High School and Beyond Longitudinal Study of 2021 (HS&B:21)
Base-Year Full-Scale Study Data Collection
OMB# 1850-0944 v.7
Supporting Statement Appendix B
Full-Scale Data Collection Instruments
Submitted by
National Center for Education Statistics
U.S. Department of Education
February 2020
edited August 2020
Appendix B1. Full-Scale Student Roster Template 1
Appendices B2-B8. Login Process 2
Appendices B2-B8. Respondent Identity Verification Screens 4
Appendices B2-B8. “Welcome/Welcome Back” Message 6
Appendices B2-B8. Inactivity Warning and Timeout Messages 7
Appendix B2. Student Questionnaire – English 9
Appendix B3. Student Questionnaire – Spanish 76
Appendix B4. Parent Questionnaire – English 140
Appendix B5. Parent Questionnaire – Spanish 237
Appendix B6. Administrator Questionnaire 334
Appendix B7. Math Teacher Questionnaire 391
Appendix B8. Counselor Questionnaire 427
Please note that all data collection instruments in this document, the student roster and all questionnaires, will be available only electronically (and not in a paper copy).
Appendix B1. Full-Scale Student Roster Template
Instructions: Please provide the information below for each student currently enrolled in the ninth grade at your school. This information will be used to select approximately 35 ninth grade students from your school for the study.
General Student information |
Race
|
Ethnicity |
ELL |
IEP/504 (Yes or No) sampled students only |
Parent Contact information |
Student's Math Teacher **(if no math class taken by student during fall semester, please indicate by NA (not applicable) in Math Course Name Column. PLEASE DO NOT LEAVE BLANK |
|||||||||||||||||||||||
StudentID |
FirstName |
LastName |
Suffix |
Grade |
Date
of birth |
Sex(M/F) |
White |
Black or African American |
Asian |
Native Hawaiian or Pacific Islander |
American Indian or Alaska Native |
Hispanic |
Yes/No |
Yes/No |
Parent's First Name |
Parent's Last Name |
Parent's Address |
Parent City |
Parent State |
Parent Zip |
Parent's Email |
Parent's Home Phone |
Parent's Cell Phone |
MathTeacherFirstName |
MathTeacherLastName |
MathTeacherEmail |
Math Course Name** |
Math Course Period/Section |
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The National Center for Education Statistics (NCES) is authorized to conduct the High School and Beyond Longitudinal Study of 2021 (HS&B:21) by the Education Sciences Reform Act of 2002 (ESRA 2002, 20 U.S.C. §9543) and to collect students’ education records from education agencies or institutions for the purposes of evaluating federally supported education programs under the Family Educational Rights and Privacy Act (FERPA, 34 CFR §§ 99.31(a)(3)(iii) and 99.35). The data are being collected for NCES by RTI International, a U.S.-based nonprofit research organization. All of the information [respondent type] provide may be used only for statistical purposes and may not be disclosed, or used, in identifiable form for any other purpose except as required by law (20 U.S.C. §9573 and 6 U.S.C. §151). The collected information will be combined across respondents to produce statistical reports.
According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this voluntary information collection is 1850-0944. Approval expires 08/31/2022. The time required to complete this information collection is estimated to average approximately 5 minutes per row, including the time to review instructions, gather the data needed, and complete and review the information collection. If you have any comments concerning the accuracy of the time estimate, suggestions for improving this information collection, or any comments or concerns regarding the status of your individual submission, please write directly to: The High School and Beyond Longitudinal Study of 2021 (HS&B:21), National Center for Education Statistics, PCP, 550 12th St., SW, Room 4005, Washington, DC 20202.
Appendices B2-B8. Login Process
The following is a sample screenshot of the login page.
The following text (English) will be visibly included on the survey’s login page.
The National Center for Education Statistics (NCES) is authorized to conduct the High School and Beyond Longitudinal 2021 (HS&B:21) by the Education Sciences Reform Act of 2002 (ESRA 2002, 20 U.S.C. §9543) and to collect students’ education records from education agencies or institutions for the purposes of evaluating federally supported education programs under the Family Educational Rights and Privacy Act (FERPA, 34 CFR §§ 99.31(a)(3)(iii) and 99.35). The data are being collected for NCES by RTI International, a U.S.-based nonprofit research organization. All of the information you provide may be used only for statistical purposes and may not be disclosed, or used, in identifiable form for any other purpose except as required by law (20 U.S.C. §9573 and 6 U.S.C. §151). The collected information will be combined across respondents to produce statistical reports.
According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this voluntary information collection is 1850-0944. Approval expires 08/31/2022. The time required to complete this information collection is estimated to average approximately 40 minutes per response for school administrators, 25 minutes per response for parents, 25 minutes per response for school counselors, 15 minutes per response for math teachers, and 25 minutes per response for student surveys, including the time to review instructions, gather the data needed, and complete and review the information collection. If you have any comments concerning the accuracy of the time estimate, suggestions for improving this survey, or any comments or concerns regarding the status of your individual submission of this survey, please write directly to: The High School and Beyond Longitudinal Study of 2021 (HS&B:21), National Center for Education Statistics, Potomac Center Plaza, 550 12th St, SW, Room 4005, Washington, DC 20202.
Appendices B2-B8. Respondent Identity Verification Screens
The following are examples of the verification screens. Respondents first identify themselves by selecting either their name or their child’s name from a list. If they select the name associated with the credentials they used to log in, they will proceed to the next screen. The next screen then prompts respondents to select the school name associated with the credentials they used to log in. If either of the respondent’s selections were not the name and/or school name associated with the credentials used to log into the survey, they will be routed to a verification error screen, and they will be unable to access the survey.
[Please
answer the following questions./Por favor [responde/responda] a las
siguientes preguntas.]
[What
is your name?/¿Cuál es tu nombre?/To ensure that we
have the right person and to protect the confidentiality of all
student participants, we ask that you verify that we have matched you
with your 9th-grader. Please select your
9th-grader’s name from the list of names below./Para
asegurarnos de que tenemos a la persona correcta y para proteger la
confidencialidad de todos los estudiantes participantes, le pedimos
que verifique que tenemos conectados correctamente su nombre con el
nombre de su estudiante de 9o
grado. Por favor seleccione el nombre de su estudiante de 9o
grado en la siguiente lista de nombres./To ensure that we have the
right person, please select your name from the list of names below.]
1=Random
name 1
2=Random name 2
3=Random name 3
4=Random
name 4
5=Random name 5
6=[Student’s Name/Respondent’s Name]
[Click the arrow button below to proceed./Para continuar, [haz/haga] clic en el botón con la flecha que aparece abajo.]
[Please
answer the following questions./Por favor [responde/responda] a las
siguientes preguntas.]
[What school did you attend
in [Academic Year]?/¿A qué escuela asististe en
[Academic Year]?/In the [Academic Year] school year, [Student’s
Name] attends/has attended which school?/En el año escolar
[Academic Year], ¿a qué escuela asiste/asistió
[Student’s Name]?/In the [Academic Year] school year, for which
school do you work?]
1=Random School 1
2=Random
School 2
3=Random School 3
4=Random School 4
5=Random
School 5
6=[Student’s School's Name/Respondent’s
School’s Name]
[Click the arrow button below to proceed./Para continuar, [haz/haga] clic en el botón con la flecha que aparece abajo.]
[Incorrect
Information/Información incorrecta]
[The information you
provided does not match what we have on file. To resolve the issue
and proceed with the survey, please call [Help Desk Number]
for assistance from one of our Help Desk agents, or you can
email [Study e-mail address]. Please include your study ID when
calling or emailing so we can assist you more easily./La información
que tú proporcionaste no concuerda con la información
que tenemos en nuestros archivos. Por favor llame
al [Help Desk Number] y uno de nuestros agentes de la linea de ayuda
te asistirá de inmediato, o puedes contactarnos por email a
[Study e-mail address]./La
información que usted proporcionó no concuerda con la
información que tenemos en nuestros archivos. Por
favor llame al [Help Desk Number] y uno de nuestros agentes de la
linea de ayuda le asistirá de inmediato, o puede contactarnos
por email a [Study e-mail address]./The
information you provided does not match what we have on file. To
resolve the issue and proceed with the survey, please call [Help Desk
Number] for assistance from one of our Help Desk agents, or you
can email[Study e-mail address]. Please include your study ID when
calling or emailing so we can assist you more easily.]
[The National Center for Education Statistics (NCES) is authorized to conduct the High School and Beyond Longitudinal Study of 2021 (HS&B:21) by the Education Sciences Reform Act of 2002 (ESRA 2002, 20 U.S.C. §9543) and to collect students’ education records from education agencies or institutions for the purposes of evaluating federally supported education programs under the Family Educational Rights and Privacy Act (FERPA, 34 CFR §§ 99.31(a)(3)(iii) and 99.35). The data are being collected for NCES by RTI International, a U.S.-based nonprofit research organization. All of the information you provide may be used only for statistical purposes and may not be disclosed, or used, in identifiable form for any other purpose except as required by law (20 U.S.C. §9573 and 6 U.S.C. §151). The collected information will be combined across respondents to produce statistical reports.
According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this voluntary information collection is 1850-0944. Approval expires 08/31/2022. The time required to complete this information collection is estimated to average approximately 40 minutes per response for school administrators, 25 minutes per response for parents, 25 minutes per response for school counselors, 15 minutes per response for math teachers, and 25 minutes per response for student surveys, including the time to review instructions, gather the data needed, and complete and review the information collection. If you have any comments concerning the accuracy of the time estimate, suggestions for improving this survey, or any comments or concerns regarding the status of your individual submission of this survey, please write directly to: The High School and Beyond Longitudinal Study of 2021 (HS&B:21), National Center for Education Statistics, Potomac Center Plaza, 550 12th St, SW, Room 4005, Washington, DC 20202./
El Centro Nacional para Estadísticas de Educación (NCES) está autorizado a hacer el estudio Durante y Después de High School 2021 (High School and Beyond Longitudinal Study of 2021 o HS&B:21, por sus siglas en inglés) por el Acta de Reforma de las Ciencias de la Educación de 2002 (ESRA 2002, 20 U.S.C., § 9543) y a obtener récords educativos de los estudiantes de agencias o instituciones educativas para propósitos de evaluación de programas de educación con fondos federales, bajo la Ley de Derechos Educativos y Privacidad Familiar (FERPA, 34 CFR §§ 99.31(a)(3)(iii) y 99.35). RTI International, una organización sin fines de lucro que realiza estudios y está basada en los Estados Unidos, está recopilando los datos para NCES. Toda la información que usted proporcione podrá usarse solamente para propósitos estadísticos y no podrá divulgarse ni usarse de manera que permita identificar a los participantes para ningún otro propósito, salvo que lo requiera la ley (20 U.S.C., § 9573 y 6 U.S.C. §151). La información obtenida se combinará con la de los demás participantes para producir reportes estadísticos.
Según lo establece el Acta de Reducción del Papeleo de 1995, ninguna persona está obligada a responder a un pedido de información si la misma no contiene un número de control de OMB válido. El número de control de OMB válido para recolectar esta información que se proporciona voluntariamente es 1850-0944. La aprobación vence el 31/08/2022. Se calcula que el tiempo necesario para completar este pedido de información es en promedio de 40 minutos aproximadamente para administradores escolares, 25 minutos para padres o madres, 25 minutos para consejeros escolares, 15 minutos para maestros o maestras de matemáticas y 25 minutos para encuestas de estudiantes, incluyendo el tiempo que lleva revisar las instrucciones, juntar los datos necesarios, y completar y revisar la información que se solicita. Si usted tiene algún comentario con respecto a la precisión del cálculo de tiempo, sugerencias para mejorar esta encuesta, o cualquier comentario o inquietud acerca del estatus del envío de su encuesta individual, por favor escriba directamente al estudio Durante y Después de High School 2021 a: The High School and Beyond Longitudinal Study of 2021 (HS&B:21), National Center for Education Statistics, Potomac Center Plaza, 550 12th St, SW, Room 4005, Washington, DC 20202.]
Appendices B2-B8. “Welcome/Welcome Back” Message
When the respondent successfully logs in with their provided log in credentials and they successfully verify their identity, they will see this message:
[[Welcome/Welcome back], [Name]! Thanks for participating in the High School and Beyond Longitudinal Study of 2021. Here are a few things to remember before you begin:
Please don’t click your back button during the survey.
Please use the navigation buttons at the bottom of the survey.
When you have finished or if you need to take a break before finishing, please click the “LOG OUT” button and CLOSE ALL browser windows to keep your responses secure. For example, if you used Chrome or Safari to open the survey, make sure no Chrome or Safari windows are open after you end the survey. Not closing all browsers may allow someone else to see your responses.
When you log in again, you can resume where you left off.
Need more help?
If you have any questions about logging in or about the survey questions, please use the “HELP” button at the top of your screen or call our Help Desk at [Help Desk Number].
Get started
When you’re ready to begin, please click the “Get Started” button./
¡[Bienvenido(a)/Bienvenido(a) nuevamente]! Gracias por participar en el estudio Durante y Después de High School 2021 (High School and Beyond Longitudinal Study of 2021 o HS&B:21). A continuación, le recordamos algunas cosas antes de que comience:
Por favor no [hagas/haga] clic en el botón “volver” de [tu/su] navegador durante la encuesta.
[Utiliza/Utilice] los botones de navegación que aparecen al pie de la pantalla de la encuesta.
Cuando [hayas/haya] terminado o si [necesitas/necesita] tomarse un recreo antes de terminar, por favor [haz/haga] clic en el botón de “CERRAR SESIÓN” y [CIERRA/CIERRE] TODAS las ventanas del navegador para mantener [tus/sus] respuestas protegidas. Por ejemplo, si [usaste/usó] Chrome o Safari para abrir la encuesta, [asegúrate/asegúrese] de que no quede abierta ninguna ventana o pantalla de Chrome o Safari después que [tú termina/usted termine] la encuesta. Si [tú no cierres/usted no cierra] todos los navegadores, alguien tal vez puede ver [tus/sus] respuestas. Al iniciar la sesión de nuevo, [tú puedes/usted] puede continuar a partir de donde [estabas/estaba].
¿[Necesitas/Necesita] más ayuda?
Si [tienes/tiene] alguna preguna acerca de cómo entrar a la encuesta o acerca de las preguntas, por favor [usa/use] el botón de “AYUDA” en la parte de arriba de la pantalla o [llama/llame] a nuestra línea de ayuda al [Help Desk Number].
Continuar
Cuando [estés/esté] listo(a) para comenzar, por favor [haz/haga] clic en el botón de “¡Continuar!”
Appendices B2-B8. Inactivity Warning and Timeout Messages
The following are examples of the inactivity warning and timeout messages used to both warn the respondent that their session will be ending or has ended and to protect the security and confidentiality of the respondent and their answers to the survey. The inactivity warning will present itself two minutes before timeout. For all students and parents, the timeout message will appear after ten minutes of inactivity. Therefore, the inactivity warning will appear at eight minutes of inactivity. For all staff, the timeout message will appear after 15 minutes of inactivity. Therefore, the inactivity warning will appear at thirteen minutes. The difference in session lengths is to accommodate and convenience staff who may need to access school records in order to provide responses to their answers.
[Your session is about to expire./[Tu/Su] sesión está por expirar.]
[Due to inactivity, your session will close in 2 minutes. Press “Continue” if you need more time./Debido a la inactividad, la sesión será finalizada en 2 minutos. [Haz/Haga] clic en “Continuar” si [necesitas/usted necesita] más tiempo.]
[Your session has timed out. We’re very sorry!
Your session has been idle for more than [10/15] minutes.
Click below to return to the login page.
If you need to take a break, CLOSE ALL browser windows to keep your responses secure. For example, if you used Chrome or Safari to open the survey, make sure no Chrome or Safari windows are open after you end the survey. Not closing all browsers may allow someone else to see your responses./
[La sesión finalizó./Su sesión expiró.] ¡Lo sentimos mucho!
La sesión ha estado inactiva por más de 10 minutos.
[Haz/Haga] clic abajo para volver a la página de iniciar sesión.
Si [necesitas/necesita] tomarse un recreo, [CIERRA/CIERRE] TODAS las ventanas del navegador para mantener [tus/sus] respuestas protegidas. Por ejemplo, si [usaste/usó] Chrome o Safari para abrir la encuesta, [asegúrate/asegúrese] de que no quede abierta ninguna ventanade Chrome o Safari después que [termines/usted termine] la encuesta. Si [no cierras/usted no cierra] todos los navegadores, alguien tal vez pueda ver [tus/sus] respuestas.]
Note to OMB Reviewers:
The remainder of this appendix provides the survey facsimile for the HS&B:21 full-scale study, including the abbreviated survey items. Most questions in the HS&B:21 full-scale survey remain unchanged from the field test. The HS&B:21 full-scale survey also includes survey revisions based on field test survey results, cognitive interviews conducted in Fall 2019, and feedback from the latest HS&B:21 Technical Review Panel (TRP) meeting held in November 2019. Revisions to the survey are intended to reflect current research goals, reduce respondent burden, and improve data quality.
In response to recommendations made at the latest HS&B:21 TRP, a few items have been added to the HS&B:21 full-scale instruments including: items previously tested and included in other federal studies and new items that will improve survey efficiency or data quality and/or reflect current research goals. To balance the inclusion of the additional items, and based on the field test and cognitive testing results, as well as recommendations by TRP panelists, other survey questions have been revised or removed to improve efficiency within the survey. Therefore, burden estimates previously approved for the field test survey, have all either remained the same or been reduced for the full-scale survey.
Tables 1-7 provide summaries of the content of the HS&B:21 full-scale survey instruments. If needed, a change field and font color coding indicate whether items have remained the same (black), were revised (purple), were dropped (red), or were added (green) in comparison to the HS&B:21 field test instruments. Since the study did not have a Spanish-translated version of the student instrument in the field test, changes to this instrument have not been documented in the same way as the other modified instruments. Instead, Table 2 notes the instrument’s contents. Columns are also included in Tables 1-7 to indicate which items are included in the abbreviated instruments. Additionally, an asterisk next to the form name has been used as notation of forms included in the abbreviated instruments. Note: The HS&B:21 full-scale study also includes the advent of an abbreviated instrument for the administrator and counselor surveys.
Appendix B2. Student Questionnaire – English
Table 1. HS&B:21 Full-Scale Student Questionnaire – English
Form Name |
Form Label |
Change |
Rationale |
Abbreviated |
General |
Applies to multiple forms |
R |
Revised parent fills to reflect revisions to parent relationship response options. |
|
General |
Applies to multiple forms |
R |
Revised school year to the correct year (2020-2021 for past year). |
|
HS0PRESINTRO |
Introduction to language prescreener |
D |
HS0PRESINTRO was an introduction to a series of questions about language. The language questions have been relocated so this screen is no longer needed. |
|
HS0FIRSTLANG |
The first language student learned to speak as a child |
R |
Technically, this question has been moved outside of the student survey but is represented here to be comprehensive. The students receive this question prior to the English Language screener. The answer is used in conjunction with school-reported ELL status to determine whether to route the student to or around the English language screener.
