		

q)	 School leadership’s
support for teachers’
professional development------ 	A		

	A		 	A		 	A		 	A

	A		 	A		 	A		 	A

i)	 Parental support for
student achievement----------- 	A		

	A		 	A		 	A		 	A

j)	 Parental pressure for the
school to maintain high
academic standards ------------ 	A		

	A		 	A		 	A		 	A

a)	 Teachers’ understanding of
the school’s curricular goals---- 	A		

	A		 	A		 	A		 	A

b)	 Teachers’ degree of
success in implementing
the school’s curriculum--------- 	A		

	A		 	A		 	A		 	A

c)	 Teachers’ expectations
for student achievement ------- 	A		

	A		 	A		 	A		 	A

d)	 Teachers working together
to improve student
achievement-------------------- 	A		

	A		 	A		 	A		 	A

e)	 Teachers’ ability to
inspire students----------------- 	A		

	A		 	A		 	A		 	A

f)	 Parental involvement
in school activities-------------- 	A		

Grade 4 Teacher Questionnaire
- 18 -

4

School Environment

	8

	9
Thinking about your current school, indicate the
extent to which you agree or disagree with each of
the following statements.

In your current school, how severe is each problem?
Check one circle for each line.
	Not a problem

Check one circle for each line.

		

	Agree a lot
		

			Moderate problem

Agree a little

			

				Serious
				problem

Disagree a little

				Disagree
				a lot

a)	 This school is located in
a safe neighborhood ----------- 	A		

	A		 	A		 	A
b)	 I feel safe at this school --------- 	A		 	A		 	A		 	A

5

a)	 The school building needs
significant repair --------------- 	A		

	A		 	A		 	A

b)	 Teachers do not have
adequate workspace (e.g., for
preparation, collaboration,
or meeting with students) ----- 	A		

	A		 	A		 	A

c)	 Teachers do not have
adequate instructional
materials and supplies --------- 	A		

	A		 	A		 	A

d)	 The school classrooms are
not cleaned often enough ------ 	A		

	A		 	A		 	A

e)	 The school classrooms need
maintenance work ------------- 	A		

	A		 	A		 	A
	A		 	A		 	A
	A		 	A		 	A

c)	 This school’s security policies
and practices are sufficient ----- 	A		

	A		 	A		 	A

d)	 The students behave in an
orderly manner ----------------- 	A		

	A		 	A		 	A

e)	 The students are respectful
of the teachers ------------------ 	A		

	A		 	A		 	A

f)	 The students respect
school property ----------------- 	A		

	A		 	A		 	A

g)	 This school has clear rules
about student conduct --------- 	A		

	A		 	A		 	A

f)	 Teachers do not have
adequate technological
resources ------------------------ 	A		

	A		 	A		 	A

g)	 Teachers do not have
adequate support for
using technology --------------- 	A		

h)	This school's rules are
enforced in a fair and
consistent manner -------------- 	A		

Minor problem

Grade 4 Teacher Questionnaire
- 19 -

About Being a Teacher

	10

	11
How often do you have the following types of
interactions with other teachers?

How often do you feel the following way
about being a teacher?

Check one circle for each line.

Check one circle for each line.

	Very often

	Very often

		

		

Often

Often

			Sometimes

			Sometimes

				Never or
				almost never

				Never or
				almost never

a)	 Discuss how to teach
a particular topic --------------- 	A		
b)	 Collaborate in planning
and preparing instructional
materials ------------------------ 	A		

	A		 	A		 	A
	A		 	A		 	A

c)	 Share what I have
learned about my
teaching experiences ----------- 	A		

	A		 	A		 	A

d)	 Visit another classroom
to learn more about teaching -- 	A		

	A		 	A		 	A

e)	 Work together to
try out new ideas --------------- 	A		

	A		 	A		 	A

f)	 Work as a group on
implementing the
curriculum ---------------------- 	A		

	A		 	A		 	A

g)	 Work with teachers from
other grades to ensure
continuity in learning ---------- 	A		

	A		 	A		 	A

a)	 I am content with my
profession as a teacher --------- 	A		

	A		 	A		 	A

b)	I am satisfied with being
a teacher at this school --------- 	A		

	A		 	A		 	A

c)	 I find my work full of
meaning and purpose ---------- 	A		

	A		 	A		 	A

d)	I am enthusiastic
about my job-------------------- 	A		

	A		 	A		 	A
e)	 My work inspires me------------ 	A		 	A		 	A		 	A
f)	 I am proud of the work I do ---- 	A		 	A		 	A		 	A
g)	I am going to continue
teaching for as long as I can ---- 	A		

Grade 4 Teacher Questionnaire
- 20 -

	A		 	A		 	A

6

About Teaching the PIRLS Class

	12

	13
Indicate the extent to which you agree or disagree
with each of the following statements.

	 A.	How many students are in this class?
_____________ students

Check one circle for each line.

Write in a number.

