Appendix D. Student Survey
Note, sources will be removed from final version.
College Board, Completing the SAT Questionnaire
CCSR: Consortium on Chicago School Research Spring 2005 Survey of Chicago Public Schools Senior Student Edition
Dallas Independent School District 2012 Senior Exit Survey
ELS: Education Longitudinal Study of 2002, Base Year (IES, National Center for Education Statistics - NCES)
ELS Follow-Up: Education Longitudinal Study of 2002, First Follow-Up (NCES)
HSLS: High School Longitudinal Survey of 2009, Student Baseline (NCES)
HSLS Follow-Up: High School Longitudinal Survey of 2009, Student First Follow-up (NCES)
HSLS: High School Longitudinal Survey of 2009, Parent Survey (NCES)
PERTS Growth Mindset Assessment: Project for Education Research That Scales Growth Mindset Assessment
Westat Student Survey: Westat GEAR UP Student Survey, 2000
We
are asking you to complete a short survey about your plans for
college and about activities related to college planning. The
survey should take about 15
minutes to
complete. Your
answers could
help improve the college advising and support services provided in
GEAR UP programs across the country.
You
will also have the opportunity to sign up for the chance to receive
a series of text messages that have helped other students with
college outcomes.
Your participation is voluntary. You do not have to complete this survey and you may choose not to answer a question or to stop the survey at any point. You can participate in GEAR UP even if you do not complete the survey. If you are under 18 years old, your parent/guardian has been given information about this study and has agreed that you can participate if you would like.
Protecting your privacy is very important to us. Your name will not be included in any reports or data produced by the study. We will not share information from this survey that identifies you to anyone outside of the study team, except as required by law.
We know your time is valuable and we thank you for your participation in this survey!
SC1. Are you willing to take this survey?
Yes
No [SKIP to SC4]
Per the policies and procedures required by the Education Sciences Reform Act of 2002, Title I, Part E, Section 183, responses to this data collection will be used only for statistical purposes. The reports prepared for this study will summarize findings across the sample and will not associate responses with a specific program, district, or individual. Any willful disclosure of such information for nonstatistical purposes, except as required by law, is a class E felony.
Paperwork Burden Statement: 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 information collection is xxxx-xxxx. Public reporting burden for this collection is estimated to average 15 minutes per response, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the information collection. The obligation to respond to this collection is voluntary. If you have comments or concerns regarding the status of your individual submission of this form, application or survey, please contact (National Center for Education Evaluation/Institute of Education Sciences U.S. Department of Education, 555 New Jersey Avenue, SW Room 502i, Washington, DC 20208) directly. (Note: Please do not return the completed instrument, form, application or survey to this address.)
SC2. This summer and next fall we will be sending a series of text messages (approximately 30) to some students from around the country to support successful and smooth transitions to college.
Would you like to be considered for a chance to participate in this text message program? (standard text messaging rates may apply)
Not all students will get the texts. Who gets the texts is decided by chance, like flipping a coin.
Yes
No [SKIP to Q1]
SC3. So that we can send you text messages, please provide us with your cell phone number.
By including your cell phone below, you agree to receive text messages to support your successful transition into college.
This information will be kept in secure and protected data files separate from the responses you provide. A study generated unique identification number will link your survey responses to your contact information. Your cell phone number will be destroyed within 30 days of the completion of the study.
[SKIP to Q1]
Source: Dallas Independent School District 2012 Senior Exit Survey (adapted)
SC4. Thank you for your time.
[SUBMIT and EXIT]
Instructions:
Throughout this
survey when you see the term ‘college’ please think
about any school that offers degrees or certificates to students who
have completed high school, such as a community or technical
college, a state university, a private liberal arts college, or a
training institute.
First, please answer the following questions about the college application process and your plans for college.
How many colleges, if any, have you applied to?
____ Number
Source: Author developed
Which of the following activities do you expect to be doing this fall? [If Q2a = Yes, GO TO Q3, ELSE SKIP TO Q6]
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Yes |
No |
I don’t know |
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Source: HSLS Follow-up, adapted
Which college are you most likely to attend next year (during the 2017-2018 school year)?
[Dropout with list of states]
Dropdown with list of schools with NCES IPEDS number
[text box for students who couldn’t find their college]
I haven’t decided yet
Source: Author developed
Have you/your family completed and submitted a FAFSA to apply for financial aid for your education?
Yes
No, not yet, but I’m planning to submit a FAFSA
No, I’m not planning to submit a FAFSA
No, I haven’t thought about this yet
No, I don’t know if I or anyone in my family will apply
I don’t know what a FAFSA is
Source: Adapted from HSLS
Have you paid a deposit or received a fee waiver to enroll at [POPULATE WITH COLLEGE SELECTED IN Q3 / IF COLLEGE NOT SELECTED: your intended college/university]?
Yes
No
Don’t Know
Source: Dallas Independent School District 2012 Senior Exit Survey (adapted)
These next questions ask about your expectations for life after high school.
If there were no barriers, how far in school would you want to go?
Less than high school completion
Complete a high school diploma, GED or alternative high school credential
Complete a certificate or diploma from a school that provides occupational training
Complete an Associate's (2-year) degree
Complete a Bachelor's (4-year) degree
Complete a Master’s degree
Complete a Ph.D., M.D., law degree, or other high level professional degree
I don’t know
Source: High School Longitudinal Study (HSLS) Follow-up
As things stand now, how far in school do you think you will actually get?
