Spring Fourth-Grade Data Collection & Recruitment for Fifth-Grade

APPENDIX C
FOURTH-GRADE
TEACHER-LEVEL QUESTIONNAIRE (TQ)

Early Childhood Longitudinal Study, Kindergarten Class of 2010-11
(ECLS-K:2011)

Spring Fourth-Grade National Data Collection
and Fifth-Grade Recruitment
OMB Clearance Package
#1850-0750 v.16

Draft

Spring 2015
Teacher Questionnaire
Prepared for the U.S. Department of Education
National Center for Education Statistics by:
Westat
Rockville, Maryland
Use a black or blue ball point pen to complete this questionnaire.

RETURN THIS COMPLETED QUESTIONNAIRE IN THE SEALED
TYVEK® ENVELOPE DIRECTLY TO YOUR SCHOOL COORDINATOR
ORAN ECL
S‐
K:
2011STAF
FMEMBER.
DONOTMAI
LTHIS
QUESTIONNAIRE UNLESS YOU ARE ASKED TO DO SO BY STUDY
STAFF AND ARE PROVIDED WITH AN ENVELOPE FOR MAILING.

S_ID

T_ID

T

According to the Paperwork Reduction Act of 1995, no persons are required
to respond to a collection of information unless it displays a valid OMB
control number. The valid OMB control number for this voluntary survey is
1850‐
XXXX.Appr
ov
alex
pi
r
esXX/
XX/
XXXX.Thet
i
mer
equi
r
edt
oc
ompl
et
et
hi
s
survey is estimated to average 13 minutes per response, including the time to
review instructions, search existing data resources, gather the data needed,
and complete and review the survey. If you have any comments concerning
the accuracy of the time estimate or suggestions for improving this survey, or
any comments or concerns regarding the status of your individual submission
of this survey, please write to: Early Childhood Longitudinal Study, National
Cent
erf
orEduc
at
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onSt
at
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s
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c
s
,1990KSt
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1

The collection of information in this survey is authorized by 20 U.S.
Code, Section 9543. Participation is voluntary. You may skip questions
you do not wish to answer; however, we hope that you will answer as
many questions as you can. Your responses are protected from
di
s
c
l
os
ur
e by f
eder
al s
t
at
ut
e﴾
20 U.
S. Code,Sec
t
i
on 9573﴿
. Al
l
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. Data will be combined to produce statistical reports.
No individual data that links your name, address, telephone number,
or identification number with your responses will be included in the
statistical reports.

Draft

2

Draft

Dear Teacher,
Thi
sque
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t
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ei
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antpar
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orl
ongi
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udi
nals
t
udyofc
hi
l
dr
en’
sear
l
yeduc
at
i
onal
experiences beginning with kindergarten and continuing through grade 5. You have received this
questionnaire because you teach one or more of the children who are participants in this study.
TheEar
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udy,Ki
nder
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sof2010‐
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collecting information from teachers of children who are in the study to investigate the relationship
Dear
Teacher,
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.
Taking part in the study is voluntary. You may stop at any time or choose not to answer a question you do
Thi
s
ques
t
i
oanswer.
nnai
r
ei
sHowever,
ani
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want
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can
provide
information.
Although
we
realize
you
are
very
busy,
we
urge
you
to
complete
this
questionnaire
as
completely
and
accurately
as
possible.
The
experiences beginning with kindergarten and continuing through grade 5. You have received this
information
you
provideyou
is being
for research
purposes
will be protected
from
questionnaire
because
teach collected
one or more
of the children
whoonly
are and
participants
in this study.
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sofstatistical
2010‐
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1﴾
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2
011﴿is
Information
from
multiple
individuals
will
be
combined
tonproduce
reports;
no
information
that
collectingyou
information
from teachers
of children
who are to
in students,
the study their
to investigate
the
relationship
identifies
will be included
in any reports
or provided
parents, or
other
school staff.
bet
weenc
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Taking
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part
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the
our
study
ans
we
isr
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voluntary.
di
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You
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may
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stop
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ebtime
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awquestion
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esi
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s
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e very
not
want
answer.
However,
only
you
Although
we
realize
you
are
acceptable
busy, we urge
answers.
you to complete this questionnaire as completely and accurately as possible. The
information you provide is being collected for research purposes only and will be protected from
di
s
c
l
os
ur
et
ot
hef
ul
l
es
tex
t
ental
l
owabl
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m Ac
tof2002,20U.
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§9573﴿
.
Information from multiple individuals will be combined to produce statistical reports; no information that
identifies you will be included in any reports or provided to students, their parents, or other school staff.
Pl
eas
er
ec
or
dy
ourans
we
r
sdi
r
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t
l
yYOU
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ma
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k
i
ngt
hea
ppr
opr
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ea
ns
wer﴾
as
THANK
VERY
MUCH
FOR
YOUR
HELP.
i
ns
t
r
uc
t
edonpage4﴿orbywr
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pons
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acceptable answers.