Added wording to instruct the respondent that they can view the question in Spanish by clicking an “ESPAÑOL” button. |
* |
HS0NAVIGATE |
Navigation instructions screen |
R |
Revised question wording to reflect the new timeout limit, added instructions to view the Spanish translation, added instructions on use of read-aloud feature, and removed instructions for logging out to take a break since this screen will only be seen in an in-school session. Revised help text wording to be more accurate on how to close the help text box. |
* |
HS0NAVIGATE_OOS |
Navigation instruction screen for out of school administration |
A |
This screen is similar to the HS0NAVIGATE screen except it is used for out-of-school administration; so it was added so it could include language about how to securely log out that is not needed on HS0NAVIGATE. |
* |
HS0AINTRO (formerly HS0LI1INTRO) |
Section A Background Information Introduction (formerly Locating/Demographic information introduction) |
R |
Revised wording to reflect additional content that was previously located in separate sections. |
|
Former HS0AINTRO |
Section A Background information introduction |
D |
Combined forms in this section with forms in the previous section so this transition screen is no longer needed. |
|
HS0BIRTHDATE |
Student’s birthdate |
R |
Revised year response options to account for full-scale students being 2 years younger than field test students due to the one-year delay in data collection. |
* |
HS0SEX |
Student’s sex |
|
No change |
* |
HS0HISPANIC |
Student’s Hispanicity |
R |
Added “Latino/Latina” to conditional fill and help text for instances where sex is unknown. |
* |
HS0HISPETHN |
Student’s Hispanic ethnicity |
R |
Added “Latino/Latina” to conditional fill for instances where sex is unknown. Removed other specify. |
|
HS0RACE |
Student’s race |
R |
Added “Latino/Latina” to conditional fill for instances where sex is unknown. |
* |
HS0ASIANETHN |
Student’s Asian ethnicity |
R |
Removed other specify |
|
HS0BORNINUS |
Born in the US |
D |
Dropped due to sensitivity of questions related to nativity, per TRP recommendation |
|
HS0BIRTHCNTRY |
Country of birth |
D |
Dropped due to sensitivity of questions related to nativity, per TRP recommendation |
|
HS0INCRACETH |
Racial/Ethnic inclusion |
A |
Added to replace HS0SCHLDIVERS with cognitively easier question. |
|
HS0FRQLANGHOM |
How often student speaks a language other than English at home |
R |
Added transitional statement reminding students of their response to the question about first language (i.e., HS0FIRSTLANG). Revised question wording for clarification. |
* |
HS0FRQLANGFRI |
Frequency of first language spoken to peers |
R |
Removed transitional statement reminding students of their response to the question about first language (i.e., HS0FIRSTLANG) since it is now on the HS0FRQLANGHOM. Revised question wording for clarification. |
|
HS0LANGPREF |
Preferred language |
R |
Revised response options for clarification. |
|
HS0ENGFLUEN |
English fluency |
|
No change |
|
HS0ESLENROLL |
Enrolled in ELL/ESL program |
|
No change |
|
HS0ESLLASTENR |
Grade(s) in ELL/ESL program |
R |
Revised last response option to accommodate students repeating 9th grade. |
|
HS0LYSCHOOL |
Attended current school in 2020-2021 school year |
R |
Added help text for “attend.” Added name of the base year school as a fill on the first response option so the response option matches the format of the question wording. |
|
HS0EDUEXP |
Highest level of education expected |
|
No change |
|
HS0PURSUCONF |
Confidence in pursuing highest level of education |
|
No change |
|
HS0PAROOSACTS |
Participation in non-school activities |
R |
Revised items to ask about broader set of non-school activities. |
|
HS0OPTIMISM1 |
Optimism, part 1 |
A |
Added to capture more information on socio-emotional measures, per TRP recommendation |
|
HS0OPTIMISM2 |
Optimism, part 2 |
A |
Added to capture more information on socio-emotional measures, per TRP recommendation |
|
HS0PEERVALUES |
Peer values |
A |
Added to capture information on peers, per TRP recommendation. |
|
HS0RCNTCTINF1 |
Respondent contact information – name and address |
A |
Added to consolidate student name and address into one form. |
* |
HS0NAME |
Student’s name |
D |
Dropped due to movement of information to HS0RCNTCTINF1. |
|
HS0ALTNAME |
Referred to by another name |
D |
Dropped to reduce respondent burden, per TRP recommendation. |
|
HS0ADDRESS |
Student’s address |
D |
Dropped due to movement of information to HS0RCNTCTINF1. |
|
HS0RCNTCTINF2 |
Respondent contact information – phones and email |
A |
Added to consolidate student cell number, other phone number, and email address into one form. Revised question and item wording to collect other phone rather than home phone. Revisions will improve locating and tracing. |
* |
HS0CELLNUM |
Student’s cell phone number |
D |
Dropped due to movement of information to HS0RCNTCTINF2. |
|
HS0HTELNUM |
Student’s home phone number |
D |
Dropped due to movement of information to HS0RCNTCTINF2. |
|
HS0EMAIL |
Student’s email address |
D |
Dropped due to movement of information to HS0RCNTCTINF2. |
|
HS0NAVIGATE2 |
Navigation instructions screen |
A |
Added to remind students who start the survey in-school but finish it out-of-school how to use the survey. |
* |
HS0BINTRO |
Section B School Experiences introduction |
|
No change |
|
HS0LYGRADE |
Grade attended in 2020-2021 school year |
R |
Made transitional statement conditional on whether the student is taking the full-length or abbreviated survey. |
* |
HS0LYDIFSCHL |
School attended in 2020-2021 school year |
D |
Removed to reduce burden. |
|
HS0REPEATGRD |
Ever repeated a grade and grades repeated |
|
No change |
|
HS0MATH8GRD |
Math course taken in 8th grade |
R |
Revised question wording for clarification, per cognitive testing results. Removed other specify item. |
* |
HS0CURRMATH |
Taking math course currently |
R |
Revised question wording to always ask about current math course, due to decision to collect information from current (rather than fall) math teacher. |
* |
HS0MATHSPEC |
Current math course – specific |
R |
Revised question wording to always ask about current math course, due to decision to collect information from current (rather than fall) math teacher. Removed other specify item. |
* |
HS0CONFINMATH |
Confidence in abilities in math/current math course |
R |
Revised item wording to remove reference to textbooks, as some schools do not use textbooks. |
|
HS0HIMATH |
Most advanced math course expect during high school |
A |
Added to capture more detailed information on planned math coursework, per TRP recommendation. |
|
HS0YEARSMATH |
Number of years of math expected to take during high school |
D |
Dropped due to addition of HS0HIMATH. |
|
HS0PLANAPIB |
Plan to enroll in AP/IB course |
D |
Dropped because beginning of 9th grade too early to ask about AP/IB enrollment, per TRP recommendation. |
|
HS0PREPARCLSS |
Preparedness for class |
R |
Added clarifying statement that this question refers to all classes, not just math classes. |
|
HS0PEERSPPRT |
Peer social support |
A |
Added to capture information on peer relationships, per TRP recommendation. |
|
HS0SCHLCLIM1 |
Positive school climate |
R |
Revised to removed item HS0PROUDOFSCH. Beginning of 9th grade too early to ask about school pride, per TRP recommendation. |
|
HS0SCHLDIVERS |
Tolerance for diversity |
D |
Dropped due to addition of HS0INCRACETH, to reduce respondent burden. |
|
HS0BELONGSCHL |
Belonging in school |
|
No change |
|
HS0SCHLCLIM2 |
Overall school climate – teacher interaction |
D |
Dropped because beginning of 9th grade too early to ask about teacher interaction, per TRP recommendation. |
|
HS0PERSIST |
Persistence |
A |
Added to capture more information on socio-emotional measures, per TRP recommendation. |
|
HS0BULLYING |
Bullying |
A |
Added to capture more information on school safety, per TRP recommendation. |
|
HS0SCHLACTS |
Participation in school-sponsored activities |
A |
Added to capture more information on extracurricular activities, per TRP recommendation. |
|
HS0FREQUSENET |
Frequency of internet usage for school work outside of school |
R |
For clarity and uniform reference among respondents, added an opening clause “During this school year.” |
|
HS0FREQNETPRB |
Frequency of internet issues at home while doing school work |
R |
For clarity and uniform reference among respondents, added an opening clause “During this school year.” |
|
HS0CINTRO |
Section C Family introduction |
|
No change |
|
HS0NOINHOUSE |
No. of members in household |
R |
Revised question wording to provide more direction to respondents on who to include in response, per cognitive testing results. |
|
HS0P1ID |
Identification of Parent 1 |
R |
Revised response options and help text, per cognitive testing results. |
* |
HS0P1BORNUS |
Parent 1: Born in the US |
D |
Dropped due to sensitivity of questions related to nativity, per TRP recommendation. |
|
HS0P1EMPLOYED |
Parent 1’s employment status |
|
No change |
|
HS0P1WRKLEAVE |
Parent 1 on work leave |
|
No change |
|
HS0P1HIGHEDU |
Parent 1’s highest level of education |
R |
Consolidated response options and revised help text to improve accuracy of student reporting on parents’ education, per analysis of field test data. |
* |
HS0P1EDUEXP |
Parent 1’s expectation for your highest education level |
D |
Dropped to reduce respondent burden and because we capture student’s educational expectation elsewhere and parent’s educational expectation in parent survey. |
|
HS0P2INHOUSE |
Another parent/guardian in household |
R |
Revised question wording, removing parent fill to simplify. |
* |
HS0P2ID |
Identification of Parent 2 |
R |
Revised response options and help text, per cognitive testing results. |
* |
HS0P2BORNUS |
Parent 2: Born in the US |
D |
Dropped due to sensitivity of questions related to nativity, per TRP recommendation. |
|
HS0P2EMPLOYED |
Parent 2’s employment status |
|
No change |
|
HS0P2WRKLEAVE |
Parent 2 on work leave |
|
No change |
|
HS0P2HIGHEDU |
Parent 2’s highest level of education |
R |
Consolidated response options and revised help text to improve accuracy of student reporting on parents’ education, per analysis of field test data. |
* |
HS0P2EDUEXP |
Parent 2’s expectation for your highest education level |
D |
Dropped to reduce respondent burden and because we capture student’s educational expectation elsewhere and parent’s educational expectation in parent survey. |
|
HS0AUTONOMY |
Autonomy from parents or guardians |
A |
Added to capture more information on parent-student relationship, per TRP recommendation. |
|
HS0RELWTHPAR |
Relationship with parents or guardians |
R |
Revised question wording, simplifying parent fill. Added help text for “money.” |
|
HS0DCSSWTHPAR |
Discussion with parents or guardians |
A |
Added to capture more information on parent-student relationship, per TRP recommendation. |
|
HS0DINTRO |
Section D Guidance and Future Plans introduction |
R |
Changed wording to more accurately reflect the contents of the section. |
|
HS0GUIDCOURSE |
Individuals providing guidance on which academic course to take |
R |
Added “other adult relative” as an item. Removed other specify item. |
|
HS0GUIDHIGHED |
Individuals providing guidance on going to college |
R |
Added “other adult relative” as an item. Removed other specify item. |
|
HS0GUIDPERSON |
Individuals providing guidance on personal problems |
D |
Dropped because beginning of 9th grade too early to ask about guidance on personal problems, per TRP recommendation. |
|
HS0STANDTESTS |
Have taken or plan on taking standardized tests |
D |
Dropped because beginning of 9th grade too early to ask about standardized testing, per TRP recommendation. |
|
HS0IMPSTDYING |
Affordability of college attendance |
|
No change |
|
HS0FNNCLLTRCY |
Financial literacy |
A |
Added question related to financial literacy by request from the Federal Student Aid group within the Department of Education. |
|
HS0EXPJOBAT30 |
Job or occupation expect to have at age 30 |
D |
Dropped due to high level of nonresponse in field test data. |
|
HS0EINTRO |
Section E Attitudes and Behavior introduction |
|
No change |
|
HS0GRWTHMNDST |
Growth mindset |
|
No change |
|
HS0MTHGRWMDST |
Math-specific growth mindset |
|
No change |
|
HS0WKESLPTIME |
Wake-up time/time goes to sleep on school days/nights |
A |
Added to consolidate wake and sleep time into one form. |
|
HS0WAKETIME |
Wake up time on school days |
D |
Dropped due to movement of information to HS0WKESLPTIME. |
|
HS0SLEEPTIME |
Time goes to sleep on school nights |
D |
Dropped due to movement of information to HS0WKESLPTIME. |
|
HS0SLEEPHBTS |
Past month sleeping habits |
|
No change |
|
HS0EXERCISE |
Past week exercise |
A |
Added to capture information on physical activity, per TRP recommendation. |
|
HS0HRDEVICE |
Hearing device usage |
A |
Added to complement the hearing assessment. |
|
HS0DESCHEAR |
Hearing description |
A |
Added to complement the hearing assessment. |
|
HS0BETTEREAR |
Better hearing in one ear |
A |
Added to complement the hearing assessment. |
|
HS0EARACHE |
Earache in past year |
A |
Added to complement the hearing assessment. |
|
HS0EARRING |
Ringing in ear in past year |
A |
Added to complement the hearing assessment. |
|
HS0EVREARPHNS |
Earphone usage in past year |
A |
Added to complement the hearing assessment. |
|
HS0EARPHFREQ |
Frequency using earphones |
A |
Added to complement the hearing assessment. |
|
HS0HREARPHNS |
Hearing while using earphones |
A |
Added to complement the hearing assessment. |
|
HS0HVEGLSSLENS |
Glasses or contacts usage |
A |
Added to complement the vision assessment. |
|
HS0GLSSCNTCTS |
Frequency wearing glasses or contacts |
A |
Added to complement the vision assessment. |
|
HS0VISION |
Vision problems |
A |
Added to complement the vision assessment. |
|
HS0FREQTCHBVR |
Frequency of gaming, digital art/music creation, and coding |
R |
Added transitional text. Revised item wording related to mobile devices for clarity. |
|
HS0CONSCIENT1 (formerly HS0CONSCIENT) |
Conscientiousness/Organization, part 1 |
R |
Revised form name and items included due to addition of HS0CONSCIENT2. |
|
HS0CONSCIENT2 |
Conscientiousness/Organization, part 2 |
A |
Added to capture more information on socio-emotional measures, per TRP recommendation. |
|
HS0SEMPLOYED |
Student’s employment status |
A |
Added to capture information on student employment, per TRP recommendation. |
|
HS0SHOURWORK |
Student work hours per week |
A |
Added to capture information on student employment, per TRP recommendation. |
|
HS0LI2INTRO |
Locating information II introduction |
|
No change |
|
HS0P1NAME |
Name of Parent 1 |
|
No change |
* |
HS0P1ADDSAME |
Parent 1’s address is same |
|
No change |
* |
HS0P1ADD |
Parent 1’s address |
R |
Updated question wording to align more closely with that on HS0P1CNTCTINF.. |
* |
HS0P1CNTCTINF |
Parent 1 contact info – cell number, other number, email |
A |
Added to consolidate parent 1 cell number, other phone number, and email address into one form. Revised question and item wording to collect other phone rather than home phone, and added item for other phone type. Revisions will improve locating and tracing. Added wording to indicate that any prefilled information was provided by the school. |
|
HS0P1CELLNUM |
Parent 1’s cell phone number |
D |
Dropped due to movement of information to HS0P1CNTCTINF. |
|
HS0P1HTELNUM |
Parent 1’s home phone number |
D |
Dropped due to movement of information to HS0P1CNTCTINF. |
|
HS0P1EMAIL |
Parent 1’s email address |
D |
Dropped due to movement of information to HS0P1CNTCTINF. |
|
HS0P2NAME |
Name of Parent 2 |
|
No change |
|
HS0P2ADDSAME |
Parent 2’s address is same |
|
No change |
|
HS0P2ADD |
Parent 2’s address |
R |
Updated question wording to align more closely with that on HS0P1CNTCTINF.“” |
|
HS0P2CNTCTINF |
Parent 2 contact info – cell number, other number, email
|
A |
Added to consolidate parent 2 cell number, other phone number, and email address into one form. Revised question and item wording to collect other phone rather than home phone, and added item for other phone type. Revisions will improve locating and tracing. Added wording to indicate that any prefilled information was provided by the school. |
|
HS0P2CELLNUM |
Parent 2’s cell phone number |
D |
Dropped due to movement of information to HS0P2CNTCTINF |
|
HS0P2HTELNUM |
Parent 2’s home phone number |
D |
Dropped due to movement of information to HS0P2CNTCTINF |
|
HS0P2EMAIL |
Parent 2’s email address |
D |
Dropped due to movement of information to HS0P2CNTCTINF |
|
HS0RELCNTINF |
Relative/friend contact info – name, address, phone number
|
A |
Added to consolidate relative/friend name, address, and phone number into one form. Revised response options for phone type to collect other phone rather than home phone. Revisions will improve locating and tracing. |
|
HS0RELNAME |
Name of relative or close friend |
D |
Dropped due to movement of information to HS0RELCNTINF. |
|
HS0RELADD |
Relative or close friend’s address |
D |
Dropped due to movement of information to HS0RELCNTINF. |
|
HS0RELTEL |
Relative or close friend’s phone number |
D |
Dropped due to movement of information to HS0RELCNTINF. |
|
HS0RELID |
Relative or close friend’s relationship to student |
R |
Added a fill to use name on HS0RELCNTINF if provided, and “this person” if no name provided. |
|
HS0PREEND |
Pre-end survey message |
|
No change |
* |
HS0END |
End survey message |
R |
Revised wording to more clearly indicate that clicking “Finish” will not end the session. The assessments and the survey will be administered to students in a random order so the survey may not be the last component. |
* |
HS0INCENTIVE |
Incentive name and address |
R |
Added wording to instruct the respondent that they can view the question in Spanish by clicking an “ESPAÑOL” button. (This is needed because this screen is not technically part of the survey, but we are showing the screen here to be comprehensive.) Added wording asking student to confirm their information. |
* |
FINAL SCREEN |
Final screen |
A |
Added this screen to provide instructions about how to close the session so that responses are secure. (This screen is not technically part of the student survey, but we are showing the screen here to be comprehensive.) |
* |
HS&B:21 Student Survey – English –Base Year Full-Scale
HS0FIRSTLANG
*
Question Wording:
(To
see a Spanish translation, click the “ESPAÑOL”
button at the top of your screen.)
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?
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.
•
To see a Spanish translation,
click the "ESPAÑOL"
button at the top of your screen.
• 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 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.
•
Each question can be read aloud
(in English) by clicking the "PLAY AUDIO", "PAUSE
AUDIO", or "REPLAY AUDIO" buttons at the top of the
screen.
• To protect your data, you will be logged off if
the survey is idle for more than 10 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 or
the "Close" button in the lower right corner to close the
box.
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.
If you have any questions about this study, you may contact the Help Desk at 855-500-1439, or you can email [Study e-mail address].
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.
HS0NAVIGATE_OOS
*
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.
•
To see a Spanish translation,
click the "ESPAÑOL"
button at the top of your screen.
• 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 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.
•
Each question can be read aloud
(in English) by clicking the "PLAY AUDIO", "PAUSE
AUDIO", or "REPLAY AUDIO" buttons at the top of the
screen.
• 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 and close your browser (not just the
tab). 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 10 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 or
the "Close" button in the lower right corner to close the
box.
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.
HS0AINTRO
Question Wording:
Next, we would like some initial information, including information that will help us contact you in the future for this study.
Your contact information will be kept in protected files separate from your other responses.
Please
click the “Next” button to continue.
HS0BIRTHDATE
*
Question Wording:
What is your birth
date?
Item Name: HS0BIRTHMO
Item Wording:
Month:
-9=- Select month-
1=January
2=February
3=March
4=April
5=May
6=June
7=July
8=August
9=September
10=October
11=November
12=December
Item
Name: HS0BIRTHDAY
Item Wording: Day:
-9=- Select day-
1=1
2=2
3=3
4=4
5=5
6=6
7=7
8=8
9=9
10=10
11=11
12=12
13=13
14=14
15=15
16=16
17=17
18=18
19=19
20=20
21=21
22=22
23=23
24=24
25=25
26=26
27=27
28=28
29=29
30=30
31=31
Item
Name: HS0BIRTHYR
Item Wording: Year:
-9=- Select year-
2002=2002
or earlier
2003=2003
2004=2004
2005=2005
2006=2006
2007=2007
2008=2008
2009=2009 or later
HS0SEX
*
Question Wording:
What is your sex?
Item Name: HS0SEX
1=Male
2=Female
HS0HISPANIC
*
Question Wording:
Are you Hispanic or [Latino/Latina/Latino/Latina]?
Item
Name: HS0HISPANIC
1=Yes
0=No
Help
Text:
Hispanic or [Latino/Latina/Latino/Latina]: Hispanic or
[Latino/Latina/Latino/Latina] refers to people of Mexican, Cuban,
Dominican, Puerto Rican, Central American or South American origin or
descendants of another Spanish culture.
HS0HISPETHN
Question Wording:
Which of the following
best describes your Hispanic or [Latino/Latina/Latino/Latina]
heritage?
(Check all that apply.)
Item Name:
HS0MEXICAN
Item Wording: Mexican, Mexican-American, or
[Chicano/Chicana]
Item
Name: HS0CUBAN
Item Wording: Cuban
Item
Name: HS0DOMINICAN
Item Wording: Dominican
Item
Name: HS0PUERTORICN
Item Wording: Puerto Rican
Item Name: HS0CENTRALAM
Item Wording:
Central American such as Guatemalan, Salvadoran, Nicaraguan, Costa
Rican, Panamanian, or Honduran
Item Name:
HS0SOUTHAM
Item Wording: South American such as
Colombian, Argentine, or Peruvian
Item Name:
HS0OTHRHISP
Item Wording: Other Hispanic or
[Latino/Latina/Latino/Latina]
HS0RACE
*
Question Wording:
[In addition to learning about your Hispanic or [Latino/Latina/Latino/Latina] 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.
HS0ASIANETHN
Question Wording:
Which of the following
best describes your Asian heritage?
(Check all that apply.)
Item Name: HS0ASIANINDN
Item Wording:
Asian Indian
Item Name: HS0CHINESE
Item
Wording: Chinese
Item Name: HS0FILIPINO
Item
Wording: Filipino
Item Name: HS0JAPANESE
Item
Wording: Japanese
Item Name: HS0KOREAN
Item
Wording: Korean
Item Name: HS0VIETNAMESE
Item
Wording: Vietnamese
Item Name: HS0OTHERASIAN
Item Wording: Other Asian
HS0INCRACETH
Question Wording:
How much do you agree
or disagree with the following statements?
(Select one for each
row.)
Item Name: HS0CLSRACETH
Item
Wording: I feel close to others who share my race/ethnicity.
Item Name: HS0JDGRACETH
Item Wording:
Other people judge me based on my race/ethnicity.
Item
Name: HS0FGHTRACETH
Item Wording: I get in fights
with other people because of my race/ethnicity.
Item
Name: HS0AVDRACETH
Item Wording: People do not want
to hang out with me because of my race/ethnicity.
1=Strongly agree
2=Agree
3=Slightly agree
4=Slightly disagree
5=Disagree
6=Strongly disagree
HS0FRQLANGHOM
*
Question Wording:
Earlier, you said that [one of/no fill] the first [languages/language] you learned to speak was [Spanish/a language other than English].
How often do you speak [Spanish/a 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
HS0FRQLANGFRI
Question Wording:
How often do you speak
[Spanish/a language other than English] with your friends?
Item
Name: HS0FRQLANGFRI
1=Never
2=Sometimes
3=About half the time
4=Most of the time
5=Always
HS0LANGPREF
Question Wording:
What language do you
prefer to speak most of the time?
Item Name:
HS0LANGPREF
1=English
2=[Spanish/A
language other than English]
3=Both about the same
HS0ENGFLUEN
Question Wording:
How well do you do the
following?
(Select one for each row.)
Item Name:
HS0ENGUNDERST
Item Wording: Understand spoken English
Item Name: HS0ENGSPEAK
Item Wording:
Speak English
Item Name: HS0ENGREAD
Item
Wording: Read English
Item Name: HS0ENGWRITE
Item Wording: Write English
1=Very well
2=Well
3=Not
well
4=Not at all
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
HS0ESLLASTENR
Question Wording:
What was the last grade
in which you were enrolled in a program for English Language Learners
(ELLs)?
Item Name: HS0ESLLASTENR
1=1st grade
2=2nd grade
3=3rd grade
4=4th grade
5=5th grade
6=6th
grade
7=7th grade
8=8th grade
9=9th grade or still
enrolled
HS0LYSCHOOL
Question Wording:
During the last school
year (2020-2021), did you attend this school ([Name of base year
school]) or did you attend a different school?
Item
Name: HS0LYSCHOOL
1=This school ([Name of base year
school])
2=Different school
3=You were homeschooled.
Help
Text:
Attend: If you attended [Name of base year school],
either in-person or online, for any part of the last school year
(2020-2021), answer "This school."
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 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.
HS0PURSUCONF
Question Wording:
How sure are you that
you will complete [a high school diploma or equivalent (for example,
GED, HiSET, TASC)/a certificate or diploma from a school that
provides occupational training/an associate's degree/a bachelor's
degree/a master's degree/a Ph.D., M.D., law degree, or other
high-level professional degree]?
Item Name:
HS0PURSUCONF
1=Very sure you'll complete [a
high school diploma or equivalent (for example, GED, HiSET, TASC)/a
certificate or diploma from a school that provides occupational
training/an associate's degree/a bachelor's degree/a master's
degree/a Ph.D., M.D., law degree, or other high-level professional
degree].
2=You'll probably complete [a high school diploma or
equivalent (for example, GED, HiSET, TASC)/a certificate or diploma
from a school that provides occupational training/an associate's
degree/a bachelor's degree/a master's degree/a Ph.D., M.D., law
degree, or other high-level professional degree].
3=You
probably won't complete [a high school diploma or equivalent (for
example, GED, HiSET, TASC)/a certificate or diploma from a school
that provides occupational training/an associate's degree/a
bachelor's degree/a master's degree/a Ph.D., M.D., law degree, or
other high-level professional degree].
4=Very sure you won't
complete [a high school diploma or equivalent (for example, GED,
HiSET, TASC)/a certificate or diploma from a school that provides
occupational training/an associate's degree/a bachelor's degree/a
master's degree/a Ph.D., M.D., law degree, or other high-level
professional degree].
HS0PAROOSACTS
Question Wording:
These questions ask about activities you might do outside of school.
How
often do you spend time…
(Select one for each row.)
Item Name: HS0PARARTS
Item Wording:
Working on arts and/or crafts?
Item Name:
HS0PARSPORTS
Item Wording: Playing organized non-school
sports?
Item Name: HS0PARGROUP
Item
Wording: Participating in a non-school organized group activity,
like 4-H, Scouts, or youth group?
Item Name:
HS0PARMUSIC
Item Wording: Singing, playing a musical
instrument, creating or performing music, dancing, or acting?
Item
Name: HS0PARWRITE
Item Wording:
Journaling or doing your own creative writing?
Item
Name: HS0PAROTHER
Item Wording: Doing other
activities or hobbies?
1=Never
2=Rarely
3=One
to three times a month
4=Once or twice a week
5=Every day
or almost every day
HS0OPTIMISM1
Question Wording:
How often are the
following statements true for you?
(Select one for each row.)
Item Name: HS0PRTTYWELL
Item Wording:
I think I am doing pretty well.
Item Name:
HS0MNYWYSGET
Item Wording: I can think of many ways to
get the things in life that are most important to me.
Item
Name: HS0LSTASWELL
Item Wording: I am doing at least
as well as other people my age.
1=None of the time
2=A
little of the time
3=Some of the time
4=A lot of the time
5=Most of the time
6=All of the time
HS0OPTIMISM2
Question Wording:
(Continued) How often
are the following statements true for you?
(Select one for each
row.)
Item Name: HS0WYSTOSLVE
Item
Wording: When I have a problem, I can come up with lots of ways
to solve it.
Item Name: HS0PSTWLLHLP
Item
Wording: I think the things I have done in the past will help me
in the future.
Item Name: HS0WONTQUIT
Item
Wording: Even when others want me to quit, I know that I can find
ways to solve the problem.
1=None of the time
2=A
little of the time
3=Some of the time
4=A lot of the time
5=Most of the time
6=All of the time
HS0PEERVALUES
Question Wording:
Next are a few
questions about people who you hang out with, including people you
know from school or from somewhere else.
How important is
it to the people who you hang out with that they...
(Select one
for each row.)
Item Name: HS0REGATTEND
Item
Wording: Attend classes regularly?
Item Name:
HS0GOODGRADES
Item Wording: Get good grades?
Item
Name: HS0WRKHRDSCH
Item Wording: Work hard in
school?
1=Not at all important
2=A
little bit important
3=Somewhat important
4=Important
5=Very important
HS0RCNTCTINF1
*
Question Wording:
Please confirm or provide your full name and current home address. [This information was given to us by your school.] If your contact information is not right or is incomplete, please fix it below. Then click "Next" to continue.
Name:
Item
Name: HS0FIRSTNAME
Item Wording: First name:
Item
Name: HS0MIDNAME
Item Wording: Middle name:
Item
Name: HS0LASTNAME
Item Wording: Last name:
Item
Name: HS0SUFFIX
Item Wording: Suffix:
Question
Wording:
Address:
Item Name:
HS0ADDNUMST
Item Wording: Street address:
Item
Name: HS0ADDCITY
Item Wording: City:
Item
Name: HS0ADDSTATE
Item Wording: State:
Item
Name: HS0ADDZIP
Item Wording:
ZIP Code:
AutoFill
City and State from ZIP Code
Item Name: HS0ADDFOR
Item Wording: Please check here if the address is an
international address.
Item Name: HS0ADDFAD
Item
Wording:
Foreign Address:
Item
Name: HS0ADDFCY
Item Wording:
Foreign City:
Item
Name: HS0ADDFC
Item Wording:
Foreign Country:
Item
Name: HS0ADDFS
Item Wording:
Foreign State/Province:
Item
Name: HS0ADDFZ
Item Wording:
Foreign ZIP/Postal Code:
HS0RCNTCTINF2
*
Question Wording:
Please confirm or
provide your cell and other phone numbers, including area code, and
main email address. [This information was given to us by your
school.] If your contact information is not right or is incomplete,
please fix it below. Then click "Next" to continue.
Item
Name: HS0CELLCODEC
Item Wording: Cell phone number:
Item Name: HS0NOCELLTELC
Item
Wording: You do not have a cell phone number.
Item
Name: HS0OTHCODE
Item Wording: Other telephone
number:
Item Name: HS0NOOTHTEL
2=You do not have another
telephone number.
99=You don’t know your other
telephone number.
Item
Name: HS0EMAILADD
Item Wording: Email address:
Item Name: HS0NOEMAILADD
Item Wording:
You do not have an email address.
HS0NAVIGATE2 *
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.
• To see a Spanish translation, click the "ESPAÑOL" button at the top of your screen.
• 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 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.
• Each question can be read aloud (in English) by clicking the "PLAY AUDIO", "PAUSE AUDIO", or "REPLAY AUDIO" buttons at the top of the screen.
• 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 and close your browser (not just the tab). 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 10 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 or the "Close" button in the lower right corner to close the box.
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.
HS0BINTRO
Question Wording:
Now we have some questions about your school life.
Please
click the “Next” button to continue.
HS0LYGRADE
*
Question Wording:
[If full survey: First we will start with some questions about last school year./else: no fill] What grade were you in last school year (2020-2021)?
Item
Name: HS0LYGRADE
1=7th Grade
2=8th Grade
3=9th Grade
4=You were in an ungraded program.
