High School and Beyond 2020 (HS&B:20) Base-Year Cognitive and Usability Testing Round 2

NCES System Clearance for Cognitive, Pilot, and Field Test Studies 2019-2022

Attachments V-X HS&B 2020 Cog Labs Round 2

High School and Beyond 2020 (HS&B:20) Base-Year Cognitive and Usability Testing Round 2

OMB: 1850-0803

⚠️ Notice: This form may be outdated. More recent filings and information on OMB 1850-0803 can be found here:

2022-06-07 - Extension without change of a currently approved collection

Document [docx]

Download: docx | pdf

National Center for Education Statistics (NCES)

Attachments V-X

Survey Questions with Cognitive and Usability Interview Probes

High School and Beyond 2020 (HS&B:20) Base-Year
Cognitive and Usability Testing Round 2

OMB# 1850-0803 v. 252

August 2019

Table of Contents

Attachment V: Cognitive and Usability Interview Protocol: 9th-Grade Student Survey 3

Attachment VI: Cognitive and Usability Interview Protocol: Parent Survey 77

Attachment VII: Cognitive and Usability Interview Protocol: Math Teacher Survey 146

Attachment VIII: Cognitive and Usability Interview Protocol: School Administrator Survey - Principal 201

Attachment IX: Cognitive and Usability Interview Protocol: School Administrator Survey - Designee 243

Attachment X: Cognitive and Usability Interview Protocol: School Counselor Survey 315

Attachment V:
Cognitive and Usability Interview Protocol: 9th-Grade Student Survey

List of cognitive and usability interview forms: 9th-grade student survey

Section Name	Form Name	Label	Probes?
Prescreener	HS0PRESTINTRO	Prescreen introduction
Prescreener	HS0FIRSTLANG	First language learned
Prescreener	HS0FRQLANGHOM	Frequency of first language spoken at home	X
Demographics	HS0NAVIGATE	Navigation screen
Demographics	HS0LI1INTRO	Locating information I introduction
Demographics	HS0HISPANIC	Student’s hispanicity
Demographics	HS0RACE	Student’s race	X
Section A Background Information	HS0ESLENROLL	Enrolled in ELL/ESL program	X
Section B School Experiences	HS0BINTRO	Section B introduction
Section B School Experiences	HS0LYGRADE	Grade attended in 2018-2019 school year
Section B School Experiences	HS0LYSCHOOL	Attended current school in 2018-2019 school year
Section B School Experiences	HS0LYDIFSCHL	School attended in 2018-2019 school year	X
Section B School Experiences	HS0MATH8GRD	Math course taken in 8th grade	X
Section B School Experiences	HS0CURRMATH	Taking math course currently
Section B School Experiences	HS0MATHSPEC	Current math course - specific	X
Section B School Experiences	HS0YEARSMATH	Number of years of math expected to take during high school	X
Section B School Experiences	HS0PLANAPIB	Plan to enroll in AP/IB course	X
Section B School Experiences	HS0PREPARCLSS	Preparedness for class	X
Section B School Experiences	HS0SCHLDIVERS	Tolerance for diversity	X
Section B School Experiences	HS0BELONGSCHL	Belonging in school	X
Section B School Experiences	HS0FREQUSENET	Frequency of internet usage for school work outside of school	X
Section B School Experiences	HS0FREQNETPRB	Frequency of internet issues at home while doing school work	X
Section C Family	HS0CINTRO	Section C introduction
Section C Family	HS0NOINHOUSE	No. of members in household	X
Section C Family	HS0P1ID	Identification of Parent 1	X
Section C Family	HS0P1IDALT	Identification of Parent 1 - Alternate	X
Section C Family	HS0P1EMPLOYED	Parent 1's employment status	X
Section C Family	HS0P1WRKLEAVE	Parent 1 on work leave	X
Section C Family	HS0P1HIGHEDU	Parent 1's highest level of education	X
Section C Family	HS0P1EDUEXP	Parent 1's expectation for your highest education level	X
Section C Family	HS0P2INHOUSE	Another parent/guardian in household
Section C Family	HS0P2ID	Identification of Parent 2
Section C Family	HS0RELWTHPAR	Relationship with parents or guardians	X
Section D Guidance and Future Plans	HS0DINTRO	Section D introduction
Section D Guidance and Future Plans	HS0GUIDCOURSE	Individuals providing guidance on which academic course to take	X
Section D Guidance and Future Plans	HS0EDUEXP	Highest level of education expected	X
Section E Attitudes and Behavior	HS0EINTRO	Section E introduction
Section E Attitudes and Behavior	HS0FREQTCHBVR	Frequency of gaming, digital art/music creation, and coding	X
Locating Information Part II	HS0PREEND	Pre-end survey message
Locating Information Part II	HS0END	End survey message

HS0PRESINTRO

Question Wording:

First, we will ask you about your language background.

Please click the “Next” button to continue.

Shape4

HS0FIRSTLANG

Question Wording:
What was the first language you learned to speak when you were a child? Was it...

Item Name: HS0FIRSTLANG

1=English?
2=Spanish?
3=Another language?
4=English and Spanish equally?
5=English and another language equally?

Shape5

HS0FRQLANGHOM

Question Wording:
How often do you speak [Spanish/another language other than English] at home?

Item Name: HS0FRQLANGHOM

1=Never
2=Sometimes
3=About half the time
4=Most of the time
5=Always

Question/Prompt

Response

GENERIC PROBES

Ask this probe AFTER the respondent has answered the question.

Can you tell me, in your own words, what this question is asking? Please try to explain without repeating the wording of the question.

_______________________________________________________________

How easy or difficult was it to answer this question? Would you say it was very easy, somewhat easy, somewhat difficult, or very difficult?

IF SOMEWHAT OR VERY DIFFICULT: What can we do to make it easier to answer this question?

 Very easy

 Somewhat easy

 Somewhat difficult

 Very difficult

_______________________________________________________________

ITEM SPECIFIC PROBES

How did you come up with your answer?

IF NEEDED: Can you provide some examples that you considered when answering this question, such as situations where you might speak [Spanish/another language other than English] at home?

_______________________________________________________________

IF STUDENT ANSWERS ‘SOMETIMES’, ‘ABOUT HALF THE TIME’, ‘MOST OF THE TIME’, OR ‘ALWAYS’:

Who do you speak [Spanish/another language other than English] with in your home?

 Parent

 Sibling

 Other relative

 Other: _________________________________________________________

Record observations and

comments here

_______________________________________________________________

Shape6

HS0NAVIGATE

Question Wording:
Thank you very much for participating! Before you get started, here are a few helpful hints.
- To answer the questions, select the answer on the screen that matches your response.

- Answer each question as accurately as possible; if you need to estimate an answer that is okay.

- Click the "Next" button to save your responses and move forward.

- Click the "Previous" button to go back.

- Some questions offer text to help you understand the question or the response options. Click on the "HELP" icon at the top of the screen or the help icon (Help text for "help icon": This will provide information for a particular phrase or response option. Click the X in the upper right corner to close the box.) in the survey to see the help text. The "HELP" icon at the top of the screen is also where you will find the number for toll-free assistance.

- If you need to take a break and leave the survey at any time, click the "LOG OUT" button in the top left-hand corner of your screen. When you log back in, the survey will start from the screen you were on when you logged out.

- To protect your data, you will be logged off if the survey is idle for more than 20 minutes.

Please click the "Next” button to continue.

Help Text:
For screens with specific help text, this will provide information for a particular phrase(s) or response option(s). For screens without specific help text, this will provide information on how to reach the Help Desk. Click the X in the upper right corner to close the box.

If you have any questions about this study, you may contact the Help Desk at 855-500-1439, or you can email [email protected].

Help Desk Hours are: (All times are Eastern time)
Monday-Thursday: 9am – 11pm
Friday: 9am – 9pm
Saturday: 9:30am – 6pm
Sunday: 1pm – 9:30pm

If you have questions about your rights as a study participant, please contact RTI's Office of Research Protection at 866-214-2043.

Shape7

HS0LI1INTRO

Question Wording:

Next, we would like some background information.

Please click the “Next” button to continue.

Shape8

HS0HISPANIC

Question Wording:
Are you Hispanic or [Latino/Latina]?

Item Name: HS0HISPANIC

1=Yes
0=No

Help Text:

Hispanic or [Latino/Latina]: Hispanic or [Latino/Latina] refers to people of Mexican, Cuban, Dominican, Puerto Rican, Central American or South American origin or descendants of another Spanish culture.

Shape9

HS0RACE

Question Wording:
[In addition to learning about your Hispanic background, we would also like to know about your racial background.] Which of the following choices describe your race?

(Check all that apply.)

Item Name: HS0WHITE
Item Wording: White

Item Name: HS0BLACK
Item Wording: Black or African American

Item Name: HS0ASIAN
Item Wording: Asian

Item Name: HS0HAWAIIAN
Item Wording: Native Hawaiian or other Pacific Islander

Item Name: HS0AMERINDIAN
Item Wording: American Indian or Alaska Native

Help Text:

In compliance with federal standards for collecting information on race and ethnicity, racial background is asked for people of Hispanic or Latino/Latina ethnicity.

White: People with origins or cultural backgrounds from Europe, the Middle East, or North Africa. This includes, for example, people from Germany, Ireland, England, Italy, Lebanon, and Egypt.

Black or African American: People with origins or cultural backgrounds from any of the black racial groups of Africa. This includes, for example, African Americans and people from Jamaica, Haiti, Nigeria, Ethiopia, and Somalia.

Asian: People with origins in any of the original peoples of the Far East, Southeast Asia, and the Indian subcontinent. This includes, for example, people from China, Vietnam, the Philippines, Korea, India, Japan, Pakistan, Cambodia, and Laos.

Native Hawaiian or other Pacific Islander: People with origins in any of the original peoples of the Pacific Islands. This includes, for example, people from Hawaii, Samoa, the Marianas, Tonga, Fiji, and the Marshall Islands.

American Indian or Alaska Native: People who have origins in any of the original peoples of North, South, or Central America, and who maintain tribal affiliation or community attachment. Example tribes include Navajo Nation, Blackfeet Tribe, Mayan, Aztec, Native Village of Barrow Inupiat Traditional Government, and Nome Eskimo Community.

Question/Prompt

Response

GENERIC PROBES

Ask this probe AFTER the respondent has answered the question.

Can you tell me, in your own words, what this question is asking? Please try to explain without repeating the wording of the question.

__________________________________________________________________

How easy or difficult was it to answer this question? Would you say it was very easy, somewhat easy, somewhat difficult, or very difficult?

IF SOMEWHAT OR VERY DIFFICULT: What can we do to make it easier to answer this question?

 Very easy

 Somewhat easy

 Somewhat difficult

 Very difficult

__________________________________________________________________

ITEM SPECIFIC PROBES

INSTRUCT STUDENT TO OPEN AND REVIEW HELP TEXT FOR RACE. WHEN FINISHED REVIEW:

Would you say the help text is very helpful, somewhat helpful, somewhat unhelpful, or very unhelpful?

IF SOMEWHAT OR VERY UNHELPFUL: What can we do to make the help text more helpful for you to answer this question?

 Very helpful

 Somewhat helpful

 Somewhat unhelpful

 Very unhelpful

__________________________________________________________________

Record observations and comments here

__________________________________________________________________

Shape10

HS0ESLENROLL

Question Wording:
Have you ever been enrolled in a program for English Language Learners (ELLs) such as English as a Second Language (ESL), English immersion, or bilingual education?

Item Name: HS0ESLENROLL

1=Yes
0=No
99=Don't know

Question/Prompt

Response

GENERIC PROBES

Ask this probe AFTER the respondent has answered the question.

Can you tell me, in your own words, what this question is asking? Please try to explain without repeating the wording of the question.

__________________________________________________________________

How easy or difficult was it to answer this question? Would you say it was very easy, somewhat easy, somewhat difficult, or very difficult?

IF SOMEWHAT OR VERY DIFFICULT: What can we do to make it easier to answer this question?

 Very easy

 Somewhat easy

 Somewhat difficult

 Very difficult

__________________________________________________________________

ITEM SPECIFIC PROBES

In your own words, what does “program for English language learners” mean to you? Please provide examples.

_________________________________________________________________

_______________________________________________________________ _

Record observations and comments here

_________________________________________________________________

Shape11

HS0BINTRO

Question Wording:

Now we have some questions about your school life.

Please click the “Next” button to continue.

Shape12

HS0LYGRADE

Question Wording:
First we will start with some questions about last school year. What grade were you in last school year (2018-2019)?

Item Name: HS0LYGRADE

1=7th Grade
2=8th Grade
3=9th Grade
4=You were in an ungraded program.

Shape13

HS0LYSCHOOL

Question Wording:
During the last school year (2018-2019), did you attend [Name of base year school] or did you attend a different school?

Item Name: HS0LYSCHOOL

1=This school
2=Different school
3=You were homeschooled.

Shape14

HS0LYDIFSCHL

Question Wording:
During the last school year (2018-2019), what school did you attend?

(Please provide the name of the school in the textbox. If you are unable to find a match in the results, please select the "School not listed" option located at the bottom of the listed results.)

Item Name: HS0SCHTXT
Item Wording: Your school does not appear to be in our database.

Please ensure that the school name and city are entered correctly above and provide the information below:

Item Name: HS0SCHNAME

Item Name: HS0SCHCODE

Item Name: HS0SCHCITY
Item Wording: Enter city:

Item Name: HS0SCHST
Item Wording: Select state:

-9=-Select one-
AK=Alaska
AL=Alabama
AR=Arkansas
AZ=Arizona
CA=California
CO=Colorado
CT=Connecticut
DE=Delaware
DC=District of Columbia
FL=Florida
GA=Georgia
HI=Hawaii
IA=Iowa
ID=Idaho
IL=Illinois
IN=Indiana
KS=Kansas
KY=Kentucky
LA=Louisiana
MA=Massachusetts
MD=Maryland
ME=Maine
MI=Michigan
MN=Minnesota
MO=Missouri
MS=Mississippi
MT=Montana
NC=North Carolina
ND=North Dakota
NE=Nebraska
NH=New Hampshire
NJ=New Jersey
NM=New Mexico
NV=Nevada
NY=New York
OH=Ohio
OK=Oklahoma
OR=Oregon
PA=Pennsylvania
RI=Rhode Island
SC=South Carolina
SD=South Dakota
TN=Tennessee
TX=Texas
UT=Utah
VA=Virginia
VT=Vermont
WA=Washington
WI=Wisconsin
WV=West Virginia
WY=Wyoming
AA=Armed Forces (AA)
AE=Armed Forces (AE)
AP=Armed Forces (AP)
AS=American Samoa
FM=Federal States of Micronesia
GU=Guam
MH=Marshall Islands
MP=Northern Mariana Islands
PW=Palau
PR=Puerto Rico
VI=U.S. Virgin Islands

Item Name: HS0SCHDST
Item Wording: District name:

Item Name: HS0SCHCNT
Item Wording: County name:

Item Name: HS0SCHTYP
Item Wording: Is this school...

1=A public school operated by a school/county district?
2=A private Catholic school?
3=A private school - other religious affiliation?
4=A private school - no religious affiliation?
5=A public school operated by state/federal agency (for example BIA, DOD, prison school)?
6=Other (charter school, hospital school)?

Item Name: HS0SCHGRDLO
Item Wording: Lowest grade level at school:

1=Pre-kindergarten
2=Kindergarten
3=First grade
4=Second grade
5=Third grade
6=Fourth grade
7=Fifth grade
8=Sixth grade
9=Seventh grade
10=Eighth grade
11=Ninth grade
12=Tenth grade
13=Eleventh grade
14=Twelfth grade
15=Ungraded

Item Name: HS0SCHGRDHI
Item Wording: Highest grade level at school:

9=Seventh grade
10=Eighth grade
11=Ninth grade
12=Tenth grade
13=Eleventh grade
14=Twelfth grade
15=Ungraded

Item Name: HS0SCHAST

Interviewer Notes

Check if respondent displays:  Confusion  Uncertainty  Frustration  Difficulty

[If yes] Describe:

________________________________________________________________________________________________

Question/Prompt

Response

GENERIC PROBES

Ask this probe AFTER the respondent has answered the question.

Can you tell me, in your own words, what this question is asking? Please try to explain without repeating the wording of the question.

__________________________________________________________________

How easy or difficult was it to answer this question? Would you say it was very easy, somewhat easy, somewhat difficult, or very difficult?

IF SOMEWHAT OR VERY DIFFICULT: What can we do to make it easier to answer this question?

 Very easy

 Somewhat easy

 Somewhat difficult

 Very difficult

__________________________________________________________________

ITEM SPECIFIC PROBES

Was finding your school from the dropdown menu very easy, somewhat easy, somewhat difficult, or very difficult?

IF SOMEWHAT OR VERY DIFFICULT: What can we do to make it easier to find your school?

 Very easy

 Somewhat easy

 Somewhat difficult

 Very difficult

__________________________________________________________________

Is there anything about the way this question appears on your screen or functions that you would change if you could?