	Agree a lot
		

Agree a little

			

Disagree a little

				Disagree
				a lot

	 B.	How many of the students in #13A are in
fourth grade?
_____________ fourth grade students

a)	 There are too many
students in the classes---------- 	A		

	A		 	A		 	A

b)	 I have too much material to
cover in class-------------------- 	A		

	A		 	A		 	A

c)	 I have too many teaching
hours---------------------------- 	A		

	A		 	A		 	A

How many fourth grade students experience
difficulties understanding spoken English?

d)	 I need more time to prepare
for class ------------------------- 	A		

	A		 	A		 	A

_____________ students in this class

e)	 I need more time to assist
individual students------------- 	A		

	A		 	A		 	A

f)	 I feel too much pressure
from parents-------------------- 	A		

	A		 	A		 	A

g)	 I have difficulty keeping up
with all of the changes to the
curriculum ---------------------- 	A		

	A		 	A		 	A

h)	I have too many administrative
tasks ---------------------------- 	A		

Write in a number.

	14

Write in a number.

	15
	 A.	How many students need remedial instruction
in reading?
_____________ fourth grade students in this class
Write in a number.

	A		 	A		 	A

	 B.	How many of the students in #15A receive
remedial instruction in reading?
_____________ students
Write in a number.

	16
How many students in the class are advanced
readers?
_____________ fourth grade students in this class
Write in a number.

7

Grade 4 Teacher Questionnaire
- 21 -

	17

	18
In your view, to what extent do the following limit
how you teach this class?

How often do you do the following in teaching this
class?

Check one circle for each line.

Check one circle for each line.

	Not at all

	Every or almost every lesson

		

		

Some

			A lot

a)	 Students lacking prerequisite
knowledge or skills------------- 	A		

	A		 	A

b)	 Students suffering from
lack of basic nutrition----------- 	A		

	A		 	A

				Never

a)	 Relate the lesson to
students’ daily lives------------- 	A		

	A		 	A		 	A

b)	 Ask students to explain
their answers ------------------- 	A		

	A		 	A		 	A

c)	 Bring interesting materials
to class-------------------------- 	A		

	A		 	A		 	A

	A		 	A

d)	 Ask students to complete
challenging exercises
that require them to
go beyond the instruction------ 	A		

	A		 	A		 	A

	A		 	A

e)	 Encourage classroom
discussions among
students------------------------- 	A		

	A		 	A		 	A

f)	 Link new content to
students’ prior knowledge------ 	A		

	A		 	A		 	A

g)	 Ask students to decide
their own problem
solving procedures-------------- 	A		

	A		 	A		 	A

h)	Encourage students to
express their ideas in class------ 	A		

	A		 	A		 	A

c)	 Students suffering from
not enough sleep--------------- 	A		

	A		 	A
d)	 Disruptive students ------------- 	A		 	A		 	A
e)	 Uninterested students---------- 	A		 	A		 	A
f)	 Students with physical
disabilities ---------------------- 	A		
g)	 Students with mental,
emotional, or psychological
impairment --------------------- 	A		

About half the lessons

			Some lessons

Grade 4 Teacher Questionnaire
- 22 -

8

Teaching Reading to the
PIRLS Class

	19

	21
In a typical week, how much time do you spend on
English language instruction and/or activities with
the students?

When you have reading instruction and/or do
reading activities, how often do you organize
students in the following ways?

Include instruction or activities in reading, writing,
speaking, literature, and other language skills.

Check one circle for each line.
	Always or almost always
		

_____________ minutes per week

Write in the number of minutes per week. Please convert the number
of hours into minutes.

				Never

a)	 I teach reading as a
whole-class activity ------------ 	A	 	

	A		 	A		 	A
b)	 I create same-ability groups --- 	A	 	 	A		 	A		 	A
c)	 I create mixed-ability groups --- A
	 	 	 	A		 	A		 	A

	20
Regardless of whether or not you have formally
scheduled time for reading instruction, in a typical
week about how much time do you spend on
reading instruction and/or activities with the
students?

d)	 I use individualized
instruction for reading---------- 	A	 	

	A		 	A		 	A

Include things you do across curriculum areas and
during formally scheduled time for reading instruction.

e)	 Students work independently
on an assigned plan or goal ---- 	A	 	

	A		 	A		 	A

_____________ minutes per week

f)	 Students work independently
on a goal they choose
themselves---------------------- 	A	 	

	A		 	A		 	A

Write in the number of minutes per week. Please convert the number
of hours into minutes.

9

Often

			Sometimes

Grade 4 Teacher Questionnaire
- 23 -

	22

	23
When you have reading instruction and/or do
reading activities with the students, how often
do you have the students read the following
types of text (in print or digitally)?

When you have reading instruction and/or do
reading activities with the students, how often
do you do the following?
Check one circle for each line.

Check one circle for each line.

