Form D Poetry Out Loud Pre- Post- Survey

ATTACHMENT D:
PRE- POST- SURVEY

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I. Academic Engagement and Outcomes
The first set of questions in this survey will ask about your opinions about learning, your
attitudes towards your school and peers, and your opinions about your academic engagement.
Q1. When thinking about school and ALL your classes in general, please tell us what do you think
about the following statements...
Never

Rarely

Sometimes

Often

Always

I am very interested in learning.

O

O

O

O

O

I think what I am learning in school is interesting.

O

O

O

O

O

I like what I am learning in school.

O

O

O

O

O

I enjoy learning new things in class.

O

O

O

O

O

I think learning is boring.

O

O

O

O

O

I try hard to do well in school.

O

O

O

O

O

In class, I work as hard as I can.

O

O

O

O

O

When I’m in class, I participate in class activities.

O

O

O

O

O

I pay attention in class.

O

O

O

O

O

When I’m in class, I just act like I’m working.

O

O

O

O

O

In school, I do just enough to get by.

O

O

O

O

O

When I’m in class, my mind wanders.

O

O

O

O

O

If I have trouble understanding a problem, I go
over it again until I understand it.

O

O

O

O

O

When I run into a difficult homework assignment, I
keep working at it until I think I’ve solved it.

O

O

O

O

O

Q2a. What English classes did you take last year?
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Q2b. What English classes are you taking this year?
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________

Q2c. When thinking about your ENGLISH classes last year, how strongly do you disagree or agree with
the following statements?
Neither
Strongly
Strongly
Disagree
Disagree Disagree Nor Agree Agree Agree
I usually look forward to this class.

O

O

O

O

O

I work hard to do my best in this class.

O

O

O

O

O

Sometimes I get so interested in my work I
don't want to stop.

O

O

O

O

O

The topics I am studying are interesting and
challenging.

O

O

O

O

O

I like my English class more than any of my
other classes.*

O

O

O

O

O

I normally do well in my English class*

O

O

O

O

O

Agree

Strongly
Agree

Q3. How strongly do you disagree or agree with the following statements?
Strongly
Disagree

Disagree

Neither
Disagree
Nor Agree

I feel close to people at this school.

O

O

O

O

O

I am happy to be at this school.

O

O

O

O

O

I feel like I am part of this school.

O

O

O

O

O

The teachers at this school treat students
fairly.

O

O

O

O

O

The teachers at this school encourage
creative self-expression.

O

O

O

O

O

I feel safe in my school.

O

O

O

O

O

Q5a. During the last school year, did you participate in any of the following kinds of after-school
activities?
Yes

No

Music or dance

O

O

Theater or drama clubs

O

O

Visual arts such as drawing, painting, photography, or ceramics

O

O

Sports

O

O

Literature clubs [add programming for open-ended response if yes]

O

O

Other clubs, like yearbook, debate, or a book club

O

O

Other academic activities, like tutoring, or math lab

O

O

Volunteer work or community service

O

O

Computer classes, such as computer programming, robotics, or game design.

O

O

Any other activities (specify) [add programming for open-ended response if yes]

O

O

_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________

The next set of questions are about your experiences in different activities such as group
discussions, giving speeches, and performing in public.
Q6. How strongly do you disagree or agree with the following statements?

I dislike participating in group discussions.
Generally, I am comfortable while
participating in group discussions.
I like to get involved in group discussions.
Engaging in a group discussion with new
people makes me tense and nervous.
I have no anxiety while giving a speech.
I feel relaxed while giving a speech.
My thoughts become confused and jumbled
when I am giving a speech.
I face the possibility of giving a speech with
confidence.

Disagree

Neither
Disagree
Nor Agree

Agree

Strongly
Agree

O

O

O

O

O

O

O

O

O

O

O

O

O

O

O

O

O

O

O

O

O
O

O
O

O
O

O
O

O
O

O

O

O

O

O

O

O

O

O

O

Strongly
Disagree

Q6a. Next, thinking about performing in public which may include participating in school talent shows,
theater plays, or music or dance performances. How strongly do you disagree or agree with the
following statements?

Disagree

Neither
Disagree
Nor Agree

Agree

Strongly
Agree

O

O

O

O

O

O

O

O

O

O

O

O

O

O

O

O

O

O

O

O

O

O

O

O

O

O

O

O

O

O

O

O

O

O

O

O

O

O

O

O

Strongly
Disagree
I dislike performing in public.
Generally, I am comfortable while
performing in public
I like to get involved in public
performances.
Engaging in public performance projects
with new people makes me tense and
nervous.
I have no anxiety while of performing in
public.
I feel relaxed while performing in front of
others.
My thoughts become confused and
jumbled when I am performing in public.
I face the prospect of performing publicly
with confidence.
Q7. What grades did you earn in school last year?
1.
2.
3.
4.
5.
6.
7.
8.