IF YES: What would you change? Why?

 Yes

 No

__________________________________________________________________

Record observations and comments here

__________________________________________________________________

Shape15

HS0MATH8GRD

Question Wording:
The next questions are about the math courses you have taken. What math course did you take in 8th grade? If you took more than one math course, please choose your most advanced or most difficult course.

Item Name: HS0MATH8GRD

1=Math 8
2=Advanced or Honors Math 8 not including Algebra
3=Pre-algebra
4=Algebra 1 including 1A and 1B
5=Algebra 2 or Trigonometry
6=Geometry
7=Integrated Math
8=Other advanced math course such as pre-calculus or calculus
9=Other math

Item Name: HS0MATH8GRD_other
Item Wording: Please specify

Question/Prompt

Response

GENERIC PROBES

Ask this probe AFTER the respondent has answered the question.

Can you tell me, in your own words, what this question is asking? Please try to explain without repeating the wording of the question.

__________________________________________________________________

How easy or difficult was it to answer this question? Would you say it was very easy, somewhat easy, somewhat difficult, or very difficult?

IF SOMEWHAT OR VERY DIFFICULT: What can we do to make it easier to answer this question?

How easy or difficult was it to answer this question thinking back to the math course(s) you took in 8th grade?

 Very easy

 Somewhat easy

 Somewhat difficult

 Very difficult

__________________________________________________________________

 Very easy

 Somewhat easy

 Somewhat difficult

 Very difficult

__________________________________________________________________

How sure are you about your answer to this question? Would you say very sure, somewhat sure, somewhat unsure, or very unsure?

IF SOMEWHAT OR VERY UNSURE: What do you need to be more sure of your answer?

 Very sure

 Somewhat sure

 Somewhat unsure

 Very unsure

__________________________________________________________________

ITEM SPECIFIC PROBES

What math course or courses were you thinking about when answering this question?

IF STUDENT SELECTED MORE THAN ONE MATH COURSE: How did you determine which of your math courses was the “most advanced or most difficult.”

PROBE: What differences, if any, are there between your “most advanced” math course and your “most difficult” math course.

__________________________________________________________________

How easy or difficult was it to assign your math course to one of the response options? Would you say it was very easy, somewhat easy, somewhat difficult, or very difficult?

IF SOMEWHAT OR VERY DIFFICULT: What can we do to make it easier to assign your math course to one of the response options?

 Very easy  Somewhat easy

 Somewhat difficult  Very difficult

Record observations and comments here

__________________________________________________________________

Shape16

HS0CURRMATH

Question Wording:

[Are you currently taking a math course?/Were you taking a math course in the fall of 2019?]

Item Name: HS0CURRMATH

1=Yes
0=No

Shape17

HS0MATHSPEC

Question Wording:

[What math course(s) are you currently taking?/What math course(s) were you taking in the fall of 2019?]

(Check all that apply.)

Item Name: HS0ALGEBRA1
Item Wording: Algebra 1 including 1A and 1B

Item Name: HS0GEOMETRY
Item Wording: Geometry

Item Name: HS0ALGEBRA2
Item Wording: Algebra 2

Item Name: HS0TRIG
Item Wording: Trigonometry

Item Name: HS0REMEDIAL
Item Wording: Review or Remedial Math including Basic, Business, Consumer, Functional, or General math

Item Name: HS0INTEGRTD1
Item Wording: Integrated Math 1

Item Name: HS0STATISTICS
Item Wording: Statistics or Probability

Item Name: HS0INTEGRTD2
Item Wording: Integrated Math 2 or above

Item Name: HS0PREALGEBRA
Item Wording: Pre-algebra

Item Name: HS0ANALYTGEOM
Item Wording: Analytic Geometry

Item Name: HS0ADVMATH
Item Wording: Other advanced math course such as pre-calculus or calculus

Item Name: HS0OTHERMATH
Item Wording: Other math course

Item Name: HS0OTHERMATH_other
Item Wording: Please specify

Question/Prompt

Response

GENERIC PROBES

Ask this probe AFTER the respondent has answered the question.

Can you tell me, in your own words, what this question is asking? Please try to explain without repeating the wording of the question.

__________________________________________________________________

How easy or difficult was it to answer this question? Would you say it was very easy, somewhat easy, somewhat difficult, or very difficult?

IF SOMEWHAT OR VERY DIFFICULT: What can we do to make it easier to answer this question?

 Very easy

 Somewhat easy

 Somewhat difficult

 Very difficult

__________________________________________________________________

How sure are you about your answer to this question? Would you say very sure, somewhat sure, somewhat unsure, or very unsure?

IF SOMEWHAT OR VERY UNSURE: What do you need to be more sure of your answer?

 Very sure

 Somewhat sure

 Somewhat unsure

 Very unsure

__________________________________________________________________

____________________________________________________________________________________________________________________________________

ITEM SPECIFIC PROBES

What math course or courses were you thinking about when answering this question?

__________________________________________________________________

Record observations and comments here

__________________________________________________________________

____________________________________________________________________________________________________________________________________

Shape18

HS0YEARSMATH

Question Wording:
Including this year, how many years of math do you expect to take during high school?

Item Name: HS0YEARSMATH

1=One year
2=Two years
3=Three years
4=Four or more years

Question/Prompt

Response

GENERIC PROBES

Ask this probe AFTER the respondent has answered the question.

Can you tell me, in your own words, what this question is asking? Please try to explain without repeating the wording of the question.

__________________________________________________________________

How easy or difficult was it to answer this question? Would you say it was very easy, somewhat easy, somewhat difficult, or very difficult?

IF SOMEWHAT OR VERY DIFFICULT: What can we do to make it easier to answer this question?

 Very easy

 Somewhat easy

 Somewhat difficult

 Very difficult

__________________________________________________________________

ITEM SPECIFIC PROBES

Do you plan to take more than 1 math course during a single school year?

IF YES: How did that affect your answer to this question?

 Yes

 No

__________________________________________________________________

Does your school use block scheduling?

IF YES: How did that affect your answer to this question?

 Yes

 No

__________________________________________________________________

Record observations and comments here

__________________________________________________________________

____________________________________________________________________________________________________________________________________

Shape19

HS0PLANAPIB

Question Wording:
For the next questions we would like you to think about all subjects, not just math. Do you plan to enroll in...
(Select one for each row.)

Item Name: HS0PLANENRLAP
Item Wording: An Advanced Placement (AP) course?

Item Name: HS0PLANENRLIB
Item Wording: An International Baccalaureate (IB) course?

1=Yes
0=No
2=You haven't decided yet.
99=You don't know what this is.

Question/Prompt

Response

GENERIC PROBES

Ask this probe AFTER the respondent has answered the question.

Can you tell me, in your own words, what these questions are asking? Please try to explain without repeating the wording of the questions.

__________________________________________________________________

How easy or difficult was it to answer these questions? Would you say it was very easy, somewhat easy, somewhat difficult, or very difficult?

IF SOMEWHAT OR VERY DIFFICULT: What can we do to make it easier to answer these questions?

Subitem 1 (HS0PLANENRLAP):

 Very easy

 Somewhat easy

 Somewhat difficult

 Very difficult

Subitem 2 (HS0PLANENRLIB):

 Very easy

 Somewhat easy

 Somewhat difficult

 Very difficult

__________________________________________________________________

How sure are you about your answers to these questions? Would you say very sure, somewhat sure, somewhat unsure, or very unsure?

IF SOMEWHAT OR VERY UNSURE: What do you need to be more sure of your answers?

 Very sure

 Somewhat sure

 Somewhat unsure

 Very unsure

__________________________________________________________________

ITEM SPECIFIC PROBES

In your own words, what does “Advanced Placement (AP) course” mean to you? Please provide examples.

__________________________________________________________________

In your own words, what does “International Baccalaureate (IB) course” mean to you? Please provide examples.

__________________________________________________________________

What subjects were you thinking about when answering these questions?

__________________________________________________________________

IF STUDENT ANSWERS YES TO HS0PLANENRLAP:

How confident are you that you will take an Advanced Placement (AP) course? Would you say very confident, somewhat confident, somewhat not confident, or not confident at all? Why?

IF STUDENT ANSWERS YES TO HS0PLANENRLIB:

How confident are you that you will take an International Baccalaureate (IB) course? Would you say very confident, somewhat confident, somewhat not confident, or not confident at all? Why?

 Very confident

 Somewhat confident

 Somewhat not confident

 Not confident at all

_________________________________________________________________

 Vert confident

 Somewhat confident

 Somewhat not confident

 Not confident at all

_________________________________________________________________

Record observations and comments here

__________________________________________________________________

____________________________________________________________________________________________________________________________________

Shape20

HS0PREPARCLSS

Question Wording:
How often do you…
(Select one for each row.)

Item Name: HS0CLSSWOHW
Item Wording: Go to class without your homework done?

Item Name: HS0CLSSWONOTE
Item Wording: Go to class without a way to take notes?

Item Name: HS0CLSSWOBOOK
Item Wording: Go to class without books or required devices (like tablets, e-book readers, and calculators)?

Item Name: HS0CLSSLATE
Item Wording: Go to class late?

1=Never
2=Rarely
3=Sometimes
4=Often
5=Very often
6=Always

Question/Prompt

Response

GENERIC PROBES

Ask this probe AFTER the respondent has answered the question.

Can you tell me, in your own words, what these questions are asking? Please try to explain without repeating the wording of the questions.

____________________________________________________________

How easy or difficult was it to answer these questions? Would you say it was very easy, somewhat easy, somewhat difficult, or very difficult?

IF SOMEWHAT OR VERY DIFFICULT: What can we do to make it easier to answer these questions?

Subitem 1 (HS0CLSSWOHW):

 Very easy

 Somewhat easy

 Somewhat difficult

 Very difficult

Subitem 2 (HS0CLSSWONOTE):

 Very easy

 Somewhat easy

 Somewhat difficult

 Very difficult

Subitem 3 (HS0CLSSWOBOOK):

 Very easy

 Somewhat easy

 Somewhat difficult

 Very difficult

Subitem 4 (HS0CLSSLATE):

 Very easy

 Somewhat easy

 Somewhat difficult

 Very difficult

____________________________________________________________

ITEM SPECIFIC PROBES

How sure are you about your answers to these questions? Would you say very sure, somewhat sure, somewhat unsure, or very unsure?

IF SOMEWHAT OR VERY UNSURE: What do you need to be more sure of your answers?

Subitem 1 (HS0CLSSWOHW):

 Very sure

 Somewhat sure

 Somewhat unsure

 Very unsure

Subitem 2 (HS0CLSSWONOTE):

 Very sure

 Somewhat sure

 Somewhat unsure

 Very unsure

Subitem 3 (HS0CLSSWOBOOK):

 Very sure

 Somewhat sure

 Somewhat unsure

 Very unsure

Subitem 4 (HS0CLSSLATE):

 Very sure

 Somewhat sure

 Somewhat unsure

 Very unsure

____________________________________________________________

SUBITEM B: In your own words, what does “a way to take notes” mean to you? Please provide examples.

____________________________________________________________

SUBITEM C: In your own words, what does “required devices” mean to you? Please provide examples.

____________________________________________________________

SUBITEM C: Were the examples provided helpful to you? (point to parentheses)

Why or why not?

____________________________________________________________

Do you think it would be helpful to include a “does not apply” answer option in this question? Why or why not?

____________________________________________________________

Record observations and comments here

____________________________________________________________________________________________________________________________________________________________________________________

Shape21

HS0SCHLDIVERS

Question Wording:
How much do you agree or disagree with the following statements about [Name of base year school]?
(Select one for each row.)

Item Name: HS0SCHLMATDIV
Item Wording: This school provides instructional materials (e.g., textbooks, handouts) that reflect my cultural background, ethnicity, and identity.

Item Name: HS0PPLDIVERS
Item Wording: People of different cultural backgrounds, races, or ethnicities get along well at this school.

1=Strongly agree
2=Agree
3=Disagree
4=Strongly disagree

Question/Prompt

Response

GENERIC PROBES

Ask this probe AFTER the respondent has answered the question.

Can you tell me, in your own words, what these questions are asking? Please try to explain without repeating the wording of the questions.

____________________________________________________________

How easy or difficult was it to answer these questions? Would you say it was very easy, somewhat easy, somewhat difficult, or very difficult?

IF SOMEWHAT OR VERY DIFFICULT: What can we do to make it easier to answer these questions?

Subitem 1 (HS0SCHLMATDIV):

 Very easy

 Somewhat easy

 Somewhat difficult

 Very difficult

Subitem 2 (HS0PPLDIVERS):

 Very easy

 Somewhat easy

 Somewhat difficult

 Very difficult

____________________________________________________________

ITEM SPECIFIC PROBES

How did you come up with your answers?

IF NEEDED: Can you provide some examples that you considered when answering these questions?

____________________________________________________________

In your own words, what does “cultural background, ethnicity, and identity” mean to you? Please provide examples.

____________________________________________________________

Record observations and comments here

____________________________________________________________

________________________________________________________________________________________________________________________

Shape22

HS0BELONGSCHL

Question Wording:
How much do you agree or disagree with the following statements about [Name of base year school]?
(Select one for each row.)

Item Name: HS0BLNGATSCHL
Item Wording: I feel like I belong at this school.

Item Name: HS0FITINSCHL
Item Wording: I fit in well at this school.

Item Name: HS0OUTSDRSCHL
Item Wording: I feel like an outsider at this school.

1=Strongly agree
2=Agree
3=Disagree
4=Strongly disagree

Question/Prompt

Response

GENERIC PROBES

Ask this probe AFTER the respondent has answered the question.

Can you tell me, in your own words, what these questions are asking? Please try to explain without repeating the wording of the questions.

____________________________________________________________

How easy or difficult was it to answer these questions? Would you say it was very easy, somewhat easy, somewhat difficult, or very difficult?

IF SOMEWHAT OR VERY DIFFICULT: What can we do to make it easier to answer these questions?

Subitem A (HS0BLNGATSCHL):

 Very easy

 Somewhat easy

 Somewhat difficult

 Very difficult

Subitem B (HS0FITINSCHL):

 Very easy

 Somewhat easy

 Somewhat difficult

 Very difficult

Subitem C (HS0OUTSDRSCHL):

 Very easy

 Somewhat easy

 Somewhat difficult

 Very difficult

____________________________________________________________

ITEM SPECIFIC PROBES

How did you come up with your answers?

____________________________________________________________

SUBITEM A: In your own words, what does “belong” mean to you? Please provide examples.

____________________________________________________________

SUBITEM C: In your own words, what does “outsider” mean to you? Please provide examples.

____________________________________________________________

Record observations and comments here

____________________________________________________________________________________________________________________________________________________________________________________

Shape23

HS0FREQUSENET

Question Wording:
How often do you use the internet outside of school to do homework or school assignments?

Item Name: HS0FREQUSENET

1=Never
2=Rarely
3=Sometimes
4=Often
5=Very often
6=Always

Question/Prompt

Response

GENERIC PROBES

Ask this probe AFTER the respondent has answered the question.

Can you tell me, in your own words, what this question is asking? Please try to explain without repeating the wording of the question.

____________________________________________________________

How easy or difficult was it to answer this question? Would you say it was very easy, somewhat easy, somewhat difficult, or very difficult?

IF SOMEWHAT OR VERY DIFFICULT: What can we do to make it easier to answer this question?

 Very easy

 Somewhat easy

 Somewhat difficult

 Very difficult

____________________________________________________________

ITEM SPECIFIC PROBES

How did you come up with your answer?

IF NEEDED: Can you provide some examples that you considered when answering this question?

____________________________________________________________

In your own words, what does “internet” mean to you? Please provide examples.

IF NEEDED: What additional words, if any, do you use or know of that also refer to the “internet?”

____________________________________________________________

________________________________________________________________________________________________________________________

____________________________________________________________

Can you provide some examples of places where you access “the internet outside of school”?

____________________________________________________________

Record observations and comments here

____________________________________________________________

________________________________________________________________________________________________________________________

Shape24

HS0FREQNETPRB

Question Wording:
How often do you have a problem with your internet at home when trying to do your homework or school assignments?

Item Name: HS0FREQNETPRB

98=Do not have internet in the home
1=Never
2=Rarely
3=Sometimes
4=Often
5=Very often
6=Always

Question/Prompt

Response

GENERIC PROBES

Ask this probe AFTER the respondent has answered the question.

Can you tell me, in your own words, what this question is asking? Please try to explain without repeating the wording of the question.

____________________________________________________________

How easy or difficult was it to answer this question? Would you say it was very easy, somewhat easy, somewhat difficult, or very difficult?

IF SOMEWHAT OR VERY DIFFICULT: What can we do to make it easier to answer this question?

 Very easy

 Somewhat easy

 Somewhat difficult

 Very difficult

____________________________________________________________

ITEM SPECIFIC PROBES

How did you come up with your answer? (Note: Probe further on what “at home” means to kids with multiple households).

IF NEEDED: Can you provide some examples that you considered when answering this question?