Less than high school completion
Complete a high school diploma, GED or alternative high school credential
Complete a certificate or diploma from a school that provides occupational training
Complete an Associate's (2-year) degree
Complete a Bachelor's (4-year) degree
Complete a Master’s degree
Complete a Ph.D., M.D., law degree, or other high level professional degree
I don’t know
Source: HSLS for question, HSLS follow-up for answer choices (Change You to I)
Whatever your plans, do you think you have the ability to complete a Bachelor's degree?
Definitely
Probably
Probably not
Definitely not
Source: HSLS
The next set of questions asks about your experiences in school.
What grade were you in when you took Algebra I (sometimes called Math I)? (If you have taken it more than once, answer for the most recent time you took it. If you are currently taking Algebra I or Math I, choose your current grade.)
8th grade or earlier
9th grade
10th grade
11th grade
12th grade
I have not taken Algebra I/Math I yet
Source: HSLS Follow-up
Have you taken any Advanced Placement (AP) or International Baccalaureate (IB) courses? Include any courses you are taking now.
Yes
No [SKIP TO Q12]
I don't know [SKIP TO Q12]
Source: Adapted from HSLS Follow-up. Merged AP and IB questions into one.
Have you already taken either of the following tests?
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Yes |
No |
I don’t know |
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Source: HSLS Follow-up, adapted
Other than AP and IB courses, have you taken any high school courses for college credit? (Include any courses for college credit that you are taking now.)
Yes
No
I don’t know
Source: HSLS Follow-up. (Changed You to I)
Indicate your cumulative grade point average (GPA) for all classes you took in high school though the end of your junior year (last year).
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(97-100) |
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(77-79) |
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(93-96) |
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(73-76) |
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(90-92) |
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(70-72) |
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(87-89) |
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(67-69) |
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(83-86) |
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(65-66) |
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(80-82) |
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(below 65) |
Source: College Board SAT Survey, adapted
Have you already taken the following tests?
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Yes |
No |
I don’t know |
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Source: HSLS Follow-up, adapted
By the end of this school year, do you think you will have met the minimum requirements needed for admission to a…
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Yes |
No |
I don’t know |
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Source: HSLS Follow-up, adapted
These next questions ask about some of your college preparation experiences.
Since the beginning of last school year (2015-2016), that is, your junior year, how many times have you discussed the following topics with a college counselor/advisor at your high school?
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0 times |
1 time |
2 times |
3 times |
4 times |
5 or more times |
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Source: Author developed
How did you discuss each of the following topics with the college counselor/advisor at your high school? (Check all that apply.) [POPULATE TABLE WITH ONLY Q16 ITEMS WITH ANSWER OF 1 OR MORE TIMES]
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One –on-one |
In a group |
I don’t know |
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Source: Author developed
Have you gotten information on financial aid (such as scholarships, grants, or loans) in any of the following ways?
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Yes |
No |
I don’t know |
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Source: Adapted from HSLS. Question is originally from HSLS parent survey. Adapted sub-questions to teenager respondent. |
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This next question asks for your beliefs about learning.
Please indicate the extent to which you agree or disagree with each of the following statements:
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Strongly disagree |
Disagree |
Somewhat disagree |
Somewhat agree |
Agree |
Strongly agree |
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Source: PERTS Growth Mindset Assessment
These next questions ask you about your family and you.
What is your gender?
Male
Female
Source: Adapted HSLS was on parent survey
Are you Hispanic or Latino/Latina?
Yes
No
Source: Adapted HSLS was on parent survey
What is your race? (Check all that apply.)
White
Black or African American
Asian
Native Hawaiian or other Pacific Islander
American Indian or Alaska Native
Source: HSLS
These next questions are about your parents or guardians. If you live in more than one household, answer about the parents or guardians you live with most of the time. Please choose one parent to begin.
What is this parent’s or guardian’s relationship to you?
Biological mother
Biological father
Adoptive mother
Adoptive father
Stepmother
Stepfather
Other female guardian
Other male guardian
Source: HSLS, adapted
What is the highest level of education [he/she] has completed?
Less than high school
High school diploma or GED
Completed a certificate or diploma from a school that provides occupational training
Completed some college but no degree
Associate (2-year) degree
Bachelor’s (4-year) degree
Master’s degree
Educational Specialist diploma
Ph.D., M.D., law degree, or other high level professional degree
I don’t know
Source: HSLS, adapted
Do you have another parent or guardian in the same household as you?
Yes
No [SKIP to Q28]
Source: HSLS
What is this parent’s or guardian’s relationship to you?
Biological mother
Biological father
Adoptive mother
Adoptive father
Stepmother
Stepfather
Other female guardian
Other male guardian
Source: HSLS, adapted
What is the highest level of education [he/she] has completed?
Less than high school
High school diploma or GED
Completed a certificate or diploma from a school that provides occupational training
Completed some college but no degree
Associate’s (2-year) degree
Bachelor’s (4-year) degree
Master’s degree
Educational Specialist diploma
Ph.D., M.D., law degree, or other high level professional degree
I don’t know
Source: HSLS, adapted
Do you have any sisters or brothers?
Yes
No [SKIP TO CONCLUSION]
Source: Author developed
Have any of your sisters or brothers:
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Yes |
No |
I don’t know |
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Source: HSLS Parent Survey, adapted
Thank you for completing the survey! If you have any additional questions please do not hesitate to contact a member of the study team at: [email protected] or toll-free at XXX-XXX-XXXX.
Abt
Associates Inc. ▌pg.
D-
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