HS0REPEATGRD
Question Wording:
What grade(s), if any,
have you repeated since starting school?
(Check all that
apply.)
Item Name: HS0REPEATNONE
Item
Wording: Have not repeated any grade(s)
Item Name:
HS0REPEATK
Item Wording: Kindergarten
Item
Name: HS0REPEAT1
Item Wording: Grade 1
Item
Name: HS0REPEAT2
Item Wording: Grade 2
Item
Name: HS0REPEAT3
Item Wording: Grade 3
Item
Name: HS0REPEAT4
Item Wording: Grade 4
Item
Name: HS0REPEAT5
Item Wording: Grade 5
Item
Name: HS0REPEAT6
Item Wording: Grade 6
Item
Name: HS0REPEAT7
Item Wording: Grade 7
Item
Name: HS0REPEAT8
Item Wording: Grade 8
Item
Name: HS0REPEAT9
Item Wording: Grade 9
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 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
HS0CURRMATH
*
Question Wording:
Are you currently
taking a math course?
Item Name: HS0CURRMATH
1=Yes
0=No
HS0MATHSPEC
*
Question Wording:
What math course(s)
are you currently taking?
(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
HS0CONFINMATH
Question Wording:
How much do you agree
or disagree with the following statements about [your advanced math
course such as pre-calculus or calculus/your Statistics or
Probability course/your Algebra 2 course/your Trigonometry
course/your Analytic Geometry course/your Geometry course/your
Algebra 1 course/your Integrated Math 2 or above course/your
Integrated Math 1 course/your Pre-algebra course/your Review or
Remedial Math course/this math course/your most recent math course]?
(Select one for each row.)
Item Name:
HS0DOWELLTEST
Item Wording: You [are/were] confident
that you [can/could] do an excellent job on tests in this course.
Item Name: HS0UNDRSTDMAT
Item Wording:
You [are/were] certain that you [can/could] understand the most
difficult material presented in this course.
Item
Name: HS0MASTSKILLS
Item Wording: You [are/were]
certain that you [can/could] master the skills being taught in this
course.
Item Name: HS0DOWELLASGN
Item
Wording: You [are/were] confident that you [can/could] do an
excellent job on assignments in this course.
1=Strongly agree
2=Agree
3=Disagree
4=Strongly disagree
HS0HIMATH
Question Wording:
What is the most
advanced math course you expect to take during high school?
Item
Name: HS0HIMATH
1=Pre-Algebra
2=Algebra 1
including 1A and 1B
3=Algebra 2
4=Algebra 3
5=Geometry
6=Analytic Geometry
7=Trigonometry
8=Pre-calculus
or Analysis and Functions
9=Advanced Placement (AP) Calculus AB
or BC
10=Other Calculus
11=Advanced Placement (AP)
Statistics or Probability
12=Other Statistics or Probability
13=Integrated Math 1
14=Integrated Math 2
15=Integrated
Math 3 or above
16=International Baccalaureate (IB) mathematics
standard level
17=International Baccalaureate (IB) mathematics
higher level
18=Review or Remedial Math including Basic,
Business, Consumer, Functional, or General math
19=Math 4
20=Other math course
99=Don't know
HS0PREPARCLSS
Question Wording:
The next questions are about all your classes, not just your math classes.
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
HS0PEERSPPRT
Question Wording:
The next questions are
about your classmates this school year. Please think only about the
students who are in your classes.
How often are the
following statements true?
(Select one for each row.)
Item
Name: HS0IMPTFRIEND
Item Wording: My classmates
think it is important to be my friend.
Item Name:
HS0LIKEWAYAM
Item Wording: My classmates like me the way
I am.
Item Name: HS0CREFEELINGS
Item
Wording: My classmates care about my feelings.
Item
Name: HS0LKEASOTHRS
Item Wording: My classmates like
me as much as they like other classmates.
Item Name:
HS0CAREFORME
Item Wording: My classmates really care
about me.
1=Never
2=Rarely
3=Sometimes
4=Often
5=Very often
6=Always
HS0SCHLCLIM1
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:
HS0SAFEATSCH
Item Wording:
You feel safe at this school.
Item
Name: HS0CANSPKADLT
Item Wording:
There are always teachers or other adults in your school that you can talk to if you have a problem.
1=Strongly agree
2=Agree
3=Disagree
4=Strongly disagree
HS0BELONGSCHL
Question Wording:
(Continued) 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
HS0PERSIST
Question Wording:
How true are the
following statements for you?
(Select one for each row.)
Item
Name: HS0FIGROUT
Item Wording: When I become
confused about something I’m learning at school, I try to
figure it out.
Item Name: HS0WRKHARD
Item
Wording: I work my hardest to learn at school, even if I do not
like the subject.
Item Name: HS0EXTREFFRT
Item
Wording: When something I’m studying at school is
difficult, I spend extra time and effort until I understand it.
Item Name: HS0LRNASCAN
Item Wording:
Even if it is boring, I try to learn as much as I can about what I am
studying.
1=Not at all true
2=A
little bit true
3=Somewhat true
4=True
5=Very true
HS0BULLYING
Question Wording:
The next questions are about the students at your school.
During this school year, how often have other students…
(Select
one for each row.)
Item Name: HS0TEASED
Item
Wording: Teased you, made fun of you, or called you names?
Item
Name: HS0TOLDLIES
Item Wording: Told lies or untrue
stories about you?
Item Name: HS0PUSHED
Item
Wording: Pushed, shoved, slapped, hit, or kicked you?
1=Never
2=Rarely
3=Sometimes
4=Often
5=Very often
6=Always
HS0SCHLACTS
Question Wording:
These questions are about activities you do at school.
Have
you participated in the following school-sponsored activities at any
time during this school year?
(Select one for each row.)
Item
Name: HS0SCHLSPORTS
Item Wording: School sports
Item Name: HS0SCHLMTHSCI
Item Wording:
Math or science clubs
Item Name: HS0SCHLMUSIC
Item Wording: Performing arts, such as music, dance,
and/or theater
Item Name: HS0SCHLGOV
Item
Wording: Student government
Item Name:
HS0SCHLPAPER
Item Wording: School yearbook, newspaper,
or literary magazine
Item Name: HS0SCHLMEDIA
Item
Wording: Media arts, such as animation, computer graphics, or
video games
Item Name: HS0SCHLARTS
Item
Wording: Visual arts, such as painting, sculpture, or pottery
Item Name: HS0SCHLOTHCLB
Item Wording:
Other school clubs
Item Name: HS0SCHLOTHACT
Item
Wording: Other school-sponsored activities
3=Participated as an officer,
leader, or captain
2=Participated
1=Did not participate
98=Not available at my school
HS0FREQUSENET
Question Wording:
During this school
year, 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
HS0FREQNETPRB
Question Wording:
During this school
year, 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
HS0CINTRO
Question Wording:
Next are some questions about your family.
Please
click the “Next” button to continue.
HS0NOINHOUSE
Question Wording:
How many people are
living in your household, including yourself and your parent(s) or
guardian(s)? If you have more than one home, tell us about the home
you live in most of the time. Include people who are temporarily away
from home (for example, living in college housing) if they have no
other permanent home.
Item Name: HS0NOINHOUSE
Item Wording: ____ people
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 or birth mother?
2=Biological or birth father?
3=Adoptive mother?
4=Adoptive father?
5=Stepmother?
6=Stepfather?
7=Aunt?
8=Uncle?
9=Grandmother?
10=Grandfather?
11=Foster mother or legal female guardian?
12=Foster
father or legal male guardian?
13=Female partner or girlfriend
of your parent or guardian?
14=Male partner or boyfriend of
your parent or guardian?
15=Other female parent or guardian?
16=Other male parent or guardian?
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 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.
HS0P1EMPLOYED
Question Wording:
During the past week, did [your biological or birth mother/your biological or birth father/your adoptive mother/your adoptive father/your stepmother/your stepfather/your aunt/your uncle/your grandmother/your grandfather/your foster mother or legal female guardian/your foster father or legal male guardian/your parent or guardian's female partner/your parent or guardian's male partner/your female parent or guardian/your male parent or guardian/your first parent or guardian] work at a job for pay or income?
Item
Name: HS0P1EMPLOYED
1=Yes
0=No
Help
Text:
Work at a job for pay or income: Include any work for
pay, even for as little as one hour.
HS0P1WRKLEAVE
Question Wording:
During the past week,
was [your biological or birth mother/your biological or birth
father/your adoptive mother/your adoptive father/your stepmother/your
stepfather/your aunt/your uncle/your grandmother/your
grandfather/your foster mother or legal female guardian/your foster
father or legal male guardian/your parent or guardian's female
partner/your parent or guardian's male partner/your female parent or
guardian/your male parent or guardian/your first parent or guardian]
on leave or vacation from a job?
Item Name:
HS0P1WRKLEAVE
1=Yes
0=No
HS0P1HIGHEDU
*
Question Wording:
How far in school did
[your biological or birth mother/your biological or birth father/your
adoptive mother/your adoptive father/your stepmother/your
stepfather/your aunt/your uncle/your grandmother/your
grandfather/your foster mother or legal female guardian/your foster
father or legal male guardian/your parent or guardian's female
partner/your parent or guardian's male partner/your female parent or
guardian/your male parent or 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=Attended beyond high school, but
did not complete a bachelor’s degree
4=Completed a
bachelor’s degree or higher
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).
Attended beyond high school, but did not complete a bachelor’s degree: Attended or completed education beyond a high school diploma or equivalent, but did not complete a bachelor’s degree. This may include work towards or completion of a certificate or diploma from a school that provides occupational training, or an associate’s degree. Occupational training involves training 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. 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. This may also include work towards but not completion of 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 bachelor's degree or higher: Completed a bachelor’s degree, or completed education beyond a bachelor’s degree. A bachelor's degree (BA, BS, etc.) usually requires at least 4 years of full-time college-level work. This may also include a master's degree or a Ph.D., M.D., law degree, or other high-level professional 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. 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.
HS0P2INHOUSE
*
Question Wording:
Do you have another
parent or guardian who lives in the same household with you and your
first parent or guardian?
Item Name: HS0P2INHOUSE
1=Yes
0=No
HS0P2ID
*
Question Wording:
Is this your....
Item Name: HS0P2ID
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=Grandmother?
10=Grandfather?
11=Foster mother or legal female guardian?
12=Foster
father or legal male guardian?
13=Female partner or girlfriend
of your parent or guardian?
14=Male partner or boyfriend of
your parent or guardian?
15=Other female parent or guardian?
16=Other male parent or guardian?
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 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.
HS0P2EMPLOYED
Question Wording:
During the past week,
did [your biological or birth mother/your biological or birth
father/your adoptive mother/your other adoptive mother/your adoptive
father/your other adoptive father/your stepmother/your
stepfather/your aunt/your other aunt/your uncle/your other uncle/your
grandmother/your other grandmother/your grandfather/your other
grandfather/your foster mother or legal female guardian/your other
foster mother or legal female guardian/your foster father or legal
male guardian/your other foster father or legal male guardian/your
parent or guardian's female partner/your parent or guardian's male
partner/your female parent or guardian/your other female parent or
guardian/your male parent or guardian/your other male parent or
guardian/your second parent or guardian] work at a job for pay or
income?
Item
Name: HS0P2EMPLOYED
1=Yes
0=No
Help
Text:
Work at a job for pay or income: Include any work for
pay, even for as little as one hour.
HS0P2WRKLEAVE
Question Wording:
During the past week,
was [your biological or birth mother/your biological or birth
father/your adoptive mother/your other adoptive mother/your adoptive
father/your other adoptive father/your stepmother/your
stepfather/your aunt/your other aunt/your uncle/your other uncle/your
grandmother/your other grandmother/your grandfather/your other
grandfather/your foster mother or legal female guardian/your other
foster mother or legal female guardian/your foster father or legal
male guardian/your other foster father or legal male guardian/your
parent or guardian's female partner/your parent or guardian's male
partner/your female parent or guardian/your other female parent or
guardian/your male parent or guardian/your other male parent or
guardian/your second parent or guardian] on leave or vacation from a
job?
Item Name: HS0P2WRKLEAVE
1=Yes
0=No
HS0P2HIGHEDU
*
Question Wording:
How far in school did
[your biological or birth mother/your biological or birth father/your
adoptive mother/your other adoptive mother/your adoptive father/your
other adoptive father/your stepmother/your stepfather/your aunt/your
other aunt/your uncle/your other uncle/your grandmother/your other
grandmother/your grandfather/your other grandfather/your foster
mother or legal female guardian/your other foster mother or legal
female guardian/your foster father or legal male guardian/your other
foster father or legal male guardian/your parent or guardian's female
partner/your parent or guardian's male partner/your female parent or
guardian/your other female parent or guardian/your male parent or
guardian/your other male parent or guardian/your second parent or
guardian] go?
(Select highest level of education.)
Item
Name: HS0P2HIGHEDU
1=Less than high school
completion
2=Completed a high school diploma or equivalent (for
example, GED, HiSET, TASC)
3=Attended beyond high school, but
did not complete a bachelor’s degree
4=Completed a
bachelor’s degree or higher
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).
Attended beyond high school, but did not complete a bachelor’s degree: Attended or completed education beyond a high school diploma or equivalent, but did not complete a bachelor’s degree. This may include work towards or completion of a certificate or diploma from a school that provides occupational training, or an associate’s degree. Occupational training involves training 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. 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. This may also include work towards but not completion of 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 bachelor's degree or higher: Completed a bachelor’s degree, or completed education beyond a bachelor’s degree. A bachelor's degree (BA, BS, etc.) usually requires at least 4 years of full-time college-level work. This may also include a master's degree or a Ph.D., M.D., law degree, or other high-level professional 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. 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.
HS0AUTONOMY
Question Wording:
How often [do your
parents/guardians/does your parent/guardian]...
(Select one for
each row.)
Item Name: HS0RSPCTPRIV
Item
Wording: Respect your privacy?
Item Name:
HS0FREEDOM
Item Wording: Give you a lot of freedom?
Item Name: HS0DECISIONS
Item Wording:
Make most of the decisions about what you can do?
Item
Name: HS0OWNVIEW
Item Wording: Believe you have a
right to your own point of view?
1=Never
2=Rarely
3=Sometimes
4=Often
5=Very often
6=Always
HS0RELWTHPAR
Question Wording:
(Continued) How often
[do your parents/guardians/does your parent/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
Help
Text:
Money: Some people your age do not have their own
money to spend. If you do not have your own money, please select
"Always" for this question.
HS0DCSSWTHPAR
Question Wording:
During this school
year, how often have you discussed the following with your
[parents/guardians/parent/guardian]?
(Select one for each row.)
Item Name: HS0DCSSCOURSE
Item Wording:
Selecting courses or programs at school
Item Name:
HS0DCSSACTS
Item Wording: School activities or events of
particular interest to you
Item Name:
HS0DCSSSTDIES
Item Wording: Things you’ve studied
in class
1=Not at all
2=Once or
twice
3=Three or more times
HS0DINTRO
Question Wording:
In this section we will ask you about your thoughts about the future.
Please
click the “Next” button to continue.
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: HS0GUIDCOREL
Item Wording: Other adult
relative
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:
HS0GUIDCONONE
Item Wording: None of these people
HS0GUIDHIGHED
Question Wording:
Which of the following
people have you talked with about going to college?
(Check
all that apply.)
Item Name: HS0GUIDCLMOM
Item
Wording: [Your mother(s) or female guardian(s)/Your mother or
female guardian]
Item
Name: HS0GUIDCLDAD
Item Wording: [Your father(s) or
male guardian(s)/Your father or male guardian]
Item
Name: HS0GUIDCLREL
Item Wording: Other adult
relative
Item Name: HS0GUIDCLFRND
Item
Wording: Your friends
Item Name: HS0GUIDCLTCHR
Item Wording: A favorite teacher
Item
Name: HS0GUIDCLCOU
Item Wording: A school counselor
Item Name: HS0GUIDCLCOA
Item Wording:
A coach
Item Name: HS0GUIDCLOTHR
Item
Wording: Other adult not listed
Item Name:
HS0GUIDCLNONE
Item Wording: None of these people
HS0IMPSTDYING
Question Wording:
How much do you agree
or disagree with the following statement?
Even
if you study, your family cannot afford to pay for you to attend
college.
Item Name: HS0IMPSTDYING
1=Strongly agree
2=Agree
3=Disagree
4=Strongly disagree
HS0FNNCLLTRCY
Question Wording:
How much do you agree
or disagree with the following statements?
(Select one for each
row.)
Item Name: HS0CLGCOST
Item Wording:
I have spent time figuring out what college will cost.
Item
Name: HS0PAYFORCLG
Item Wording: I have spent time
figuring out how to pay for college.
Item Name:
HS0MONEYINFO
Item Wording: I know where to find
trustworthy information when I need it for decisions involving money.
Item Name: HS0FUTURE
Item Wording: I
spend a lot of time thinking about how what I do today will affect me
in the future.
1=Strongly agree
2=Agree
3=Disagree
4=Strongly disagree
HS0EINTRO
Question Wording:
Next we will ask you about your beliefs about education and your daily activities.
Please
click the “Next” button to continue.
HS0GRWTHMNDST
Question Wording:
How much do you agree
or disagree with the following statements?
(Select one for each
row.)
Item Name: HS0FXDAMTINTL
Item
Wording: You have a certain amount of intelligence and you can’t
really do much to change it.
Item Name:
HS0CNTCHGINTL
Item Wording: Your intelligence is
something about you that you can’t change very much.
Item
Name: HS0LRNNWTHNGS
Item Wording: You can learn new
things, but you can’t really change your basic intelligence.
1=Strongly agree
2=Agree
3=Slightly agree
4=Slightly disagree
5=Disagree
6=Strongly disagree
HS0MTHGRWMDST
Question Wording:
(Continued) How much do
you agree or disagree with the following statements?
(Select
one for each row.)
Item Name: HS0CANLRNMTH
Item
Wording: Most people can learn to be good at math.
Item
Name: HS0BORNWTHMTH
Item Wording: You have to be
born with the ability to be good at math.
1=Strongly agree
2=Agree
3=Slightly agree
4=Slightly disagree
5=Disagree
6=Strongly disagree
HS0WKESLPTIME
Question Wording:
What time do you
usually wake up on school days?
Item
Name: HS0WAKEHOUR
-9=- Select hour -
1=1
2=2
3=3
4=4
5=5
6=6
7=7
8=8
9=9
10=10
11=11
12=12
Item
Name: HS0WAKEMIN
-9=- Select minutes -
0=00
1=05
2=10
3=15
4=20
5=25
6=30
7=35
8=40
9=45
10=50
11=55
Item
Name: HS0WAKEAMPM
-9=- Select AM or PM -
1=AM
2=PM
Question
Wording:
What time do you usually go to sleep on
school nights?
Item
Name: HS0SLEEPHOUR
-9=- Select hour -
1=1
2=2
3=3
4=4
5=5
6=6
7=7
8=8
9=9
10=10
11=11
12=12
Item
Name: HS0SLEEPMIN
-9=- Select minutes -
0=00
1=05
2=10
3=15
4=20
5=25
6=30
7=35
8=40
9=45
10=50
11=55
Item
Name: HS0SLEEPAMPM
-9=- Select AM or PM -
1=AM
2=PM
Help
Text:
Usually wake up: If you don't have a usual time that you wake up on school days, please select the time when you most often wake up on school days.
Usually go to sleep: If you don't have a usual time that you go to sleep on school nights, please select the time when you most often go to sleep on school nights.
HS0SLEEPHBTS
Question Wording:
In the last month,
how often…
(Select one for each row.)
Item
Name: HS0WAKETIRED
Item Wording: Did you wake up
feeling tired?
Item Name: HS0TRBLFLSLP
Item
Wording: Did you have trouble falling asleep?
Item
Name: HS0TRBLSTYSLP
Item Wording: Did you have
trouble staying asleep?
Item Name: HS0RESTLESSLP
Item Wording: Did you move a lot when you slept/had
restless sleep?
Item Name: HS0TRBLAWAKE
Item
Wording: Did you have trouble staying awake while sitting in
class or watching TV?
1=Never
2=Rarely
3=Sometimes
4=Often
5=Very often
6=Always
HS0EXERCISE
Question Wording:
On how many of the past
7 days did you exercise or participate in physical activity for at
least 20 minutes that made you sweat and breathe hard, such as
basketball, soccer, running, swimming laps, fast bicycling, fast
dancing, or similar aerobic exercise?
Item Name:
HS0EXERCISE
0=0 days
1=1 day
2=2
days
3=3 days
4=4 days
5=5 days
6=6 days
7=7
days
HS0HRDEVICE
Question Wording:
These next questions are about your hearing.
Do you wear a hearing aid or other assistive hearing device?
Item
Name: HS0HRDEVICE
1=Yes
0=No
Help
Text:
Hearing Aid: A hearing aid is a small electronic device worn in or behind the ear to make sounds louder so you can hear them.
Other Assistive Hearing Devices: Other assistive hearing devices means anything you use to help you hear, such as a cochlear implant, personal sound amplifier, pocket talker, or phone app.
HS0DESCHEAR
Question Wording:
Which statement best describes your hearing [if HS0HRDEVICE in (1, no response) then fill: WITHOUT a hearing aid or other assistive hearing device/else: no fill]?
Item
Name: HS0DESCHEAR
1=Excellent hearing
2=Good
hearing
3=A little hearing trouble
4=Moderate hearing
trouble
5=A lot of hearing trouble
6=Deaf
Help
Text:
Hearing Aid: A hearing aid is a small electronic device worn in or behind the ear to make sounds louder so you can hear them.
Other Assistive Hearing Devices: Other assistive hearing devices means anything you use to help you hear, such as a cochlear implant, personal sound amplifier, pocket talker, or phone app.
Deaf: Deaf means that you cannot hear in both ears without the use of hearing aids or other devices. If you can hear in one ear, you are not deaf.
HS0BETTEREAR
Question Wording:
Do you hear better in
one ear than the other [if HS0HRDEVICE in (1, no response) then fill:
WITHOUT a hearing aid or other assistive hearing device/else: no
fill]?
Item
Name: HS0BETTEREAR
1=Yes, the right ear is better.
2=Yes, the left ear is better.
0=No
99=Don't know
Help
Text:
Hearing Aid: A hearing aid is a small electronic device worn in or behind the ear to make sounds louder so you can hear them.
Other Assistive Hearing Devices: Other assistive hearing devices means anything you use to help you hear, such as a cochlear implant, personal sound amplifier, pocket talker, or phone app.
HS0EARACHE
Question Wording:
In the past 12 months,
have you had an earache or ear infection?
Item
Name: HS0EARACHE
1=Yes
0=No
99=Don't
know
Help
Text:
Earache or ear infection: Earache refers to an ongoing
pain or discomfort inside one or both ears. It does not include pain
on the external ear, such as from an ear piercing, or pain caused by
a change in altitude or atmospheric pressure. Ear infection typically
refers to doctor’s diagnosis of ear infection or inflammation.
HS0EARRING
Question Wording:
In the past 12 months,
have you been bothered by ringing, roaring, or buzzing in your ears
or head that lasted for 5 minutes or more?
Item Name:
HS0EARRING
1=Yes
0=No
HS0EVREARPHNS
Question Wording:
In the past 12 months,
have you listened to music through earphones or a headset?
Item
Name: HS0EVREARPHNS
1=Yes
0=No
HS0EARPHFREQ
Question Wording:
On a typical day, how
much time do you spend listening to music through earphones or a
headset?
Item Name: HS0EARPHFREQ
1=Less than 1 hour
2=1 to 2
hours
3=3 to 4 hours
4=5 or more hours
HS0HREARPHNS
Question Wording:
When listening to music
using earphones or a headset at your usual volume, how much trouble
do you have hearing and understanding people around you?
Item
Name: HS0HREARPHNS
1=No trouble
2=A little
trouble
3=Moderate trouble
4=A lot of trouble
5=Cannot
hear and understand them
HS0HVEGLSSLENS
Question Wording:
The next questions are
about your vision.
Do you have eyeglasses or contact
lenses to help you see better?
Item Name:
HS0TOTLBLIND
Item Wording: You are totally blind.
Item
Name: HS0HVEGLSSLENS
1=Yes
0=No
HS0GLSSCNTCTS
Question Wording:
How often do you wear
eyeglasses or contact lenses to help you see better?
Item
Name: HS0GLSSCNTCTS
1=Always or most of the time
2=Often
3=Sometimes
4=Rarely
5=Never
HS0VISION
Question Wording:
The next question asks
if you have a hard time seeing in different situations. [Please
answer thinking about your vision while NOT wearing glasses or
contact lenses/no fill].
(Select
one for each row.)
Item Name: HS0VISDSTNCE
Item
Wording: Do you have a hard time seeing things in the distance?
Item Name: HS0VISBOARD
Item Wording:
Do you have a hard time seeing things in your classroom, for example,
what is written on the board?
Item
Name: HS0VISCLSEUP
Item Wording: Do you have a hard
time seeing things close-up like letters on paper?
1=Yes
0=No
Help
Text:
Board: A board could be a white board, including an
interactive white board (for example, Promethean screen), or a chalk
board.
HS0FREQTCHBVR
Question Wording:
Now we would like to
ask about a few other activities.
How often do you...
(Select one for each row.)
Item Name:
HS0FREQVIDGAM
Item Wording: Play video games, computer
games, or games on a mobile device (such as a cell phone or tablet)?