____________________________________________________________

How do you access the internet at home? What devices do you use? What devices did you think about when answering?

____________________________________________________________

In your own words, what does “problem with your internet” mean to you? Please provide examples. Do you think of problems with regards to doing homework or in general?

____________________________________________________________

Record observations and comments here

____________________________________________________________

________________________________________________________________________________________________________________________

Shape25

HS0CINTRO

Question Wording:

Next are some questions about your family.

Please click the “Next” button to continue.

Shape26

HS0NOINHOUSE

Question Wording:
How many people are living in your household, including yourself and your parent(s) or guardian(s)?

Item Name: HS0NOINHOUSE
Item Wording: ____ people

Question/Prompt

Response

GENERIC PROBES

Ask this probe AFTER the respondent has answered the question.

Can you tell me, in your own words, what this question is asking? Please try to explain without repeating the wording of the question.

____________________________________________________________

How easy or difficult was it to answer this question? Would you say it was very easy, somewhat easy, somewhat difficult, or very difficult?

IF SOMEWHAT OR VERY DIFFICULT: What can we do to make it easier to answer this question?

 Very easy

 Somewhat easy

 Somewhat difficult

 Very difficult

____________________________________________________________

ITEM SPECIFIC PROBES

In your own words, what does “living in your household” mean to you? Please provide examples.

____________________________________________________________

Do you live in more than one household?

IF YES: When answering this question, which household did you answer about? Why?

 Yes

 No

____________________________________________________________

How did you come up with your answer? How did you decide who to include and who not to include?

____________________________________________________________

Do you have any relatives or friends who sometimes live in your household?

IF YES: How did you decide who to include in your answer?

 Yes

 No

____________________________________________________________

Record observations and comments here

____________________________________________________________

Shape27

HS0P1ID

Question Wording:

Now we are going to ask you some questions about your parent(s) or guardian(s). If you have more than one home, tell us about the parent(s) or guardian(s) you live with most of the time.

Think about one of these parent(s) or guardian(s) to tell us about now. (If you have another parent or guardian in this household, we will ask about him or her later.)

Is this your...

Item Name: HS0P1ID

1=Biological mother?
2=Biological father?
3=Adoptive mother?
4=Adoptive father?
5=Stepmother?
6=Stepfather?
7=Foster mother?
8=Foster father?
9=Female partner or girlfriend of your parent or guardian?
10=Male partner or boyfriend of your parent or guardian?
11=Grandmother?
12=Grandfather?
13=Other female relative?
14=Other male relative?
15=Other female guardian?
16=Other male guardian?

Help Text:

Female partner or girlfriend of your parent or guardian: A female who has a romantic relationship with and lives with one of your parents or guardians, but is not married to your parent or guardian.

Male partner or boyfriend of your parent or guardian: A male who has a romantic relationship with and lives with one of your parents or guardians, but is not married to your parent or guardian.

Other female relative: A female who is related to you and acts as a mother to you, but does not fit into one of the other categories. Examples include an aunt, sister, or cousin.

Other male relative: A male who is related to you and acts as a father to you, but does not fit into one of the other categories. Examples include an uncle, brother, or cousin.

Other female guardian: A female who acts as a mother to you, but does not fit into one of the other categories.

Other male guardian: A male who acts as a father to you, but does not fit into one of the other categories.

Question/Prompt

Response

GENERIC PROBES

Ask this probe AFTER the respondent has answered the question.

Can you tell me, in your own words, what this question is asking? Please try to explain without repeating the wording of the question.

____________________________________________________________

How easy or difficult was it to answer this question? Would you say it was very easy, somewhat easy, somewhat difficult, or very difficult?

IF SOMEWHAT OR VERY DIFFICULT: What can we do to make it easier to answer this question?

 Very easy

 Somewhat easy

 Somewhat difficult

 Very difficult

____________________________________________________________

ITEM SPECIFIC PROBES

Do you live in more than one household?

IF YES: When answering this question, which household did you answer about? Why?

 Yes

 No

____________________________________________________________

Do you live with more than one parent?

IF YES: When answering this question, which parent did you answer about? Why?

 Yes

 No

____________________________________________________________

INSTRUCT STUDENT TO OPEN AND REVIEW HELP TEXT FOR PARENT. WHEN FINISHED REVIEW:

Would you say the help text is very helpful, somewhat helpful, somewhat unhelpful, or very unhelpful?

IF SOMEWHAT OR VERY UNHELPFUL: What can we do to make the help text more helpful for you to answer this question?

 Very helpful

 Somewhat helpful

 Somewhat unhelpful

 Very unhelpful

____________________________________________________________

Record observations and comments here

____________________________________________________________

Shape28

HS0P1IDALT

Question Wording:

Now we are going to ask you some questions about your parent(s) or guardian(s). If you have more than one home, tell us about the parent(s) or guardian(s) you live with most of the time.

Think about one of these parent(s) or guardian(s) to tell us about now. (If you have another parent or guardian in this household, we will ask about him or her later.)

Is this your...

Item Name: HS0P1IDALT

1=Biological or birth mother?
2=Biological or birth father?
3=Adoptive mother?
4=Adoptive father?
5=Stepmother?
6=Stepfather?

7=Aunt?

8=Uncle?
9=Foster mother or legal female guardian?
10=Foster father or legal male guardian?
11=Female partner or girlfriend of your parent or guardian?
12=Male partner or boyfriend of your parent or guardian?

13=Other partner of your parent or guardian?
14=Grandmother?
15=Grandfather?
16=Other female relative?
17=Other male relative?
18=Other female parent or guardian?
19=Other male parent or guardian?

20=Other non-relative?

Help Text:

Biological or birth mother: Your female biological parent. This may be your birth mother, but could also apply to a mother who used a surrogate mother or donor to have a child.

Biological or birth father: Your male biological parent. This may be your birth father, but could also apply to a father who used a donor to have a child.

Adoptive mother: A female who has legally adopted you to raise as her own child.

Adoptive father: A male who has legally adopted you to raise as his own child.

Foster mother or legal female guardian: A foster mother is a female with whom you have been placed temporarily, usually through a social service agency and/or a court. A legal female guardian is a female legally placed in charge of you.

Foster father or legal male guardian: A foster father is a male with whom you have been placed temporarily, usually through a social service agency and/or a court. A legal male guardian is a male legally placed in charge of you.

Female partner or girlfriend of your parent or guardian: A female who has a romantic relationship with and lives with one of your parents or guardians, but is not married to your parent or guardian.

Male partner or boyfriend of your parent or guardian: A male who has a romantic relationship with and lives with one of your parents or guardians, but is not married to your parent or guardian.

Other partner of your parent or guardian: A person who has a "partner-like" relationship with one of your parents or guardians. "Living as married" is another way of describing the relationship.

Other female relative: A female who is related to you and acts as a mother to you, but does not fit into one of the other categories. Examples include an aunt, sister, or cousin.

Other male relative: A male who is related to you and acts as a father to you, but does not fit into one of the other categories. Examples include an uncle, brother, or cousin.

Other female parent or guardian: A female who acts as a mother to you, but does not fit into one of the other categories.

Other male parent or guardian: A male who acts as a father to you, but does not fit into one of the other categories.

Other non-relative: Refers to the relationship between two people when there is no family relationship through blood, marriage, adoption, or partnership (that is, living together as married).

Question/Prompt

Response

ITEM SPECIFIC PROBES

Ask this probe AFTER the respondent has answered the question.

Which version of the response options (original or alternate) do you prefer? Why?

 Original

 Alternate

____________________________________________________________

Please say what, if any, differences you see between the eleventh, twelfth, and thirteenth response options. Please provide examples.

____________________________________________________________

Please say what, if any, differences you see between the eighteenth, nineteenth, and twentieth response options. Please provide examples.

____________________________________________________________

INSTRUCT STUDENT TO OPEN HELP TEXT AND REVIEW DEFINITION FOR BIOLOGICAL OR BIRTH MOTHER/FATHER. WHEN FINISHED REVIEW:

Can you tell me, in your own words, what these definitions mean?

____________________________________________________________

INSTRUCT STUDENT TO OPEN HELP TEXT AND REVIEW DEFINITION FOR FOSTER MOTHER/FATHER OR LEGAL MALE/FEMALE GUARDIAN. WHEN FINISHED REVIEW:

Can you tell me, in your own words, what these definitions mean?

____________________________________________________________

INSTRUCT STUDENT TO OPEN HELP TEXT AND REVIEW DEFINITION FOR OTHER FEMALE/MALE PARENT OR GUARDIAN. WHEN FINISHED REVIEW:

Can you tell me, in your own words, what these definitions mean?

____________________________________________________________

Would you say the help text is very helpful, somewhat helpful, somewhat unhelpful, or very unhelpful?

IF SOMEWHAT OR VERY UNHELPFUL: What can we do to make the help text more helpful for you to answer this question?

 Very helpful

 Somewhat helpful

 Somewhat unhelpful

 Very unhelpful

____________________________________________________________

Record observations and comments here

____________________________________________________________

Shape29

HS0P1EMPLOYED

Question Wording:

During the past week, did [your biological mother/your biological father/your adoptive mother/your adoptive father/your stepmother/your stepfather/your foster mother/your foster father/your parent or guardian's female partner/your parent or guardian's male partner/your grandmother/your grandfather/your female relative/your male relative/your female guardian/your male guardian/your first parent or guardian] work at a job for pay or income?

Item Name: HS0P1EMPLOYED

1=Yes
0=No

Help Text:
Include any work for pay, even for as little as one hour.

Question/Prompt

Response

GENERIC PROBES

Ask this probe AFTER the respondent has answered the question.

Can you tell me, in your own words, what this question is asking? Please try to explain without repeating the wording of the question.

____________________________________________________________

How easy or difficult was it to answer this question? Would you say it was very easy, somewhat easy, somewhat difficult, or very difficult?

IF SOMEWHAT OR VERY DIFFICULT: What can we do to make it easier to answer this question?

 Very easy

 Somewhat easy

 Somewhat difficult

 Very difficult

____________________________________________________________

ITEM SPECIFIC PROBES

In your own words, what does “past week” mean to you?

DO NOT READ ANSWER OPTIONS – SELECT WHICH APPLIES:

 Last Sunday through Saturday

 The past 7 days

 Other: _______________________________________________

In your own words, what does “job for pay or income” mean to you? Please provide examples.

____________________________________________________________

How sure are you about your answer to this question? Would you say very sure, somewhat sure, somewhat unsure, or very unsure?

IF SOMEWHAT OR VERY UNSURE: What do you need to be more sure of your answer?

 Very sure

 Somewhat sure

 Somewhat unsure

 Very unsure

____________________________________________________________

INSTRUCT STUDENT TO OPEN AND REVIEW HELP TEXT FOR WORK FOR PAY. WHEN FINISHED REVIEW:

Would you say the help text is very helpful, somewhat helpful, somewhat unhelpful, or very unhelpful?

IF SOMEWHAT OR VERY UNHELPFUL: What can we do to make the help text more for you to answer this question?

 Very helpful

 Somewhat helpful

 Somewhat unhelpful

 Very unhelpful

____________________________________________________________

Record observations and comments here

____________________________________________________________

________________________________________________________________________________________________________________________

Shape30

HS0P1WRKLEAVE

Question Wording:
During the past week, was [your biological mother/your biological father/your adoptive mother/your adoptive father/your stepmother/your stepfather/your foster mother/your foster father/your parent or guardian's female partner/your parent or guardian's male partner/your grandmother/your grandfather/your female relative/your male relative/your female guardian/your male guardian/your first parent or guardian] on leave or vacation from a job?

Item Name: HS0P1WRKLEAVE

1=Yes
0=No

Question/Prompt

Response

GENERIC PROBES

Ask this probe AFTER the respondent has answered the question.

Can you tell me, in your own words, what this question is asking? Please try to explain without repeating the wording of the question.

____________________________________________________________

How easy or difficult was it to answer this question? Would you say it was very easy, somewhat easy, somewhat difficult, or very difficult?

IF SOMEWHAT OR VERY DIFFICULT: What can we do to make it easier to answer this question?

 Very easy

 Somewhat easy

 Somewhat difficult

 Very difficult

____________________________________________________________

ITEM SPECIFIC PROBES

In your own words, what does “on leave” mean to you? Please provide examples.

____________________________________________________________

In your own words, what does “on vacation” mean to you? Please provide examples.

____________________________________________________________

How sure are you about your answer to this question? Would you say very sure, somewhat sure, somewhat unsure, or very unsure?

IF SOMEWHAT OR VERY UNSURE: What do you need to be more sure of your answer?

 Very sure

 Somewhat sure

 Somewhat unsure

 Very unsure

____________________________________________________________

Record observations and comments here

____________________________________________________________

________________________________________________________________________________________________________________________

Shape31

HS0P1HIGHEDU

Question Wording:
How far in school did [your biological mother/your biological father/your adoptive mother/your adoptive father/your stepmother/your stepfather/your foster mother/your foster father/your parent or guardian's female partner/your parent or guardian's male partner/your grandmother/your grandfather/your female relative/your male relative/your female guardian/your male guardian/your first parent or guardian] go?
(Select highest level of education.)

Item Name: HS0P1HIGHEDU

1=Less than high school completion
2=Completed a high school diploma or equivalent (for example, GED, HiSET, TASC)
3=Completed a certificate or diploma from a school that provides occupational training, such as a trade school
4=Completed an associate's degree
5=Completed a bachelor's degree
6=Completed a master's degree
7=Completed a Ph.D., M.D., law degree, or other high level professional degree
99=Don't Know

Help Text:

Less than high school completion: Did not receive a high school diploma or equivalent.

Completed a high school diploma or equivalent (for example, GED, HiSET, TASC): Received a regular high school diploma, or completed high school by receiving another formal recognition of high school completion from a school or governmental authority. Examples include the GED (General Education Development), HiSET (High School Equivalency Test), and TASC (Test Assessing Secondary Completion).

Completed a certificate or diploma from a school that provides occupational training, such as a trade school: Received a certificate or diploma from an educational institution focused on occupational training, or technical skills required to perform the tasks of a particular and specific job. Such institutions may be called a trade school, technical institute, or vocational school. Example jobs include cosmetology and carpentry.

Completed an associate's degree: An associate's degree (AA, AS, AAS, AGE, etc.) usually requires at least 2, but less than 4 years, of full-time college-level work.

Completed a bachelor's degree: A bachelor's degree (BA, BS, etc.) usually requires at least 4 years of full-time college-level work.

Completed a master's degree: A master's degree (MA, MS, MBA, MFA, etc.) usually requires at least 2 years of full-time graduate-level work, and may require a thesis or a practicum.

Completed a Ph.D., M.D., law degree, or other high level professional degree: A Ph.D. usually requires at least 4 years of full-time graduate-level work, and usually requires a dissertation. A professional degree usually requires graduate-level work in one of the following areas: chiropractic, dentistry, law, medicine, optometry, osteopathic medicine, pharmacy, podiatry, ministry or divinity, or veterinary medicine.

Question/Prompt

Response

GENERIC PROBES

Ask this probe AFTER the respondent has answered the question.

Can you tell me, in your own words, what this question is asking? Please try to explain without repeating the wording of the question.

____________________________________________________________

Did you find any words or parts of this question confusing?

IF YES: What did you find confusing? What could we do to make the question less confusing?

 Yes

 No

____________________________________________________________

How easy or difficult was it to answer this question? Would you say it was very easy, somewhat easy, somewhat difficult, or very difficult?

IF SOMEWHAT OR VERY DIFFICULT: What can we do to make it easier to answer this question?

 Very easy

 Somewhat easy

 Somewhat difficult

 Very difficult

____________________________________________________________

ITEM SPECIFIC PROBES

In your own words, what does “completed a certificate or diploma” mean to you? Please provide examples.

____________________________________________________________

In your own words, what does “school that provides occupational training” mean to you? Please provide examples.

____________________________________________________________

IF SELECTED DON’T KNOW: Please tell me why you chose the “don’t know” option.

____________________________________________________________

Please say what, if any, differences you see between the second, third, and fourth response options.

____________________________________________________________

Please say what, if any, differences you see between the sixth and seventh response options.

____________________________________________________________

How sure are you about your answer to this question? Would you say very sure, somewhat sure, somewhat unsure, or very unsure?

IF SOMEWHAT OR VERY UNSURE: What do you need to be more sure of your answer?

 Very sure

 Somewhat sure

 Somewhat unsure

 Very unsure

____________________________________________________________

Looking at the third response option, was the example provided helpful to you? Why or why not?

 Yes

 No

____________________________________________________________

INSTRUCT STUDENT TO OPEN AND REVIEW HELP TEXT FOR HIGHEST EDUCATION. WHEN FINISHED REVIEW:

Would you say the help text is very helpful, somewhat helpful, somewhat unhelpful, or very unhelpful?

IF SOMEWHAT OR VERY UNHELPFUL: What can we do to make the help text more helpful for you to answer this question?