THANK YOU VERY MUCH FOR YOUR HELP.

3

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4

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SECTION A. STUDENT, SCHOOL, AND STAFF ACTIVITIES
A1.

Which of the following subjects do you teach during this school year? MARK ONE RESPONSE ON
EACH ROW.
Yes

No

a. Reading/language arts
b. Mathematics
c. Science
d. Social studies

A2.

How often doest
het
ypi
c
alc
hi
l
di
nyourc
l
as
s
﴾
es
﴿us
ual
l
ywor
konl
es
s
onsorpr
oj
ec
t
si
nt
he
following general subject areas, whether as a whole class, in small groups, or in individualized
arrangements? MARK ONE RESPONSE ON EACH ROW.

Never

Less than
once a 1 day a
week
week

a. Reading and language arts
b. Mathematics
c.

Social studies

d. Science
e. Music
f.

Art

g. Physical education
h. Dance/creative movement
i.

Theater/creative dramatics

j.

F
or
ei
gnl
a
nguage﴾
ex
c
l
udi
ng
Engl
i
s
hf
orE
L
Ls
t
udent
s
﴿

5

2 days
a week

3 days
a week

4 days
a week

5 days
a week

Draft

A3.

Ont
hedaysc
hi
l
dr
enwor
ki
nt
hes
ear
eas
,how muc
ht
i
medoest
het
ypi
c
alc
hi
l
di
nyourc
l
as
s
﴾
es
﴿
usually work on lessons or projects in the following general subject areas? MARK ONE RESPONSE ON
EACH ROW.
Less
Not
than ½
applicable/ hour a
never
day

½ hour
to less
than 1
hour

1 to less
than 1
½ hours

1 ½ to
less
than 2
hours

a. Reading and
language arts
b. Mathematics
c. Social studies
d. Science
e. Music
f.

Art

g. Physical education
h. Dance/creative
movement
i. Theater/creative
dramatics
j. Foreign language
﴾
ex
c
l
udi
ngEngl
i
s
h
f
orE
L
Ls
t
udent
s
﴿

A4.

How many days a week do children have recess? MARK ONE RESPONSE.
SKI
PTO Q A6﴿
Zer
o﴾
nor
ec
es
sonanyday
﴿﴾
One
Two
Three
Four
Five
Other/Varies by week

6

2 to less
than 2
½ hours

2 ½ to
less
than 3
hours

3 hours
or more

Draft

A5.

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? MARK ONE RESPONSE.
One
Two
Three
Four
Five
Other/Varies by day

A6.

Whatper
c
ent
ageofc
hi
l
dr
eni
nyourc
l
as
s
﴾
es
﴿havepar
ent
swhopar
t
i
c
i
pat
ei
nt
hef
ol
l
owi
ng
activities? MARK ONE RESPONSE ON EACH ROW.
0%

1‐
25%

26‐
50%

51‐
75%

76% or
more

a. At
t
endt
eac
her
‐
par
entc
onf
er
enc
es
b. Volunteer regularly to help in your
classroom or another part of the school
c. Attend open houses or parties
d. Attend art/music events or demonstrations

A7.