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
HS0CONSCIENT1
Question Wording:
How often are the
following statements true for you?
I see myself as someone
who...
(Select one for each row.)
Item Name:
HS0CAREFUL
Item Wording: Does things carefully and
completely.
Item Name: HS0CARELESS
Item
Wording: Can be somewhat careless.
Item Name:
HS0RELWORKER
Item Wording: Is a reliable worker.
Item
Name: HS0DISORGNZD
Item Wording: Tends to be
disorganized.
Item Name: HS0LAZY
Item
Wording: Tends to be lazy.
1=Never
2=Rarely
3=Sometimes
4=Often
5=Very often
6=Always
HS0CONSCIENT2
Question Wording:
(Continued) How often
are the following statements true for you?
I see myself as
someone who...
(Select one for each row.)
Item
Name: HS0KEEPWRKNG
Item Wording: Keeps working until
things are done.
Item Name: HS0EFFICIENT
Item
Wording: Does things efficiently (quickly and correctly).
Item
Name: HS0MAKESPLANS
Item Wording: Makes plans and
sticks to them.
Item Name: HS0DISTRACTED
Item
Wording: Is easily distracted.
Item Name:
HS0TRBLPYATTN
Item Wording: Has trouble paying
attention.
1=Never
2=Rarely
3=Sometimes
4=Often
5=Very often
6=Always
HS0SEMPLOYED
Question Wording:
Some people your age
get paid for work they do. Have you ever been paid to do work outside
of the home? (Do not include chores, helping around the house, or an
allowance you might receive.)
Item Name:
HS0SEMPLOYED
1=Yes, and you are currently
working for pay.
2=Yes, but you are not currently working for
pay.
0=No
HS0SHOURWORK
Question Wording:
How many hours [do/did]
you usually work each week at your [current/most recent] job during
this school year?
Item
Name: HS0SHOURWORK
1=You have not worked during this
school year.
2=1-5 hours a week
3=6-10 hours a week
4=11-15 hours a week
5=16-20 hours a week
6=21-25
hours a week
7=26-30 hours a week
8=31-35 hours a week
9=36-40 hours a week
10=Over 40 hours a week
HS0LI2INTRO
Question Wording:
In this last section of the survey we will ask you for names and contact information for your parents and a relative or close friend. This information will only be used to help us contact you in the future for this study. It will be kept in protected files separate from the responses you provided in your survey.
Please
click the “Next” button to continue.
HS0P1NAME
*
Question Wording:
What is [your
biological or birth mother/your biological or birth father/your
adoptive mother/your adoptive father/your stepmother/your
stepfather/your aunt/your uncle/your grandmother/your
grandfather/your foster mother or legal female guardian/your foster
father or legal male guardian/your parent or guardian's female
partner/your parent or guardian's male partner/your female parent or
guardian/your male parent or guardian/your first parent or
guardian]’s full name?
Item Name:
HS0P1FIRNAME
Item Wording: First Name:
Item
Name: HS0P1MIDNAME
Item Wording: Middle Name:
Item
Name: HS0P1LSTNAME
Item Wording: Last Name:
Item
Name: HS0P1SUFFIX
Item Wording: Suffix:
HS0P1ADDSAME
*
Question Wording:
Is [your biological
or birth mother/your biological or birth father/your adoptive
mother/your adoptive father/your stepmother/your stepfather/your
aunt/your uncle/your grandmother/your grandfather/your foster mother
or legal female guardian/your foster father or legal male
guardian/your parent or guardian's female partner/your parent or
guardian's male partner/your female parent or guardian/your male
parent or guardian/your first parent or guardian]'s address the same
as yours?
Item Name: HS0P1ADDSAME
1=Yes
0=No
HS0P1ADD
*
Question Wording:
Please confirm or
provide [your biological or birth mother/your biological or birth
father/your adoptive mother/your adoptive father/your stepmother/your
stepfather/your aunt/your uncle/your grandmother/your
grandfather/your foster mother or legal female guardian/your foster
father or legal male guardian/your parent or guardian's female
partner/your parent or guardian's male partner/your female parent or
guardian/your male parent or guardian/your first parent or
guardian]'s address (including street number, street name, apartment
number, city, state and ZIP code). If [his/her/his or her] contact
information is not right or is incomplete, please fix it below. Then
click "Next" to continue.
Item Name:
HS0P1AD
Item Wording:
Street Address:
Item
Name: HS0P1CY
Item Wording:
City:
Item
Name: HS0P1ST
Item Wording:
State:
Item
Name: HS0P1ZP
Item Wording:
ZIP Code:
AutoFill
City and State from ZIP Code
Item Name: HS0P1FC
Item Wording:
Foreign Country:
Item
Name: HS0P1FS
Item Wording:
Foreign State/Province:
Item
Name: HS0P1FZ
Item Wording:
Foreign ZIP/Postal Code:
Item
Name: HS0P1FAD
Item Wording:
Foreign Address:
Item
Name: HS0P1FCY
Item Wording:
Foreign City:
Item
Name: HS0P1FOR
Item Wording: Please check here if
the address is an international address.
HS0P1CNTCTINF
Question Wording:
Please confirm or
provide [your biological or birth mother/your biological or birth
father/your adoptive mother/your adoptive father/your stepmother/your
stepfather/your aunt/your uncle/your grandmother/your
grandfather/your foster mother or legal female guardian/your foster
father or legal male guardian/your parent or guardian's female
partner/your parent or guardian's male partner/your female parent or
guardian/your male parent or guardian/your first parent or
guardian]'s cell and other phone numbers, including area code, and
main email address. [This information was given to us by your
school.] If [his/her/his or her] contact information is not right or
is incomplete, please fix it below. Then click "Next" to
continue.
Item
Name: HS0P1CELLCODE
Item Wording: Cell phone number:
Item Name: HS0P1NCELLTEL
1=[His/Her/His or her] cell phone
number is the same as yours.
2=[He/She/He or she] does not have
a cell phone number.
99=You don‘t know [his/her/his or
her] cell phone number.
Item
Name: HS0P1OTHCODE
Item Wording: Other telephone
number:
Item Name: HS0P1OTHTYP
-9=- Select phone type -
1=Landline
2=Work
3=Other
Item
Name: HS0P1NOTHTEL
2=[He/She/He or she] does not
have another telephone number.
99=You don’t know
[his/her/his or her] other telephone number.
Item
Name: HS0P1EMAIL
Item Wording: Email address:
Item
Name: HS0P1EMAILDK
2=[He/She/He or she] does not
have an email address.
99=You don‘t know [his/her/his or
her] email address.
HS0P2NAME
Question Wording:
What is [your
biological or birth mother/your biological or birth father/your
adoptive mother/your other adoptive mother/your adoptive father/your
other adoptive father/your stepmother/your stepfather/your aunt/your
other aunt/your uncle/your other uncle/your grandmother/your other
grandmother/your grandfather/your other grandfather/your foster
mother or legal female guardian/your other foster mother or legal
female guardian/your foster father or legal male guardian/your other
foster father or legal male guardian/your parent or guardian's female
partner/your parent or guardian's male partner/your female parent or
guardian/your other female parent or guardian/your male parent or
guardian/your other male parent or guardian/your second parent or
guardian]'s full name?
Item Name: HS0P2FIRNAME
Item Wording: First Name:
Item Name:
HS0P2MIDNAME
Item Wording: Middle Name:
Item
Name: HS0P2LSTNAME
Item Wording: Last Name:
Item
Name: HS0P2SUFFIX
Item Wording: Suffix:
HS0P2ADDSAME
Question Wording:
Is [your biological or
birth mother/your biological or birth father/your adoptive
mother/your other adoptive mother/your adoptive father/your other
adoptive father/your stepmother/your stepfather/your aunt/your other
aunt/your uncle/your other uncle/your grandmother/your other
grandmother/your grandfather/your other grandfather/your foster
mother or legal female guardian/your other foster mother or legal
female guardian/your foster father or legal male guardian/your other
foster father or legal male guardian/your parent or guardian's female
partner/your parent or guardian's male partner/your female parent or
guardian/your other female parent or guardian/your male parent or
guardian/your other male parent or guardian/your second parent or
guardian]'s address the same as yours?
Item Name:
HS0P2ADDSAME
1=Yes
0=No
HS0P2ADD
Question Wording:
Please confirm or
provide [your biological or birth mother/your biological or birth
father/your adoptive mother/your other adoptive mother/your adoptive
father/your other adoptive father/your stepmother/your
stepfather/your aunt/your other aunt/your uncle/your other uncle/your
grandmother/your other grandmother/your grandfather/your other
grandfather/your foster mother or legal female guardian/your other
foster mother or legal female guardian/your foster father or legal
male guardian/your other foster father or legal male guardian/your
parent or guardian's female partner/your parent or guardian's male
partner/your female parent or guardian/your other female parent or
guardian/your male parent or guardian/your other male parent or
guardian/your second parent or guardian]'s address (including street
number, street name, apartment number, city, state and ZIP code). If
[his/her/his or her] contact information is not right or is
incomplete, please fix it below. Then click "Next" to
continue.
Item Name: HS0P2AD
Item
Wording:
Street Address:
Item
Name: HS0P2CY
Item Wording:
City:
Item
Name: HS0P2ST
Item Wording:
State:
Item
Name: HS0P2ZP
Item Wording:
ZIP Code:
AutoFill
City and State from ZIP Code
Item Name: HS0P2FC
Item Wording:
Foreign Country:
Item
Name: HS0P2FS
Item Wording:
Foreign State/Province:
Item
Name: HS0P2FZ
Item Wording:
Foreign ZIP/Postal Code:
Item
Name: HS0P2FAD
Item Wording:
Foreign Address:
Item
Name: HS0P2FCY
Item Wording:
Foreign City:
Item
Name: HS0P2FOR
Item Wording: Please check here if
the address is an international address.
HS0P2CNTCTINF
Question Wording:
Please confirm or
provide [your biological or birth mother/your biological or birth
father/your adoptive mother/your other adoptive mother/your adoptive
father/your other adoptive father/your stepmother/your
stepfather/your aunt/your other aunt/your uncle/your other uncle/your
grandmother/your other grandmother/your grandfather/your other
grandfather/your foster mother or legal female guardian/your other
foster mother or legal female guardian/your foster father or legal
male guardian/your other foster father or legal male guardian/your
parent or guardian's female partner/your parent or guardian's male
partner/your female parent or guardian/your other female parent or
guardian/your male parent or guardian/your other male parent or
guardian/your second parent or guardian]'s cell and other phone
numbers, including area code, and main email address. [This
information was given to us by your school.] If [his/her/his or her]
contact information is not right or is incomplete, please fix it
below. Then click "Next" to continue.
Item
Name: HS0P2CELLCODE
Item Wording: Cell phone number:
Item Name: HS0P2NCELLTEL
1=[His/Her/His or her] cell phone
number is the same as yours.
2=[He/She/He or she] does not have
a cell phone number.
99=You don‘t know [his/her/his or
her] cell phone number.
Item
Name: HS0P2OTHCODE
Item Wording: Other telephone
number:
Item Name: HS0P2OTHTYP
-9=- Select phone type -
1=Landline
2=Work
3=Other
Item
Name: HS0P2NOTHTEL
2=[He/She/He or she] does not
have another telephone number.
99=You don‘t know
[his/her/his or her] other telephone number.
Item
Name: HS0P2EMAIL
Item Wording: Email address:
Item
Name: HS0P2EMAILDK
2=[He/She/He or she] does not
have an email address.
99=You don‘t know [his/her/his or
her] email address.
HS0RELCNTINF
Question Wording:
Please provide the name, address, and phone number of a relative or close friend who does not live with you and who will always know how to contact you.
Name:
Item
Name: HS0RELFIRNAME
Item Wording: First Name:
Item
Name: HS0RELMIDNAME
Item Wording: Middle Name:
Item Name: HS0RELLSTNAME
Item Wording:
Last Name:
Item Name: HS0RELSUFFIX
Item
Wording: Suffix:
Question Wording:
Address:
Item Name: HS0RELAD
Item Wording:
Street Address:
Item
Name: HS0RELCY
Item Wording: City:
Item
Name: HS0RELST
Item Wording:
State:
Item
Name: HS0RELZP
Item Wording:
ZIP Code:
AutoFill
City and State from ZIP Code
Item Name: HS0RELFC
Item Wording:
Foreign Country:
Item
Name: HS0RELFS
Item Wording:
Foreign State/Province:
Item
Name: HS0RELFZ
Item Wording:
Foreign ZIP/Postal Code:
Item
Name: HS0RELFAD
Item Wording:
Foreign Address:
Item
Name: HS0RELFCY
Item Wording:
Foreign City:
Item
Name: HS0RELFOR
Item Wording: Please check here if
the address is an international address.
Item Name:
HS0RELADDDK
Item Wording: You do not know his/her
address.
Question Wording:
Phone number:
Item Name: HS0RELTELBLNK
2=This person does not have a
phone number.
99=You don‘t know his/her phone number.
Item
Name: HS0RELTELTYP
-9=- Select phone type -
1=Landline
2=Cell
3=Work
4=Other
HS0RELID
Question Wording:
What is
[[HS0RELFIRNAME] [HS0RELMIDNAME] [HS0RELLSTNAME] [HS0RELSUFFIX]/this
person]'s relationship to you?
Item
Name: HS0RELID
1=A parent
2=A grandparent
3=An aunt or uncle
4=A brother or sister
5=A friend
6=Other
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 survey
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 survey screen. This will
set the survey as complete.
HS0END
*
Question Wording:
You have finished the final question of this section. Click "Finish" to proceed.
HS0INCENTIVE
*
Question Wording:
(To see a Spanish translation, click the “ESPAÑOL” button at the top of your screen.)
Thank
you. To show our appreciation for completing the survey today, we
would like to send you [Incentive].
Please confirm
your information. If the information below is
right, click "Next." If the information below is not right
or is incomplete, please fix it below, and then click "Next."
(Please allow 4 weeks for delivery.)
If you do
not want to receive this, please click the box below, and then click
"Next" to continue.
Item
Name: HS0INC_NoInc
Item
Wording: I do not want to
receive anything for completing this survey.
Item Name: HS0INCNAME_LBL
Item Wording: Name:
Item
Name: HS0INCFIRNAME
Item
Wording: First name:
Item
Name: HS0INCMIDNAME
Item
Wording: Middle name:
Item
Name: HS0INCLSTNAME
Item
Wording: Last name:
Item
Name: HS0INCSUFFIX
Item
Wording: Suffix:
Question
Wording:
Address:
Item
Name: HS0INCAD
Item
Wording: Street Address:
Item
Name: HS0INCCY
Item
Wording: City:
Item
Name: HS0INCST
Item
Wording: State:
Item
Name: HS0INCZP
Item
Wording: ZIP Code:
AutoFill
City and State from ZIP Code
Item
Name: HS0INCFOR
Item
Wording: Please check here if the
address is an international address.
Item
Name: HS0INCFAD
Item
Wording: Foreign Address:
Item
Name: HS0INCFC
Item
Wording: Foreign Country:
Item
Name: HS0INCFCY
Item
Wording: Foreign City:
Item
Name: HS0INCFS
Item
Wording: Foreign State/Province:
Item
Name: HS0INCFZ
Item
Wording: Foreign ZIP/Postal Code:
FINAL SCREEN *
Question Wording:
(To see a Spanish translation, click the “ESPAÑOL” button at the top of your screen.)
Thank you for your participation in HS&B:21.
[If
(student is taking survey in school) or (student is taking survey
outside of school) and (self laptop mode)) then fill:
You may
now close your browser./
else
then fill:
Be
sure to CLOSE ALL browser windows to keep your responses secure. For
example, if you used Chrome or Safari to open the survey, make sure
no Chrome or Safari windows are open after you end the survey. Not
closing all browsers may allow someone else to see your responses.]
Appendix B3. Student Questionnaire – Spanish
Compared to the base year field test, one of the hallmarks of the base year full-scale study is the inclusion of the student questionnaire translated into Spanish.
Table 2. HS&B:21 Full-Scale Student Questionnaire - Spanish
Form Name |
Form Label |
Abbreviated |
HS0FIRSTLANG |
The first language student learned to speak as a child |
* |
HS0NAVIGATE |
Navigation instructions screen |
* |
HS0NAVIGATE_OOS |
Navigation instructions screen for out of school |
* |
HS0AINTRO (formerly HS0LI1INTRO) |
Section A Background information introduction |
|
HS0BIRTHDATE |
Student’s birthdate |
* |
HS0SEX |
Student’s sex |
* |
HS0HISPANIC |
Student’s Hispanicity |
* |
HS0HISPETHN |
Student’s Hispanic ethnicity |
|
HS0RACE |
Student’s race |
* |
HS0ASIANETHN |
Student’s Asian ethnicity |
|
HS0INCRACETH |
Racial/Ethnic inclusion |
|
HS0FRQLANGHOM |
How often student speaks a language other than English at home |
* |
HS0FRQLANGFRI |
Frequency of first language spoken to peers |
|
HS0LANGPREF |
Preferred language |
|
HS0ENGFLUEN |
English fluency |
|
HS0ESLENROLL |
Enrolled in ELL/ESL program |
|
HS0ESLLASTENR |
Grade(s) in ELL/ESL program |
|
HS0LYSCHOOL |
Attended current school in 2020-2021 school year |
|
HS0EDUEXP |
Highest level of education expected |
|
HS0PURSUCONF |
Confidence in pursuing highest level of education |
|
HS0PAROOSACTS |
Participation in non school activities |
|
HS0OPTIMISM1 |
Optimism, part 1 |
|
HS0OPTIMISM2 |
Optimism, part 2 |
|
HS0PEERVALUES |
Peer values |
|
HS0RCNTCTINF1 |
Respondent contact information – name and address |
* |
HS0RCNTCTINF2 |
Respondent contact information – phones and email |
* |
HS0NAVIGATE2 |
Navigation instructions screen |
* |
HS0BINTRO |
Section B School Experiences introduction |
|
HS0LYGRADE |
Grade attended in 2020-2021 school year |
* |
HS0REPEATGRD |
Ever repeated a grade and grades repeated |
|
HS0MATH8GRD |
Math course taken in 8th grade |
* |
HS0CURRMATH |
Taking math course currently |
* |
HS0MATHSPEC |
Current math course – specific |
* |
HS0CONFINMATH |
Confidence in abilities in math/current math course |
|
HS0HIMATH |
Most advanced math course expect during high school |
|
HS0PREPARCLSS |
Preparedness for class |
|
HS0PEERSPPRT |
Peer social support |
|
HS0SCHLCLIM1 |
Positive school climate |
|
HS0BELONGSCHL |
Belonging in school |
|
HS0PERSIST |
Persistence |
|
HS0BULLYING |
Bullying |
|
HS0SCHLACTS |
Participation in school-sponsored activities |
|
HS0FREQUSENET |
Frequency of internet usage for school work outside of school |
|
HS0FREQNETPRB |
Frequency of internet issues at home while doing school work |
|
HS0CINTRO |
Section C Family introduction |
|
HS0NOINHOUSE |
No. of members in household |
|
HS0P1ID |
Identification of Parent 1 |
* |
HS0P1EMPLOYED |
Parent 1’s employment status |
|
HS0P1WRKLEAVE |
Parent 1 on work leave |
|
HS0P1HIGHEDU |
Parent 1’s highest level of education |
* |
HS0P2INHOUSE |
Another parent/guardian in household |
* |
HS0P2ID |
Identification of Parent 2 |
* |
HS0P2EMPLOYED |
Parent 2’s employment status |
|
HS0P2WRKLEAVE |
Parent 2 on work leave |
|
HS0P2HIGHEDU |
Parent 2’s highest level of education |
* |
HS0AUTONOMY |
Autonomy from parents or guardians |
|
HS0RELWTHPAR |
Relationship with parents or guardians |
|
HS0DCSSWTHPAR |
Discussion with parents or guardians |
|
HS0DINTRO |
Section D Guidance and Future Plans introduction |
|
HS0GUIDCOURSE |
Individuals providing guidance on which academic course to take |
|
HS0GUIDHIGHED |
Individuals providing guidance on going to college |
|
HS0IMPSTDYING |
Affordability of college attendance |
|
HS0FNNCLLTRCY |
Financial literacy |
|
HS0EINTRO |
Section E Attitudes and Behavior introduction |
|
HS0GRWTHMNDST |
Growth mindset |
|
HS0MTHGRWMDST |
Math-specific growth mindset |
|
HS0WKESLPTIME |
Wake-up time/time goes to sleep on school days/nights |
|
HS0SLEEPHBTS |
Past month sleeping habits |
|
HS0EXERCISE |
Past week exercise |
|
HS0HRDEVICE |
Hearing device usage |
|
HS0DESCHEAR |
Hearing description |
|
HS0BETTEREAR |
Better hearing in one ear |
|
HS0EARACHE |
Earache in past year |
|
HS0EARRING |
Ringing in ear in past year |
|
HS0EVREARPHNS |
Earphone usage in past year |
|
HS0EARPHFREQ |
Frequency using earphones |
|
HS0HREARPHNS |
Hearing while using earphones |
|
HS0HVEGLSSLENS |
Glasses or contacts usage |
|
HS0GLSSCNTCTS |
Frequency wearing glasses or contacts |
|
HS0VISION |
Vision problems |
|
HS0FREQTCHBVR |
Frequency of gaming, digital art/music creation, and coding |
|
HS0CONSCIENT1 (formerly HS0CONSCIENT) |
Conscientiousness/Organization, part 1 |
|
HS0CONSCIENT2 |
Conscientiousness/Organization, part 2 |
|
HS0SEMPLOYED |
Student’s employment status |
|
HS0SHOURWORK |
Student work hours per week |
|
HS0LI2INTRO |
Locating information II introduction |
|
HS0P1NAME |
Name of Parent 1 |
* |
HS0P1ADDSAME |
Parent 1’s address is same |
* |
HS0P1ADD |
Parent 1’s address |
* |
HS0P1CNTCTINF |
Parent 1 contact info – cell number, other number, email |
|
HS0P2NAME |
Name of Parent 2 |
|
HS0P2ADDSAME |
Parent 2’s address is same |
|
HS0P2ADD |
Parent 2’s address |
|
HS0P2CNTCTINF |
Parent 2 contact info – cell number, other number, email
|
|
HS0RELCNTINF |
Relative/friend contact info – name, address, phone number
|
|
HS0RELID |
Relative or close friend’s relationship to student |
|
HS0PREEND |
Pre-end survey message |
* |
HS0END |
End survey message |
* |
HS0INCENTIVE |
Incentive name and address |
* |
FINAL SCREEN |
Final screen |
* |
HS&B:21 Student Survey – Spanish – Base Year Full-Scale
HS0FIRSTLANG
*
Question
Wording:
(Para ver una traducción al inglés, haz clic en el botón de "ENGLISH" arriba de todo en tu pantalla.)
¿Cuál
fue el primer idioma que aprendiste a hablar cuando eras niño(a)?
¿Fue…
Item
Name: HS0FIRSTLANG
1=Inglés?
2=Español?
3=Otro idioma?
4=Inglés y
español por igual?
5=Inglés y otro idioma
por igual?
HS0NAVIGATE
*
Question Wording:
¡Muchas gracias
por participar! Antes de empezar, aquí tenemos algunas
sugerencias útiles.
• Para contestar las
preguntas, selecciona en la pantalla la opción que represente
tu respuesta.
• Contesta cada pregunta lo más
preciso posible; si es necesario, puedes dar una respuesta
aproximada.
• Haz clic en el botón que dice
"Siguiente" para guardar tus respuestas y continuar.
•
Haz clic en el botón "Anterior" para volver a la
pantalla anterior.
•
Para ver una traducción al
inglés, haz clic en el botón de "ENGLISH"
arriba de todo en tu pantalla.
• Algunas preguntas tienen
una explicación que ayuda a comprender la pregunta o las
posibles respuestas. Haz clic en el símbolo de "AYUDA"
en la parte de arriba de la pantalla o en el símbolo de ayuda
en la encuesta para ver el texto de la explicación de ayuda.
El símbolo de "AYUDA" arriba de la pantalla es
donde también encontrarás el número gratuito
telefónico para pedir ayuda.
• Para proteger tu
información, la sesión terminará si la encuesta
está inactiva por más de 10 minutos.
Para
continuar, por favor haz clic en el botón que dice
“Siguiente.”
Help
Text:
Para pantallas con texto de ayuda específico,
esto te dará información sobre una frase o frases en
particular o sobre una o más opciones de respuesta. Para
pantallas sin texto de ayuda específico, esto te dará
información sobre cómo comunicarte con la Línea
de Ayuda. Haz clic en la X que está en la esquina de arriba a
la derecha o en el botón de "Cerrar" que está
en la esquina de abajo a la derecha para cerrar el recuadro.
HELP icon: Esto te dará información sobre una frase u opción de respuesta en particular. Haz clic en la X que está en la esquina de arriba a la derecha para cerrar el recuadro.
Si tienes alguna pregunta sobre este estudio, puedes llamar a la Línea de Ayuda al teléfono 855-500-1439 o puedes enviar un correo electrónico a [Study e-mail address].
Horario de la línea de ayuda: (Todos los horarios son en hora del Este)
De lunes a jueves: de 9am a 11pm
Viernes: de 9am a 9pm
Sábados: de 9:30am a 6pm
Domingos: de 1pm a 9:30pm
Si tienes preguntas sobre tus derechos como participante en un estudio, por favor llamas a la Oficina de Protección de Participantes en Estudios de RTI al teléfono 866-214-2043.