	Every day or almost every day

	Every day or almost every day

		

		

			
Once or twice a
			month

Once or twice a week

			
Once or twice a
			month

				Never or
				almost never

				Never or
				almost never

a)	 Read aloud to students --------- 	A	 	

	A		 	A		 	A
b)	 Ask students to read aloud ---- 	A	 	 	A		 	A		 	A

A. Literary Reading Materials
a)	 Short stories (e.g., fables, fairy
tales, action stories, science
fiction, detective stories) ------- 	A	 	

	A		 	A		 	A

b)	 Longer fiction books with
chapters ------------------------ 	A	 	

	A		 	A		 	A
c)	Plays ---------------------------- 	A	 	 	A		 	A		 	A
B. Informational Reading
Materials
a)	 Nonfiction subject area
books or textbooks ------------- 	A	 	

	A		 	A		 	A

b)	 Longer nonfiction books with
chapters ------------------------ 	A	 	

	A		 	A		 	A

c)	 Nonfiction articles that
describe and explain about
things, people, events, or
how things work --------------- 	A	 	

	A		 	A		 	A

d)	 Authentic materials
(e.g., menus, brochures,
cartoons, newspaper articles,
song lyrics) ---------------------- 	A	 	

	A		 	A		 	A

Once or twice a week

c)	 Ask students to read silently
on their own -------------------- 	A	 	

	A		 	A		 	A

d)	 Teach students strategies for
decoding sounds and words --- 	A	 	

	A		 	A		 	A

e)	 Teach students new
vocabulary systematically ------ 	A	 	

	A		 	A		 	A

f)	 Teach or model skimming
or scanning strategies ---------- 	A	 	

	A		 	A		 	A

Grade 4 Teacher Questionnaire
- 24 -

10

	24

	25
How often do you do the following in teaching this
class?

How often do you ask the students to do the
following things to help develop reading
comprehension skills or strategies?

Check one circle for each line.
	Every or almost every lesson

Check one circle for each line.

		

	Every day or almost every day

			Some lessons

		

				Never	

			
Once or twice a
			month

a)	 Provide reading materials
that match the
students’ interests -------------- 	A		

	A		 	A		 	A

b)	 Encourage students to
develop their understandings
of the text ----------------------- 	A		
c)	 Allow students to
shift discussion in a
new direction ------------------- 	A		

11

About half the lessons

Once or twice a week

				Never or
				almost never

a)	 Locate information within
the text ------------------------- 	A	 	

	A		 	A		 	A

	A		 	A		 	A

b)	 Identify the main ideas
of what they have read --------- 	A	 	

	A		 	A		 	A

	A		 	A		 	A

c)	 Explain or support their
understanding of what they
have read ----------------------- 	A	 	

	A		 	A		 	A

d)	 Compare what they have
read with experiences they
have had ------------------------ 	A	 	

	A		 	A		 	A

e)	 Compare what they have
read with other things they
have read ----------------------- 	A	 	

	A		 	A		 	A

f)	 Make predictions about
what will happen next in the
text they are reading ----------- 	A	 	

	A		 	A		 	A

g)	 Make generalizations and
draw inferences based on
what they have read ------------ 	A	 	

	A		 	A		 	A

h)	Describe the style or
structure of the text they
have read ----------------------- 	A	 	

	A		 	A		 	A

i)	 Determine the author’s
perspective or intention -------- 	A	 	

	A		 	A		 	A

d)	 Encourage students to ask
questions that challenge the
opinions of the teacher or
other students ------------------ 	A		

	A		 	A		 	A

e)	 Encourage students to
challenge the opinion
expressed in the text ----------- 	A		

	A		 	A		 	A

f)	 Use multiple perspectives
(among students, texts,
and other voices) to
enrich understanding ---------- 	A		

	A		 	A		 	A

g)	 Give students time to read
books of their own choosing --- 	A		

	A		 	A		 	A

h)	Give students an opportunity
to explain their answers
to classroom tests--------------- 	A		

	A		 	A		 	A

i)	 Give individualized feedback
to each student----------------- 	A		

	A		 	A		 	A

Grade 4 Teacher Questionnaire
- 25 -

Computer and Library Resources

	27

	26

	 A.	Do the students in this class have computers
(including tablets) available to use during their
reading lessons?

After students have read something, how often do
you ask them to do the following?
Check one circle for each line.

C
_ heck one circle only.

	Every day or almost every day
		

	
	

Once or twice a week

			
Once or twice a
			month

	 Yes, the class has computers
	
that students can share ---- 	A

				Never or
				almost never

a)	 Write something about or
in response to what they
have read ----------------------- 	A	 	

	A		 	A		 	A

b)	 Answer oral questions
about or orally summarize
what they have read ------------ 	A	 	

	A		 	A		 	A

c)	 Talk with each other about
what they have read ------------ 	A	 	

	A		 	A		 	A

d)	 Take a written quiz or test
about what they have read ---- 	A	 	

	A		 	A		 	A

Yes, each student has
a computer ---- 	A

	
	
	

Yes, the school has
computers that the class
can use sometimes ---- 	A

	No ---- 	A 		
(If No, go to #28A)
If Yes,
	 B.	How often do you do the following computer
activities during reading lessons?
Check one circle for each line.
	Every day or almost every day
		