How i
mpor
t
anti
seac
hoft
hef
ol
l
owi
ngi
neval
uat
i
ngt
hec
hi
l
dr
eni
nyourc
l
as
s
﴾
es
﴿f
orr
epor
t
i
ng
to parents? MARK ONE RESPONSE ON EACH ROW.
Not
important
a. Individual child's achievement relative
to the rest of the class
b. Individual child's achievement relative
to local, state, or professional standards
c. Individual improvement or progress
over past performance
d. Effort
e. Class participation
f.

Daily attendance

g. Classroom behavior or conduct
h. Cooperativeness with other children
i.

Ability to follow directions

7

Somewhat
important

Very
important

Extremely
important

Draft

SECTION B. VIEWS ON SCHOOL CLIMATE AND SCHOOL ENVIRONMENT
B1.

Please indicate the extent to which you agree or disagree with each of the following statements
about your school. MARK ONE RESPONSE ON EACH ROW.
Neither
Strongly
Strongly
agree nor
disagree Disagree
Agree
agree
disagree
a. Thel
ev
elofc
hi
l
dmi
s
behav
i
or﴾
f
or
example, noise, horseplay, or fighting
i
nt
heha
l
l
sorc
a
f
et
er
i
a﴿i
nt
hi
ss
c
hool
interferes with my teaching.
b. Many of the children I teach are not
capable of learning the material I am
supposed to teach them.
c. Parents are supportive of school staff.
d. There is a great deal of cooperative
effort among the staff members.
e. There is a consensus among
administrators and teachers on goals
and expectations.
f.

The academic standards at this school
are too low.

g. The school administrator sets priorities,
makes plans, and sees that they are
carried out.
h. The school administration's behavior
toward the staff is supportive and
encouraging.
B2.

To what extent do you agree or disagree with each of the following statements? MARK ONE
RESPONSE ON EACH ROW.
Neither
Strongly
Strongly
agree nor
disagree Disagree
Agree
agree
disagree
a. The attitudes and habits students bring
t
omyc
l
as
s
﴾
es
﴿gr
eat
l
yr
educ
et
hei
r
chances for academic success.
b. My success or failure in teaching is due
primarily to factors beyond my control
rather than to my own effort or ability.
c. The amount a student can learn is
primarily related to family background.
d. I really enjoy my present teaching job.
e. If I could start over, I would choose
teaching again as my career.

8

Draft

SECTION C. TEACHER BACKGROUND
C1.

What is your gender? MARK ONE RESPONSE.
Male
Female

C2.

In what year were you born? WRITE IN YEAR BELOW.

1 9
YEAR
C3.

Are you Hispanic or Latino? MARK ONE RESPONSE.
Yes
No

C4.

Which best describes your race? MARK ONE OR MORE RESPONSES TO INDICATE WHAT YOU CONSIDER
YOURSELF TO BE.
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White

9

Draft

C5.

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?
WRITE THE NUMBER OF YEARS TO THE NEAREST FULL SCHOOL YEAR. IF THIS IS YOUR FIRST YEAR
TEACHING, WRITE "1." WRITE "0" IF YOU HAVE NEVER TAUGHT THE GRADE OR PROGRAM LISTED.
Total years
grade or program taught
a. Preschool or kindergarten
b. First grade
c. Second grade
d. Third grade
e. Fourth grade
f.

Fifth grade

g. Sixth grade or higher
ngl
i
s
ha
saSec
ondL
anguage﴾
ESL
﴿
,
bi
l
i
ngual
h. E
education, and/or dual language program

C6.

i.

Special education program

j.