HS0NAVIGATE_OOS
*
Question Wording:
¡Muchas gracias por participar! Antes de empezar, aquí tenemos algunas sugerencias útiles.
• Para contestar las preguntas, selecciona en la pantalla la opción que represente tu respuesta.
• Contesta cada pregunta lo más preciso posible; si es necesario, puedes dar una respuesta aproximada.
• Haz clic en el botón que dice "Siguiente" para guardar tus respuestas y continuar.
• Haz clic en el botón "Anterior" para volver a la pantalla anterior.
• Para ver una traducción al inglés, haz clic en el botón de "ENGLISH" arriba de todo en tu pantalla.
• Algunas preguntas tienen una explicación que ayuda a comprender la pregunta o las posibles respuestas. Haz clic en el símbolo de "AYUDA" en la parte de arriba de la pantalla o en el símbolo de ayuda en la encuesta para ver el texto de la explicación de ayuda. El símbolo de "AYUDA" arriba de la pantalla es donde también encontrarás el número gratuito telefónico para pedir ayuda.
• Si necesitas interrumpir y salir de la encuesta en cualquier momento, haz clic en el botón de "SALIR" que está en la esquina de arriba a la izquierda de tu pantalla y cierras el navegador (no solamente la tab o pestaña en que te encuentras). Cuando vuelvas a iniciar sesión, la encuesta continuará a partir de la pantalla en que te saliste.
• Para proteger tu información, la sesión terminará si la encuesta está inactiva por más de 10 minutos.
Para
continuar, por favor haz clic en el botón que dice
“Siguiente.”
Help
Text:
Para pantallas con texto de ayuda específico,
esto te dará información sobre una frase o frases en
particular o sobre una o más opciones de respuesta. Para
pantallas sin texto de ayuda específico, esto te dará
información sobre cómo comunicarte con la Línea
de Ayuda. Haz clic en la X que está en la esquina de arriba a
la derecha o en el botón de "Cerrar" que está
en la esquina de abajo a la derecha para cerrar el recuadro.
HELP icon: Esto te dará información sobre una frase u opción de respuesta en particular. Haz clic en la X que está en la esquina de arriba a la derecha para cerrar el recuadro.
HS0AINTRO
Question Wording:
A continuación, quisiéramos algo de información para empezar, incluyendo información que nos ayude a ponernos en contacto contigo en el futuro para este estudio.
Tu información de contacto se guardará en archivos protegidos, separada de tus otras respuestas.
Para
continuar, por favor haz clic en el botón que dice
“Siguiente.”
HS0BIRTHDATE
*
Question Wording:
¿En qué
fecha naciste?
Item Name: HS0BIRTHMO
Item
Wording: Mes:
-9=- Selecciona el mes-
1=enero
2=febrero
3=marzo
4=abril
5=mayo
6=junio
7=julio
8=agosto
9=septiembre
10=octubre
11=noviembre
12=diciembre
Item
Name: HS0BIRTHDAY
Item Wording: Día:
-9=- Selecciona el día-
1=1
2=2
3=3
4=4
5=5
6=6
7=7
8=8
9=9
10=10
11=11
12=12
13=13
14=14
15=15
16=16
17=17
18=18
19=19
20=20
21=21
22=22
23=23
24=24
25=25
26=26
27=27
28=28
29=29
30=30
31=31
Item
Name: HS0BIRTHYR
Item Wording: Año:
-9=- Selecciona el año-
2002=2002 o antes
2003=2003
2004=2004
2005=2005
2006=2006
2007=2007
2008=2008
2009=2009 o
después
HS0SEX
*
Question Wording:
¿Cuál
es tu sexo?
Item Name: HS0SEX
1=Masculino
2=Femenino
HS0HISPANIC
*
Question Wording:
¿Eres [hispano
o latino/hispana o latina/hispano(a) o latino(a)]?
Item
Name: HS0HISPANIC
1=Sí
0=No
Help
Text:
[Hispano o latino/Hispana o latina/Hispano(a) o
latino(a)]: [Hispano o latino/Hispana o latina/Hispano(a) o
latino(a)] se refiere a las personas de origen mexicano, cubano,
dominicano, puertorriqueño, centroamericano o sudamericano o
que son descendientes de otra cultura española.
HS0HISPETHN
Question Wording:
¿Cuál de
los siguientes describe mejor tu ascendencia hispana o latina?
(Selecciona todo lo que corresponda.)
Item Name:
HS0MEXICAN
Item Wording: Mexicana, mexicana americana o
chicana
Item Name: HS0CUBAN
Item Wording:
Cubana
Item Name: HS0DOMINICAN
Item
Wording: Dominicana
Item Name: HS0PUERTORICN
Item Wording: Puertorriqueña
Item
Name: HS0CENTRALAM
Item Wording: Centroamericana,
como por ejemplo guatemalteca, salvadoreña, nicaragüense,
costarricense, panameña u hondureña
Item
Name: HS0SOUTHAM
Item Wording: Sudamericana, como
por ejemplo colombiana, argentina o peruana
Item Name:
HS0OTHRHISP
Item Wording: Otra hispana o latina
HS0RACE
*
Question Wording:
[Además de
informarnos sobre tu ascendencia hispana o latina, también
quisiéramos saber acerca de tu origen racial.] ¿Cuál
de las siguientes opciones describe tu raza?
(Selecciona todo
lo que corresponda.)
Item Name: HS0WHITE
Item
Wording: Blanca
Item Name: HS0BLACK
Item
Wording: Negra o afroamericana
Item Name:
HS0ASIAN
Item Wording: Asiática
Item
Name: HS0HAWAIIAN
Item Wording: Nativa de Hawái
o de otras islas del Pacífico
Item Name:
HS0AMERINDIAN
Item Wording: India americana o nativa de
Alaska
Help Text:
Para cumplir con los estándares federales para recopilar información sobre raza y grupo étnico, a las personas de etnicidad hispana o latina se les pregunta su origen racial.
Blanca: Personas con origen o extracción cultural de Europa, el Medio Oriente o del norte de África. Esto incluye, por ejemplo, personas de Alemania, Irlanda, Inglaterra, Italia, Líbano y Egipto.
Negra o afroamericana: Personas de origen o extracción cultural de cualquiera de los grupos raciales negros de África. Esto incluye, por ejemplo, personas afroamericanas y personas de Jamaica, Haití, Nigeria, Etiopía y Somalia.
Asiática: Personas con orígenes en cualquiera de los pueblos originales de oriente, del sudeste asiático y del subcontinente indio. Esto incluye, por ejemplo, a las personas de China, Vietnam, las Filipinas, Corea, India, Japón, Pakistán, Camboya y Laos.
Nativa de Hawái o de otras islas del Pacífico: Personas con orígenes en cualquiera de los pueblos originales de las islas del Pacífico. Esto incluye, por ejemplo, personas de Hawái, Samoa, las Marianas, Tonga, Fiji y las Islas Marshall.
India americana o nativa de Alaska: Personas con orígenes en cualquiera de los pueblos originales de América del Norte, América del Sur o América Central, y que mantienen afiliación tribal o apego a su comunidad. Ejemplos de tribus incluyen Navajo Nation, Blackfeet Tribe, mayas, aztecas, Native Village of Barrow Inupiat Traditional Government y Nome Eskimo Community.
HS0ASIANETHN
Question Wording:
¿Cuál de
los siguientes describe mejor tu ascendencia asiática?
(Selecciona todo lo que corresponda.)
Item Name:
HS0ASIANINDN
Item Wording: India asiática
Item
Name: HS0CHINESE
Item Wording: China
Item
Name: HS0FILIPINO
Item Wording: Filipina
Item
Name: HS0JAPANESE
Item Wording: Japonesa
Item
Name: HS0KOREAN
Item Wording: Coreana
Item
Name: HS0VIETNAMESE
Item Wording: Vietnamita
Item
Name: HS0OTHERASIAN
Item Wording: Otra asiática
HS0INCRACETH
Question Wording:
¿Qué tan
de acuerdo o en desacuerdo estás con las siguientes frases?
(Selecciona una opción en cada línea.)
Item Name: HS0CLSRACETH
Item Wording:
Me siento cercano(a) a otras personas que son de mi raza/grupo
étnico.
Item Name: HS0JDGRACETH
Item
Wording: Otras personas me juzgan en base a mi raza/grupo étnico.
Item Name: HS0FGHTRACETH
Item Wording:
Me meto en peleas con otras personas debido a mi raza/grupo étnico.
Item Name: HS0AVDRACETH
Item Wording:
Hay personas que no quieren andar conmigo debido a mi raza/grupo
étnico.
1=Muy de acuerdo
2=De
acuerdo
3=Un poco de acuerdo
4=Un poco en desacuerdo
5=En desacuerdo
6=Muy en desacuerdo
HS0FRQLANGHOM
*
Question Wording:
Antes dijiste que [uno de los/no fill] el primer [idiomas/idioma] que aprendiste a hablar fue [español/un idioma distinto del inglés].
¿Con qué frecuencia hablas [español/un idioma distinto del inglés] en tu casa?
Item
Name: HS0FRQLANGHOM
1=Nunca
2=Algunas veces
3=Más o menos la mitad del tiempo
4=La mayor parte
del tiempo
5=Siempre
HS0FRQLANGFRI
Question Wording:
¿Con qué frecuencia hablas [español/un idioma distinto del inglés] con tus amigos?
Item
Name: HS0FRQLANGFRI
1=Nunca
2=Algunas veces
3=Más o menos la mitad del tiempo
4=La mayor parte
del tiempo
5=Siempre
HS0LANGPREF
Question Wording:
¿Qué
idioma prefieres hablar la mayoría del tiempo?
Item
Name: HS0LANGPREF
1=Inglés
2=[Español/Un
idioma distinto del inglés]
3=Ambos idiomas casi por
igual
HS0ENGFLUEN
Question Wording:
¿Qué tan
bien haces lo siguiente?
(Selecciona una opción en cada
línea.)
Item Name: HS0ENGUNDERST
Item
Wording: Entender el inglés hablado
Item
Name: HS0ENGSPEAK
Item Wording: Hablar en inglés
Item Name: HS0ENGREAD
Item Wording:
Leer en inglés
Item Name: HS0ENGWRITE
Item
Wording: Escribir en inglés
1=Muy bien
2=Bien
3=No
bien
4=Para nada
HS0ESLENROLL
Question Wording:
¿Alguna vez has
estado matriculado(a) o inscrito(a) en un programa de Estudiantes del
Idioma Inglés (ELLs, por sus siglas en inglés), tal
como Inglés como Segundo Idioma o ESL, inmersión en
inglés o educación bilingüe?
Item
Name: HS0ESLENROLL
1=Sí
0=No
99=No sabes.
HS0ESLLASTENR
Question Wording:
¿En qué
grado o año escolar estabas la última vez que estuviste
matriculado(a) o inscrito(a) en un programa de Estudiantes del Idioma
Inglés (ELLs)?
Item Name: HS0ESLLASTENR
1=1º grado
2=2º
grado
3=3º grado
4=4º grado
5=5º
grado
6=6º grado
7=7º grado
8=8º
grado
9=9º grado o sigues matriculado(a) o inscrito(a)
HS0LYSCHOOL
Question Wording:
Durante el último
año escolar (2020-2021), ¿asististe a esta escuela
([Name of base year school]) o asististe a una escuela diferente?
Item
Name: HS0LYSCHOOL
1=A esta escuela ([Name of base
year school])
2=A una escuela diferente
3=Recibiste
educación escolar en el hogar.
Help
Text:
Asistir: Si asististe a [Name of base year school], ya
sea en persona o por internet, por cualquier parte del
último añ o escolar (2020-2021), responde "A esta
escuela".
HS0EDUEXP
Question Wording:
Según como van
las cosas por ahora, ¿hasta dónde crees que llegarás
en tus estudios?
(Selecciona el nivel educativo más
alto.)
Item Name: HS0EDUEXP
1=Que no llegarás a completar high school
2=Que
completarás un diploma de high school o su
equivalente (por ejemplo, GED, HiSET, TASC)
3=Que completarás
un certificado o diploma de una escuela que proporciona entrenamiento
ocupacional, tal como una escuela de oficios
4=Que completarás un grado asociado
5=Que completarás una licenciatura o título de bachelor
6=Que completarás una maestría
7=Que completarás un doctorado, título de médico o abogado, u otro título profesional avanzado
99=No sabes.
Help
Text:
Que no llegarás a completar high school: No recibirás un diploma de high school o su equivalente.
Que completarás un diploma de high school o su equivalente (por ejemplo, GED, HiSET, TASC): Recibirás un diploma común de high school o completarás high school recibiendo algún otro tipo de reconocimiento formal de una escuela o una autoridad del gobierno. Por ejemplo, el GED (Examen de Desarrollo de Educación General), HiSET (Prueba de Equivalencia de High School) y TASC (Prueba de Evaluación Para La Terminación de Secundaria).
Que completarás un certificado o diploma de una escuela que proporciona entrenamiento ocupacional, tal como una escuela de oficios: Recibirás un certificado o diploma de una institución educativa que se especializa en entrenamiento para trabajos o habilidades técnicas que se requieren para cumplir las tareas de un trabajo particular y específico. Tales instituciones pueden llamarse escuela de oficios, instituto técnico o escuela vocacional. Ejemplos de trabajos incluyen cosmetología y carpintería.
Que completarás un grado asociado: Un grado asociado (AA, AS, AAS, AGE, etc.) normalmente requiere estudios de college a tiempo completo, generalmente por un mínimo de 2 años pero menos de 4.
Que completarás una licenciatura o título de bachelor: Un título de bachelor (BA, BS, etc.) generalmente requiere al menos 4 años de estudios de college a tiempo completo.
Que completarás una maestría: Una maestría (MA, MS, MBA, MFA, etc.) generalmente requiere al menos 2 años de estudios graduados a tiempo completo y puede requerir una tesis o un prácticum.
Que completarás un doctorado, título de médico o abogado, u otro título profesional avanzado: Un Ph.D. o doctorado generalmente requiere al menos 4 años de estudios graduados a tiempo completo y generalmente requiere una disertación. Un título profesional generalmente requiere estudios graduados en una de las siguientes áreas: quiropráctica, odontología, derecho, medicina, optometría, medicina osteopática, farmacia, podiatría, religión o divinidad, o veterinaria.
HS0PURSUCONF
Question Wording:
¿Qué tan
seguro(a) estás de que terminarás [un diploma de high
school o su equivalente (por ejemplo, GED, HiSET, TASC)/un
certificado o diploma de una escuela que proporciona entrenamiento
ocupacional/un grado asociado/una licenciatura o título de
bachelor/una maestría/un doctorado, título de
médico o abogado, u otro título profesional avanzado]?
Item Name: HS0PURSUCONF
1=Muy seguro(a) de que terminarás
[un diploma de high school o su equivalente (por ejemplo, GED,
HiSET, TASC)/un certificado o diploma de una escuela que proporciona
entrenamiento ocupacional/un grado asociado/una licenciatura o título
de bachelor/una maestría/un doctorado, título de
médico o abogado, u otro título profesional avanzado].
2=Probablemente terminarás [un diploma de high school
o su equivalente (por ejemplo, GED, HiSET, TASC)/un certificado o
diploma de una escuela que proporciona entrenamiento ocupacional/un
grado asociado/una licenciatura o título de bachelor/una
maestría/un doctorado, título de médico o
abogado, u otro título profesional avanzado].
3=Probablemente
no terminarás [un diploma de high school o su
equivalente (por ejemplo, GED, HiSET, TASC)/un certificado o diploma
de una escuela que proporciona entrenamiento ocupacional/un grado
asociado/una licenciatura o título de bachelor/una
maestría/un doctorado, título de médico o
abogado, u otro título profesional avanzado].
4=Muy
seguro(a) de que no terminarás [un diploma de high school
o su equivalente (por ejemplo, GED, HiSET, TASC)/un certificado o
diploma de una escuela que proporciona entrenamiento ocupacional/un
grado asociado/una licenciatura o título de bachelor/una
maestría/un doctorado, título de médico o
abogado, u otro título profesional avanzado].
HS0PAROOSACTS
Question Wording:
Estas preguntas son
acerca de actividades que quizás haces fuera de la
escuela.
¿Con qué frecuencia pasas tiempo…
(Selecciona una opción en cada línea.)
Item Name: HS0PARARTS
Item Wording:
Haciendo actividades de arte o manualidades?
Item
Name: HS0PARSPORTS
Item Wording: Participando en
deportes organizados que no son parte de la escuela?
Item
Name: HS0PARGROUP
Item Wording: Participando en
actividades de un grupo organizadas que no son parte de la escuela,
como los 4H, scouts o un grupo para jóvenes?
Item
Name: HS0PARMUSIC
Item Wording: Cantando, tocando
instrumentos musicales, creando o interpretando música,
bailando o actuando?
Item Name: HS0PARWRITE
Item
Wording:
Escribiendo en tu diario o dedicándote a escritura creativa?
Item
Name: HS0PAROTHER
Item Wording: Haciendo otras
actividades o pasatiempos?
1=Nunca
2=Rara vez
3=De
una a tres veces por mes
4=Una o dos veces a la semana
5=Todos
los días o casi todos los días
HS0OPTIMISM1
Question Wording:
¿Con qué
frecuencia son ciertas las siguientes frases para ti?
(Selecciona
una opción en cada línea.)
Item
Name: HS0PRTTYWELL
Item Wording: Creo que me va
bastante bien.
Item Name: HS0MNYWYSGET
Item
Wording: Se me ocurren muchas maneras de obtener en la vida las
cosas que son más importantes para mí.
Item
Name: HS0LSTASWELL
Item Wording: Por lo menos me va
tan bien como a otras personas de mi edad.
1=Nunca
2=Poco tiempo
3=Parte del tiempo
4=La mayor parte del tiempo
5=Casi
todo el tiempo
6=Siempre
HS0OPTIMISM2
Question Wording:
(Continuación)
¿Con qué frecuencia son ciertas las siguientes frases
para ti?
(Selecciona una opción en cada línea.)
Item Name: HS0WYSTOSLVE
Item Wording:
Cuando tengo un problema, puedo pensar en muchas maneras de
resolverlo.
Item Name: HS0PSTWLLHLP
Item
Wording: Creo que las cosas que he hecho en el pasado me ayudarán
en el futuro.
Item Name: HS0WONTQUIT
Item
Wording: Incluso cuando otros quieren que me dé por
vencido(a), sé que puedo encontrar maneras de resolver el
problema.
1=Nunca
2=Poco tiempo
3=Parte del tiempo
4=La mayor parte del tiempo
5=Casi
todo el tiempo
6=Siempre
HS0PEERVALUES
Question Wording:
Las siguientes
preguntas son acerca de la gente con quien andas, incluyendo gente
que conoces de la escuela o de alguna otra parte.
¿Qué
tan importante es para la gente con quien andas…
(Selecciona
una opción en cada línea.)
Item
Name: HS0REGATTEND
Item Wording: Asistir a clases
regularmente?
Item Name: HS0GOODGRADES
Item
Wording: Sacar buenas notas o calificaciones?
Item
Name: HS0WRKHRDSCH
Item Wording: Esforzarse mucho en
la escuela?
1=Para nada importante
2=Un
poco importante
3=Algo importante
4=Importante
5=Muy
importante
HS0RCNTCTINF1
*
Question Wording:
Por favor confirma o proporciona tu nombre completo y la dirección actual de tu hogar. [Esta información nos la dio tu escuela.] Si tu información de contacto no es correcta o está incompleta, por favor corrígela abajo. Luego haz clic en "Siguiente" para continuar.
Nombre:
Item
Name: HS0FIRSTNAME
Item Wording: Primer nombre:
Item Name: HS0MIDNAME
Item Wording:
Segundo nombre:
Item Name: HS0LASTNAME
Item
Wording: Apellido(s):
Item Name: HS0SUFFIX
Item Wording: Sufijo:
Question
Wording:
Dirección:
Item Name:
HS0ADDNUMST
Item Wording: Dirección:
Item
Name: HS0ADDCITY
Item Wording: Ciudad:
Item
Name: HS0ADDSTATE
Item Wording: Estado:
Item
Name: HS0ADDZIP
Item Wording:Código postal:
Encuentra la ciudad y el estado desde el código postal
Item
Name: HS0ADDFOR
Item Wording: Por favor marca aquí
si la dirección es en el extranjero.
Item Name:
HS0ADDFAD
Item Wording:
Dirección (extranjera):
Item
Name: HS0ADDFCY
Item Wording:
Ciudad (extranjera):
Item
Name: HS0ADDFC
Item Wording: País
(extranjero):
Item Name: HS0ADDFS
Item
Wording:
Estado/Provincia (extranjero(a)):
Item
Name: HS0ADDFZ
Item Wording:
Código postal (extranjero):
HS0RCNTCTINF2
*
Question Wording:
Por favor confirma o
proporciona tu número de teléfono celular y otros
números de teléfono, incluyendo el código de
área y tu correo electrónico principal. [Esta
información nos la dio tu escuela.] Si tu información
de contacto no es correcta o está incompleta, por favor
corrígela abajo. Luego haz clic en "Siguiente"
para continuar.
Item
Name: HS0CELLCODEC
Item Wording: Número de
teléfono celular:
Item Name:
HS0NOCELLTELC
Item Wording: No tienes número de
teléfono celular.
Item Name:
HS0OTHCODE
Item Wording: Otro número de teléfono:
Item Name: HS0NOOTHTEL
2=No tienes otro número
de teléfono.
99=No sabes tu otro número de
teléfono.
Item
Name: HS0EMAILADD
Item Wording: Correo electrónico:
Item Name: HS0NOEMAILADD
Item Wording:
No tienes correo electrónico.
HS0NAVIGATE2
*
Question Wording:
¡Muchas gracias
por participar! Antes de empezar, aquí tenemos algunas
sugerencias útiles.
• Para contestar las
preguntas, selecciona en la pantalla la opción que represente
tu respuesta.
• Contesta cada pregunta lo más
preciso posible; si es necesario, puedes dar una respuesta
aproximada.
• Haz clic en el botón que dice
"Siguiente" para guardar tus respuestas y continuar.
•
Haz clic en el botón "Anterior" para volver a la
pantalla anterior.
•
Para ver una traducción al
inglés, haz clic en el botón de "ENGLISH"
arriba de todo en tu pantalla.
• Algunas preguntas tienen
una explicación que ayuda a comprender la pregunta o las
posibles respuestas. Haz clic en el símbolo de "AYUDA"
en la parte de arriba de la pantalla o en el símbolo de
ayuda en la encuesta para ver el texto de la explicación de
ayuda. El símbolo de "AYUDA" arriba de la
pantalla es donde también encontrarás el número
gratuito telefónico para pedir ayuda.
• Si necesitas
interrumpir y salir de la encuesta en cualquier momento, haz clic en
el botón de "SALIR" que está en la esquina de
arriba a la izquierda de tu pantalla y cierras el navegador (no
solamente la tab o pestaña en que te encuentras). Cuando
vuelvas a iniciar sesión, la encuesta continuará a
partir de que te saliste.
• Para proteger tu información,
la sesión terminará si la encuesta está inactiva
por más de 10 minutos.
Para continuar, por
favor haz clic en el botón que dice “Siguiente.”
Help
Text:
Para pantallas con texto de ayuda específico,
esto te dará información sobre una frase o frases en
particular o sobre una o más opciones de respuesta. Para
pantallas sin texto de ayuda específico, esto te dará
información sobre cómo comunicarte con la Línea
de Ayuda. Haz clic en la X que está en la esquina de arriba a
la derecha o en el botón de "Cerrar" que está
en la esquina de abajo a la derecha para cerrar el recuadro.
HELP icon: Esto te dará información sobre una frase u opción de respuesta en particular. Haz clic en la X que está en la esquina de arriba a la derecha para cerrar el recuadro.
HS0BINTRO
Question Wording:
Ahora tenemos algunas preguntas sobre tu vida escolar.
Para
continuar, por favor haz clic en el botón que dice
“Siguiente.”
HS0LYGRADE
*
Question Wording:
[If full survey:
Primero empezáremos con algunas preguntas sobre el último
año escolar./else: no fill] ¿En qué grado
estuviste en el último año escolar (2020-2021)?
Item
Name: HS0LYGRADE
1=7º grado
2=8º
grado
3=9º grado
4=Estuviste en un programa sin
grados.
HS0REPEATGRD
Question Wording:
¿Qué
grado(s) o años escolares has repetido desde que
entraste a la escuela, si es que repetiste alguno?
(Selecciona
todo lo que corresponda.)
Item Name: HS0REPEATNONE
Item Wording: No has repetido ningún grado o año
escolar
Item Name: HS0REPEATK
Item
Wording: Kindergarten
Item Name:
HS0REPEAT1
Item Wording: 1º grado
Item
Name: HS0REPEAT2
Item Wording: 2º grado
Item
Name: HS0REPEAT3
Item Wording: 3º grado
Item
Name: HS0REPEAT4
Item Wording: 4º grado
Item
Name: HS0REPEAT5
Item Wording: 5º grado
Item
Name: HS0REPEAT6
Item Wording: 6º grado
Item
Name: HS0REPEAT7
Item Wording: 7º grado
Item
Name: HS0REPEAT8
Item Wording: 8º grado
Item
Name: HS0REPEAT9
Item Wording: 9º grado
HS0MATH8GRD
*
Question Wording:
Las siguientes
preguntas son acerca de los cursos de matemáticas que has
tomado. ¿Qué curso de matemáticas tomaste en
8º grado? Si tomaste más de un curso de matemáticas,
por favor selecciona el curso más avanzado.