Once or twice a week

			
Once or twice a
			month

				Never or
				almost 		
				never	

a)	 Ask students to read
digital texts --------------------- 	A	 	

	A		 	A		 	A

b)	 Teach students strategies
for reading digital texts -------- 	A	 	

	A		 	A		 	A

c)	 Teach students to be
critical when reading on
the Internet--------------------- 	A	 	

	A		 	A		 	A

d)	 Ask students to look up
information (e.g., facts,
definitions, etc.) ---------------- 	A	 	

	A		 	A		 	A

e)	 Ask students to research
a particular topic
or problem---------------------- 	A	 	

	A		 	A		 	A

f)	 Ask students to write
stories or other texts ----------- 	A	 	

	A		 	A		 	A

Grade 4 Teacher Questionnaire
- 26 -

12

	29

	28
	 A.	Do you have a library or reading corner in your
classroom?

How often do you take or send the students to a
library other than your classroom library?

Check one circle only.

Check one circle only.

	Yes---- 	A

	 At least once or twice a week---- 	A

	No---- 	A 		
(If No, go to #29)

	

Once or twice a month---- 	A

	

A few times a year---- 	A

	

Never or almost never---- 	A

If Yes,
	 B.	About how many books are in your classroom
library?
Check one circle only.

	0–25 ---- 	A
	26–50 ---- 	A
	51–100 ---- 	A
	

More than 100 ---- 	A

	 C.	About how many magazines with different titles
are in your classroom library?
Check one circle only.

	0 ---- 	A
	1–2 ---- 	A
	3–5 ---- 	A
	

More than 5 ---- 	A

	 D.	How often do you give the students in your
class time to use the classroom library or
reading corner?
Check one circle only.

	 Every day or almost every day ---- 	A

	

	

Once or twice a week ---- 	A

	

Once or twice a month ---- 	A

	

Never or almost never ---- 	A

E.	Can the students borrow books from the classroom
library or reading corner to take home?
Check one circle only.

	Yes---- 	A
	No---- 	A

13

Grade 4 Teacher Questionnaire
- 27 -

Reading Homework

	

Reading Difficulties

Questions 30–32 ask about homework for the
fourth grade students in this class.	

	

	30

Questions 33–34 ask about how you deal with
reading difficulties of fourth grade students in
this class.

	33
How often do you assign reading as part of
homework (for any subject)?

Are the following resources available to you to work
with students who have difficulty with reading?

Check one circle only.

	
	

Check one circle for each line.
	Always

I do not assign reading
for homework---- 	A 		
(Go to #33)

	

Less than once a week---- 	A

	

1 or 2 times a week---- 	A

	

3 or 4 times a week---- 	A

	

Every day---- 	A

		

Sometimes

			Never

a)	 A specialized professional
(e.g., reading specialist,
speech therapist) --------------- 	A		

	A		 	A
b)	 A teacher-aide ------------------ 	A		 	A		 	A
c)	 An adult/parent volunteer ----- 	A		 	A		 	A

	31
In general, how much time do you expect students
to spend on homework involving reading (for any
subject) each time you assign it?

	34
What do you usually do if a student begins to fall
behind in reading?

Check one circle only.

	

15 minutes or less---- 	A

	

16–30 minutes---- 	A

	Yes

	

31–60 minutes---- 	A

		No

	

More than 60 minutes---- 	A

Check one circle for each line.

	32
How often do you do the following with the reading
homework assignments for this class?
Check one circle for each line.
	Always or almost always
		

Sometimes

			Never or
			almost never

a)	 Correct assignments and give
feedback to students ----------- 	A		

	A		 	A

b)	 Discuss the homework
in class -------------------------- 	A		

	A		 	A

c)	 Monitor whether or not the
homework was completed ----- 	A		

	A		 	A

a)	 I have the student work with a specialized
professional (e.g., reading specialist,
speech therapist) --------------------------------- 	A		

	A

b)	 I wait to see if performance improves with
maturation --------------------------------------- 	A		

	A

c)	 I spend more time working on reading
individually with that student ------------------- 	A		

	A

d)	 I ask the parents to help the student
with reading -------------------------------------- 	A		

	A

e)	 I recommend that the student be
enrolled in a special reading program ----------- 	A		

	A

Grade 4 Teacher Questionnaire
- 28 -

14

Assessing Reading

	35
How much emphasis do you place on the
following sources to monitor students’
progress in reading?
Check one circle for each line.
	Major emphasis
		

Some emphasis

			
Little or no 		
			emphasis

15

a)	 Assessment of students’
ongoing work ------------------- 	A		

	A		 	A

b)	 Classroom tests (for
example, teacher-made
or textbook tests) --------------- 	A		

	A		 	A

c)	 State or district
achievement tests -------------- 	A		

	A		 	A

Grade 4 Teacher Questionnaire
- 29 -

Thank You
Thank you for the thought, time, and effort you have
put into completing this questionnaire.