Mostly below D’s
Mostly D’s
About half C’s and half D’s
Mostly C’s
About half B’s and half C’s
Mostly B’s
About half B’s and half A’s
Mostly A’s

Q8. What grades did you earn in your ENGLISH/READING/LITERATURE class last year?
1.
2.
3.
4.
5.
6.
7.
8.

Mostly below D’s
Mostly D’s
About half C’s and half D’s
Mostly C’s
About half B’s and half C’s
Mostly B’s
About half B’s and half A’s
Mostly A’s

Q9. What is the highest level of education you plan to complete?
1.
2.
3.
4.
5.
6.
7.

Not planning to complete high school
High school
Career/technical school
2-year community college or junior college
4-year college or university
Graduate or professional school
Undecided

II. Social & Emotional Outcomes
The next set of questions ask you about some of the skill sets you have, how do you go about
tackling different issues and what expectations you have of yourself and others. For each of the
following, please select the choice that makes most sense to you.
Q10. How TRUE are the following about you right now?
Not at
all true

A little
true

Somewhat
true

Mostly
true

Completely
true

I have high goals and expectations for
myself.

O

O

O

O

O

I am looking forward to a successful
career.

O

O

O

O

O

I try to work out problems by talking or
writing about them.

O

O

O

O

O

I can work out my problems.

O

O

O

O

O

I don’t expect very much of myself in the
future.

O

O

O

O

O

I can do most things if I try.

O

O

O

O

O

I can work with someone who has
different opinions than mine.

O

O

O

O

O

There are many things that I do well.

O

O

O

O

O

I listen to other students’ ideas.

O

O

O

O

O

I feel bad when people get their feelings
hurt.

O

O

O

O

O

I try to understand what other people go
through.

O

O

O

O

O

When I need help, I find someone to talk
with.

O

O

O

O

O

I enjoy working together with other
students on class activities.

O

O

O

O

O

Not at
all true

A little
true

Somewhat
true

Mostly
true

Completely
true

When I work in school groups, I do my fair
share.

O

O

O

O

O

I stand up for myself without putting
others down.

O

O

O

O

O

I try to understand how other people feel
and think.

O

O

O

O

O

I trust my ability to solve difficult
problems.

O

O

O

O

O

I understand my moods and feelings.

O

O

O

O

O

I understand why I do what I do.

O

O

O

O

O

Q11. If you found out about a problem in your community that you wanted to do something about
(for example, illegal drugs were being sold near a school, or high levels of lead were discovered in the
local drinking water), how well do you think you would be able to do each of the following?
I
definitely
can’t

Maybe

I
probably
can

I probably
can’t

I definitely
can

Create a plan to address the problem.

O

O

O

O

O

Get other people to care about the
problem.

O

O

O

O

O

Organize and run a meeting.

O

O

O

O

O

Express your views in front of a group
of people.

O

O

O

O

O

Identify individuals or groups who
could help you with the problem.

O

O

O

O

O

Write an opinion letter to a local
newspaper.

O

O

O

O

O

Call someone on the phone that you
had never met before to get their help
with the problem.

O

O

O

O

O

Contact an elected official about the
problem.

O

O

O

O

O

Organize a petition.

O

O

O

O

O

III. Poetry Appreciation & Engagement
Next, we will be asking questions about your experiences with poetry.
Q12a. First, in your own words, how would you describe what poetry is?
_____________________________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________

Q12b. Next, the following questions are about specific experiences with poetry. Please choose if you
strongly disagree, disagree, neither disagree nor agree, agree, or strongly agree with the following
statements.

I am familiar with poetry.
Poetry is important to me.
I enjoy learning how to interpret poetry.
I enjoy figuring out poems and thinking
about what they mean.
My English teacher helps me understand
poetry.
I read poetry with my family.
I read poetry in my spare time.
It is easy for me to read poetry.
I write my own poetry in my spare time.
It is easy for me to write poetry.
I enjoy memorizing poems.
It is easy for me to memorize poems.
I enjoy reciting poetry.
I appreciate poetry more when it is read
aloud.
I enjoy reciting poems in front of my peers.
My English teacher encourages me to write
my own poetry.
I am comfortable sharing poems I wrote
with my peers.
I feel comfortable reciting poetry in front of
my peers.