Item
Name: HS0MATH8GRD
1=Matemáticas 8
2=Matemáticas 8 Avanzadas o de Honores, sin incluir
Álgebra
3=Pre-álgebra
4=Álgebra 1
incluyendo 1A y 1B
5=Álgebra 2 o Trigonometría
6=Geometría
7=Matemáticas Integradas
8=Otro curso avanzado de matemáticas como pre-cálculo
o cálculo
9=Otro tipo de matemáticas
HS0CURRMATH
*
Question Wording:
¿Estás
actualmente tomando un curso de matemáticas?
Item
Name: HS0CURRMATH
1=Sí
0=No
HS0MATHSPEC
*
Question Wording:
¿Qué
curso(s) de matemáticas estás tomando actualmente?
(Selecciona todo lo que corresponda.)
Item Name:
HS0ALGEBRA1
Item Wording: Álgebra 1 incluyendo 1A
y 1B
Item Name: HS0GEOMETRY
Item Wording:
Geometría
Item Name: HS0ALGEBRA2
Item
Wording: Álgebra 2
Item Name: HS0TRIG
Item Wording: Trigonometría
Item
Name: HS0REMEDIAL
Item Wording: Matemáticas
de recuperación o remediales incluyendo matemáticas
básicas, para negocios, para el consumidor, funcionales, o
matemáticas en general
Item Name:
HS0INTEGRTD1
Item Wording: Matemáticas Integradas
1
Item Name: HS0STATISTICS
Item Wording:
Estadísticas o Probabilidad
Item Name:
HS0INTEGRTD2
Item Wording: Matemáticas Integradas
2 o más avanzadas
Item Name: HS0PREALGEBRA
Item Wording: Pre-Álgebra
Item
Name: HS0ANALYTGEOM
Item Wording: Geometría
Analítica
Item Name: HS0ADVMATH
Item
Wording: Otro curso avanzado de matemáticas como
pre-cálculo o cálculo
Item Name:
HS0OTHERMATH
Item Wording: Otro curso de matemáticas
HS0CONFINMATH
Question Wording:
¿Qué tan
de acuerdo o en desacuerdo estás con las siguientes frases
acerca de [tu curso avanzado de matemáticas, como pre-cálculo
o cálculo/tu curso de Estadísticas o Probabilidad/tu
curso de Álgebra 2/tu curso de Trigonometría/tu curso
de Geometría Analítica/tu curso de Geometría/tu
curso de Álgebra 1/tu curso de Matemáticas Integradas 2
o más avanzado/tu curso de Matemáticas Integradas 1/tu
curso de Pre-Álgebra/tu curso de matemáticas de
recuperación o remediales/este curso de matemáticas/tu
curso de matemáticas más reciente]?
(Selecciona
una opción en cada línea.)
Item
Name: HS0DOWELLTEST
Item Wording: [Estás/Estabas]
muy confiado(a) de que [puedes/podrías] tener un excelente
desempeño en los exámenes de este curso.
Item
Name: HS0UNDRSTDMAT
Item Wording: [Estás/Estabas]
muy seguro(a) de que [puedes/podrías] entender los materiales
más difíciles presentados en este curso.
Item
Name: HS0MASTSKILLS
Item Wording: [Estás/Estabas]
muy seguro(a) de que [puedes/podrías] dominar las habilidades
enseñadas en este curso.
Item Name:
HS0DOWELLASGN
Item Wording: [Estás/Estabas] muy
seguro(a) de que [puedes/podrías] tener un excelente desempeño
en las tareas en este curso.
1=Muy de acuerdo
2=De
acuerdo
3=En desacuerdo
4=Muy en desacuerdo
HS0HIMATH
Question Wording:
¿Cuál es
el curso más avanzado de matemáticas que esperas tomar
durante high school?
Item Name: HS0HIMATH
1=Pre-Álgebra
2=Álgebra
1 incluyendo 1A y 1B
3=Álgebra 2
4=Álgebra
3
5=Geometría
6=Geometría
analítica
7=Trigonometría
8=Pre-cálculo o Análisis y Funciones
9=Cálculo
AB o BC del Programa AP (Advanced Placement program en inglés)
10=Otro Cálculo
11=Estadísticas o
Probabilidad del Programa AP (Advanced Placement program en inglés)
12=Otra Estadísticas o Probabilidad
13=Matemáticas
Integradas 1
14=Matemáticas Integradas 2
15=Matemáticas
Integradas 3 o más avanzadas
16=Matemáticas de
Bachillerato Internacional (IB), nivel estándar
17=Matemáticas de Bachillerato Internacional (IB), nivel
superior
18=Matemáticas de recuperación o
remediales incluyendo matemáticas básicas, para
negocios, para el consumidor, funcionales, o matemáticas en
general
19=Matemáticas 4
20=Otro curso de
matemáticas
99=No sabes.
HS0PREPARCLSS
Question Wording:
Las siguientes preguntas son acerca de todas tus clases, no sólo las de matemáticas.
¿Con qué frecuencia…
(Selecciona
una opción en cada línea.)
Item
Name: HS0CLSSWOHW
Item Wording: Vas a clases sin
haber hecho las tareas escolares?
Item Name:
HS0CLSSWONOTE
Item Wording: Vas a clases sin lo
necesario para tomar notas?
Item Name:
HS0CLSSWOBOOK
Item Wording: Vas a clases sin los libros
o aparatos electrónicos requeridos (tales como tabletas,
lectores de e-books y calculadoras)?
Item Name:
HS0CLSSLATE
Item Wording: Vas tarde a clases?
1=Nunca
2=Rara vez
3=Algunas veces
4=Con frecuencia
5=Con mucha
frecuencia
6=Siempre
HS0PEERSPPRT
Question Wording:
Las siguientes
preguntas son acerca de tus compañeros de clase en este año
escolar. Por favor, sólo piensa en los estudiantes que están
en tus clases.
¿Con qué frecuencia son
ciertas las siguientes frases?
(Selecciona una opción en
cada línea.)
Item Name: HS0IMPTFRIEND
Item Wording: Mis compañeros de clase piensan que
es importante ser amigos míos.
Item Name:
HS0LIKEWAYAM
Item Wording: A mis compañeros de
clase les caigo bien tal como soy.
Item Name:
HS0CREFEELINGS
Item Wording: A mis compañeros de
clase les importan mis sentimientos.
Item Name:
HS0LKEASOTHRS
Item Wording: A mis compañeros de
clase les caigo tan bien como les caen otros compañeros de
clase.
Item Name: HS0CAREFORME
Item
Wording: A mis compañeros de clase realmente les importo.
1=Nunca
2=Rara vez
3=Algunas veces
4=Con frecuencia
5=Con mucha
frecuencia
6=Siempre
HS0SCHLCLIM1
Question Wording:
¿Qué tan
de acuerdo o en desacuerdo estás con las siguientes frases
acerca de [Name of base year school]?
(Selecciona una opción
en cada línea.)
Item Name:
HS0SAFEATSCH
Item Wording: Te sientes seguro(a) en esta
escuela.
Item Name: HS0CANSPKADLT
Item
Wording: Siempre hay maestros/maestras u otros adultos en tu
escuela con los que puedes hablar si tienes un problema.
1=Muy de acuerdo
2=De
acuerdo
3=En desacuerdo
4=Muy en desacuerdo
HS0BELONGSCHL
Question Wording:
(Continuación)
¿Qué tan de acuerdo o en desacuerdo estás con
las siguientes frases acerca de [Name of base year school]?
(Selecciona una opción en cada línea.)
Item Name: HS0BLNGATSCHL
Item Wording:
Siento que soy parte de esta escuela.
Item Name:
HS0FITINSCHL
Item Wording: Estoy bien integrado(a) en
esta escuela.
Item Name: HS0OUTSDRSCHL
Item
Wording: Me siento como un(a) extraño(a) en esta escuela.
1=Muy de acuerdo
2=De
acuerdo
3=En desacuerdo
4=Muy en desacuerdo
HS0PERSIST
Question Wording:
¿Qué tan
ciertas son las siguientes frases para ti?
(Selecciona una
opción en cada línea.)
Item Name:
HS0FIGROUT
Item Wording: Cuando me siento confundido(a)
con alguna cosa que estoy aprendiendo en la escuela, trato de
entenderlo por mi cuenta.
Item Name: HS0WRKHARD
Item Wording: Me esfuerzo lo más que puedo para
aprender en la escuela, aunque no me guste la materia.
Item
Name: HS0EXTREFFRT
Item Wording: Cuando algo que
estoy estudiando en la escuela es difícil, le dedico más
tiempo y esfuerzo hasta que lo comprendo.
Item Name:
HS0LRNASCAN
Item Wording: Aunque sea aburrido, trato de
aprender lo más que pueda sobre lo que estoy estudiando.
1=Nada cierta
2=Un poco
cierta
3=Más o menos cierta
4=Cierta
5=Muy
cierta
HS0BULLYING
Question Wording:
Las siguientes
preguntas son acerca de los estudiantes de tu escuela.
Durante
este año escolar, ¿con qué frecuencia otros
estudiantes…
(Selecciona una opción en cada
línea.)
Item Name: HS0TEASED
Item
Wording: Se han burlado, se han reído de ti o te han
insultado?
Item Name: HS0TOLDLIES
Item
Wording: Han dicho mentiras o contaron cosas que no eran ciertas
sobre ti?
Item Name: HS0PUSHED
Item
Wording: Te han empujado, pegado, golpeado o pateado?
1=Nunca
2=Rara vez
3=Algunas veces
4=Con frecuencia
5=Con mucha
frecuencia
6=Siempre
HS0SCHLACTS
Question Wording:
Estas preguntas son
acerca de actividades que tú haces en la escuela.
¿Has
participado en las siguientes actividades, organizadas por la
escuela, en algún momento de este año escolar?
(Selecciona una opción en cada línea.)
Item Name: HS0SCHLSPORTS
Item Wording:
Deportes escolares
Item Name: HS0SCHLMTHSCI
Item
Wording: Clubes de matemáticas o ciencias
Item
Name: HS0SCHLMUSIC
Item Wording: Artes escénicas,
tales como música, danza y/o teatro
Item Name:
HS0SCHLGOV
Item Wording: Gobierno estudiantil
Item
Name: HS0SCHLPAPER
Item Wording: Anuario, periódico
o revista literaria escolar
Item Name:
HS0SCHLMEDIA
Item Wording: Artes digitales o artes
multimedia, tales como animación, gráficos por
computadora o video juegos
Item Name: HS0SCHLARTS
Item Wording: Artes visuales, tales como pintura,
escultura o cerámica
Item Name:
HS0SCHLOTHCLB
Item Wording: Otros clubes escolares
Item Name: HS0SCHLOTHACT
Item Wording:
Otras actividades organizadas por la escuela
3=Participaste como oficial,
líder o capitán
2=Participaste
1=No
participaste
98=No hay eso en mi escuela
HS0FREQUSENET
Question Wording:
¿Durante este año escolar, con qué frecuencia usas internet fuera de la escuela para hacer tareas o trabajos escolares?
Item
Name: HS0FREQUSENET
1=Nunca
2=Rara vez
3=Algunas veces
4=Con frecuencia
5=Con mucha
frecuencia
6=Siempre
HS0FREQNETPRB
Question Wording:
¿Durante este
año escolar, con qué frecuencia tienes problemas con
internet en tu casa cuando estás tratando de hacer la
tarea o trabajos escolares?
Item Name:
HS0FREQNETPRB
98=No tengo internet en la casa
1=Nunca
2=Rara vez
3=Algunas veces
4=Con
frecuencia
5=Con mucha frecuencia
6=Siempre
HS0CINTRO
Question Wording:
A continuación, siguen algunas preguntas sobre tu familia.
Para
continuar, por favor haz clic en el botón que dice
“Siguiente.”
HS0NOINHOUSE
Question Wording:
¿Cuántas
personas están viviendo en tu hogar, incluyéndote a ti
y a tu(s) padre(s), madre(s) o tutor(es) o guardián(es)? Si
vives en más de un hogar, danos la información del
hogar donde vives la mayor parte del tiempo. Incluye personas que
estén viviendo temporalmente en otro lugar (por ejemplo,
viviendo en una residencia universitaria) si no tienen ningún
otro hogar permanente.
Item Name: HS0NOINHOUSE
Item Wording: ____ personas
HS0P1ID
*
Question Wording:
Ahora vamos a hacerte algunas preguntas sobre tu(s) padre(s), madre(s) o tutor(es) o guardián(es). Si vives en más de un hogar, responde sobre aquél o aquellos de tus padres, madres o tutores o guardianes con quienes vives la mayor parte del tiempo.
Decide sobre cuál de estos padres, madres o tutores o guardianes vas a responder ahora. (Si tienes otro padre, madre o tutor(a) o guardián(a) en este hogar, te preguntaremos luego sobre esa persona.)
¿Es
tu...
Item Name: HS0P1ID
1=Madre biológica o de
nacimiento?
2=Padre biológico o de nacimiento?
3=Madre
adoptiva?
4=Padre adoptivo?
5=Madrastra?
6=Padrastro?
7=Tía?
8=Tío?
9=Abuela?
10=Abuelo?
11=Madre foster o tutora o guardiana
legal?
12=Padre foster o tutor o guardián
legal?
13=Mujer que es pareja o novia de uno de tus padres,
madres o tutores o guardianes?
14=Hombre que es pareja o novio
de uno de tus padres, madres o tutores o guardianes?
15=Otra
madre o tutora o guardiana?
16=Otro padre o tutor o guardián?
Help
Text:
Madre biológica o de nacimiento: La mujer que es tu madre biológica. Puede tratarse de la madre que te dio a luz, pero también podría aplicarse a una madre que usó una madre subrogada o sustituta o a una donante para tener un hijo.
Padre biológico o de nacimiento: El hombre que es tu padre biológico. Puede tratarse del hombre que te engendró, pero también es aplicable a un padre que usó un donante para tener un hijo.
Madre adoptiva: Una mujer que te ha adoptado legalmente para criarte como su propio hijo o hija.
Padre adoptivo: Un hombre que te ha adoptado legalmente para criarte como su propio hijo o hija.
Madre foster o tutora o guardiana legal: Una madre foster es una mujer bajo cuyo cuidado te han puesto de manera temporal, generalmente por medio de una agencia de servicios sociales y/o una corte. Una tutora o guardiana legal es una mujer que ha sido asignada legalmente para estar a cargo de ti.
Padre foster o tutor o guardián legal: Un padre foster es un hombre bajo cuyo cuidado te han puesto de manera temporal, generalmente por medio de una agencia de servicios sociales y/o una corte. Un tutor o guardián legal es un hombre que ha sido asignado legalmente para estar a cargo de ti.
Mujer que es pareja o novia de uno de tus padres, madres o tutores o guardianes: Una mujer que tiene una relación romántica con uno de tus padres, madres o tutores o guardianes y vive con él o ella sin estar casados.
Hombre que es pareja o novio de uno de tus padres, madres o tutores o guardianes: Un hombre que tiene una relación romántica con uno de tus padres, madres o tutores o guardianes y vive con él o ella sin estar casados.
Otra madre o tutora o guardiana: Una mujer que se comporta como una madre contigo, pero no cabe en una de las otras categorías.
Otro padre o tutor o guardián: Un hombre que se comporta como un padre contigo, pero no cabe en una de las otras categorías.
HS0P1EMPLOYED
Question Wording:
Durante la última semana, ¿trabajó [tu madre biológica o de nacimiento/tu padre biológico o de nacimiento/tu madre adoptiva/tu padre adoptivo/tu madrastra/tu padrastro/tu tía/tu tío/tu abuela/tu abuelo/tu madre foster o tutora o guardiana legal/tu padre foster o tutor o guardián legal/la mujer que es pareja o novia de uno de tus padres, madres o tutores o guardianes/el hombre que es pareja o novio de uno de tus padres, madres o tutores o guardianes/tu madre o tutora o guardiana/tu padre o tutor o guardián/el primero de tus padres, madres o tutores o guardianes] en un trabajo por pago o ganancias?
Item
Name: HS0P1EMPLOYED
1=Sí
0=No
Help
Text:
Trabajar en un trabajo por pago o ganancias: Incluye
cualquier trabajo por pago, aunque haya sido solo una hora.
HS0P1WRKLEAVE
Question Wording:
Durante la última
semana, ¿estuvo [tu madre biológica o de nacimiento/tu
padre biológico o de nacimiento/tu madre adoptiva/tu padre
adoptivo/tu madrastra/tu padrastro/tu tía/tu tío/tu
abuela/tu abuelo/tu madre foster o tutora o guardiana
legal/tu padre foster o tutor o guardián legal/la
mujer que es pareja o novia de uno de tus padres, madres o tutores o
guardianes/el hombre que es pareja o novio de uno de tus padres,
madres o tutores o guardianes/tu madre o tutora o guardiana/tu padre
o tutor o guardián/el primero de tus padres, madres o tutores
o guardianes] con permiso o licencia, o de vacaciones de un trabajo?
Item Name: HS0P1WRKLEAVE
1=Sí
0=No
HS0P1HIGHEDU
*
Question Wording:
¿Hasta dónde
llegó en sus estudios [tu madre biológica o de
nacimiento/tu padre biológico o de nacimiento/tu madre
adoptiva/tu padre adoptivo/tu madrastra/tu padrastro/tu tía/tu
tío/tu abuela/tu abuelo/tu madre foster o tutora o
guardiana legal/tu padre foster o tutor o guardián
legal/la mujer que es pareja o novia de uno de tus padres, madres o
tutores o guardianes/el hombre que es pareja o novio de uno de tus
padres, madres o tutores o guardianes/tu madre o tutora o
guardiana/tu padre o tutor o guardián/el primero de tus
padres, madres o tutores o guardianes]?
(Selecciona el nivel
educativo más alto.)
Item Name:
HS0P1HIGHEDU
1=No llegó a completar
high school
2=Completó un diploma de high
school o su equivalente (por ejemplo, GED, HiSET, TASC)
3=Siguió sus estudios más allá de high
school pero no completó una licenciatura o título
de bachelor
4=Completó una licenciatura o
título de bachelor o un título o
grado más alto
99=No sabes.
Help
Text:
No llegó a completar high school: No recibió un diploma de high school o su equivalente.
Completó un diploma de high school o su equivalente (por ejemplo, GED, HiSET, TASC): Recibió un diploma común de high school o completó high school recibiendo algún otro tipo de reconocimiento formal de una escuela o una autoridad del gobierno. Por ejemplo, el GED (Examen de Desarrollo de Educación General), HiSET (Prueba de Equivalencia de High School) y TASC (Prueba de Evaluación Para La Terminación de Secundaria).
Siguió sus estudios más allá de high school, pero no completó una licenciatura o título de bachelor: Asistió o completó estudios después de obtener un diploma de high school o su equivalente, pero no completó una licenciatura o título de bachelor. Esto puede incluir estudios para obtener o haber obtenido un certificado o diploma de una escuela que proporciona entrenamiento ocupacional o un grado asociado. Entrenamiento ocupacional consiste en entrenamiento dado por una institución educativa que se especializa en entrenamiento para trabajos o habilidades técnicas que se requieren para cumplir las tareas de un trabajo particular y específico. Tales instituciones pueden llamarse escuela de oficios, instituto técnico o escuela vocacional. Ejemplos de trabajos incluyen cosmetología y carpintería. Un grado asociado (AA, AS, AAS, AGE, etc.) normalmente requiere estudios de college a tiempo completo, generalmente por un mínimo de 2 años pero menos de 4. Esto también puede incluir estudios para una licenciatura o título de bachelor pero sin completarlo. Un título de bachelor (BA, BS, etc.) generalmente requiere al menos 4 años de estudios de college a tiempo completo.
Completó una licenciatura o título de bachelor o un título o grado más alto: Completó una licenciatura o título de bachelor, o completó estudios más allá de una licenciatura o título de bachelor. Un título de bachelor (BA, BS, etc.) generalmente requiere al menos 4 años de estudios de college a tiempo completo. Esto también puede incluir una maestría o un doctorado, título de médico o abogado, u otro título profesional avanzado. Una maestría (MA, MS, MBA, MFA, etc.) generalmente requiere al menos 2 años de estudios graduados a tiempo completo y puede requerir una tesis o un prácticum. Un Ph.D. o doctorado generalmente requiere al menos 4 años de estudios graduados a tiempo completo y generalmente requiere una disertación. Un título profesional generalmente requiere estudios graduados en una de las siguientes áreas: quiropráctica, odontología, derecho, medicina, optometría, medicina osteopática, farmacia, podiatría, religión o divinidad, o veterinaria.
HS0P2INHOUSE
*
Question Wording:
¿Tienes otro
padre, madre o tutor(a) o guardián(a) viviendo en la misma
casa contigo y el primero de tus padres, madres o tutores o
guardianes?
Item Name: HS0P2INHOUSE
1=Sí
0=No
HS0P2ID
*
Question Wording:
¿Es tu…
Item Name: HS0P2ID
1=Madre biológica o de
nacimiento?
2=Padre biológico o de nacimiento?
3=Madre
adoptiva?
4=Padre adoptivo?
5=Madrastra?
6=Padrastro?
7=Tía?
8=Tío?
9=Abuela?
10=Abuelo?
11=Madre foster o tutora o guardiana
legal?
12=Padre foster o tutor o guardián
legal?
13=Mujer que es pareja o novia de uno de tus padres,
madres o tutores o guardianes?
14=Hombre que es pareja o novio
de uno de tus padres, madres o tutores o guardianes?
15=Otra
madre o tutora o guardiana?
16=Otro padre o tutor o guardián?
Help
Text:
Madre biológica o de nacimiento: La mujer que es tu madre biológica. Puede tratarse de la madre que te dio a luz, pero también podría aplicarse a una madre que usó una madre subrogada o sustituta o a una donante para tener un hijo.
Padre biológico o de nacimiento: El hombre que es tu padre biológico. Puede tratarse del hombre que te engendró, pero también es aplicable a un padre que usó un donante para tener un hijo.
Madre adoptiva: Una mujer que te ha adoptado legalmente para criarte como su propio hijo o hija.
Padre adoptivo: Un hombre que te ha adoptado legalmente para criarte como su propio hijo o hija.
Madre foster o tutora o guardiana legal: Una madre foster es una mujer bajo cuyo cuidado te han puesto de manera temporal, generalmente por medio de una agencia de servicios sociales y/o una corte. Una tutora o guardiana legal es una mujer que ha sido asignada legalmente para estar a cargo de ti.
Padre foster o tutor o guardián legal: Un padre foster es un hombre bajo cuyo cuidado te han puesto de manera temporal, generalmente por medio de una agencia de servicios sociales y/o una corte. Un tutor o guardián legal es un hombre que ha sido asignado legalmente para estar a cargo de ti.
Mujer que es pareja o novia de uno de tus padres, madres o tutores o guardianes: Una mujer que tiene una relación romántica con uno de tus padres, madres o tutores o guardianes y vive con él o ella sin estar casados.
Hombre que es pareja o novio de uno de tus padres, madres o tutores o guardianes: Un hombre que tiene una relación romántica con uno de tus padres, madres o tutores o guardianes y vive con él o ella sin estar casados.
Otra madre o tutora o guardiana: Una mujer que se comporta como una madre contigo, pero no cabe en una de las otras categorías.
Otro padre o tutor o guardián: Un hombre que se comporta como un padre contigo, pero no cabe en una de las otras categorías.
HS0P2EMPLOYED
Question Wording:
Durante la última
semana, ¿trabajó [tu madre biológica o de
nacimiento/tu padre biológico o de nacimiento/tu madre
adoptiva/tu otra madre adoptiva/tu padre adoptivo/tu otro padre
adoptivo/tu madrastra/tu padrastro/tu tía/tu otra tía/tu
tío/tu otro tío/tu abuela/tu abuelo/tu otra abuela/tu
otro abuelo/tu madre foster o tutora o guardiana legal/tu
otra madre foster o tutora o guardiana legal/tu padre foster
o tutor o guardián legal/tu otro padre foster o tutor
o guardián legal/la mujer que es pareja o novia de uno de tus
padres, madres o tutores o guardianes/el hombre que es pareja o novio
de uno de tus padres, madres o tutores o guardianes/tu madre o tutora
o guardiana/tu otra madre o tutora o guardiana/tu padre o tutor o
guardián/tu otro padre o tutor o guardián/el segundo de
tus padres, madres o tutores o guardianes] en un trabajo por pago o
ganancias?
Item
Name: HS0P2EMPLOYED
1=Sí
0=No
Help
Text:
Trabajar en un trabajo por pago o ganancias: Incluye
cualquier trabajo por pago, aunque haya sido solo una hora.