- 30 -

- 31 -

- 32 -

PROGRESS IN INTERNATIONAL READING LITERACY STUDY

Teacher Questionnaire
Grade 4

Field Test Version

© IEA, 2014
International Association
for the Evaluation of
Educational Achievement

pirls.bc.edu

- 33 -

	

School ID	

	Checksum	
	

Class ID	

Student ID

ACH	BG
Participation Status

Identification Label

PROGRESS IN INTERNATIONAL READING LITERACY STUDY

Student
Questionnaire
Grade 4
National Center for Education Statistics
U.S. Department of Education
1990 K St., NW
Washington, DC 20006

Field Test Version

U.S. participation in this study is sponsored by the National Center for Education
Statistics (NCES), U.S. Department of Education, and authorized by the Education
Sciences Reform Act of 2002 (20 U.S.C., § 9543). Your responses are protected by
federal statute (20 U.S.C., § 9573) and 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.

© IEA, 2014
According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless such collection displays a valid OMB control
number. The valid OMB control number for this voluntary information collection is 1850-0645. The time required to complete this information collection is estimated to
average 30 minutes per response, including the time to review instructions, and complete and review the information collection. If you have any comments or concerns
regarding the accuracy of the time estimate(s), suggestions for improving the form, or the status of your individual submission of this form, write directly to: Progress in
International Reading Literacy Study (PIRLS), National Center for Education Statistics, U.S. Department of Education, 1990 K Street, N.W., Washington, D.C. 20006.
OMB No. 1850-0645, Approval Expires xx/xx/2017.

- 34 -

Directions
In this booklet, you will find questions about you and what you think. For each
question, you should choose the answer you think is best.
Let us take a few minutes to practice the kinds of questions you will answer in this
booklet.
Example 1 is one kind of question you will find in this booklet.

Example 1	

Do you go to school?

						
	Fill one circle only.

	Yes--- 	A
	No--- 	A
	
Example 2 is another kind of question you will find in this booklet.	

Example 2

How often do you do these things?

	Fill one circle for each line.
Every day 	
or almost	
every day	

1

Once or	
twice a	
week	

Once or	
twice a	
month	

Never or
almost
never

a)	 I talk with my friends ------------------ 	A		

	A		

	A		

	A

b)	 I play sports -------------------------------- 	A		

	A		

	A		

	A

c)	 I ride a skateboard ----------------------- 	A		

	A		

	A		

	A

Grade 4 Student Questionnaire
- 35 -

Example 3 is another kind of question you will find in this booklet.

Example 3

What do you think? Tell how much you agree with these
statements.

	Fill one circle for each line.
Agree	
a lot	

Agree	
a little	

Disagree	Disagree
a little	
a lot

a)	 Watching movies is fun ---------------- 	A		

	A		

	A		

	A

b)	 I like eating ice cream ------------------ 	A		

	A		

	A		

	A

c)	 I do not like waking up early --------- 	A		

	A		

	A		

	A

d)	 I enjoy doing chores --------------------- 	A		

	A		

	A		

	A

•	 Read each question carefully, and pick the answer you think is best.
•	 Fill in the circle next to or under your answer.
decide to change your answer, draw an
through your first answer,
•	 Iflikeyouthis:
.
Then,
fill
in
the
circle
next
to
or
under
your new answer.
A
for help if you do not understand something or are not sure how to
•	 Ask
answer.

Grade 4 Student Questionnaire
- 36 -

2

About you
	1

A. 	Are you a girl or a boy?

	Fill one circle only.

	

Girl--- 	A

	Boy--- 	A

B. 	Are you Hispanic or Latino?
	Fill one circle only.

	

Yes, I am Hispanic or Latino--- 	A

	

No, I am not Hispanic or Latino--- 	A

C. 	Which of the following best describes you?
	

Fill one or more circles.

	

White---	A

	

Black or African American---	A
Asian---	A

	
	

American Indian or Alaska Native---	A

	 Native Hawaiian or other Pacific Islander---	A

3

Grade 4 Student Questionnaire
- 37 -

	2

When were you born?
Fill the circles next to the month and year you were born.

	

a) Month		

b) Year

	

January--- 	A	

2003--- 	A

	

February--- 	A	

2004--- 	A

	

March--- 	A	

2005--- 	A

	

April--- 	A	

2006--- 	A

	

May--- 	A	

2007--- 	A

	June--- 	A	

2008--- 	A

	July--- 	A	

2009--- 	A

	

August--- 	A	

	

September--- 	A	

	

October--- 	A	

	

November--- 	A	

	

December--- 	A

Other--- 	A

Grade 4 Student Questionnaire
- 38 -

4

	3

A. 	How often do you speak English at home?

	Fill one circle only.

	
	

I always speak
English at home--- 	A	 If Always, please go to question 4

	
	

I almost always speak
English at home--- 	A

	
	
	

I sometimes speak English
and sometimes speak
another language at home--- 	A

	
	

I never speak English
at home--- 	A
If Almost always, Sometimes, or Never, please go to question 3B

B. 	What language do you speak at home (other than
English)?
	Fill one circle only.

	

Spanish--- 	A

	

Other--- 	A

	

5

(Please specify)________________

Grade 4 Student Questionnaire
- 39 -

	

	4

A.	 Was your mother (or stepmother or female legal
guardian) born in the United States? (“United
States” includes the 50 states, its territories, the
District of Columbia, and U.S. military bases
abroad.)