 Very helpful

 Somewhat helpful

 Somewhat unhelpful

 Very unhelpful

____________________________________________________________

Record observations and comments here

____________________________________________________________

________________________________________________________________________________________________________________________

Shape32

HS0P1EDUEXP

Question Wording:
How far in school do you think [your biological mother/your biological father/your adoptive mother/your adoptive father/your stepmother/your stepfather/your foster mother/your foster father/your parent or guardian's female partner/your parent or guardian's male partner/your grandmother/your grandfather/your female relative/your male relative/your female guardian/your male guardian/your first parent or guardian] wants you to go?
(Select highest level of education.)

Item Name: HS0P1EDUEXP

1=Less than high school completion
2=Complete a high school diploma, or equivalent (for example, GED, HiSET, TASC)
3=Complete a certificate or diploma from a school that provides occupational training, such as a trade school
4=Complete an associate's degree
5=Complete a bachelor's degree
6=Complete a master's degree
7=Complete a Ph.D., M.D., law degree, or other high level degree
99=Don't know

Help Text:

Less than high school completion: Not receive a high school diploma or equivalent.

Complete a high school diploma or equivalent (for example, GED, HiSET, TASC): Receive a regular high school diploma, or complete high school by receiving another formal recognition of high school completion from a school or governmental authority. Examples include the GED (General Education Development), HiSET (High School Equivalency Test), and TASC (Test Assessing Secondary Completion).

Complete a certificate or diploma from a school that provides occupational training, such as a trade school: Receive a certificate or diploma from an educational institution focused on occupational training, or technical skills required to perform the tasks of a particular and specific job. Such institutions may be called a trade school, technical institute, or vocational school. Example jobs include cosmetology and carpentry.

Complete an associate's degree: An associate's degree (AA, AS, AAS, AGE, etc.) usually requires at least 2, but less than 4 years, of full-time college-level work.

Complete a bachelor's degree: A bachelor's degree (BA, BS, etc.) usually requires at least 4 years of full-time college-level work.

Complete a master's degree: A master's degree (MA, MS, MBA, MFA, etc.) usually requires at least 2 years of full-time graduate-level work, and may require a thesis or a practicum.

Complete a Ph.D., M.D., law degree, or other high level professional degree: A Ph.D. usually requires at least 4 years of full-time graduate-level work, and usually requires a dissertation. A professional degree usually requires graduate-level work in one of the following areas: chiropractic, dentistry, law, medicine, optometry, osteopathic medicine, pharmacy, podiatry, ministry or divinity, or veterinary medicine.

Question/Prompt

Response

GENERIC PROBES

Ask this probe AFTER the respondent has answered the question.

Can you tell me, in your own words, what this question is asking? Please try to explain without repeating the wording of the question.

____________________________________________________________

How easy or difficult was it to answer this question? Would you say it was very easy, somewhat easy, somewhat difficult, or very difficult?

IF SOMEWHAT OR VERY DIFFICULT: What can we do to make it easier to answer this question?

 Very easy

 Somewhat easy

 Somewhat difficult

 Very difficult

____________________________________________________________

ITEM SPECIFIC PROBES

How did you come up with your answer?

IF NEEDED: Can you provide some examples that you considered when answering this question?

____________________________________________________________

IF SELECTED DON’T KNOW: Please tell me why you chose the “don’t know” option.

____________________________________________________________

How sure are you about your answer to this question? Would you say very sure, somewhat sure, somewhat unsure, or very unsure?

IF SOMEWHAT OR VERY UNSURE: What do you need to be more sure of your answer?

 Very sure

 Somewhat sure

 Somewhat unsure

 Very unsure

____________________________________________________________

To what extent did the question before this one, and your answer to that question, affect how you answered this question? Please explain.

____________________________________________________________

Record observations and comments here

____________________________________________________________

________________________________________________________________________________________________________________________

Shape33

HS0P2INHOUSE

Question Wording:
Do you have another parent or guardian who lives in the same household with you and [your biological mother/your biological father/your adoptive mother/your adoptive father/your stepmother/your stepfather/your foster mother/your foster father/your parent or guardian's female partner/your parent or guardian's male partner/your grandmother/your grandfather/your female relative/your male relative/your female guardian/your male guardian/your first parent or guardian]?

Item Name: HS0P2INHOUSE

1=Yes
0=No

Shape34

HS0P2ID

Question Wording:
Is this your....

Item Name: HS0P2ID

Help Text:

Female partner or girlfriend of your parent or guardian: A female who has a romantic relationship with and lives with one of your parents or guardians, but is not married to your parent or guardian.

Male partner or boyfriend of your parent or guardian: A male who has a romantic relationship with and lives with one of your parents or guardians, but is not married to your parent or guardian.

Other female relative: A female who is related to you and acts as a mother to you, but does not fit into one of the other categories. Examples include an aunt, sister, or cousin.

Other male relative: A male who is related to you and acts as a father to you, but does not fit into one of the other categories. Examples include an uncle, brother, or cousin.

Other female guardian: A female who acts as a mother to you, but does not fit into one of the other categories.

Other male guardian: A male who acts as a father to you, but does not fit into one of the other categories.

Shape35

HS0RELWTHPAR

Question Wording:
[How often do [your biological mother/your biological father/your adoptive mother/your adoptive father/your stepmother/your stepfather/your foster mother/your foster father/your parent or guardian's female partner/your parent or guardian's male partner/your grandmother/your grandfather/your female relative/your male relative/your female guardian/your male guardian/your first parent or guardian] and [your biological mother/your biological father/your adoptive mother/your other adoptive mother/your adoptive father/your other adoptive father/your stepmother/your stepfather/your foster mother/your other foster mother/your foster father/your other foster father/your parent or guardian's female partner/your parent or guardian's male partner/your grandmother/your other grandmother/your grandfather/your other grandfather/your female relative/your other female relative/your male relative/your other male relative/your female guardian/your other female guardian/your male guardian/your other male guardian/your second parent or guardian].../How often does [your biological mother/your biological father/your adoptive mother/your adoptive father/your stepmother/your stepfather/your foster mother/your foster father/your parent or guardian's female partner/your parent or guardian's male partner/your grandmother/your grandfather/your female relative/your male relative/your female guardian/your male guardian/your first parent or guardian]...]

(Select one for each row.)

Item Name: HS0KNWFREETIM
Item Wording: Know what you do during your free time?

Item Name: HS0KNWHW
Item Wording: Know how much homework you have?

Item Name: HS0KNWMONEY
Item Wording: Know what you spend your money on?

Item Name: HS0KNWEXAM
Item Wording: Know when you have an exam or paper due at school?

Item Name: HS0KNWGRADES
Item Wording: Know what your school grades are?

1=Never
2=Rarely
3=Sometimes
4=Often
5=Very often
6=Always

Question/Prompt

Response

GENERIC PROBES

Ask this probe AFTER the respondent has answered the question.

Can you tell me, in your own words, what this question is asking? Please try to explain without repeating the wording of the question.

____________________________________________________________

How easy or difficult was it to answer this question? Would you say it was very easy, somewhat easy, somewhat difficult, or very difficult?

IF SOMEWHAT OR VERY DIFFICULT: What can we do to make it easier to answer this question?

 Very easy

 Somewhat easy

 Somewhat difficult

 Very difficult

____________________________________________________________

ITEM SPECIFIC PROBES

How did you come up with your answers?

____________________________________________________________

How sure are you about your answers to this question? Would you say very sure, somewhat sure, somewhat unsure, or very unsure?

IF SOMEWHAT OR VERY UNSURE: What do you need to be more sure of your answer?

 Very sure

 Somewhat sure

 Somewhat unsure

 Very unsure

____________________________________________________________

Record observations and comments here

____________________________________________________________

________________________________________________________________________________________________________________________

Shape36

HS0DINTRO

Question Wording:

In this section we will ask you about your plans for the future.

Please click the “Next” button to continue.

Shape37

HS0GUIDCOURSE

Question Wording:
Which of the following people have you talked with about which academic courses to take this year?
(Check all that apply.)

Item Name: HS0GUIDCOMOM
Item Wording: [Your mother(s) or female guardian(s)/Your mother or female guardian]

Item Name: HS0GUIDCODAD
Item Wording: [Your father(s) or male guardian(s)/Your father or male guardian]

Item Name: HS0GUIDCOFRND
Item Wording: Your friends

Item Name: HS0GUIDCOTCHR
Item Wording: A favorite teacher

Item Name: HS0GUIDCOCOUN
Item Wording: A school counselor

Item Name: HS0GUIDCOCOA
Item Wording: A coach

Item Name: HS0GUIDCOOTHR
Item Wording: Other adult not listed

Item Name: HS0GUIDCOOTHR_other
Item Wording: Please specify

Item Name: HS0GUIDCONONE
Item Wording: None of these people

Question/Prompt

Response

GENERIC PROBES

Ask this probe AFTER the respondent has answered the question.

Can you tell me, in your own words, what this question is asking? Please try to explain without repeating the wording of the question.

____________________________________________________________

How easy or difficult was it to answer this question? Would you say it was very easy, somewhat easy, somewhat difficult, or very difficult?

IF SOMEWHAT OR VERY DIFFICULT: What can we do to make it easier to answer this question?

 Very easy

 Somewhat easy

 Somewhat difficult

 Very difficult

____________________________________________________________

ITEM SPECIFIC PROBES

How did you come up with your answer?

IF NEEDED: Can you provide some examples that you considered when answering this question?

____________________________________________________________

IF SELECTED FIRST, SECOND, OR SIXTH OPTION: Who did you think about when you selected this response option?

____________________________________________________________

Record observations and comments here

____________________________________________________________

________________________________________________________________________________________________________________________

Shape38

HS0EDUEXP

Question Wording:
As things stand now, how far in school do you think you will get?
(Select highest level of education.)

Item Name: HS0EDUEXP

1=Less than high school completion
2=Complete a high school diploma or equivalent (for example, GED, HiSET, TASC)
3=Complete a certificate or diploma from a school that provides occupational training, such as a trade school
4=Complete an associate's degree
5=Complete a bachelor's degree
6=Complete a master's degree
7=Complete a Ph.D., M.D., law degree, or other high level professional degree
99=Don't know

Help Text:

Less than high school completion: Not receive a high school diploma or equivalent.

Complete an associate's degree: An associate's degree (AA, AS, AAS, AGE, etc.) usually requires at least 2, but less than 4 years, of full-time college-level work.

Complete a bachelor's degree: A bachelor's degree (BA, BS, etc.) usually requires at least 4 years of full-time college-level work.

Complete a master's degree: A master's degree (MA, MS, MBA, MFA, etc.) usually requires at least 2 years of full-time graduate-level work, and may require a thesis or a practicum.

Question/Prompt

Response

GENERIC PROBES

Ask this probe AFTER the respondent has answered the question.

Can you tell me, in your own words, what this question is asking? Please try to explain without repeating the wording of the question.

____________________________________________________________

Did you find any words or parts of this question confusing?

IF YES: What did you find confusing? What could we do to make the question less confusing?

 Yes

 No

____________________________________________________________

ITEM SPECIFIC PROBES

How did you come up with your answer?

IF NEEDED: Can you provide some examples that you considered when answering this question?

____________________________________________________________

IF SELECTED DON’T KNOW: Please tell me why you chose the “don’t know” option.

____________________________________________________________

How sure are you about your answer to this question? Would you say very sure, somewhat sure, somewhat unsure, or very unsure?

IF SOMEWHAT OR VERY UNSURE: What do you need to be more sure of your answer?

 Very sure

 Somewhat sure

 Somewhat unsure

 Very unsure

____________________________________________________________

Record observations and comments here

____________________________________________________________

________________________________________________________________________________________________________________________

Shape39

HS0EINTRO

Question Wording:

Next we will ask you about your daily activities.

Please click the “Next” button to continue.

Shape40

HS0FREQTCHBVR

Question Wording:
How often do you...
(Select one for each row.)

Item Name: HS0FREQVIDGAM
Item Wording: Play video games, computer games, or mobile games?

Item Name: HS0FREQDIGART
Item Wording: Make your own digital art or music (such as painting, graphics, videos, photos, music)?

Item Name: HS0FREQCOMPRG
Item Wording: Write computer programs (code) or develop apps?

1=Never
2=Less than once a week
3=A few times a week
4=About once a day
5=Many times a day

Question/Prompt

Response

GENERIC PROBES

Ask this probe AFTER the respondent has answered the question.

Can you tell me, in your own words, what these questions are asking? Please try to explain without repeating the wording of the questions.

____________________________________________________________

Did you find any words or parts of these questions confusing?

IF YES: What did you find confusing? What could we do to make the questions less confusing?

 Yes

 No

____________________________________________________________

How easy or difficult was it to answer these questions? Would you say it was very easy, somewhat easy, somewhat difficult, or very difficult?

IF SOMEWHAT OR VERY DIFFICULT: What can we do to make it easier to answer these questions?

Subitem A (HS0FREQVIDGAM):

 Very easy

 Somewhat easy

 Somewhat difficult

 Very difficult

Subitem B (HS0FREQDIGART):

 Very easy

 Somewhat easy

 Somewhat difficult

 Very difficult

Subitem C (HS0FREQCOMPRG):

 Very easy

 Somewhat easy

 Somewhat difficult

 Very difficult

____________________________________________________________

ITEM SPECIFIC PROBES

In your own words, what does “video games, computer games, or mobile games” mean to you? Please provide examples.

____________________________________________________________

In your own words, what does “write computer programs (code) or develop apps” mean to you? Please provide examples.

____________________________________________________________

Record observations and comments here

____________________________________________________________

________________________________________________________________________________________________________________________

Shape41

HS0PREEND

Question Wording:

You have reached the end of the survey.

You will not be able to log back into the survey after clicking "Next" on this screen.

If you would like to recheck any of your responses, use the “Previous” button to return to the desired screen(s). If you are comfortable with all of your responses, click "Next" to go to the final screen. This will set the survey as complete.

Shape42

HS0END

Question Wording:
Thank you for completing this part of the HS&B:20 study.

Click "Finish" to complete and close the survey.

General Debriefing and Thank You

Do you have any additional thoughts or comments about your general experience taking the survey (i.e., comments about usability)?

What did you like most about the features and functionality of the survey? Please provide examples. Why?

What did you like the least about the features and functionality of the survey? Please provide examples. Why?

How likely would you be to take a survey like this on a phone or tablet?

What are your thoughts, if any, about the length of this survey?

What is the longest survey (in terms of minutes) you would take?

What are your thoughts, if any, about the incentive you received for taking this survey?

IF NEEDED: What specifically did you think about the dollar amount you received for taking this survey in comparison to the task you completed?

What non-monetary incentives, if any, would you be willing to receive to complete this task?

Do you have any other comments or thoughts about the survey we worked on today?

Before we finish, do you have any additional thoughts or comments about this material and subject matter?

Thank participant for his/her time and provide gift card, as appropriate.