HS0P2WRKLEAVE
Question Wording:
Durante la última
semana, ¿estuvo [tu madre biológica o de nacimiento/tu
padre biológico o de nacimiento/tu madre adoptiva/tu otra
madre adoptiva/tu padre adoptivo/tu otro padre adoptivo/tu
madrastra/tu padrastro/tu tía/tu otra tía/tu tío/tu
otro tío/tu abuela/tu abuelo/tu otra abuela/tu otro abuelo/tu
madre foster o tutora o guardiana legal/tu otra madre foster
o tutora o guardiana legal/tu padre foster o tutor o
guardián legal/tu otro padre foster o tutor o
guardián legal/la mujer que es pareja o novia de uno de tus
padres, madres o tutores o guardianes/el hombre que es pareja o novio
de uno de tus padres, madres o tutores o guardianes/tu madre o tutora
o guardiana/tu otra madre o tutora o guardiana/tu padre o tutor o
guardián/tu otro padre o tutor o guardián/el segundo de
tus padres, madres o tutores o guardianes] con permiso o licencia, o
de vacaciones de un trabajo?
Item Name:
HS0P2WRKLEAVE
1=Sí
0=No
HS0P2HIGHEDU
*
Question Wording:
¿Hasta dónde
llegó en sus estudios [tu madre biológica o de
nacimiento/tu padre biológico o de nacimiento/tu madre
adoptiva/tu otra madre adoptiva/tu padre adoptivo/tu otro padre
adoptivo/tu madrastra/tu padrastro/tu tía/tu otra tía/tu
tío/tu otro tío/tu abuela/tu abuelo/tu otra abuela/tu
otro abuelo/tu madre foster o tutora o guardiana legal/tu
otra madre foster o tutora o guardiana legal/tu padre foster
o tutor o guardián legal/tu otro padre foster o tutor
o guardián legal/la mujer que es pareja o novia de uno de tus
padres, madres o tutores o guardianes/el hombre que es pareja o novio
de uno de tus padres, madres o tutores o guardianes/tu madre o tutora
o guardiana/tu otra madre o tutora o guardiana/tu padre o tutor o
guardián/tu otro padre o tutor o guardián/el segundo de
tus padres, madres o tutores o guardianes]?
(Selecciona el
nivel educativo más alto.)
Item Name:
HS0P2HIGHEDU
1=No llegó a completar
high school
2=Completó un diploma de high
school o su equivalente (por ejemplo, GED, HiSET, TASC)
3=Siguió sus estudios más allá de high
school pero no completó una licenciatura o título
de bachelor
4=Completó una licenciatura o
título de bachelor o un título o
grado más alto
99=No sabes.
Help
Text:
No llegó a completar high school: No recibió un diploma de high school o su equivalente.
Completó un diploma de high school o su equivalente (por ejemplo, GED, HiSET, TASC): Recibió un diploma común de high school o completó high school recibiendo algún otro tipo de reconocimiento formal de una escuela o una autoridad del gobierno. Por ejemplo, el GED (Examen de Desarrollo de Educación General), HiSET (Prueba de Equivalencia de High School) y TASC (Prueba de Evaluación Para La Terminación de Secundaria).
Siguió sus estudios más allá de high school, pero no completó una licenciatura o título de bachelor: Asistió o completó estudios después de obtener un diploma de high school o su equivalente, pero no completó una licenciatura o título de bachelor. Esto puede incluir estudios para obtener o haber obtenido un certificado o diploma de una escuela que proporciona entrenamiento ocupacional o un grado asociado. Entrenamiento ocupacional consiste en entrenamiento dado por una institución educativa que se especializa en entrenamiento para trabajos o habilidades técnicas que se requieren para cumplir las tareas de un trabajo particular y específico. Tales instituciones pueden llamarse escuela de oficios, instituto técnico o escuela vocacional. Ejemplos de trabajos incluyen cosmetología y carpintería. Un grado asociado (AA, AS, AAS, AGE, etc.) normalmente requiere estudios de college a tiempo completo, generalmente por un mínimo de 2 años pero menos de 4. Esto también puede incluir estudios para una licenciatura o título de bachelor pero sin completarlo. Un título de bachelor (BA, BS, etc.) generalmente requiere al menos 4 años de estudios de college a tiempo completo.
Completó una licenciatura o título de bachelor o un título o grado más alto: Completó una licenciatura o título de bachelor, o completó estudios más allá de una licenciatura o título de bachelor. Un título de bachelor (BA, BS, etc.) generalmente requiere al menos 4 años de estudios de college a tiempo completo. Esto también puede incluir una maestría o un doctorado, título de médico o abogado, u otro título profesional avanzado. Una maestría (MA, MS, MBA, MFA, etc.) generalmente requiere al menos 2 años de estudios graduados a tiempo completo y puede requerir una tesis o un prácticum. Un Ph.D. o doctorado generalmente requiere al menos 4 años de estudios graduados a tiempo completo y generalmente requiere una disertación. Un título profesional generalmente requiere estudios graduados en una de las siguientes áreas: quiropráctica, odontología, derecho, medicina, optometría, medicina osteopática, farmacia, podiatría, religión o divinidad, o veterinaria.
HS0AUTONOMY
Question Wording:
¿Con qué
frecuencia [tus padres o madres/tus tutores o guardianes/tu padre o
madre/tu tutor o guardián o tutora o guardiana]...
(Selecciona una opción en cada línea.)
Item Name: HS0RSPCTPRIV
Item Wording:
Respeta(n) tu privacidad?
Item Name: HS0FREEDOM
Item Wording: Te da(n) mucha libertad?
Item
Name: HS0DECISIONS
Item Wording: Toma(n) la mayoría
de las decisiones sobre qué puedes hacer?
Item
Name: HS0OWNVIEW
Item Wording: Cree(n) que tienes
derecho a tu propio punto de vista?
1=Nunca
2=Rara vez
3=Algunas veces
4=Con frecuencia
5=Con mucha
frecuencia
6=Siempre
HS0RELWTHPAR
Question Wording:
(Continuación)
¿Con qué frecuencia [tus padres o madres/tus tutores o
guardianes/tu padre o madre/tu tutor o guardián o tutora o
guardiana]…
(Selecciona una opción en cada
línea.)
Item Name: HS0KNWFREETIM
Item
Wording: Sabe(n) lo que haces en tu tiempo libre?
Item
Name: HS0KNWHW
Item Wording: Sabe(n) cuánta
tarea escolar tienes?
Item Name: HS0KNWMONEY
Item
Wording: Sabe(n) en qué gastas tu dinero?
Item
Name: HS0KNWEXAM
Item Wording: Sabe(n) cuándo
tienes un examen o debes entregar un reporte en la escuela?
Item
Name: HS0KNWGRADES
Item Wording: Sabe(n) cuáles
son tus calificaciones o notas en la escuela?
1=Nunca
2=Rara vez
3=Algunas veces
4=Con frecuencia
5=Con mucha
frecuencia
6=Siempre
Help
Text:
Dinero: Algunas personas de tu edad no tienen dinero
propio para gastar. Si no tienes tu propio dinero, por favor
selecciona "Siempre" en esta pregunta.
HS0DCSSWTHPAR
Question Wording:
¿Durante este
año escolar, con qué frecuencia has hablado con [tus
padres o madres/tus tutores o guardianes/tu padre o madre/tu tutor o
guardián o tutora o guardiana] acerca de las siguientes cosas?
(Selecciona una opción en cada línea.)
Item Name: HS0DCSSCOURSE
Item Wording:
Seleccionar cursos o programas en la escuela
Item
Name: HS0DCSSACTS
Item Wording: Actividades o
eventos escolares de particular interés para ti
Item
Name: HS0DCSSSTDIES
Item Wording: Cosas que estabas
estudiando en clases
1=Para nada
2=Una o dos
veces
3=Tres o más veces
HS0DINTRO
Question Wording:
En esta sección te preguntaremos sobre lo que piensas con respecto al futuro.
Para
continuar, por favor haz clic en el botón que dice
“Siguiente.”
HS0GUIDCOURSE
Question Wording:
¿Con cuál
de las siguientes personas has hablado acerca de qué cursos
académicos vas a tomar este año?
(Selecciona
todo lo que corresponda.)
Item Name: HS0GUIDCOMOM
Item Wording: [Tu(s) madre(s) o tutora(s) o
guardiana(s)/Tu madre o tutora o guardiana]
Item
Name: HS0GUIDCODAD
Item Wording: [Tu(s) padre(s) o
tutor(es) o guardián(es)/Tu padre o tutor o guardián]
Item
Name: HS0GUIDCOREL
Item Wording: Otro pariente
adulto(a)
Item Name: HS0GUIDCOFRND
Item
Wording: Tus amigos
Item Name: HS0GUIDCOTCHR
Item Wording: Tu maestro o maestra favorito(a)
Item
Name: HS0GUIDCOCOUN
Item Wording: Un(a) consejero(a)
escolar
Item Name: HS0GUIDCOCOA
Item
Wording: Un(a) entrenador(a) deportivo(a)
Item
Name: HS0GUIDCOOTHR
Item Wording: Otro(a) adulto(a)
que no está en la lista
Item Name:
HS0GUIDCONONE
Item Wording: Ninguna de estas personas
HS0GUIDHIGHED
Question Wording:
¿Con cuál
de las siguientes personas has hablado acerca de ir al college
o universidad?
(Selecciona todo lo que corresponda.)
Item
Name: HS0GUIDCLMOM
Item Wording: [Tu(s) madre(s) o
tutora(s) o guardiana(s)/Tu madre o tutora o guardiana]
Item
Name: HS0GUIDCLDAD
Item Wording: [Tu(s) padre(s) o
tutor(es) o guardián(es)/Tu padre o tutor o guardián]
Item
Name: HS0GUIDCLREL
Item Wording: Otro pariente
adulto(a)
Item Name: HS0GUIDCLFRND
Item
Wording: Tus amigos
Item Name: HS0GUIDCLTCHR
Item Wording: Tu maestro o maestra favorito(a)
Item
Name: HS0GUIDCLCOU
Item Wording: Un(a) consejero(a)
escolar
Item Name: HS0GUIDCLCOA
Item
Wording: Un(a) entrenador(a) deportivo(a)
Item
Name: HS0GUIDCLOTHR
Item Wording: Otro(a) adulto(a)
que no está en la lista
Item Name:
HS0GUIDCLNONE
Item Wording: Ninguna de estas personas
HS0IMPSTDYING
Question Wording:
¿Qué tan
de acuerdo o en desacuerdo estás con la siguiente frase?
Aunque
te esfuerces en tus estudios, tu familia no tiene dinero para pagar
para que vayas al college o universidad.
Item
Name: HS0IMPSTDYING
1=Muy de acuerdo
2=De
acuerdo
3=En desacuerdo
4=Muy en desacuerdo
HS0FNNCLLTRCY
Question Wording:
¿Qué tan
de acuerdo o en desacuerdo estás con las siguientes frases?
(Selecciona una opción en cada línea.)
Item Name: HS0CLGCOST
Item Wording:
He dedicado tiempo a tratar de calcular cuánto costará
ir al college o universidad.
Item Name:
HS0PAYFORCLG
Item Wording: He dedicado tiempo a tratar
de ver cómo pagar por el college o universidad.
Item Name: HS0MONEYINFO
Item Wording:
Cuando necesito información confiable para tomar decisiones
que tienen que ver con dinero, sé dónde encontrar esa
información.
Item Name: HS0FUTURE
Item
Wording: Dedico mucho tiempo a pensar cómo lo que hago
ahora me afectará en el futuro.
1=Muy de acuerdo
2=De
acuerdo
3=En desacuerdo
4=Muy en desacuerdo
HS0EINTRO
Question Wording:
Ahora te preguntaremos acerca de lo que crees sobre la educación y tus actividades diarias.
Para
continuar, por favor haz clic en el botón que dice
“Siguiente.”
HS0GRWTHMNDST
Question Wording:
¿Qué tan
de acuerdo o en desacuerdo estás con las siguientes frases?
(Selecciona una opción en cada línea.)
Item Name: HS0FXDAMTINTL
Item Wording:
Tienes cierto grado de inteligencia y realmente no puedes hacer mucho
para cambiarla.
Item Name: HS0CNTCHGINTL
Item
Wording: Tu inteligencia es una característica tuya y
no hay mucho que puedas hacer para cambiarla.
Item
Name: HS0LRNNWTHNGS
Item Wording: Puedes aprender
cosas nuevas, pero realmente no puedes cambiar tu inteligencia
básica.
1=Muy de acuerdo
2=De
acuerdo
3=Un poco de acuerdo
4=Un poco en desacuerdo
5=En desacuerdo
6=Muy en desacuerdo
HS0MTHGRWMDST
Question Wording:
(Continuación)
¿Qué tan de acuerdo o en desacuerdo estás con
las siguientes frases?
(Selecciona una opción en cada
línea.)
Item Name: HS0CANLRNMTH
Item
Wording: La mayoría de las personas pueden aprender a
ser buenas en matemáticas.
Item Name:
HS0BORNWTHMTH
Item Wording: Para ser bueno(a) en
matemáticas tienes que tener esa capacidad de nacimiento.
1=Muy de acuerdo
2=De
acuerdo
3=Un poco de acuerdo
4=Un poco en desacuerdo
5=En desacuerdo
6=Muy en desacuerdo
HS0WKESLPTIME
Question Wording:
¿A qué
hora te despiertas normalmente en los días de
escuela?
Item
Name: HS0WAKEHOUR
-9=- Selecciona la hora-
1=1
2=2
3=3
4=4
5=5
6=6
7=7
8=8
9=9
10=10
11=11
12=12
Item
Name: HS0WAKEMIN
-9=- Selecciona los minutos-
0=00
1=05
2=10
3=15
4=20
5=25
6=30
7=35
8=40
9=45
10=50
11=55
Item
Name: HS0WAKEAMPM
-9=- Selecciona AM o PM-
1=AM
2=PM
Question
Wording:
¿A qué hora te vas a dormir
normalmente en las noches de los días de escuela?
Item
Name: HS0SLEEPHOUR
-9=- Selecciona la hora-
1=1
2=2
3=3
4=4
5=5
6=6
7=7
8=8
9=9
10=10
11=11
12=12
Item
Name: HS0SLEEPMIN
-9=- Selecciona los minutos-
0=00
1=05
2=10
3=15
4=20
5=25
6=30
7=35
8=40
9=45
10=50
11=55
Item
Name: HS0SLEEPAMPM
-9=- Selecciona AM o PM-
1=AM
2=PM
Help
Text:
Te despiertas normalmente: Si no tienes una hora usual en la que te despiertas en los días de escuela, por favor selecciona la hora en la que, con más frecuencia, despiertas en los días de escuela.
Te vas a dormir normalmente: Si no tienes una hora usual en la que te vas a dormir en las noches de los días de escuela, por favor selecciona la hora en la que, con más frecuencia, te vas a dormir en las noches de los días de escuela.
HS0SLEEPHBTS
Question Wording:
En el último
mes, ¿con qué frecuencia…
(Selecciona
una opción en cada línea.)
Item
Name: HS0WAKETIRED
Item Wording: Te despertaste
sintiéndote cansado(a)?
Item Name:
HS0TRBLFLSLP
Item Wording: Tuviste problema para lograr
dormir?
Item Name: HS0TRBLSTYSLP
Item
Wording: Tuviste problema para dormir sin interrupción?
Item Name: HS0RESTLESSLP
Item Wording:
Te moviste mucho cuando dormías/dormiste inquieto(a)?
Item Name: HS0TRBLAWAKE
Item Wording:
Tuviste problema para mantenerte despierto(a) mientras estabas
sentado(a) en clase o viendo televisión?
1=Nunca
2=Rara vez
3=Algunas veces
4=Con frecuencia
5=Con mucha
frecuencia
6=Siempre
HS0EXERCISE
Question Wording:
¿Cuántos
días en los últimos 7 días hiciste
ejercicios o participaste en actividades físicas por lo
menos 20 minutos que te hicieron sudar y respirar fuerte, como
baloncesto, fútbol, correr, nadar varias vueltas en una
piscina, ciclismo rápido, bailar con energía, o
ejercicios aeróbicos parecidos?
Item Name:
HS0EXERCISE
0=0 días
1=1
día
2=2 días
3=3 días
4=4 días
5=5 días
6=6 días
7=7 días
HS0HRDEVICE
Question Wording:
El siguiente grupo de preguntas son acerca de cómo oyes.
¿Usas un aparato auditivo u otro dispositivo para ayudar a oír?
Item
Name: HS0HRDEVICE
1=Sí
0=No
Help
Text:
Aparato auditivo: Un aparato auditivo es un pequeño dispositivo electrónico que se usa dentro o detrás de la oreja para hacer que los sonidos suenen más fuerte para que puedas oírlos.
Otros dispositivos para ayudar a oír: Otros dispositivos para ayudar a oír se refieren a cualquier cosa que uses para ayudarte a oír, como por ejemplo un implante coclear, un amplificador de sonido personal, un pocket talker o una aplicación para el teléfono.
HS0DESCHEAR
Question Wording:
¿Qué
frase describe mejor tu capacidad para oír [if
HS0HRDEVICE in (1, no response) then fill: SIN un aparato
auditivo u otro dispositivo para ayudar a oír/else: no
fill]?
Item
Name: HS0DESCHEAR
1=Oyes de manera excelente
2=Oyes
bien
3=Oyes con poca de dificultad
4=Oyes con moderada
dificultad
5=Oyes con mucha dificultad
6=Eres sordo(a)
Help
Text:
Aparato auditivo: Un aparato auditivo es un pequeño dispositivo electrónico que se usa dentro o detrás de la oreja para hacer que los sonidos suenen más fuerte para que puedas oírlos.
Otros dispositivos para ayudar a oír: Otros dispositivos para ayudar a oír se refieren a cualquier cosa que uses para ayudarte a oír, como por ejemplo un implante coclear, un amplificador de sonido personal, un pocket talker o una aplicación para el teléfono.
Sordo(a): Sordo(a) quiere decir que no puedes oír con ninguno de los dos oídos sin usar aparatos auditivos u otros dispositivos. Si puedes oír de un oído, no eres sordo(a).
HS0BETTEREAR
Question Wording:
¿Oyes mejor de
un oído que del otro [if HS0HRDEVICE in (1, no response)
then fill: SIN un aparato auditivo u otro dispositivo para
ayudar a oír/else: no fill]?
Item
Name: HS0BETTEREAR
1=Sí, oigo mejor del
oído derecho.
2=Sí, oigo mejor del oído
izquierdo.
0=No
99=No sabes.
Help
Text:
Aparato auditivo: Un aparato auditivo es un pequeño dispositivo electrónico que se usa dentro o detrás de la oreja para hacer que los sonidos suenen más fuerte para que puedas oirlos.
Otros dispositivos para ayudar a oír: Otros dispositivos para ayudar a oír se refieren a cualquier cosa que uses para ayudarte a oír, como por ejemplo un implante coclear, un amplificador de sonido personal, un pocket talker o una aplicación para el teléfono.
HS0EARACHE
Question Wording:
En los últimos
12 meses, ¿has tenido un dolor de oído o una
infección de oído?
Item
Name: HS0EARACHE
1=Sí
0=No
99=No sabes.
Help
Text:
Dolor de oído o infección de oído:
Dolor de oído se refiere a un dolor o molestia adentro de
uno o ambos oídos. No incluye dolor en la parte de afuera
de la oreja, por ejemplo, debido a haberse perforado la oreja, o un
dolor causado por un cambio de altura o presión atmosférica.
Infección de oído normalmente se refiere a un
diagnóstico de infección o inflamación de oído
dado por un médico.
HS0EARRING
Question Wording:
En los últimos
12 meses, ¿te ha molestado un silbido, pitido o zumbido en los
oídos o la cabeza que duró 5 minutos o más?
Item
Name: HS0EARRING
1=Sí
0=No
HS0EVREARPHNS
Question Wording:
En los últimos
12 meses, ¿has escuchado música con audífonos
o auriculares puestos?
Item Name:
HS0EVREARPHNS
1=Sí
0=No
HS0EARPHFREQ
Question Wording:
En un día
normal, ¿cuánto tiempo pasas escuchando música
con audífonos o auriculares puestos?
Item
Name: HS0EARPHFREQ
1=Menos de una hora
2=De 1 a
2 horas
3=De 3 a 4 horas
4=5 o más horas
HS0HREARPHNS
Question Wording:
Cuando estás
escuchando música con audífonos o auriculares con
el volumen con que sueles escuchar, ¿qué tanta
dificultad tiene para oír y entender a las personas que
están alrededor tuyo?
Item Name:
HS0HREARPHNS
1=Ninguna dificultad
2=Un
poco de dificultad
3=Moderada dificultad
4=Mucha
dificultad
5=No los puedo oír y entender
HS0HVEGLSSLENS
Question Wording:
Las siguientes
preguntas son acerca de tu vista.
¿Tienes anteojos
o lentes de contacto para ayudarte a ver mejor?
Item
Name: HS0TOTLBLIND
Item Wording: Eres completamente
ciego(a).
Item Name: HS0HVEGLSSLENS
1=Sí
0=No
HS0GLSSCNTCTS
Question Wording:
¿Con qué
frecuencia usas anteojos o lentes de contacto para ayudarte a ver
mejor?
Item Name: HS0GLSSCNTCTS
1=Siempre o casi siempre
2=Con
frecuencia
3=Algunas veces
4=Rara vez
5=Nunca
HS0VISION
Question Wording:
La siguiente pregunta es acerca de si tienes dificultades para ver en diferentes situaciones. [Al contestar, por favor piensa en tu vista mientras NO estás usando anteojos o lentes de contacto./no fill]
(Selecciona
una opción en cada línea.)
Item
Name: HS0VISDSTNCE
Item Wording: ¿Te cuesta
trabajo ver de lejos?
Item Name: HS0VISBOARD
Item
Wording: ¿Te cuesta trabajo ver cosas en tu salón
de clases, por ejemplo, lo que está escrito en la pizarra?
Item
Name: HS0VISCLSEUP
Item Wording: ¿Te cuesta
trabajo ver de cerca como las letras en un papel?
1=Sí
0=No
Help
Text:
Pizarra: Al decir pizarra nos referimos también a pizarras blancas, incluyendo pizarras blancas interactivas (por ejemplo, pizarras Promethean) o a pizarras para tizas.
HS0FREQTCHBVR
Question Wording:
Ahora quisiéramos
preguntarte más acerca de algunas otras actividades.
¿Con
qué frecuencia…
(Selecciona una opción en
cada línea.)
Item Name: HS0FREQVIDGAM
Item Wording: Juegas juegos de video, juegos de
computadora o juegos en un dispositivo móvil (como un teléfono
celular o una tableta)?
Item Name: HS0FREQDIGART
Item Wording: Creas tu propio arte o música
digital (por ejemplo pintar, gráficas, videos, fotos, música)?
Item Name: HS0FREQCOMPRG
Item Wording:
Escribes programas de computadoras (programación) o
desarrollas aplicaciones?
1=Nunca
2=Menos de una vez
la semana
3=Varias veces a la semana
4=Como una vez al
día
5=Muchas veces al día
HS0CONSCIENT1
Question Wording:
¿Con qué
frecuencia son ciertas las siguientes frases para ti?
Me
veo a mí mismo(a) como alguien que...
(Selecciona
una opción en cada línea.)
Item
Name: HS0CAREFUL
Item Wording: Hace las cosas
cuidadosa y completamente.
Item Name: HS0CARELESS
Item Wording: Puede ser un tanto descuidado(a).
Item
Name: HS0RELWORKER
Item Wording: Es un(a)
trabajador(a) confiable.
Item Name: HS0DISORGNZD
Item Wording: Tiende a ser desorganizado(a).
Item
Name: HS0LAZY
Item Wording: Tiende a ser perezoso(a)
o flojo(a).
1=Nunca
2=Rara vez
3=Algunas veces
4=Con frecuencia
5=Con mucha
frecuencia
6=Siempre
HS0CONSCIENT2
Question Wording:
(Continuación)
¿Con qué frecuencia son ciertas las siguientes frases
para ti?
Me veo a mí mismo(a) como alguien que...
(Selecciona una opción en cada línea.)
Item Name: HS0KEEPWRKNG
Item Wording:
Continúa trabajando hasta completar las cosas.
Item
Name: HS0EFFICIENT
Item Wording: Hace las cosas
eficientemente (rápida y correctamente).
Item
Name: HS0MAKESPLANS
Item Wording: Hace planes y los
cumple.
Item Name: HS0DISTRACTED
Item
Wording: Se distrae fácilmente.
Item Name:
HS0TRBLPYATTN
Item Wording: Tiene problemas para prestar
atención.
1=Nunca
2=Rara vez
3=Algunas veces
4=Con frecuencia
5=Con mucha
frecuencia
6=Siempre
HS0SEMPLOYED
Question Wording:
A algunas personas de
tu edad les pagan por el trabajo que hacen. ¿Alguna vez te han
pagado por trabajar fuera de tu casa? (No incluyas tareas domésticas,
ayudar en la casa, ni lo que tu familia te dé para gastos.)
Item Name: HS0SEMPLOYED
1=Sí, y estás
actualmente trabajando por un pago.
2=Sí, pero
actualmente no estás trabajando por un pago.
0=No
HS0SHOURWORK
Question Wording:
¿Cuántas horas generalmente [trabajas/trabajabas] cada semana en tu trabajo [actual/más reciente] durante este año escolar?
Item
Name: HS0SHOURWORK
1=No has trabajado durante este
año escolar.