	Fill one circle only.

	Yes--- 	A
	No--- 	A

B.	 Was your father (or stepfather or male legal
guardian) born in the United States?
	Fill one circle only.

	Yes--- 	A
	No--- 	A

C.	 Were you born in the United States?
	Fill one circle only.

	Yes--- 	A
	No--- 	A

Grade 4 Student Questionnaire
- 40 -

6

	5

About how many books are there in your home? (Do not
count magazines, newspapers, or your school books.)

	Fill one circle only.

	

None or very few (0–10 books)--- 	A	

This shows 10 books

	Enough to fill one shelf (11–25 books)--- 	A	

This shows 25 books

	
	

Enough to fill one bookcase
(26–100 books)--- 	A	

This shows 100 books

	
	

Enough to fill two bookcases
(101–200 books)--- 	A	

This shows 200 books

	 nough to fill three or more bookcases
E
	
(more than 200)--- 	A	

	

7

Grade 4 Student Questionnaire
- 41 -

This shows more than 200 books

	6

Do you have any of these things at your home?

	Fill one circle for each line.
Yes	No

a)	 A computer or tablet
of your own --------------------------------- 	A		

	A

b)	 A computer or tablet
that is shared with other
people at home ---------------------------- 	A		

	A

c)	 Study desk/table for your use--------- 	A		

	A

d)	 Your own room ---------------------------- 	A		

	A

e)	 Internet connection ---------------------- 	A		

	A

f)	 Your own cell phone---------------------- 	A		

	A

g)	 A gaming system (e.g.,
PlayStation®, Wii®, XBox®)---------- 	A		

	A

h)	 VCR, DVD, or Blu-ray player -------- 	A		

	A

Grade 4 Student Questionnaire
- 42 -

8

	7

How often do you use a computer or tablet in each of
these places?

	Fill one circle for each line.
Every day 	
or almost	
every day	

Once or	
twice a	
week	

Never or
almost
never

a)	 At home-------------------------------------- 	A		

	A		

	A		

	A

b)	 At school------------------------------------- 	A		

	A		

	A		

	A

c)	 Some other place ------------------------- 	A		

	A		

	A		

	A

	8

About how often are you absent from school?

	Fill one circle only.

9

Once or	
twice a	
month	

	

Once a week--- 	A

	

Once every two weeks--- 	A

	

Once a month--- 	A

	

Never or almost never--- 	A

Grade 4 Student Questionnaire
- 43 -

	9

How often do you feel this way when you arrive at
school?

	Fill one circle for each line.
			
Every	 Almost		
day	
every day	 Sometimes	 Never

a)	 I feel tired----------------------------------- A		

	A		

	A		

	A

b)	 I feel hungry-------------------------------- A		

	A		

	A		

	A

10

How often do you eat breakfast on school days?

	Fill one circle only.

	

Every day--- 	A

	

Almost every day--- 	A

	

Sometimes--- 	A

	

Never--- 	A

Grade 4 Student Questionnaire
- 44 -

10

Your School
	11

What do you think about your school? Tell how much
you agree with these statements.

	Fill one circle for each line.
Agree	
a lot	

11

Agree	
a little	

Disagree	Disagree
a little	
a lot

a)	 I like being in school--------------------- 	A		

	A		

	A		

	A

b)	 I feel safe when I am at school ------- 	A		

	A		

	A		

	A

c)	 I feel like I belong at this school ----- 	A		

	A		

	A		

	A

d)	 I like to see my classmates
at school ------------------------------------- 	A		

	A		

	A		

	A

e)	 Teachers at my school are
fair to me ----------------------------------- 	A		

	A		

	A		

	A

f)	 I am proud to go to this school-------- 	A		

	A		

	A		

	A

g)	 I learn a lot in school -------------------- 	A		

	A		

	A		

	A

Grade 4 Student Questionnaire
- 45 -

	12

During this year, how often have other students from
your school done any of the following things to you?
Also, include through texting or the Internet.

	Fill one circle for each line.
At least 	
Once or	
A few	
once a	
twice a	
times a	
week	 month	year	

Never

a)	 Made fun of me or
called me names -------------------------- 	A		

	A		

	A		

	A

b)	 Left me out of their
games or activities ----------------------- 	A		

	A		

	A		

	A

c)	 Spread lies about me -------------------- 	A		

	A		

	A		

	A

d)	 Stole something from me--------------- 	A		

	A		

	A		

	A

e)	 Hit or hurt me
(e.g., shoving, hitting, kicking)-------- 	A		

	A		

	A		

	A

f)	 Made me do things
I didn’t want to do------------------------ 	A		

	A		

	A		

	A

g)	 Shared embarrassing
information about me ------------------- 	A		

	A		

	A		

	A

h)	 Threatened me ---------------------------- 	A		

	A		

	A		

	A

Grade 4 Student Questionnaire
- 46 -

12

Lessons about reading
	13

Think about the reading you do for school. How much
do you agree with these statements about your reading
lessons?