Program for gifted children

Counting this school year, how many total years have you been a schoolteacher, including years in
which you taught part time? WRITE THE NUMBER OF YEARS TO THE NEAREST FULL SCHOOL YEAR. IF
THIS IS YOUR FIRST YEAR, WRITE "1."
Year
﴾
s
﴿

C7.

Is this school year the first year you have taught in this school? MARK ONE RESPONSE.
Yes
No

10

Draft

C8.

What is the highest level of education you have completed? MARK ONE RESPONSE.
Did not complete high school ﴾
SKI
PTO Q C11﴿
SKI
PTO Q C11﴿
High school diploma or equivalent/GED ﴾
SKI
PTO Q C11﴿
Some college or technical or vocational school ﴾
Associate's degree
Bachelor's degree
Master's degree
Anadv
anc
edpr
of
es
s
i
onaldegr
eebey
ondamas
t
er
'
sdegr
ee﴾
f
orex
ampl
e,
Ph.
D.
,
MD﴿

C9.

If you have an associate's or bachelor's degree, indicate your undergraduate major field of study.
MARK YES OR NO ON EACH ROW.
Yes
a. Early childhood education
b. Elementary education
c. English
d. Reading and/or language arts
e. Curriculum and instruction
f.

Mathematics education

g. Mathematics
h. Science education
i.

Life science

j.

Physical science

k. Earth science
l.

Special education

m. Ot
hereduc
a
t
i
on‐
r
el
at
edmaj
or﴾
f
orex
ampl
e,s
ec
onda
r
yeduc
at
i
on,
educ
at
i
onalps
y
c
hol
ogy
,
admi
ni
s
t
r
at
i
on,
mus
i
ceduc
a
t
i
on,
et
c
.
﴿
n. Non‐
educ
a
t
i
onma
j
or﴾
f
orex
ampl
e,hi
s
t
or
y
,
et
c
.
﴿

11

No

Draft

C10.

If you have a graduate degree, indicate the major field of study of your highest level graduate
degree. MARK YES OR NO ON EACH ROW.
Yes

No

a. Early childhood education
b. Elementary education
c. English
d. Reading and/or language arts
e. Curriculum and instruction
f.

Mathematics education

g. Mathematics
h. Science education
i.

Life science

j.

Physical science

k. Earth science
l.

Special education

m. Ot
hereduc
at
i
on‐
r
el
at
edmaj
or﴾
f
orex
ampl
e,
s
ec
ondar
yeduc
at
i
on,
educ
a
t
i
onalps
y
c
hol
ogy
,
admi
ni
s
t
r
at
i
on,
mus
i
ceduc
at
i
on,
et
c
.
﴿
n. Non‐
educ
at
i
onma
j
or﴾
f
orex
a
mpl
e,
hi
s
t
or
y
,
et
c
.
﴿

C11.

Have you ever taken a college course that addressed issues related to the following? MARK YES OR
NO ON EACH ROW.
Yes
a. Using published research evidence to identify and select effective
interventions and supports for students
b. Using formal assessment data to inform the choice of READING
interventions and supports for students
c. Using formal assessment data to inform the choice of MATH
interventions and supports for students
d. Using data to inform the choice of behavioral interventions and
supports for students

12

No

Draft

C12.

Which of the following describes the teaching certificate you currently hold in THIS state? MARK
ONE RESPONSE.
Regular or standard state certificate or advanced professional certificate
Certificate issued after satisfying all requirements except the completion of a probationary
period
Certificate that requires some additional coursework, student teaching, or passage of a test
before regular certification can be obtained
Certificate issued to persons who must complete a certification program in order to continue
teaching
I do not hold any of the above certifications in THIS state.

C13.

Date Questionnaire Completed:

2 0 1 5
MONTH

DAY

YEAR

THANK YOU FOR YOUR COOPERATION!

13

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14

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For Office Use Only
C‐NoDR

C‐DRComp

C‐DRRef

Ref

15

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