Strongly
Disagree

Disagre
e

Neither
Disagree
Nor Agree

Agree

Strongl
y Agree

O
O
O

O
O
O

O
O
O

O
O
O

O
O
O

O

O

O

O

O

O

O

O

O

O

O
O
O
O
O
O
O
O

O
O
O
O
O
O
O
O

O
O
O
O
O
O
O
O

O
O
O
O
O
O
O
O

O
O
O
O
O
O
O
O

O

O

O

O

O

O

O

O

O

O

O

O

O

O

O

O

O

O

O

O

O

O

O

O

O

Q13a. During the last school year, do you remember discussing the meaning of poetry in any of your
classes?
1. Yes
2. No
3. Not sure
Q13b. During the last school year, did you work at memorizing and getting better at reciting poetry in
any of your classes?
1. Yes
2. No
3. Not sure
Q13c. Have you heard of Poetry Out Loud?
1. Yes
2. No
3. Not sure

Poetry Out Loud encourages students to learn about great poetry through memorization and
recitation. This program helps students master public speaking skills, build self-confidence, and
learn about literary history and contemporary life.
Q14. Have you ever participated, that is memorizing and reciting a poem, as part of Poetry Out Loud?
1. Yes
2. No (SKIP TO Q19.)
3. Not sure (SKIP TO Q19.)
Q15. How many years have you participated in Poetry Out Loud?
1.
2.
3.
4.

One years
Two years
Three years
Four years

Q16. Did you participate in Poetry Out Loud last year?
1. Yes
2. No
3. Not sure

Q18. Have you competed, that is recited a poem in front of your peers or other audiences, in Poetry
Out Loud? Please choose at what level and mark all that apply:
1.
2.
3.
4.
5.
6.

Classroom
School contest
Regional contest
State contest
National contest
Did not compete at any of the above

Q19. Have any of your peers, friends, or family members participated or competed in Poetry Out
Loud?
1. Yes
2. No
3. Not sure

The next set of questions is about how you use social media in relationship to poetry.
Q20. People sometimes use social media platforms, such as Facebook, Instagram, Snapchat, Twitter to
create or share information or perspectives related to poetry. How often have you done the following:

Never

Less than
once a
month

Once or
twice a
month

Once a
week

Several
times a
week

How often do you share someone else’s
poems on social media?

O

O

O

O

O

How often do you share someone else’s
poems through email?

O

O

O

O

O

How often do you share your own poems on
social media?

O

O

O

O

O

How often do you share your own poems
through email?

O

O

O

O

O

How often do you comment or tweet about
poetry since school started?

O

O

O

O

O

IV. Demographic Information
The last questions in this survey are about general characteristics. Remember, all your answers
are confidential and will never be associated with your name. We only ask this information for
research purposes and all answers are anonymous.
Q21. Are you:
1.
2.
3.
4.

Male
Female
Gender non-conforming
Prefer not to say

Q22. Are you of Hispanic or Latino origin?
1. No
2. Yes
3. Prefer not to say
Q23. What is your race? (mark all that apply)
1. American Indian or Alaskan Native (A person having origins in any of the original peoples of
North America, and who maintains cultural identification through tribal affiliation or
community recognition.)
2. Asian (A person having origins in any of the original peoples of the Far East, Southeast Asia,
the Indian subcontinent, or the Pacific Islands. This area includes, for example, Cambodia,
China, India, Japan, Korea, Malaysia, Pakistan, the Philippine Islands, Thailand, and
Vietnam.)
3. Native Hawaiian or Other Pacific Islander (A person having origins in any of the original
peoples of Hawaii, Guam, Samoa, or other Pacific Islands)
4. Black or African-American (A person having origins in any of the black racial groups of
Africa.)
5. White (A person having origins in any of the original peoples of Europe, North Africa, or the
Middle East)
6. Prefer not to say
Q24. Is English your first language?
1. Yes [SKIP to Q26a]
2. No
3. Don’t know

Q25a. [IF NO OR DON’T KNOW]  How well do you understand, speak, read, and write English?

Understand spoken English
Speak English
Read English
Write English

Very
Well
O
O
O
O

Well

Not Well

O
O
O
O

O
O
O
O

Q25b. What languages do you speak at home or with friends?
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.

Spanish
Mandarin
Cantonese
Taiwanese
Tagalog
Vietnamese
Korean
French
Russian
German
Other (write-in)

Q26a. What is the highest level of education reached by your mother or female guardian?
1.
2.
3.
4.
5.
6.
7.

Did not finish high school
Finished high school
Attended but did not finish college
Finished two-year college
Finished four-year college
Finished graduate degree (e.g., MA, MD, PhD)
Don’t know/Not applicable

Q26b. What is the highest level of education reached by your father or male guardian?
1.
2.
3.
4.
5.
6.
7.

Did not finish high school
Finished high school
Attended but did not finish college
Finished two-year college
Finished four-year college
Finished graduate degree (e.g., MA, MD, PhD)
Don’t know/Not applicable

Q27. What grade are you in?
1. 9th grade

Not at
All
O
O
O
O

2. 10th grade
3. 11th grade
4. 12th grade

Q28. What month were you born?
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
11.
12.

January
February
March
April
May
June
July
August
September
October
November
December

Q29. What are the first two letters of your first name?

Q30. What are the first two letters of your last name?