	Fill one circle for each line.
Agree	
a lot	

13

Agree	
a little	

Disagree	Disagree
a little	
a lot

a)	 I like what I read about in school---- 	A		

	A		

	A		

	A

b) 	 My teacher gives me interesting
things to read ------------------------------ 	A		

	A		

	A		

	A

c)	 I know what my teacher
expects me to do -------------------------- 	A		

	A		

	A		

	A

d)	 My teacher is easy to understand --- 	A		

	A		

	A		

	A

e)	 I am interested in what my
teacher says -------------------------------- 	A		

	A		

	A		

	A

f)	 My teacher encourages me to
say what I think about what
I have read --------------------------------- 	A		

	A		

	A		

	A

g)	 My teacher is enthusiastic about
what we read for class ------------------ 	A		

	A		

	A		

	A

h)	 My teacher has clear answers to
my questions------------------------------- 	A		

	A		

	A		

	A

i)	 My teacher lets me show what I
have learned-------------------------------- 	A		

	A		

	A		

	A

j)	 My teacher does a variety of
things to help us learn------------------ 	A		

	A		

	A		

	A

k)	 My teacher tells me how to do
better when I make a mistake-------- 	A		

	A		

	A		

	A

l)	 My teacher listens to what I have
to say ----------------------------------------- 	A		

	A		

	A		

	A

Grade 4 Student Questionnaire
- 47 -

Reading in school
	14

In school, how often do these things happen?

	Fill one circle for each line.
Every day 	
or almost	
every day	

Once or	
twice a	
week	

Once or	
twice a	
month	

Never or
almost
never

a)	 I read silently on my own -------------- 	A		

	A		

	A		

	A

b)	 I read things that I choose myself--- 	A		

	A		

	A		

	A

Grade 4 Student Questionnaire
- 48 -

14

Using the library
	15

How often do you borrow books (including ebooks)
from your school or local library?

	Fill one circle only.

15

	

At least once a week--- 	A

	

Once or twice a month--- 	A

	

A few times a year--- 	A	

	

Never or almost never--- 	A

Grade 4 Student Questionnaire
- 49 -

Reading outside of school
	16

How much time do you spend reading outside of school
on a normal school day?

	Fill one circle only.

	

Less than 30 minutes--- 	A

	

30 minutes up to 1 hour--- 	A

	

From 1 hour up to 2 hours--- 	A

	

2 hours or more--- 	A

	17

How often do you do these things outside of school?

	Fill one circle for each line.
Every day 	
or almost	
every day	

Once or	
twice a	
week	

Once or	
twice a	
month	

Never or
almost
never

a)	 I read for fun ------------------------------ 	A		

	A		

	A		

	A

b)	 I read things that I
choose myself ------------------------------ 	A		

	A		

	A		

	A

c)	 I read to find out about things I
want to learn ------------------------------ 	A		

	A		

	A		

	A

Grade 4 Student Questionnaire
- 50 -

16

What you think about reading
	18

What do you think about reading? Tell how much you
agree with each of these statements.

	Fill one circle for each line.
Agree	
a lot	

17

Agree	
a little	

Disagree	Disagree
a little	
a lot

a)	 I read only if I have to ------------------ 	A		

	A		

	A		

	A

b)	 I like talking about what I read
with other people ------------------------- 	A		

	A		

	A		

	A

c)	 I would be happy if someone gave
me a book as a present ----------------- 	A		

	A		

	A		

	A

d)	 I think reading is boring --------------- 	A		

	A		

	A		

	A

e)	 I would like to have more
time for reading -------------------------- 	A		

	A		

	A		

	A

f)	 I enjoy reading ---------------------------- 	A		

	A		

	A		

	A

g)	 I learn a lot from reading -------------- 	A		

	A		

	A		

	A

h)	 It is important to
be a good reader -------------------------- 	A		

	A		

	A		

	A

i)	 I like to read things that
make me think ---------------------------- 	A		

	A		

	A		

	A

j)	 I like it when a book helps
me imagine other worlds -------------- 	A		

	A		

	A		

	A

k)	 My parents like it when I read ------- 	A		

	A		

	A		

	A

Grade 4 Student Questionnaire
- 51 -

	19

How well do you read? Tell how much you agree with
each of these statements.