Attachment VI:
Cognitive and Usability Interview Protocol: Parent Survey

List of cognitive and usability interview forms: Parent survey

Section Name	Form Name	Label	Probes?
Introduction	HP0SETUPGLOBALS	Not visible to respondent
Introduction	HP0NAVIGATE	Survey navigation
Introduction	HP0STUDNAM	Verify spelling of child’s name
Introduction	HP0CHSEX1	Child’s sex - verify
Introduction	HP0CHSEX2	Child’s sex - collect
Section A School Experience	HP0AINTRO	Section A introduction
Section A School Experience	HP0SCHASSIGN	Assigned school or school chosen	X
Section A School Experience	HP0NOCHANGSCH	Number of times child changed schools	X
Section A School Experience	HP0DEVINHOME	Computer/device in home for schoolwork	X
Section B Family	HP0BINTRO	Section B introduction
Section B Family	HP0RESPREL	Respondent’s relationship to child	X
Section B Family	HP0RESPRELALT	Respondent’s relationship to child - Alternate	X
Section B Family	HP0OPINHOUSE	Number of parents in household
Section B Family	HP0OPRELID	Parents’ in household relationships to child
Section B Family	HP0P1SPPTR	Spouse or partner in household
Section B Family	HP0SPPTRRELID	Spouse/partner’s relationship to child
Section B Family	HP0OTHADULT	Other adult with parental responsibility
Section B Family	HP0OTHREL	Other adult’s relationship to child
Section B Family	HP0MARSTAT	Marital status	X
Section B Family	HP0NOINHOUSE	Number of people in household	X
Section B Family	HP0NOSIB	Number of siblings in household	X
Section B Family	HP0NOSIBINHS	Number of siblings in high school	X
Section C Background Information	HP0CINTRO	Section C introduction
Section C Background Information	HP0P1HISPANIC	Parent 1: Hispanic or Latino/Latina
Section C Background Information	HP0P1RACE	Parent 1: Race	X
Section C Background Information	HP0P1BORNUS	Parent 1: Born in US
Section C Background Information	HP0P1BRNCNTRY	Parent 1: Country of birth predictive coder	X
Section C Background Information	HP0NENGHOM	Any non-English language spoken in home
Section C Background Information	HP0CHDEVERELL	Child ever enrolled in English language program	X
Section D Guidance and Future Plans	HP0DINTRO	Section D introduction
Section D Guidance and Future Plans	HP0ADV	Parent discusses education/careers with child	X
Section D Guidance and Future Plans	HP0DESRDLEVED	Desired level of education for child	X
Section D Guidance and Future Plans	HP0EXPCTLEVED	Expected level of education for child	X
Section D Guidance and Future Plans	HP0HLPPAYCHED	Planning to assist child with postsecondary costs
Section D Guidance and Future Plans	HP0AMTSVDCHED	How much expect to set aside for postsecondary costs	X
Section E Parent Education and Employment	HP0EINTRO	Section E introduction
Section E Parent Education and Employment	HP0P1EMPLOYED	Parent 1: Currently work for pay	X
Section E Parent Education and Employment	HP0P1WRKLEAVE	Parent 1 on leave from work	X
Section E Parent Education and Employment	HP0P1WORKSTAT	Parent 1 work status	X
Section E Parent Education and Employment	HP0P1EVERWORK	Parent 1: Ever worked for pay
Section E Parent Education and Employment	HP0P1HOURWORK	Parent 1: Work hours per week
Section E Parent Education and Employment	HP0P1JOB	Parent 1: Occupation predictive coder	X
Section E Parent Education and Employment	HP0P1JOBDUTY	Parent 1 job duties	X
Section E Parent Education and Employment	HP0P1MILITARY	Parent 1: Currently in military	X
Section E Parent Education and Employment	HP0NUMDEPEN	Number of dependents	X
Section F Home Life and Wellness	HP0FINTRO	Section F introduction
Section F Home Life and Wellness	HP0CHTIMATADD	Child’s length of time at current address
Section F Home Life and Wellness	HP0CHNORESID	Number of residences since kindergarten	X
Section F Home Life and Wellness	HP0EATWCHLD	How often respondent eats with child	X
Section F Home Life and Wellness	HP0RKNOWFRND	Knows child’s friends	X
Section F Home Life and Wellness	HP0TECHRULES	Family rules for child technology usage	X
Section F Home Life and Wellness	HP0DAYSSICK	Missed school because of health issues	X
Section F Home Life and Wellness	HP0CHEVERIEP	Child ever had IEP/ISP	X
Section F Home Life and Wellness	HP0CHHASIEP	Child currently has IEP/ISP
Section F Home Life and Wellness	HP0CHNEEDSIEP	Child should have IEP/ISP	X
End	HP0PREEND	Pre-end Survey Message
End	HP0END	End Survey Message

HP0NAVIGATE

- Answer each question as accurately as possible; if you need to estimate an answer that is okay.

- Click the "Next" button to save your responses and move forward.

- Click the "Previous" button to go back.

- To protect your data, you will be logged off if the survey is idle for more than 20 minutes.

Please click the “Next” button to continue.

Help Text:

For screens with specific help text, this will provide information for a particular phrase(s) or response option(s). For screens without specific help text, this will provide information on how to reach the Help Desk. Click the X in the upper right corner to close the box.

If you have any questions about this study, you may contact the Help Desk at 855-500-1439, or you can email [email protected].

Help Desk Hours are: (All times are Eastern time)
Monday-Thursday: 9am – 11pm
Friday: 9am – 9pm
Saturday: 9:30am – 6pm
Sunday: 1pm – 9:30pm

If you have questions about your rights as a study participant, please contact RTI's Office of Research Protection at 866-214-2043.

Shape43

HP0STUDNAME

Question Wording:
[What is your 9th-grader's full name?/Please confirm the spelling of [Student's first name/your 9th-grader]'s full name. [If interviewer-administered then fill: (]If [Student's first name/your 9th-grader]'s name is not spelled right, please fix it. If everything is spelled right, click "Next” to continue.[If interviewer-administered then fill: )]]

Item Name: CFNAME
Item Wording: First name:

Item Name: CMNAME
Item Wording: Middle name:

Item Name: CLNAME
Item Wording: Last name:

Item Name: CSUFFIX
Item Wording: Suffix:

Shape44

HP0CHSEX1

Question Wording:
Just to confirm, our records indicate that [Student's first name/your 9th-grader] is [male/female]. Is this correct?

Item Name: HP0CHSEX1

1=Yes
0=No

Shape45

HP0CHSEX2

Question Wording:
What is [Student's first name/your 9th-grader]'s sex?

Item Name: HP0CHSEX2

1=Male
2=Female

Shape46

HP0AINTRO

Question Wording:

Now we would like to learn more about [Student's first name/your 9th-grader]’s experiences at school.

Please click the “Next” button to continue.

Shape47

HP0SCHASSIGN

Question Wording:
Is [Name of base year school] a regularly assigned school or a school that you chose?

Item Name: HP0SCHASSIGN

1=Assigned
2=Chosen
3=[Student's first name/Your 9th-grader] was assigned to this school, but you would have chosen it if you had a choice.

Question/Prompt

Response

GENERIC PROBES

Ask this probe AFTER the respondent has answered the question.

Can you tell me, in your own words, what this question is asking? Please try to explain without repeating the wording of the question.

_______________________________________________________________

How easy or difficult was it to answer this question? Would you say it was very easy, somewhat easy, somewhat difficult, or very difficult?

IF SOMEWHAT OR VERY DIFFICULT: What can we do to make it easier to answer this question?

 Very easy  Somewhat easy  Somewhat difficult  Very difficult

_______________________________________________________________

ITEM SPECIFIC PROBES

How did you come up with your answer?

_______________________________________________________________

In your own words, what does “regularly assigned school” mean to you? Please provide examples.

_______________________________________________________________

Record observations and comments here

_______________________________________________________________

Shape48

HP0NOCHANGSCH

Question Wording:
How many time(s) has [Student's first name/your 9th-grader] changed schools since [he/she/your 9th-grader/[Student's first name]] entered kindergarten? Do not count changes that occurred as a result of promotion to the next grade or level, for instance, a move from an elementary school to a middle school or from a middle school to a high school in the same district.
(Please enter '0' if none.)

Item Name: HP0NOCHANGSCH
Item Wording: ____ times

Question/Prompt	Response
GENERIC PROBES
Ask this probe AFTER the respondent has answered the question. Can you tell me, in your own words, what this question is asking? Please try to explain without repeating the wording of the question.	_______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________
How easy or difficult was it to answer this question? Would you say it was very easy, somewhat easy, somewhat difficult, or very difficult? IF SOMEWHAT OR VERY DIFFICULT: What can we do to make it easier to answer this question?	 Very easy  Somewhat easy  Somewhat difficult  Very difficult _______________________________________________________________ _______________________________________________________________ _______________________________________________________________
ITEM SPECIFIC PROBES
How did you come up with your answer? IF NEEDED: Can you provide some examples that you considered when answering this question?	_______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________
Record observations and comments here	_______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________

Shape49

HP0DEVINHOME

Question Wording:
Do you have the following in your home that [Student's first name/your 9th-grader] may use for schoolwork?
(Select one for each row.)

Item Name: HP0SMARTPHONE
Item Wording: Smartphone

Item Name: HP0TABLET
Item Wording: Tablet

Item Name: HP0LAPDESKTOP
Item Wording: Laptop or desktop computer

1=Yes, shared with another family member
2=Yes, has own
0=No

Question/Prompt	Response
GENERIC PROBES
Ask this probe AFTER the respondent has answered the question. Can you tell me, in your own words, what this question is asking? Please try to explain without repeating the wording of the question.	_______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________
How easy or difficult was it to answer this question? Would you say it was very easy, somewhat easy, somewhat difficult, or very difficult? IF SOMEWHAT OR VERY DIFFICULT: What can we do to make it easier to answer this question?	 Very easy  Somewhat easy  Somewhat difficult  Very difficult _______________________________________________________________ _______________________________________________________________ _______________________________________________________________
ITEM SPECIFIC PROBES
How did you come up with your answer? IF NEEDED: Can you provide some examples that you considered when answering this question?	_______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________
Record observations and comments here	_______________________________________________________________ _______________________________________________________________ _______________________________________________________________

Shape50

HP0BINTRO

Question Wording:

Next we will ask you about [Student's first name/your 9th-grader]'s family.

Please click the “Next” button to continue.

Shape51

HP0RESPREL

Question Wording:
What is your relationship to [Student's first name/your 9th-grader]?

Item Name: HP0RESPREL

1=Biological mother
2=Biological father
3=Adoptive mother
4=Adoptive father
5=Stepmother
6=Stepfather
7=Foster mother
8=Foster father
9=Female partner or girlfriend of [Student's first name/your 9th-grader]'s parent or guardian
10=Male partner or boyfriend of [Student's first name/your 9th-grader]'s parent or guardian
11=Grandmother
12=Grandfather
13=Other female relative
14=Other male relative
15=Other female guardian
16=Other male guardian

Help Text:

Female partner or girlfriend of [Student's first name/your 9th-grader]'s parent or guardian: A female who has a romantic relationship with and lives with one of [Student's first name/your 9th-grader]'s parents or guardians, but is not married to [his/her/your 9th-grader's/[Student's first name]'s] parent or guardian.

Male partner or boyfriend of [Student's first name/your 9th-grader]'s parent or guardian: A male who has a romantic relationship with and lives with one of [Student's first name/your 9th-grader]'s parents or guardians, but is not married to [his/her/your 9th-grader's/[Student's first name]'s] parent or guardian.

Other female relative: A female who is related to [Student's first name/your 9th-grader] and acts as a mother to [him/her/[Student's first name]/your 9th-grader], but does not fit into one of the other categories. Examples include an aunt, sister, or cousin.

Other male relative: A male who is related to [Student's first name/your 9th-grader] and acts as a father to [him/her/[Student's first name]/your 9th-grader], but does not fit into one of the other categories. Examples include an uncle, brother, or cousin.

Other female guardian: A female who acts as a mother to [Student's first name/your 9th-grader], but does not fit into one of the other categories.

Other male guardian: A male who acts as a father to [Student's first name/your 9th-grader], but does not fit into one of the other categories.

Question/Prompt

Response

GENERIC PROBES

Ask this probe AFTER the respondent has answered the question.

How easy or difficult was it to answer this question? Would you say it was very easy, somewhat easy, somewhat difficult, or very difficult?

IF SOMEWHAT OR VERY DIFFICULT: What can we do to make it easier to answer this question?

 Very easy  Somewhat easy

 Somewhat difficult  Very difficult

_______________________________________________________________

ITEM SPECIFIC PROBES

INSTRUCT PARENT TO OPEN AND REVIEW HELP TEXT FOR RELATIONSHIPS. WHEN FINISHED REVIEW:

Would you say the help text is very helpful, somewhat helpful, somewhat unhelpful, or very unhelpful?

IF SOMEWHAT OR VERY UNHELPFUL: What can we do to make the help text more helpful for you to answer this question?

 Very helpful

 Somewhat helpful

 Somewhat unhelpful

 Very unhelpful

_______________________________________________________________

Record observations and comments here

_______________________________________________________________

Shape52

HP0RESPRELALT

Question Wording:

What is your relationship to [Student's first name/your 9th-grader]?

Item Name: HP0RESPRELALT

1=Biological or birth mother
2=Biological or birth father
3=Adoptive mother
4=Adoptive father
5=Stepmother
6=Stepfather

7=Aunt

8=Uncle
9=Foster mother or legal female guardian
10=Foster father or legal male guardian
11=Female partner or girlfriend of [Student’s first name/your 9th-grader]’s parent or guardian
12=Male partner or boyfriend of [Student’s first name/your 9th-grader]’s parent or guardian

13=Other partner of [Student’s first name/your 9th-grader]’s parent or guardian
14=Grandmother
15=Grandfather
16=Other female relative
17=Other male relative
18=Other female parent or guardian
19=Other male parent or guardian

20=Other non-relative

Help Text:

Biological or birth mother: [Student's first name/Your 9th-grader]'s female biological parent. This may be [his/her/your 9th-grader's/[Student's first name]'s] birth mother, but could also apply to a mother who used a surrogate mother or donor to have a child.

Biological or birth father: [Student's first name/Your 9th-grader]'s male biological parent. This may be your birth father, but could also apply to a father who used a donor to have a child.

Adoptive mother: A female who has legally adopted [Student's first name/your 9th-grader] to raise as her own child.

Adoptive father: A male who has legally adopted [Student's first name/your 9th-grader] to raise as his own child.

Foster mother or legal female guardian: A foster mother is a female with whom [Student's first name/your 9th-grader] has been placed temporarily, usually through a social service agency and/or a court. A legal female guardian is a female legally placed in charge of [Student's first name/your 9th-grader].

Foster father or legal male guardian: A foster father is a male with whom [Student's first name/your 9th-grader] has been placed temporarily, usually through a social service agency and/or a court. A legal male guardian is a male legally placed in charge of [Student's first name/your 9th-grader].

Other partner of [Student's first name/your 9th-grader]'s parent or guardian: A person who has a "partner-like" relationship with one of [Student's first name/your 9th-grader]'s parents or guardians. "Living as married" is another way of describing the relationship.

Other female parent or guardian: A female who acts as a mother to [Student's first name/your 9th-grader], but does not fit into one of the other categories.

Other male parent or guardian: A male who acts as a father to [Student's first name/your 9th-grader], but does not fit into one of the other categories.

Other non-relative: Refers to the relationship between two people when there is no family relationship through blood, marriage, adoption, or partnership (that is, living together as married).

Question/Prompt

Response

ITEM SPECIFIC PROBES

Ask this probe AFTER the respondent has answered the question.

Which version of the response options (original or alternate) do you prefer? Why?

 Original

 Alternate

____________________________________________________________

Please say what, if any, differences you see between the eleventh, twelfth, and thirteenth response options. Please provide examples.

____________________________________________________________

Please say what, if any, differences you see between the eighteenth, nineteenth, and twentieth response options. Please provide examples.

____________________________________________________________

INSTRUCT PARENT TO OPEN HELP TEXT AND REVIEW DEFINITION FOR BIOLOGICAL OR BIRTH MOTHER/FATHER. WHEN FINISHED REVIEW:

Can you tell me, in your own words, what these definitions mean?

____________________________________________________________

INSTRUCT PARENT TO OPEN HELP TEXT AND REVIEW DEFINITION FOR FOSTER MOTHER/FATHER OR LEGAL MALE/FEMALE GUARDIAN. WHEN FINISHED REVIEW:

Can you tell me, in your own words, what these definitions mean?

____________________________________________________________

INSTRUCT PARENT TO OPEN HELP TEXT AND REVIEW DEFINITION FOR OTHER FEMALE/MALE PARENT OR GUARDIAN. WHEN FINISHED REVIEW:

Can you tell me, in your own words, what these definitions mean?

____________________________________________________________

Would you say the help text is very helpful, somewhat helpful, somewhat unhelpful, or very unhelpful?

IF SOMEWHAT OR VERY UNHELPFUL: What can we do to make the help text more helpful for you to answer this question?

 Very helpful

 Somewhat helpful

 Somewhat unhelpful

 Very unhelpful

____________________________________________________________

Record observations and comments here

____________________________________________________________

HP0OPINHOUSE

Question Wording:
Does [Student's first name/your 9th-grader] have biological, adoptive, step- or foster parents who live in your household?

Item Name: HP0OPINHOUSE

1=Yes, one parent in household
2=Yes, two parents in household
3=No parents in household

Shape54

HP0OPRELID

Question Wording:
What [is this parent's relationship/are these parents' relationships] to [Student's first name/your 9th-grader]?

Item Name: HP0OPRELID1
Item Wording: First Parent

1=Biological mother
2=Biological father
3=Adoptive mother
4=Adoptive father
5=Stepmother
6=Stepfather
7=Foster mother
8=Foster father

Item Name: HP0OPRELID2
Item Wording: Second Parent

1=Biological mother
2=Biological father
3=Adoptive mother
4=Adoptive father
5=Stepmother
6=Stepfather
7=Foster mother
8=Foster father

Shape55

HP0P1SPPTR

Question Wording:
Do you have a spouse or partner who lives in the same household as you and [Student's first name/your 9th-grader]?

Item Name: HP0P1SPPTR

1=Yes, a spouse
2=Yes, a partner
3=No

Help Text:
Partner: A partner refers to a person who has a romantic relationship with and lives with you, but is not married to you.

Shape56

HP0SPPTRRELID

Question Wording:
What is your [spouse/partner]'s relationship to [Student's first name/your 9th-grader]?

Item Name: HP0SPPTRRELID

Help Text:

Female partner or girlfriend of [Student's first name/your 9th-grader]’s parent or guardian: A female who has a romantic relationship with and lives with one of [Student's first name/your 9th-grader]’s parents or guardians, but is not married to [his/her/your 9th-grader's/[Student's first name]'s] parent or guardian.

Male partner or boyfriend of [Student's first name/your 9th-grader]’s parent or guardian: A male who has a romantic relationship with and lives with one of [Student's first name/your 9th-grader]’s parents or guardians, but is not married to [his/her/your 9th-grader's/[Student's first name]'s] parent or guardian.