	Fill one circle for each line.
Agree	
a lot	

Agree	
a little	

Disagree	Disagree
a little	
a lot

a)	 I usually do well in reading ----------- 	A		

	A		

	A		

	A

b)	 Reading is easy for me ------------------ 	A		

	A		

	A		

	A

c)	 I have trouble reading
stories with difficult words ------------ 	A		

	A		

	A		

	A

d)	 Reading is harder for me than
for many of my classmates ------------ 	A		

	A		

	A		

	A

e)	 My teacher tells me I am
a good reader ------------------------------ 	A		

	A		

	A		

	A

f)	 Reading is harder for me than
any other subject ------------------------- 	A		

	A		

	A		

	A

g)	 I am just not good at reading --------- 	A		

	A		

	A		

	A

h)	 I like to read out loud
to other people ---------------------------- 	A		

	A		

	A		

	A

i)	 I can understand hard stories -------- 	A		

	A		

	A		

	A

Grade 4 Student Questionnaire
- 52 -

18

Activities outside of school
	20

The following questions ask about activities you do
outside of school.

	Fill one circle for each line.
Yes	No

19

a)	 Do you play on a sports
team outside of school? ----------------- 	A		

	A

b)	 Do you often play a musical
instrument outside of school? -------- 	A		

	A

c)	 Are you studying something
in a class outside of school?------------ 	A		

	A

d)	 Do you belong to a club
outside of school (like
Girl Scouts, Cub Scouts,
4-H, or Boys and Girls Club)? -------- 	A		

	A

Grade 4 Student Questionnaire
- 53 -

Thank You!
Thank you for filling out the questionnaire!

- 54 -

- 55 -

- 56 -

PROGRESS IN INTERNATIONAL READING LITERACY STUDY

Student
Questionnaire
Grade 4

Field Test Version

© IEA, 2014
International Association
for the Evaluation of
Educational Achievement

pirls.bc.edu

- 57 -

 

ePIRLS Online Reading 2016 
 

 

Screen Shots
ePIRLS 2016 Student Questionnaire

(This will be administered online immediately following the ePIRLS assessment.)

- 58 -

ePIRLS Online Reading 2016

ePIRLS 2016 Student Questionnaire

1.

About how much time do you spend using a computer each day?

Less than 30 minutes
30 minutes up to 1 hour
From 1 hour up to 2 hours
2 hours or more

Next 

- 59 -

ePIRLS Online Reading 2016

ePIRLS 2016 Student Questionnaire

1.

About how much time do you spend using a computer each day?

Less than 30 minutes
30 minutes up to 1 hour
From 1 hour up to 2 hours
2 hours or more

Next

- 60 -

ePIRLS Online Reading 2016

ePIRLS 2016 Student Questionnaire

2.

How much do you agree
with these statements?
Click on one button for each row.

Agree a
lot

Agree a
little

a) I am good at using a computer
b) I am good at typing
c) It is easy for me to find information
on the Internet

Back

Next

- 61 -

Disagree
a little

Disagree
a lot

ePIRLS Online Reading 2016

ePIRLS 2016 Student Questionnaire

3.

Who mainly taught you
the following things?
Click on one button for each row.

I mainly taught
myself

My teachers

My family

a) Using a computer
b) Keyboarding
c) Finding information on the
Internet

Back

Next

- 62 -

My friends

I have never
learned this

ePIRLS Online Reading 2016

ePIRLS 2016 Student Questionnaire

4.

How often do you use a computer
to do these things?
Click on one button for each row.

Every day

Once or twice
a week

a) Find out about things that interest you
b) Do your school work
c) Play games
d) Chat with your friends

Back

Next

- 63 -

Once or twice
a month

Never or
almost never

ePIRLS Online Reading 2016

ePIRLS 2016 Student Questionnaire

Click the BACK button to review your answers.
Click the SUBMIT button to finish the survey.

Back

Submit

- 64 -

ePIRLS Online Reading 2016

ePIRLS 2016 Student Questionnaire

Well done!
You have now completed the
ePIRLS online reading assessment.

- 65 -

ePIRLS Online Reading 2016

ePIRLS 2016 Student Questionnaire

2.

How much do you agree
with these statements?
Click on one button for each row.

Agree a
lot

Agree a
little

a) I am good at using a computer
b) I am good at typing
c) It is easy for me to find information
on the Internet

 Back

Next 

- 66 -

Disagree
a little

Disagree
a lot

ePIRLS Online Reading 2016

ePIRLS 2016 Student Questionnaire

3.

Who mainly taught you
the following things?
Click on one button for each row.

I mainly taught
myself

My teachers

My family

a) Using a computer
b) Keyboarding
c) Finding information on the
Internet

 Back

Next 

- 67 -

My friends

I have never
learned this

ePIRLS Online Reading 2016

ePIRLS 2016 Student Questionnaire

4.

How often do you use a computer
to do these things?
Click on one button for each row.

Every day

Once or twice
a week

a) Find out about things that interest you
b) Do your school work
c) Play games
d) Chat with your friends

 Back

Next 

- 68 -

Once or twice
a month

Never or
almost never

ePIRLS Online Reading 2016

ePIRLS 2016 Student Questionnaire

Click the BACK button to review your answers.
Click the SUBMIT button to finish the survey.
 Back

Submit

- 69 -

ePIRLS Online Reading 2016

ePIRLS 2016 Student Questionnaire

Well done!
You have now completed the
ePIRLS online reading assessment.

- 70 -


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