Other female guardian: A female who acts as a mother to [Student's first name/your 9th-grader], but does not fit into one of the other categories.

Other male guardian: A male who acts as a father to [Student's first name/your 9th-grader], but does not fit into one of the other categories.

Shape57

HP0OTHADULT

Question Wording:
Besides yourself is there another adult in the household who has parental responsibility for [Student's first name/your 9th-grader] such as a grandparent or another relative?

Item Name: HP0OTHADULT

1=Yes
0=No

Shape58

HP0OTHREL

Question Wording:
What is that adult's relationship to [Student's first name/your 9th-grader]? If there is more than one, please answer for the one who is most involved in raising [him/her/[Student's first name]/your 9th-grader].

Item Name: HP0OTHREL

11=Grandmother
12=Grandfather
13=Other female relative
14=Other male relative
15=Other female guardian
16=Other male guardian

Help Text:

Other female guardian: A female who acts as a mother to [Student's first name/your 9th-grader], but does not fit into one of the other categories.

Other male guardian: A male who acts as a father to [Student's first name/your 9th-grader], but does not fit into one of the other categories.

Shape59

HP0MARSTAT

Question Wording:

[What is [your/this parent's] current marital status?/What is the marital relationship of these parents?]

Item Name: HP0MARSTAT

1=Married
2=Divorced
3=Separated
4=Never married
5=Widowed

Question/Prompt

Response

GENERIC PROBES

Ask this probe AFTER the respondent has answered the question.

Can you tell me, in your own words, what this question is asking? Please try to explain without repeating the wording of the question.

_______________________________________________________________

How easy or difficult was it to answer this question? Would you say it was very easy, somewhat easy, somewhat difficult, or very difficult?

IF SOMEWHAT OR VERY DIFFICULT: What can we do to make it easier to answer this question?

 Very easy  Somewhat easy  Somewhat difficult  Very difficult

_______________________________________________________________

ITEM SPECIFIC PROBES

How did you come up with your answer?

_______________________________________________________________

How sure are you about your answer to this question? Would you say very sure, somewhat sure, somewhat unsure, or very unsure?

IF SOMEWHAT OR VERY UNSURE: What do you need to be more sure of your answer?

 Very sure

 Somewhat sure

 Somewhat unsure

 Very unsure

_______________________________________________________________

Record observations and comments here

_______________________________________________________________

Shape60

HP0NOINHOUSE

Question Wording:

We would like to know how many people live in your household including yourself[, your spouse,/, your partner,/, [Student's first name/your 9th-grader]'s parent,/, [Student's first name/your 9th-grader]’s parents,/, [Student's first name/your 9th-grader]'s [grandmother/grandfather/female relative/male relative/female guardian/male guardian/other parental figure],] and [Student's first name/your 9th-grader]. How many people living in your household are…

(Please enter '0' if none.)

Item Name: HP0NOCINHOUSE
Item Wording: under the age of 18?

Item Name: HP0NOAINHOUSE
Item Wording: 18 years of age or older?

Question/Prompt

Response

GENERIC PROBES

Ask this probe AFTER the respondent has answered the question.

Can you tell me, in your own words, what these questions are asking? Please try to explain without repeating the wording of the questions.

_______________________________________________________________

How easy or difficult was it to answer these questions? Would you say it was very easy, somewhat easy, somewhat difficult, or very difficult?

IF SOMEWHAT OR VERY DIFFICULT: What can we do to make it easier to answer these questions?

 Very easy  Somewhat easy  Somewhat difficult  Very difficult

_______________________________________________________________

ITEM SPECIFIC PROBES

In your own words, what does “live in your household” mean to you?

_______________________________________________________________

How did you come up with your answers?

How did you decide who to include and who not to include?

_______________________________________________________________

Do you have any relatives or friends who sometimes live in your household?

IF YES: How did you decide who to include and who not to include in your answer?

 Yes

 No

_______________________________________________________________

Record observations and comments here

_______________________________________________________________

Shape61

HP0NOSIB

Question Wording:
How many of the following people currently live in the same household with [Student's first name/your 9th-grader]? Do not include [Student's first name/your 9th-grader].
(Please enter '0' if none.)

Item Name: HP0NOFULLSIB
Item Wording: [Student's first name/your 9th-grader]'s full brother(s) and/or sister(s)

Item Name: HP0NOADOPSIB
Item Wording: [Student's first name/your 9th-grader]'s adopted brother(s) and/or sister(s)

Item Name: HP0NOHALFSIB
Item Wording: [Student's first name/your 9th-grader]'s half-brother(s) and/or sister(s)

Item Name: HP0NOSTEPSIB
Item Wording: [Student's first name/your 9th-grader]'s step-brother(s) and/or sister(s)

Item Name: HP0NOFOSTSIB
Item Wording: [Student's first name/your 9th-grader]'s foster brother(s) and/or sister(s)

Question/Prompt

Response

GENERIC PROBES

Ask this probe AFTER the respondent has answered the question.

Can you tell me, in your own words, what this question is asking? Please try to explain without repeating the wording of the question.

_______________________________________________________________

How easy or difficult was it to answer this question? Would you say it was very easy, somewhat easy, somewhat difficult, or very difficult?

IF SOMEWHAT OR VERY DIFFICULT: What can we do to make it easier to answer this question?

 Very easy  Somewhat easy  Somewhat difficult  Very difficult

_______________________________________________________________

ITEM SPECIFIC PROBES

How did you come up with your answer?

_______________________________________________________________

Does [Student's first name/your 9th-grader] live in more than one household?

IF YES: What household(s) were you thinking about when answering the question? Why?

How did you decide who to include and who not to include in your answer?

PROBE: Does [Student’s first name/your 9th-grader] have any siblings that you did not include in your answer? Why did you not include them in your answer?

_______________________________________________________________

Record observations and comments here

_______________________________________________________________

Shape62

HP0NOSIBINHS

Question Wording:
How many of [Student's first name/your 9th-grader]'s siblings (including adopted, half-, step-, and foster brothers and sisters) are now in high school?
(Please enter '0' if none.)

Item Name: HP0NOSIBINHS
Item Wording: ____ siblings in high school

Question/Prompt

Response

GENERIC PROBES

Ask this probe AFTER the respondent has answered the question.

Can you tell me, in your own words, what this question is asking? Please try to explain without repeating the wording of the question.

_______________________________________________________________

How easy or difficult was it to answer this question? Would you say it was very easy, somewhat easy, somewhat difficult, or very difficult?

IF SOMEWHAT OR VERY DIFFICULT: What can we do to make it easier to answer this question?

 Very easy  Somewhat easy  Somewhat difficult  Very difficult

_______________________________________________________________

ITEM SPECIFIC PROBES

How did you come up with your answer?

_______________________________________________________________

Does [Student's first name/your 9th-grader] live in more than one household?

IF YES: What household(s) were you thinking about when answering the question? Why?

IF YES: How did you decide who to include and who not to include in your answer?

PROBE: Does [Student’s first name/your 9th-grader] have any siblings that you did not include in your answer? Why did you not include them in your answer?

_______________________________________________________________

Record observations and comments here

_______________________________________________________________

Shape63

HP0CINTRO

Question Wording:

Now we will ask you about the backgrounds of [you/[Student's first name/your 9th-grader]'s [biological mother/biological father/adoptive mother/adoptive father/stepmother/stepfather/foster mother/foster father/parent]] and [Student's first name/your 9th-grader].

Please click the “Next” button to continue.

Shape64

HP0P1HISPANIC

Question Wording:
[Are/Is] [you/[Student's first name/your 9th-grader]'s [biological mother/biological father/adoptive mother/adoptive father/stepmother/stepfather/foster mother/foster father/parent]] Hispanic or [Latino/Latina]?

Item Name: HP0P1HISPANIC

1=Yes
0=No

Help Text:
Hispanic or [Latino/Latina]: Hispanic or [Latino/Latina] refers to people of Mexican, Cuban, Dominican, Puerto Rican, Central American or South American origin or descendants of another Spanish culture.

Shape65

HP0P1RACE

Question Wording:

[If HP0P1HISPANIC = 1 then fill: In addition to learning about [your/[Student's first name/your 9th-grader]'s [biological mother/biological father/adoptive mother/adoptive father/stepmother/stepfather/foster mother/foster father/parent]'s] Hispanic background, we would also like to know about [your/[Student's first name/your 9th-grader]'s parent's/his/her] racial background.]

Which of the following choices describe [your/[Student's first name/your 9th-grader]'s [biological mother/biological father/adoptive mother/adoptive father/stepmother/stepfather/foster mother/foster father/parent]'s] race?

(Check all that apply.)

Item Name: HP0P1WHITE
Item Wording: White

Item Name: HP0P1BLACK
Item Wording: Black or African American

Item Name: HP0P1ASIAN
Item Wording: Asian

Item Name: HP0P1HAWAIIAN
Item Wording: Native Hawaiian or other Pacific Islander

Item Name: HP0P1AMERINDI
Item Wording: American Indian or Alaska Native

Help Text:

In compliance with federal standards for collecting information on race and ethnicity, racial background is asked for people of Hispanic or Latino/Latina ethnicity.

White: People with origins or cultural backgrounds from Europe, the Middle East, or North Africa. This includes, for example, people from Germany, Ireland, England, Italy, Lebanon, and Egypt.

Question/Prompt

Response

GENERIC PROBES

Ask this probe AFTER the respondent has answered the question.

How easy or difficult was it to answer this question? Would you say it was very easy, somewhat easy, somewhat difficult, or very difficult?

IF SOMEWHAT OR VERY DIFFICULT: What can we do to make it easier to answer this question?

 Very easy  Somewhat easy  Somewhat difficult  Very difficult

_______________________________________________________________

Question/Prompt

Response

ITEM SPECIFIC PROBES

INSTRUCT PARENT TO OPEN AND REVIEW HELP TEXT FOR RACE. WHEN FINISHED REVIEW:

Would you say the help text is very helpful, somewhat helpful, somewhat unhelpful, or very unhelpful?

IF SOMEWHAT OR VERY UNHELPFUL: What can we do to make the help text more helpful for you to answer this question?

 Very helpful

 Somewhat helpful

 Somewhat unhelpful

 Very unhelpful

_______________________________________________________________

Record observations and comments here

_______________________________________________________________

Shape66

HP0P1BORNUS

Question Wording:
[Were/Was] [you/[Student's first name/your 9th-grader]'s [biological mother/biological father/adoptive mother/adoptive father/stepmother/stepfather/foster mother/foster father/parent]] born in the United States, in Puerto Rico or another U.S. territory, or in another country?

Item Name: HP0P1BORNUS

1=United States
2=Puerto Rico or another U.S. territory
3=Another country

Shape67

HP0P1BRNCNTRY

Question Wording:
In which country [were/was] [you/[Student's first name/your 9th-grader]'s [biological mother/biological father/adoptive mother/adoptive father/stepmother/stepfather/foster mother/foster father/parent]] born?

(Enter the country and select from the resulting options. If you can't find [your/[Student's first name/your 9th-grader]'s [biological mother/biological father/adoptive mother/adoptive father/stepmother/stepfather/foster mother/foster father/parent]'s] country, click "Country not listed” and click "Next.”)

Interviewer Notes

Check if respondent displays:  Confusion  Uncertainty  Frustration  Difficulty

[If yes] Describe:

____________________________________________________________________________________________________

Question/Prompt

Response

GENERIC PROBES

Ask this probe AFTER the respondent has answered the question.

How easy or difficult was it to answer this question? Would you say it was very easy, somewhat easy, somewhat difficult, or very difficult?

IF SOMEWHAT OR VERY DIFFICULT: What can we do to make it easier to answer this question?

 Very easy  Somewhat easy  Somewhat difficult  Very difficult

_______________________________________________________________

ITEM SPECIFIC PROBES

Were the instructions helpful to you? (point to parentheses)

IF NEEDED: Why or why not?

_______________________________________________________________

Is there anything about the way this question appears on your screen or functions that you would change if you could?

IF YES: What would you change? Why?

 Yes

 No

_______________________________________________________________

Record observations and comments here

_______________________________________________________________

Shape68

HP0NENGHOM

Question Wording:
Is any language other than English regularly spoken in your home?

Item Name: HP0NENGHOM

1=Yes
0=No

Shape69

HP0CHDEVERELL

Question Wording:
Has [Student's first name/your 9th-grader] ever been enrolled in a program for English Language Learners (ELLs) such as English as a Second Language (ESL), English immersion, or bilingual education?

Item Name: HP0CHDEVERELL

1=Yes
0=No
99=Don't know

Question/Prompt

Response

GENERIC PROBES

Ask this probe AFTER the respondent has answered the question.

Can you tell me, in your own words, what this question is asking? Please try to explain without repeating the wording of the question.

_______________________________________________________________

How easy or difficult was it to answer this question? Would you say it was very easy, somewhat easy, somewhat difficult, or very difficult?

IF SOMEWHAT OR VERY DIFFICULT: What can we do to make it easier to answer this question?

 Very easy  Somewhat easy  Somewhat difficult  Very difficult

_______________________________________________________________

ITEM SPECIFIC PROBES

In your own words, what does “program for English Language Learners” mean to you? Please provide examples.

_______________________________________________________________

IF SELECTED DON’T KNOW: Please tell me why you chose the “don’t know” option.

_______________________________________________________________

How sure are you about your answer to this question? Would you say very sure, somewhat sure, somewhat unsure, or very unsure?

IF SOMEWHAT OR VERY UNSURE: What do you need to be more sure of your answer?

 Very sure

 Somewhat sure

 Somewhat unsure

 Very unsure

_______________________________________________________________

Record observations and comments here

_______________________________________________________________

Shape70

HP0DINTRO

Question Wording:

In this section we will ask you about plans for [Student's first name/your 9th-grader]’s future.

Please click the “Next” button to continue.

Shape71

HP0ADV

Question Wording:
[Have/Has][you/[Student's first name/your 9th-grader]'s [biological mother/biological father/adoptive mother/adoptive father/stepmother/stepfather/foster mother/foster father/parent]] [If household includes two parents then fill:and/or [your [spouse/partner]/[Student's first name/your 9th-grader]'s [biological mother/biological father/adoptive mother/other adoptive mother/adoptive father/other adoptive father/stepmother/stepfather/foster mother/other foster mother/foster father/other foster father/grandmother/other grandmother/grandfather/other grandfather/female relative/other female relative/male relative/other male relative/female guardian/other female guardian/male guardian/other male guardian/other parent/other parental figure]]] ever provided advice or information about the following to [Student's first name/your 9th-grader]?
(Select one for each row.)

Item Name: HP0ADVCOURSE
Item Wording: Selecting courses or programs at school

Item Name: HP0ADVCOLEXAM
Item Wording: Plans and preparation for college entrance exams such as ACT, SAT, or ASVAB

Item Name: HP0ADVAPLYCOL
Item Wording: Applying to college or other schools after high school

Item Name: HP0ADVJOBS
Item Wording: Specific jobs [Student's first name/your 9th-grader] might apply for after high school

1=Yes
0=No

Help Text:
ASVAB: The ASVAB, or Armed Services Vocational Aptitude Battery, measures developed abilities and helps predict future academic and occupational success in the military.

Question/Prompt

Response

GENERIC PROBES

Ask this probe AFTER the respondent has answered the question.

Can you tell me, in your own words, what this question is asking? Please try to explain without repeating the wording of the question.

_______________________________________________________________

How easy or difficult was it to answer this question? Would you say it was very easy, somewhat easy, somewhat difficult, or very difficult?

IF SOMEWHAT OR VERY DIFFICULT: What can we do to make it easier to answer this question?

 Very easy  Somewhat easy  Somewhat difficult  Very difficult

_______________________________________________________________

Question/Prompt

Response

ITEM SPECIFIC PROBES

In your own words, what does “advice” mean to you? Please provide examples.

_______________________________________________________________

_________________________________________________________________________________________________________________________

How sure are you about your answers to this question? Would you say very sure, somewhat sure, somewhat unsure, or very unsure?

IF SOMEWHAT OR VERY UNSURE: What do you need to be more sure of your answers?

 Very sure

 Somewhat sure

 Somewhat unsure

 Very unsure

_______________________________________________________________

INSTRUCT PARENT TO OPEN AND REVIEW HELP TEXT FOR ASVAB. WHEN FINISHED REVIEW:

Would you say the help text is very helpful, somewhat helpful, somewhat unhelpful, or very unhelpful?

IF SOMEWHAT OR VERY UNHELPFUL: What can we do to make the help text more helpful for you to answer this question?

 Very helpful

 Somewhat helpful

 Somewhat unhelpful

 Very unhelpful

_______________________________________________________________

Record observations and comments here

_______________________________________________________________

Shape72

HP0DESRDLEVED

Question Wording:
If there were no barriers, how far in school would you want [Student's first name/your 9th-grader] to go?

Item Name: HP0DESRDLEVED

Help Text:

Less than high school completion: Not receive a high school diploma or equivalent.

Complete an associate's degree: An associate's degree (AA, AS, AAS, AGE, etc.) usually requires at least 2, but less than 4 years, of full-time college-level work.

Complete a bachelor's degree: A bachelor's degree (BA, BS, etc.) usually requires at least 4 years of full-time college-level work.

Complete a master's degree: A master's degree (MA, MS, MBA, MFA, etc.) usually requires at least 2 years of full-time graduate-level work, and may require a thesis or a practicum.

Question/Prompt

Response

GENERIC PROBES

Ask this probe AFTER the respondent has answered the question.

Can you tell me, in your own words, what this question is asking? Please try to explain without repeating the wording of the question.

_______________________________________________________________

Did you find any words or parts of this question confusing?

IF YES: What did you find confusing? What could we do to make the question less confusing?

 Yes

 No

_______________________________________________________________

How easy or difficult was it to answer this question? Would you say it was very easy, somewhat easy, somewhat difficult, or very difficult?

IF SOMEWHAT OR VERY DIFFICULT: What can we do to make it easier to answer this question?

 Very easy  Somewhat easy  Somewhat difficult  Very difficult

_______________________________________________________________

ITEM SPECIFIC PROBES

How did you come up with your answer?

_______________________________________________________________

IF SELECTED DON’T KNOW: Please tell me why you chose the “don’t know” option.

_______________________________________________________________

How sure are you about your answer to this question? Would you say very sure, somewhat sure, somewhat unsure, or very unsure?

IF SOMEWHAT OR VERY UNSURE: What do you need to be more sure of your answer?

 Very sure

 Somewhat sure

 Somewhat unsure

 Very unsure

_______________________________________________________________

_______________________________________________________________ _______________________________________________________________

In your own words, what does “completed a certificate or diploma” mean to you? Please provide examples.

_______________________________________________________________

In your own words, what does “school that provides occupational training” mean to you? Please provide examples.

_______________________________________________________________

Looking at the third response option, was the example provided helpful to you? (point to example)

Why or why not?

_______________________________________________________________

Please say what, if any, differences you see between the second, third, and fourth response options.

_______________________________________________________________

Please say what, if any, differences you see between the sixth and seventh response options.

_______________________________________________________________

ITEM SPECIFIC PROBES

INSTRUCT PARENT TO OPEN AND REVIEW HELP TEXT FOR EDUCATION. WHEN FINISHED REVIEW:

Would you say the help text is very helpful, somewhat helpful, somewhat unhelpful, or very unhelpful?

IF SOMEWHAT OR VERY UNHELPFUL: What can we do to make the help text more helpful for you to answer this question?

 Very helpful

 Somewhat helpful

 Somewhat unhelpful

 Very unhelpful

_______________________________________________________________

Record observations and comments here

_______________________________________________________________

Shape73

HP0EXPCTLEVED

Question Wording:
As things stand now, how far in school do you think [Student's first name/your 9th-grader] will actually get?

Item Name: HP0EXPCTLEVED

Help Text:

Less than high school completion: Not receive a high school diploma or equivalent.

Complete an associate's degree: An associate's degree (AA, AS, AAS, AGE, etc.) usually requires at least 2, but less than 4 years, of full-time college-level work.

Complete a bachelor's degree: A bachelor's degree (BA, BS, etc.) usually requires at least 4 years of full-time college-level work.

Complete a master's degree: A master's degree (MA, MS, MBA, MFA, etc.) usually requires at least 2 years of full-time graduate-level work, and may require a thesis or a practicum.

Question/Prompt

Response

GENERIC PROBES

Ask this probe AFTER the respondent has answered the question.

Can you tell me, in your own words, what this question is asking? Please try to explain without repeating the wording of the question.

_______________________________________________________________

How easy or difficult was it to answer this question? Would you say it was very easy, somewhat easy, somewhat difficult, or very difficult?

IF SOMEWHAT OR VERY DIFFICULT: What can we do to make it easier to answer this question?

 Very easy  Somewhat easy  Somewhat difficult  Very difficult

_______________________________________________________________

ITEM SPECIFIC PROBES

How did you come up with your answer?

_______________________________________________________________

IF SELECTED DON’T KNOW: Please tell me why you chose the “don’t know” option.

_______________________________________________________________

What is the difference, if any, between this question and the previous question?

_______________________________________________________________

How sure are you about your answer to this question? Would you say very sure, somewhat sure, somewhat unsure, or very unsure?

IF SOMEWHAT OR VERY UNSURE: What do you need to be more sure of your answer?

 Very sure

 Somewhat sure

 Somewhat unsure

 Very unsure

_______________________________________________________________

Record observations and comments here

_______________________________________________________________

Shape74

HP0HLPPAYCHED

Question Wording:
Do you or does anyone in your family plan to help [Student's first name/your 9th-grader] pay for [his/her/your 9th-grader's/[Student's first name]'s] education after high school?

Item Name: HP0HLPPAYCHED

1=Yes
0=No
98=You have not thought about this yet.

Shape75

HP0AMTSVDCHED

Question Wording:
About how much money do you expect to have set aside for [Student's first name/your 9th-grader]'s future education by the time [he/she/your 9th-grader/[Student's first name]] finishes high school?

Item Name: HP0AMTSVDCHED

1=None
2=$2,000 or less
3=$2,001-$5,000
4=$5,001-$10,000
5=$10,001-$15,000
6=$15,001-$25,000
7=$25,001-$35,000
8=$35,001-$60,000
9=More than $60,000

Question/Prompt

Response

GENERIC PROBES

Ask this probe AFTER the respondent has answered the question.

Can you tell me, in your own words, what this question is asking? Please try to explain without repeating the wording of the question.

_______________________________________________________________

How easy or difficult was it to answer this question? Would you say it was very easy, somewhat easy, somewhat difficult, or very difficult?

IF SOMEWHAT OR VERY DIFFICULT: What can we do to make it easier to answer this question?

 Very easy  Somewhat easy  Somewhat difficult  Very difficult

_______________________________________________________________

ITEM SPECIFIC PROBES

How did you come up with your answer?

_______________________________________________________________

In your own words, what does “future education” mean to you? Please provide examples.

_______________________________________________________________

Whose savings were you thinking about when answering this question? For example, your savings, your child’s, contributions from a relative, etc.

_______________________________________________________________

Do you expect others in or outside of your household to set aside money for your child’s future education?

IF YES: Did you include this money in your answer? Why or why not?

_______________________________________________________________

How sure are you about your answer to this question? Would you say very sure, somewhat sure, somewhat unsure, or very unsure?

IF SOMEWHAT OR VERY UNSURE: What do you need to be more sure of your answer?

 Very sure

 Somewhat sure

 Somewhat unsure

 Very unsure

_______________________________________________________________

Record observations and comments here

_______________________________________________________________

Shape76

HP0EINTRO

Question Wording:

Next we will ask you about [your/[Student's first name/your 9th-grader]'s [biological mother/biological father/adoptive mother/adoptive father/stepmother/stepfather/foster mother/foster father/parent]'s] employment.

Please click the “Next” button to continue.

Shape77

HP0P1EMPLOYED

Question Wording:
During the past week, did [you/[Student's first name/your 9th-grader]'s [biological mother/biological father/adoptive mother/adoptive father/stepmother/stepfather/foster mother/foster father/parent]] work at a job for pay or income?

Item Name: HP0P1EMPLOYED

1=Yes
0=No

Help Text:

Include any work for pay, even for as little as one hour.

Question/Prompt

Response

GENERIC PROBES

Ask this probe AFTER the respondent has answered the question.

Can you tell me, in your own words, what this question is asking? Please try to explain without repeating the wording of the question.

_______________________________________________________________

How easy or difficult was it to answer this question? Would you say it was very easy, somewhat easy, somewhat difficult, or very difficult?

IF SOMEWHAT OR VERY DIFFICULT: What can we do to make it easier to answer this question?

 Very easy  Somewhat easy  Somewhat difficult  Very difficult

_______________________________________________________________

ITEM SPECIFIC PROBES

In your own words, what does “past week” mean to you?

_______________________________________________________________

In your own words, what does “job for pay or income” mean to you? Please provide examples.

_______________________________________________________________

If you were on vacation or leave in the past week, how would you answer this question?

_______________________________________________________________

INSTRUCT PARENT TO OPEN AND REVIEW HELP TEXT FOR WORK FOR PAY. WHEN FINISHED REVIEW:

Would you say the help text is very helpful, somewhat helpful, somewhat unhelpful, or very unhelpful?

IF SOMEWHAT OR VERY UNHELPFUL: What can we do to make the help text more helpful for you to answer this question?

 Very helpful

 Somewhat helpful

 Somewhat unhelpful

 Very unhelpful

_______________________________________________________________

Record observations and comments here

_______________________________________________________________

Shape78

HP0P1WRKLEAVE

Question Wording:
During the past week, [were/was] [you/[Student's first name/your 9th-grader]'s [biological mother/biological father/adoptive mother/adoptive father/stepmother/stepfather/foster mother/foster father/parent]] on leave or vacation from a job?

Item Name: HP0P1WRKLEAVE

1=Yes
0=No

Question/Prompt

Response

GENERIC PROBES

Ask this probe AFTER the respondent has answered the question.

Can you tell me, in your own words, what this question is asking? Please try to explain without repeating the wording of the question.

_______________________________________________________________

How easy or difficult was it to answer this question? Would you say it was very easy, somewhat easy, somewhat difficult, or very difficult?

IF SOMEWHAT OR VERY DIFFICULT: What can we do to make it easier to answer this question?

 Very easy  Somewhat easy  Somewhat difficult  Very difficult

_______________________________________________________________

ITEM SPECIFIC PROBES

In your own words, what does “on leave” mean to you? Please provide examples.

_______________________________________________________________

In your own words, what does “on vacation” mean to you? Please provide examples.

_______________________________________________________________

Record observations and comments here

_______________________________________________________________

Shape79

HP0P1WORKSTAT

Question Wording:
What [were/was] [you/[Student's first name/your 9th-grader]'s [biological mother/biological father/adoptive mother/adoptive father/stepmother/stepfather/foster mother/foster father/parent]] doing most of last week? Would you say…

Item Name: HP0P1WORKSTAT

1=Keeping house or caring for children?
2=Going to school?
3=Retired?
4=Unable to work?
99=Something else?

Question/Prompt

Response

GENERIC PROBES

Ask this probe AFTER the respondent has answered the question.

Can you tell me, in your own words, what this question is asking? Please try to explain without repeating the wording of the question.

_______________________________________________________________

Did you find any words or parts of this question confusing?

IF YES: What did you find confusing? What could we do to make the question less confusing?

 Yes

 No

_______________________________________________________________

How easy or difficult was it to answer this question? Would you say it was very easy, somewhat easy, somewhat difficult, or very difficult?

IF SOMEWHAT OR VERY DIFFICULT: What can we do to make it easier to answer this question?

 Very easy  Somewhat easy  Somewhat difficult  Very difficult

_______________________________________________________________

ITEM SPECIFIC PROBES

SUBITEM A: In your own words, what does “Keeping house or caring for children” mean to you? Please provide examples. Is there another word or phrase you would use instead?

_______________________________________________________________

IF SELECTED SOMETHING ELSE: Please tell me why you chose the option for “Something else.”

_______________________________________________________________

Record observations and comments here

_______________________________________________________________

Shape80

HP0P1EVERWORK

1=Yes
0=No

Shape81

HP0P1HOURWORK

Question Wording:
About how many total hours per week [do/does/did] [you/[Student's first name/your 9th-grader]'s [biological mother/biological father/adoptive mother/adoptive father/stepmother/stepfather/foster mother/foster father/parent]] usually work for pay or income, counting all jobs?
(Please enter '0' if none.)

Item Name: HP0P1HOURWORK
Item Wording: ____ hours

Shape82

HP0P1JOB

Question Wording:

[What is [your/[Student's first name/your 9th-grader]'s [biological mother/biological father/adoptive mother/adoptive father/stepmother/stepfather/foster mother/foster father/parent]'s] current / In [your/[Student's first name/your 9th-grader]'s parent's/his/her] most recent job, what was [your/[Student's first name/your 9th-grader]'s [biological mother/biological father/adoptive mother/adoptive father/stepmother/stepfather/foster mother/foster father/parent]'s]] job title (For example: 4th-grade teacher, apprentice plumber)? If [you/[Student's first name/your 9th-grader]'s parent/he/she] [have/has/had] more than one job, describe the one at which [you/[Student's first name/your 9th-grader]'s parent/he/she] [work/works/worked] the most hours.

(Select the closest match from the options returned. If you are unable to find a close match for [your/[Student's first name/your 9th-grader]'s parent's/his/her] job title, click "Job title not listed.”)

Item Name: HP0P1JOBTLTXT

Item Name: HP0P1JOB2
Item Wording: General Area:

Item Name: HP0P1JOB3
Item Wording: Specific Area:

Item Name: HP0P1JOB6
Item Wording: Detailed Occupation Classification:

Item Name: HP0P1CODEWORDING
Item Wording: [If interviewer-administered then fill: (]Please help us categorize [your/[Student's first name/your 9th-grader]'s [biological mother/biological father/adoptive mother/adoptive father/stepmother/stepfather/foster mother/foster father/parent]'s] job using the dropdown boxes displayed. Using the arrow at the right side of the first dropdown, you can display the general areas. Please click to select the desired general area, then select [your/[Student's first name/your 9th-grader]'s parent's/his/her] specific area from the second dropdown, and detailed occupation classification from the last dropdown.[If interviewer-administered then fill: )]

Item Name: HP0P1SPECIFICWORDING
Item Wording: [If interviewer-administered then fill: (][Your/[Student's first name/Your 9th-grader]'s [biological mother/biological father/adoptive mother/adoptive father/stepmother/stepfather/foster mother/foster father/parent]'s] job title could be classified into more than one category. Please select the specific category that best describes [your/[Student's first name/your 9th-grader]'s parent's/his/her] job.[If interviewer-administered then fill: )]

Interviewer Notes

Check if respondent displays:  Confusion  Uncertainty  Frustration  Difficulty

[If yes] Describe:

________________________________________________________________________________________

Question/Prompt

Response

GENERIC PROBES

Ask this probe AFTER the respondent has answered the question.

Did you find any words or parts of this question confusing?

IF YES: What did you find confusing? What could we do to make the question less confusing?


 Yes	 No

_______________________________________________________________

How easy or difficult was it to answer this question? Would you say it was very easy, somewhat easy, somewhat difficult, or very difficult?

IF SOMEWHAT OR VERY DIFFICULT: What can we do to make it easier to answer this question?

 Very easy  Somewhat easy  Somewhat difficult  Very difficult

_______________________________________________________________

ITEM SPECIFIC PROBES

In your own words, what does “job title” mean to you? Please provide examples.

_______________________________________________________________

Were the examples provided helpful to you? (point to parentheses)

Why or why not?

_______________________________________________________________

Is there anything about the way this question appears on your screen or functions that you would change if you could?

IF YES: What would you change? Why?

 Yes

 No

_______________________________________________________________

Record observations and comments here

_______________________________________________________________

Shape83

HP0P1JOBDUTY

Question Wording:
What [are/were] [your/[Student's first name/your 9th-grader]'s [biological mother/biological father/adoptive mother/adoptive father/stepmother/stepfather/foster mother/foster father/parent]'s] job duties [If HP0P1JOBTLTXT = not blank then fill: as a/an [HP0P1JOBTLTXT]] (For example: instruct and evaluate students and create lesson plans; assemble and install pipe sections and review building plans for work details)?

Question/Prompt

Response

GENERIC PROBES

Ask this probe AFTER the respondent has answered the question.

Did you find any words or parts of this question confusing?

IF YES: What did you find confusing? What could we do to make the question less confusing?


 Yes	 No

_______________________________________________________________

How easy or difficult was it to answer this question? Would you say it was very easy, somewhat easy, somewhat difficult, or very difficult?

IF SOMEWHAT OR VERY DIFFICULT: What can we do to make it easier to answer this question?

 Very easy  Somewhat easy  Somewhat difficult  Very difficult

_______________________________________________________________

ITEM SPECIFIC PROBES

In your own words, what does “job duties” mean to you? Please provide examples.

_______________________________________________________________

Were the examples provided helpful to you? (point to parentheses)

Why or why not?

_______________________________________________________________

Record observations and comments here

_______________________________________________________________

Shape84

HP0P1MILITARY

Question Wording:
[Are/Is] [you/[Student's first name/your 9th-grader]'s [biological mother/biological father/adoptive mother/adoptive father/stepmother/stepfather/foster mother/foster father/parent]] currently serving on active duty in the U.S. Armed Forces, Reserves, or National Guard?

Item Name: HP0P1MILITARY

1=Yes
0=No

Help Text:
Active duty means full-time employment in the uniformed service as an officer or enlisted person. Civilian employees of the military are not included. Active duty does not include training for the Reserves or National Guard, but does include activation.

Question/Prompt

Response

GENERIC PROBES

Ask this probe AFTER the respondent has answered the question.

How easy or difficult was it to answer this question? Would you say it was very easy, somewhat easy, somewhat difficult, or very difficult?

IF SOMEWHAT OR VERY DIFFICULT: What can we do to make it easier to answer this question?

 Very easy  Somewhat easy  Somewhat difficult  Very difficult

_______________________________________________________________

ITEM SPECIFIC PROBES

INSTRUCT PARENT TO OPEN AND REVIEW HELP TEXT FOR ACTIVE DUTY. WHEN FINISHED REVIEW:

Would you say the help text is very helpful, somewhat helpful, somewhat unhelpful, or very unhelpful?

IF SOMEWHAT OR VERY UNHELPFUL: What can we do to make the help text more helpful for you to answer this question?

 Very helpful

 Somewhat helpful

 Somewhat unhelpful

 Very unhelpful

_______________________________________________________________

Record observations and comments here

_______________________________________________________________

Shape85

HP0NUMDEPEN

Question Wording:
Altogether, how many people are dependent upon [you/[Student's first name/your 9th-grader]'s [biological mother/biological father/adoptive mother/adoptive father/stepmother/stepfather/foster mother/foster father/parent]] [If household includes two parents then fill: or [your [spouse/partner]/[Student's first name/your 9th-grader]'s [biological mother/biological father/adoptive mother/other adoptive mother/adoptive father/other adoptive father/stepmother/stepfather/foster mother/other foster mother/foster father/other foster father/grandmother/other grandmother/grandfather/other grandfather/female relative/other female relative/male relative/other male relative/female guardian/other female guardian/male guardian/other male guardian/other parent/other parental figure]]]? Count everyone (besides [yourself/[Student's first name/your 9th-grader]'s [biological mother/biological father/adoptive mother/adoptive father/stepmother/stepfather/foster mother/foster father/parent]] [If household includes two parents then fill: and [your [spouse/partner]/[Student's first name/your 9th-grader]'s [biological mother/biological father/adoptive mother/other adoptive mother/adoptive father/other adoptive father/stepmother/stepfather/foster mother/other foster mother/foster father/other foster father/grandmother/other grandmother/grandfather/other grandfather/female relative/other female relative/male relative/other male relative/female guardian/other female guardian/male guardian/other male guardian/other parent/other parental figure]]]) who receives one-half or more of their financial support from [you/[Student's first name/your 9th-grader]'s [biological mother/biological father/adoptive mother/adoptive father/stepmother/stepfather/foster mother/foster father/parent]] [If household includes two parents then fill: or [your [spouse/partner]/[Student's first name/your 9th-grader]'s [biological mother/biological father/adoptive mother/other adoptive mother/adoptive father/other adoptive father/stepmother/stepfather/foster mother/other foster mother/foster father/other foster father/grandmother/other grandmother/grandfather/other grandfather/female relative/other female relative/male relative/other male relative/female guardian/other female guardian/male guardian/other male guardian/other parent/other parental figure]]]. Include individuals not living with [you/[Student's first name/your 9th-grader]'s [biological mother/biological father/adoptive mother/adoptive father/stepmother/stepfather/foster mother/foster father/parent]] [If household includes two parents then fill: and [your [spouse/partner]/[Student's first name/your 9th-grader]'s [biological mother/biological father/adoptive mother/other adoptive mother/adoptive father/other adoptive father/stepmother/stepfather/foster mother/other foster mother/foster father/other foster father/grandmother/other grandmother/grandfather/other grandfather/female relative/other female relative/male relative/other male relative/female guardian/other female guardian/male guardian/other male guardian/other parent/other parental figure]]].

Total number of dependents (not counting [you/[Student's first name/your 9th-grader]'s [biological mother/biological father/adoptive mother/adoptive father/stepmother/stepfather/foster mother/foster father/parent]] [If household includes two parents then fill: or [your [spouse/partner]/[Student's first name/your 9th-grader]'s [biological mother/biological father/adoptive mother/other adoptive mother/adoptive father/other adoptive father/stepmother/stepfather/foster mother/other foster mother/foster father/other foster father/grandmother/other grandmother/grandfather/other grandfather/female relative/other female relative/male relative/other male relative/female guardian/other female guardian/male guardian/other male guardian/other parent/other parental figure]]]):

(Please enter '0' if none.)

Item Name: HP0NUMDEPEN
Item Wording:

____ dependents

Question/Prompt

Response

GENERIC PROBES

Ask this probe AFTER the respondent has answered the question.

Can you tell me, in your own words, what this question is asking? Please try to explain without repeating the wording of the question.

_______________________________________________________________

Did you find any words or parts of this question confusing?

IF YES: What did you find confusing? What could we do to make the question less confusing?


 Yes	 No

_______________________________________________________________

How easy or difficult was it to answer this question? Would you say it was very easy, somewhat easy, somewhat difficult, or very difficult?

IF SOMEWHAT OR VERY DIFFICULT: What can we do to make it easier to answer this question?

 Very easy  Somewhat easy  Somewhat difficult  Very difficult

_______________________________________________________________

ITEM SPECIFIC PROBES

How did you come up with your answer? How did you decide who to include and who not to include?

_______________________________________________________________

How sure are you about your answer to this question? Would you say very sure, somewhat sure, somewhat unsure, or very unsure?

IF SOMEWHAT OR VERY UNSURE: What do you need to be more sure of your answer?

 Very sure

 Somewhat sure

 Somewhat unsure

 Very unsure

_______________________________________________________________

Record observations and comments here

_______________________________________________________________

Shape86

HP0FINTRO

Question Wording:

Next we will ask you about [Student's first name/your 9th-grader]’s home life, health, and wellness.

Please click the “Next” button to continue.

Shape87

HP0CHTIMATADD

Question Wording:

How long has [Student's first name/your 9th-grader] lived at [his/her/your 9th-grader's/[Student's first name]'s] current residence?

Item Name: HP0CHTIMATADD

-9=- select one -
0=Less than 1 year
1=1 year
2=2 years
3=3 years
4=4 years
5=5 years
6=6 years
7=7 years
8=8 years
9=9 years
10=10 years
11=11 years
12=12 years
13=13 years
14=14 years
15=15 years
16=16 years
17=17 years or over
99=Don't know

Shape88

HP0CHNORESID

Question Wording:
Since [Student's first name/your 9th-grader] started kindergarten, in how many different places (houses, apartments, etc.) has [he/she/your 9th-grader/[Student's first name]] lived for four months or more?

Item Name: HP0CHNORESID

-9=- Select number of places -
0=0
1=1
2=2
3=3
4=4
5=5
6=6
7=7
8=8
9=9
10=10 or more
99=Don't know

Question/Prompt	Response
GENERIC PROBES
Ask this probe AFTER the respondent has answered the question. Can you tell me, in your own words, what this question is asking? Please try to explain without repeating the wording of the question.	_______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________ _______________________________________________________________
How easy or difficult was it to answer this question? Would you say it was very easy, somewhat easy, somewhat difficult, or very difficult? IF SOMEWHAT OR VERY DIFFICULT: What can we do to make it easier to answer this question?	 Very easy  Somewhat easy  Somewhat difficult  Very difficult _______________________________________________________________ _______________________________________________________________ _______________________________________________________________

ITEM SPECIFIC PROBES

Were the examples provided helpful to you? (point to parentheses)

Why or why not?

_______________________________________________________________

Was the phrase “four months or more” helpful to you? (point to phrase)

Why or why not?

_______________________________________________________________

IF SELECTED DON’T KNOW: Please tell me why you chose the “don’t know” option.

_______________________________________________________________

Record observations and comments here

_______________________________________________________________

Shape89

HP0EATWCHLD

Question Wording:
In a typical week how many days do you eat at least one meal with [Student's first name/your 9th-grader]?

Item Name: HP0EATWCHLD

0=0 days a week
1=1 day a week
2=2 days a week
3=3 days a week
4=4 days a week
5=5 days a week
6=6 days a week
7=7 days a week

Question/Prompt

Response

GENERIC PROBES

Ask this probe AFTER the respondent has answered the question.

Can you tell me, in your own words, what this question is asking? Please try to explain without repeating the wording of the question.

_______________________________________________________________

Did you find any words or parts of this question confusing?

IF YES: What did you find confusing? What could we do to make the question less confusing?


 Yes	 No

_______________________________________________________________

How easy or difficult was it to answer this question? Would you say it was very easy, somewhat easy, somewhat difficult, or very difficult?

IF SOMEWHAT OR VERY DIFFICULT: What can we do to make it easier to answer this question?

 Very easy  Somewhat easy  Somewhat difficult  Very difficult

_______________________________________________________________

Record observations and comments here

_______________________________________________________________

Shape90

HP0RKNOWFRND

Question Wording:
How many of [Student's first name/your 9th-grader]'s friends do you know?

Item Name: HP0RKNOWFRND

1=None
2=Some
3=About half
4=Most
5=All or almost all

Question/Prompt

Response

GENERIC PROBES

Ask this probe AFTER the respondent has answered the question.

Can you tell me, in your own words, what this question is asking? Please try to explain without repeating the wording of the question.

_______________________________________________________________

How easy or difficult was it to answer this question? Would you say it was very easy, somewhat easy, somewhat difficult, or very difficult?

IF SOMEWHAT OR VERY DIFFICULT: What can we do to make it easier to answer this question?

 Very easy  Somewhat easy  Somewhat difficult  Very difficult

_______________________________________________________________

ITEM SPECIFIC PROBES

How did you come up with your answer?

IF NEEDED: Can you provide some examples that you considered when answering this question?

_______________________________________________________________

How sure are you about your answer to this question? Would you say very sure, somewhat sure, somewhat unsure, or very unsure?

IF SOMEWHAT OR VERY UNSURE: What do you need to be more sure of your answer?

 Very sure

 Somewhat sure

 Somewhat unsure

 Very unsure

_______________________________________________________________

Record observations and comments here

_______________________________________________________________

Shape91

HP0TECHRULES

Question Wording:
Does your family have rules about…
(Select one for each row.)

Item Name: HP0WHOTECH
Item Wording: Who [Student's first name/your 9th-grader] can text, message, video chat, email, or play online games with?

Item Name: HP0WHENTECH
Item Wording: When [Student's first name/your 9th-grader] can text, message, video chat, email, or play online games?

Item Name: HP0HOWMCHTECH
Item Wording: How much time [Student's first name/your 9th-grader] can spend using technology (for example, a limit on “screen time” hours per day)?

1=Yes
0=No

Question/Prompt

Response

GENERIC PROBES

Ask this probe AFTER the respondent has answered the question.

Can you tell me, in your own words, what these questions are asking? Please try to explain without repeating the wording of the questions.

_______________________________________________________________

Did you find any words or parts of these questions confusing?

IF YES: What did you find confusing? What could we do to make the questions less confusing?


 Yes	 No

_______________________________________________________________

How easy or difficult was it to answer these questions? Would you say it was very easy, somewhat easy, somewhat difficult, or very difficult?

IF SOMEWHAT OR VERY DIFFICULT: What can we do to make it easier to answer these questions?

Subitem A (HP0WHOTECH):

 Very easy  Somewhat easy  Somewhat difficult  Very difficult

Subitem B (HP0WHENTECH):

 Very easy  Somewhat easy  Somewhat difficult  Very difficult

Subitem C (HP0HOWMCHTECH):

 Very easy  Somewhat easy  Somewhat difficult  Very difficult

_______________________________________________________________

ITEM SPECIFIC PROBES

How did you come up with your answers?

IF NEEDED: Can you provide some examples that you considered when answering these questions?

_______________________________________________________________

How sure are you about your answers to these questions? Would you say very sure, somewhat sure, somewhat unsure, or very unsure?

IF SOMEWHAT OR VERY UNSURE: What do you need to be more sure of your answers?

 Very sure

 Somewhat sure

 Somewhat unsure

 Very unsure

_______________________________________________________________

Record observations and comments here

_______________________________________________________________

Shape92

HP0DAYSSICK

Question Wording:
How many days of school has [Student's first name/your 9th-grader] missed in the past 30 days due to health issues?
(Please enter '0' if none.)

Item Name: HP0DAYSSICK
Item Wording: ____ days

Question/Prompt

Response

GENERIC PROBES

Ask this probe AFTER the respondent has answered the question.

Can you tell me, in your own words, what this question is asking? Please try to explain without repeating the wording of the question.

_______________________________________________________________

How easy or difficult was it to answer this question? Would you say it was very easy, somewhat easy, somewhat difficult, or very difficult?

IF SOMEWHAT OR VERY DIFFICULT: What can we do to make it easier to answer this question?

 Very easy  Somewhat easy  Somewhat difficult  Very difficult

_______________________________________________________________

ITEM SPECIFIC PROBES

How did you come up with your answer?

_______________________________________________________________

In your own words, what does “health issues” mean to you? Please provide examples.

_______________________________________________________________

What types of “health issues” would you consider or exclude when providing your response to this question? Be as specific or general as you would like.

_______________________________________________________________

Record observations and comments here

_______________________________________________________________

Shape93

HP0CHEVERIEP

Question Wording:
Has [Student's first name/your 9th-grader] ever had an Individualized Education Program (IEP) or Instructional/Individual Services Plan (ISP)?

Item Name: HP0CHEVERIEP

1=Yes
0=No
99=Don't know

Help Text:

Individualized Education Program (IEP): A written statement for each student with a disability that sets goals for the student in school, says how progress will be measured, describes the special education and related services the school will provide, how much the student will be in the regular class with students without disabilities, and lists accommodations or modifications needed to measure what the student knows through tests.

Instructional/Individual Services Plan (ISP): A plan paid for by a local school district for students with disabilities who attend private schools. It spells out the special education and related services that will be made available to a student. Services may be offered through a private school or a local education agency (LEA).

Question/Prompt

Response

GENERIC PROBES

Ask this probe AFTER the respondent has answered the question.

How easy or difficult was it to answer this question? Would you say it was very easy, somewhat easy, somewhat difficult, or very difficult?

IF SOMEWHAT OR VERY DIFFICULT: What can we do to make it easier to answer this question?

 Very easy  Somewhat easy  Somewhat difficult  Very difficult

_______________________________________________________________

ITEM SPECIFIC PROBES

INSTRUCT PARENT TO OPEN AND REVIEW HELP TEXT FOR IEP/ISP. WHEN FINISHED REVIEW:

Would you say the help text is very helpful, somewhat helpful, somewhat unhelpful, or very unhelpful?

IF SOMEWHAT OR VERY UNHELPFUL: What can we do to make the help text more helpful for you to answer this question?

 Very helpful

 Somewhat helpful

 Somewhat unhelpful

 Very unhelpful

_______________________________________________________________

Record observations and comments here

_______________________________________________________________

Shape94

HP0CHHASIEP

Question Wording:
Does [Student's first name/your 9th-grader] still have an [IEP/ISP]?

Item Name: HP0CHHASIEP

1=Yes
0=No
99=Don't know

Shape95

HP0CHNEEDSIEP

Question Wording:
Do you believe [Student's first name/your 9th-grader] should have an [IEP/ISP]?

Item Name: HP0CHNEEDSIEP

1=Yes
0=No
99=Don't know

Question/Prompt

Response

GENERIC PROBES

Ask this probe AFTER the respondent has answered the question.

Can you tell me, in your own words, what this question is asking? Please try to explain without repeating the wording of the question.

_______________________________________________________________

How easy or difficult was it to answer this question? Would you say it was very easy, somewhat easy, somewhat difficult, or very difficult?

IF SOMEWHAT OR VERY DIFFICULT: What can we do to make it easier to answer this question?

 Very easy  Somewhat easy  Somewhat difficult  Very difficult

_______________________________________________________________

ITEM SPECIFIC PROBES

How did you come up with your answer?

IF SELECTED DON’T KNOW: Please tell me why you chose the “don’t know” option. Be as specific or general as you would like.

_______________________________________________________________

How sure are you about your answer to this question? Very sure, somewhat sure, somewhat unsure, or very unsure?

IF SOMEWHAT OR VERY UNSURE: What do you need to be more sure of your answer?

 Very sure

 Somewhat sure

 Somewhat unsure

 Very unsure

_______________________________________________________________

Record observations and comments here

_______________________________________________________________

Shape96

HP0PREEND

Question Wording:

You have reached the end of the survey.

You will not be able to log back into the survey after clicking "Next" on this screen.

If you would like to recheck any of your responses, use the "Previous” button to return to the desired screen(s). If you are comfortable with all of your responses, click "Next" to go to the final screen. This will set the survey as complete.

Shape97

HP0END

Question Wording:
These are all the questions we have for you for now. We appreciate you taking the time to complete the survey. Thank you very much for participating in HS&B:20! [If interviewer-administered then fill: (]Click "Finish" to complete and close the survey.[If interviewer-administered then fill: )]

General Debriefing and Thank You

Do you have any additional thoughts or comments about your general experience taking the survey (i.e., comments about usability)?

What did you like most about the features and functionality of the survey? Why?

What did you like the least about the features and functionality of the survey? Why?