2=De 1 a 5 horas a la semana
3=De 6 a
10 horas a la semana
4=De 11 a 15 horas a la semana
5=De
16 a 20 horas a la semana
6=De 21 a 25 horas a la semana
7=De
26 a 30 horas a la semana
8=De 31 a 35 horas a la semana
9=De
36 a 40 horas a la semana
10=Más de 40 horas a la semana
HS0LI2INTRO
Question Wording:
En esta última
sección de la encuesta te preguntaremos los nombres y la
información de contacto de tus padres o madres y de un
pariente o amigo cercano. Dicha información será usada
en el futuro únicamente para ayudarnos a contactarte para este
estudio. La información se guardará en archivos
protegidos, separada de las respuestas que diste en esta encuesta.
Para
continuar, por favor haz clic en el botón que dice
“Siguiente.”
HS0P1NAME
*
Question Wording:
¿Cuál
es el nombre completo [de tu madre biológica o de
nacimiento/de tu padre biológico o de nacimiento/de tu madre
adoptiva/de tu padre adoptivo/de tu madrastra/de tu padrastro/de tu
tía/de tu tío/de tu abuela/de tu abuelo/de tu madre
foster o tutora o guardiana legal/de tu padre foster
o tutor o guardián legal/de la mujer que es pareja o novia de
uno de tus padres, madres o tutores o guardianes/del hombre que es
pareja o novio de uno de tus padres, madres o tutores o guardianes/de
tu madre o tutora o guardiana/de tu padre o tutor o guardián/del
primero de tus padres, madres o tutores o guardianes]?
Item
Name: HS0P1FIRNAME
Item Wording: Primer nombre:
Item Name: HS0P1MIDNAME
Item Wording:
Segundo nombre:
Item Name: HS0P1LSTNAME
Item
Wording: Apellido(s):
Item Name: HS0P1SUFFIX
Item Wording: Sufijo:
HS0P1ADDSAME
*
Question Wording:
¿La dirección
[de tu madre biológica o de nacimiento/de tu padre biológico
o de nacimiento/de tu madre adoptiva/de tu padre adoptivo/de tu
madrastra/de tu padrastro/de tu tía/de tu tío/de tu
abuela/de tu abuelo/de tu madre foster o tutora o guardiana
legal/de tu padre foster o tutor o guardián legal/de
la mujer que es pareja o novia de uno de tus padres, madres o tutores
o guardianes/del hombre que es pareja o novio de uno de tus padres,
madres o tutores o guardianes/de tu madre o tutora o guardiana/de tu
padre o tutor o guardián/del primero de tus padres, madres o
tutores o guardianes] es la misma que la tuya?
Item
Name: HS0P1ADDSAME
1=Sí
0=No
HS0P1ADD
*
Question Wording:
Por favor proporciona
la dirección [de tu madre biológica o de nacimiento/de
tu padre biológico o de nacimiento/de tu madre adoptiva/de tu
padre adoptivo/de tu madrastra/de tu padrastro/de tu tía/de tu
tío/de tu abuela/de tu abuelo/de tu madre foster o
tutora o guardiana legal/de tu padre foster o tutor o
guardián legal/de la mujer que es pareja o novia de uno de tus
padres, madres o tutores o guardianes/del hombre que es pareja o
novio de uno de tus padres, madres o tutores o guardianes/de tu madre
o tutora o guardiana/de tu padre o tutor o guardián/del
primero de tus padres, madres o tutores o guardianes] (incluyendo la
calle, número, número de apartamento, ciudad, estado y
código postal). Si su información de contacto no es
correcta o está incompleta, por favor corrígela.
Luego haz clic en "Siguiente" para continuar.
Item
Name: HS0P1AD
Item Wording: Dirección:
Item Name: HS0P1CY
Item Wording:
Ciudad:
Item Name: HS0P1ST
Item Wording:
Estado:
Item
Name: HS0P1ZP
Item Wording:Código postal:
Encuentra
la ciudad y el estado desde el código postal
Item
Name: HS0P1FC
Item Wording: País
(extranjero):
Item Name: HS0P1FS
Item
Wording:
Estado/Provincia (extranjero(a)):
Item
Name: HS0P1FZ
Item Wording:
Código postal (extranjero):
Item
Name: HS0P1FAD
Item Wording:
Dirección (extranjera):
Item
Name: HS0P1FCY
Item Wording:
Ciudad (extranjera):
Item
Name: HS0P1FOR
Item Wording: Por favor marca aquí
si la dirección es en el extranjero.
HS0P1CNTCTINF
Question Wording:
Por favor confirma o
proporciona el número de teléfono celular y otros
números de teléfono que [tu madre biológica o de
nacimiento/tu padre biológico o de nacimiento/tu madre
adoptiva/tu padre adoptivo/tu madrastra/tu padrastro/tu tía/tu
tío/tu abuela/tu abuelo/tu madre foster o tutora o
guardiana legal/tu padre foster o tutor o guardián
legal/la mujer que es pareja o novia de uno de tus padres, madres o
tutores o guardianes/el hombre que es pareja o novio de uno de tus
padres, madres o tutores o guardianes/tu madre o tutora o
guardiana/tu padre o tutor o guardián/el primero de tus
padres, madres o tutores o guardianes] tiene, incluyendo el código
de área y su dirección de correo electrónico
principal. [Esta información nos la dio tu escuela.] Si su
información de contacto no es correcta o está
incompleta, por favor corrígela abajo. Luego haz clic en
"Siguiente" para continuar.
Item Name:
HS0P1CELLCODE
Item Wording: Número de teléfono
celular:
Item Name: HS0P1NCELLTEL
1=Su número de teléfono
celular es el mismo que el tuyo.
2=[Él/Ella/Él o
ella] no tiene número de teléfono celular.
99=No
sabes su número de teléfono celular.
Item
Name: HS0P1OTHCODE
Item Wording: Otro número
de teléfono:
Item Name:
HS0P1OTHTYP
-9=- Selecciona tipo de teléfono-
1=Línea de tierra
2=Teléfono del
trabajo
3=Otro
Item
Name: HS0P1NOTHTEL
2=[Él/Ella/Él o
ella] no tiene otro número de teléfono.
99=No
sabes su otro número de teléfono celular.
Item
Name: HS0P1EMAIL
Item Wording: Correo electrónico:
Item Name: HS0P1EMAILDK
2=[Él/Ella/Él o
ella] no tiene correo electrónico.
99=No sabes su
dirección de correo electrónico.
HS0P2NAME
Question Wording:
¿Cuál es
el nombre completo [de tu madre biológica o de nacimiento/de
tu padre biológico o de nacimiento/de tu madre adoptiva/de tu
otra madre adoptiva/de tu padre adoptivo/de tu otro padre adoptivo/de
tu madrastra/de tu padrastro/de tu tía/de tu otra tía/de
tu tío/de tu otro tío/de tu abuela/de tu abuelo/de tu
otra abuela/de tu otro abuelo/de tu madre foster o tutora o
guardiana legal/de tu otra madre foster o tutora o guardiana
legal/de tu padre foster o tutor o guardián legal/de
tu otro padre foster o tutor o guardián legal/de la
mujer que es pareja o novia de uno de tus padres, madres o tutores o
guardianes/del hombre que es pareja o novio de uno de tus padres,
madres o tutores o guardianes/de tu madre o tutora o guardiana/de tu
otra madre o tutora o guardiana/de tu padre o tutor o guardián/de
tu otro padre o tutor o guardián/del segundo de tus padres,
madres o tutores o guardianes]?
Item Name:
HS0P2FIRNAME
Item Wording: Primer nombre:
Item
Name: HS0P2MIDNAME
Item Wording: Segundo nombre:
Item Name: HS0P2LSTNAME
Item Wording:
Apellido(s):
Item Name: HS0P2SUFFIX
Item
Wording: Sufijo:
HS0P2ADDSAME
Question Wording:
¿La dirección
[de tu madre biológica o de nacimiento/de tu padre biológico
o de nacimiento/de tu madre adoptiva/de tu otra madre adoptiva/de tu
padre adoptivo/de tu otro padre adoptivo/de tu madrastra/de tu
padrastro/de tu tía/de tu otra tía/de tu tío/de
tu otro tío/de tu abuela/de tu abuelo/de tu otra abuela/de tu
otro abuelo/de tu madre foster o tutora o guardiana legal/de
tu otra madre foster o tutora o guardiana legal/de tu padre
foster o tutor o guardián legal/de tu otro padre
foster o tutor o guardián legal/de la mujer que es
pareja o novia de uno de tus padres, madres o tutores o
guardianes/del hombre que es pareja o novio de uno de tus padres,
madres o tutores o guardianes/de tu madre o tutora o guardiana/de tu
otra madre o tutora o guardiana/de tu padre o tutor o guardián/de
tu otro padre o tutor o guardián/del segundo de tus padres,
madres o tutores o guardianes] es la misma que la tuya?
Item
Name: HS0P2ADDSAME
1=Sí
0=No
HS0P2ADD
Question Wording:
Por favor proporciona
la dirección [de tu madre biológica o de nacimiento/de
tu padre biológico o de nacimiento/de tu madre adoptiva/de tu
otra madre adoptiva/de tu padre adoptivo/de tu otro padre adoptivo/de
tu madrastra/de tu padrastro/de tu tía/de tu otra tía/de
tu tío/de tu otro tío/de tu abuela/de tu abuelo/de tu
otra abuela/de tu otro abuelo/de tu madre foster o tutora o
guardiana legal/de tu otra madre foster o tutora o guardiana
legal/de tu padre foster o tutor o guardián legal/de
tu otro padre foster o tutor o guardián legal/de la
mujer que es pareja o novia de uno de tus padres, madres o tutores o
guardianes/del hombre que es pareja o novio de uno de tus padres,
madres o tutores o guardianes/de tu madre o tutora o guardiana/de tu
otra madre o tutora o guardiana/de tu padre o tutor o guardián/de
tu otro padre o tutor o guardián/del segundo de tus padres,
madres o tutores o guardianes] (incluyendo la calle, número,
número de apartamento, ciudad, estado y código postal).
Si su información de contacto no es correcta o está
incompleta, por favor corrígela. Luego haz clic en
"Siguiente" para continuar.
Item Name:
HS0P2AD
Item Wording: Dirección:
Item
Name: HS0P2CY
Item Wording: Ciudad:
Item
Name: HS0P2ST
Item Wording: Estado:
Item
Name: HS0P2ZP
Item Wording: Código postal:
Encuentra
la ciudad y el estado desde el código postal
Item
Name: HS0P2FC
Item Wording: País
(extranjero):
Item Name: HS0P2FS
Item
Wording:
Estado/Provincia (extranjero(a)):
Item
Name: HS0P2FZ
Item Wording:
Código postal (extranjero):
Item
Name: HS0P2FAD
Item Wording:
Dirección (extranjera):
Item
Name: HS0P2FCY
Item Wording:
Ciudad (extranjera):
Item
Name: HS0P2FOR
Item Wording: Por favor marca aquí
si la dirección es en el extranjero.
HS0P2CNTCTINF
Question Wording:
Por favor confirma o
proporciona el número de teléfono celular y otros
números de teléfono que [tu madre biológica o de
nacimiento/tu padre biológico o de nacimiento/tu madre
adoptiva/tu otra madre adoptiva/tu padre adoptivo/tu otro padre
adoptivo/tu madrastra/tu padrastro/tu tía/tu otra tía/tu
tío/tu otro tío/tu abuela/tu abuelo/tu otra abuela/tu
otro abuelo/tu madre foster o tutora o guardiana legal/tu
otra madre foster o tutora o guardiana legal/tu padre foster
o tutor o guardián legal/tu otro padre foster o tutor
o guardián legal/la mujer que es pareja o novia de uno de tus
padres, madres o tutores o guardianes/el hombre que es pareja o novio
de uno de tus padres, madres o tutores o guardianes/tu madre o tutora
o guardiana/tu otra madre o tutora o guardiana/tu padre o tutor o
guardián/tu otro padre o tutor o guardián/el segundo de
tus padres, madres o tutores o guardianes] tiene, incluyendo el
código de área y su dirección de correo
electrónico principal. [Esta información nos la dio tu
escuela.] Si su información de contacto no es correcta o está
incompleta, por favor corrígela abajo. Luego haz clic en
"Siguiente" para continuar.
Item Name:
HS0P2CELLCODE
Item Wording: Número de teléfono
celular:
Item Name: HS0P2NCELLTEL
1=Su número de teléfono
celular es el mismo que el tuyo.
2=[Él/Ella/Él o
ella] no tiene número de teléfono celular.
99=No
sabes su número de teléfono.
Item
Name: HS0P2OTHCODE
Item Wording: Otro número
de teléfono:
Item Name:
HS0P2OTHTYP
-9=- Selecciona tipo de teléfono-
1=Línea de tierra
2=Teléfono del
trabajo
3=Otro
Item
Name: HS0P2NOTHTEL
2=[Él/Ella/Él o
ella] no tiene otro número de teléfono.
99=No
sabes su otro número de teléfono.
Item
Name: HS0P2EMAIL
Item Wording: Correo electrónico:
Item Name: HS0P2EMAILDK
2=[Él/Ella/Él o
ella] no tiene correo electrónico.
99=No sabes su
dirección de correo electrónico.
HS0RELCNTINF
Question Wording:
Por favor proporciona el nombre, dirección y número de teléfono de un pariente o amigo cercano que no viva contigo y siempre sabrá cómo contactarte.
Nombre:
Item
Name: HS0RELFIRNAME
Item Wording: Primer nombre:
Item Name: HS0RELMIDNAME
Item Wording:
Segundo nombre:
Item Name: HS0RELLSTNAME
Item
Wording: Apellido(s):
Item Name: HS0RELSUFFIX
Item Wording: Sufijo:
Question
Wording:
Dirección:
Item Name:
HS0RELAD
Item Wording: Dirección:
Item
Name: HS0RELCY
Item Wording: Ciudad:
Item
Name: HS0RELST
Item Wording: Estado:
Item
Name: HS0RELZP
Item Wording: Código postal:
Encuentra
la ciudad y el estado desde el código postal
Item
Name: HS0RELFC
Item Wording: País
(extranjero):
Item Name: HS0RELFS
Item
Wording:
Estado/Provincia (extranjero(a)):
Item
Name: HS0RELFZ
Item Wording:
Código postal (extranjero):
Item
Name: HS0RELFAD
Item Wording:
Dirección (extranjera):
Item
Name: HS0RELFCY
Item Wording:
Ciudad (extranjera):
Item
Name: HS0RELFOR
Item Wording: Por favor marca aquí
si la dirección es en el extranjero.
Item Name:
HS0RELADDDK
Item Wording: No sabes su dirección.
Question Wording:
Número de
teléfono:
Item Name:
HS0RELTELBLNK
2=Esta persona no tiene un número
de teléfono.
99=No sabes su número de teléfono.
Item
Name: HS0RELTELTYP
-9=- Selecciona tipo de teléfono-
1=Línea de tierra
2=Teléfono celular
3=Teléfono del trabajo
4=Otro
HS0RELID
Question Wording:
¿Cuál es
la relación o parentesco de [[HS0RELFIRNAME] [HS0RELMIDNAME]
[HS0RELLSTNAME] [HS0RELSUFFIX]/esta persona] contigo?
Item
Name: HS0RELID
1=Uno de tus padres o madres
2=Un abuelo o una abuela
3=Una tía o un tío
4=Un hermano o una hermana
5=Un amigo o una amiga
6=Otro
HS0PREEND
*
Question Wording:
Has llegado al final
de la encuesta.
No podrás ingresar
nuevamente en la encuesta una vez que hagas clic en "Siguiente"
en esta pantalla.
Si quieres revisar alguna de tus
respuestas, usa el botón que dice "Anterior" para
volver a la(s) pantalla(s) que desees. Si estás conforme con
todas tus respuestas, haz clic en "Siguiente" para pasar a
la pantalla final de la encuesta. Esto indicará que la
encuesta está completa.
HS0END
*
Question Wording:
Has terminado la última pregunta de esta sección. Haz clic en "Terminar" para pasar.
HS0INCENTIVE *
Question
Wording:
(Para ver una traducción al inglés,
haz clic en el botón de "ENGLISH" arriba de todo en
tu pantalla.)
Gracias. Como muestra de nuestro agradecimiento por haber contestado la encuesta hoy, quisiéramos enviarte [Incentive].
Por favor confirme su información. Haz clic en "Siguiente" si la información que aparece abajo es correcta. Si la información no es correcta o está incompleta, corrígela abajo y después haz clic en "Siguiente."
(Por favor espera 4 semanas para recibir el envío.)
Si no deseas recibirlo, por favor haz clic en el cuadrito de abajo y después haz clic en "Siguiente" para continuar.
Item
Name:
HS0INC_NoInc
Item
Wording: No
quiero recibir nada por completar esta encuesta.
Item
Name: HS0INCNAME_LBL
Item
Wording: Nombre:
Item
Name: HS0INCFIRNAME
Item
Wording: Primer nombre:
Item
Name: HS0INCMIDNAME
Item
Wording: Segundo nombre:
Item
Name: HS0INCLSTNAME
Item
Wording: Apellido(s):
Item
Name: HS0INCSUFFIX
Item
Wording: Sufijo:
Question
Wording:
Dirección:
Item Name:
HS0INCAD
Item Wording:
Dirección:
Item
Name: HS0INCCY
Item
Wording: Ciudad:
Item
Name: HS0INCST
Item
Wording: Estado:
Item
Name: HS0INCZP
Item
Wording:
Código postal:
Encuentra
la ciudad y el estado desde el código postal
Item
Name: HS0INCFOR
Item Wording:
Por favor marca aquí si la dirección es en el
extranjero.
Item
Name: HS0INCFAD
Item
Wording:
Dirección (extranjera):
Item
Name: HS0INCFC
Item
Wording: País
(extranjero):
Item Name:
HS0INCFCY
Item Wording:
Ciudad (extranjera):
Item
Name: HS0INCFS
Item
Wording:
Estado/Provincia (extranjero(a)):
Item
Name:
HS0INCFZ
Item
Wording:
Código postal (extranjero):
FINAL SCREEN *
Question
Wording:
(Para ver una traducción
al inglés, haz clic en el botón de "ENGLISH"
arriba de todo en tu pantalla.)
Muchas gracias por completar esta parte del estudio HS&B:21.
[If
(student is taking survey in school) or ((student is taking survey
outside of school) and (self laptop mode)) then fill:
Por favor
devuelve ahora la computadora al entrevistador./
else then fill:
Asegúrate de CERRAR TODAS las ventanas del navegador para mantener protegidas tus respuestas. Por ejemplo, si usaste Chrome o Safari para abrir la encuesta, asegúrate de que no quede abierta ninguna ventana o pantalla de Chrome o Safari después que termines la encuesta. Si no cierras todos los navegadores, alguien tal vez pueda ver tus respuestas.]
Appendix B4. Parent Questionnaire – English
Table 3. HS&B:21 Full-Scale Parent Questionnaire - English
Form Name |
Form Label |
Change |
Rationale |
Abbreviated |
General |
Applies to multiple forms |
R |
Revised parent fills to reflect revisions to parent relationship response options. Revised calendar year to the correct year (2020-2021 for past year) due to data collection being delayed Updated study name to HS&B:21, and revised study e-mail address where necessary due to the delay of data collection. Added parentheses around text that interviewers were not required to read unless helpful to the respondent and removed parentheses around text that interviewers should read for consistent administration. Replaced / with “or” to aid with interviewer administration. |
|
HP0IINTRO |
Survey introduction |
|
No change |
* |
HP0CHPERMPAR1 |
Permission for child’s participation – Screen 1 |
|
No change |
* |
HP0CHPERMPAR2 |
Permission for child’s participation – Screen 2 |
R |
Revised wording to make it clear that the parent’s responses will not be individually reported, not just the students. |
* |
HP0RPERMPAR1 |
Parent consent – Screen 1 |
R |
Updated burden estimates (25 minutes for full survey, 10 minutes for abbreviated survey) to reflect decisions made for FS. Added language indicating that the parent could either receive the incentive or it could go to the school. |
* |
HP0RPERMPAR2 |
Parent consent – Screen 2 |
|
No change |
* |
HP0NAVIGATE |
Survey navigation |
R |
Revised question wording to reflect the new timeout limit and to improve instructions relating to security. Revised help text wording to be more accurate on how to close the help text box. Added instruction related to the language toggle feature. |
* |
HP0LIVWCH |
Lives with child |
|
No change |
* |
HP0KNOWCH |
Knows about child |
|
No change |
* |
HP0ELIGPCONT |
Contact information for eligible parent |
R |
Added an item to collect type of phone number (e.g., landline, work, other, cell) for use in contacting respondents. |
* |
HP0EXIT |
Exit for ineligible parents |
R |
Added to abbreviated instrument |
* |
HP0STUDNAME |
Verify spelling of child’s name |
|
No change |
* |
HP0CHSEX1 |
Child’s sex – verify |
|
No change |
* |
HP0CHSEX2 |
Child’s sex – collect |
|
No change |
* |
HP0AINTRO |
Section A introduction |
|
No change |
|
HP0SCHASSIGN |
Assigned school or school chosen |
|
No change |
|
HP0NOCHANGSCH |
Number of times child changed schools |
|
No change |
|
HP0NONUSSCH |
Child ever attended school outside US |
D |
Dropped due to sensitivity of questions related to nativity, per TRP recommendation. |
|
HP0NONUSGRADE |
Grades completed outside US |
D |
Dropped due to sensitivity of questions related to nativity, per TRP recommendation. |
|
HP0BGNUSGRADE |
Grade placement when starting school in US |
D |
Dropped due to sensitivity of questions related to nativity, per TRP recommendation. |
|
HP0REPEATGRD |
Child repeated grades and grades repeated |
|
No change |
|
HP0SKIPPDGRAD |
Child skipped grades and grade skipped |
|
No change |
|
HP0EVGIFTTAL |
Child participated in gifted and talented program |
A |
Added to capture more information on educational experiences. |
|
HP0SUSPEXPEL |
Child suspended or expelled |
D |
Dropped due to addition of HP0NUMSUSPEXP. |
|
HP0NUMSUSPEXP |
Times child suspended or expelled |
A |
Added to capture more information on disciplinary actions, per TRP recommendation. |
|
HP0TYPSUSPEXP |
Type of child’s suspension or expulsion |
A |
Added to capture more information on disciplinary actions, per TRP recommendation. |
|
HP0RSNSUSPEXP |
Reason child suspended or expelled |
A |
Added to capture more information on disciplinary actions, per TRP recommendation. |
|
HP0DAYSUSPEXP |
Days child suspended or expelled |
A |
Added to capture more information on disciplinary actions, per TRP recommendation. |
|
HP0EVDROPOUT |
Child ever dropped out |
R |
Revised question wording for clarification. Dropped from abbreviated survey to reduce respondent burden. |
|
HP0PLCEHMWRK |
Place set aside for homework |
A |
Added to capture more information about educational support at home, per TRP recommendation. |
|
HP0DEVINHOME |
Computer/device in home for schoolwork |
|
No change |
|
HP0DEVINTACC |
Computer/device with internet access in home |
|
No change |
|
HP0BINTRO |
Section B introduction |
|
No change |
|
HP0RESPREL |
Respondent’s relationship to child |
R |
Revised response options and help text, per cognitive testing results. |
* |
HP0OPINHOUSE |
Number of parents in household |
|
No change |
* |
HP0OPRELID |
Parents’ relationships to child |
R |
Revised response options and added help text, per cognitive testing results. |
* |
HP0P1SPPTR |
Spouse or partner in household |
|
No change |
* |
HP0SPPTRRELID |
Spouse/partner’s relationship to child |
R |
Revised response options and help text, per cognitive testing results. |
* |
HP0OTHADULT |
Other adult with parental responsibility |
|
No change |
* |
HP0OTHREL |
Other adult’s relationship to child |
R |
Revised response options and help text, per cognitive testing results. |
* |
HP0MARSTAT |
Marital status |
|
No change |
* |
HP0TIMELIV |
Amount of time living with child |
|
No change |
|
HP0OTHLIVW |
Who child lives with when not living with respondent |
|
No change |
|
HP0NRESP |
Non-resident parent |
|
No change |
|
HP0CNTCTNRESP |
Child contact with non-resident parent |
|
No change |
|
HP0NOINHOUSE |
Number of people in household |
R |
Revised question wording to provide more direction to respondents on who to include in response, per cognitive testing results. |
* |
HP0NOSIB |
Number of siblings in household |
R |
Revised question wording to provide more direction to respondents on who to include in response, per cognitive testing results. Added check box for no siblings in household, to reduce respondent burden and nonresponse. |
|
HP0NOSIBINHS |
Number of siblings in high school |
R |
Revised question wording to provide more direction to respondents on who to include in response, per cognitive testing results. |
|
HP0NOSIBGRDHS |
Number of siblings who graduated high school |
R |
Revised question wording to provide more direction to respondents on who to include in response, per cognitive testing results. Added a new item so respondents could indicate whether there are no siblings in any household. |
|
HP0NOSIBPSEC |
Number of siblings who continued education after high school |
R |
Revised question wording to provide more direction to respondents on who to include in response, per cognitive testing results. |
|
HP0CINTRO |
Section C introduction |
|
No change |
|
HP0P1HISPANIC |
Parent 1: Hispanic or Latino/Latina |
|
Added conditional wording for “Latino or Latina” when respondent’s sex is unknown. |
* |
HP0P1HISPETH |
Parent 1: Hispanic country of origin |
R |
Dropped from abbreviated survey to reduce respondent burden. Added conditional wording for “Latino or Latina” when respondent’s sex is unknown. Removed other specify item. |
|
HP0P1RACE |
Parent 1: Race |
|
No change |
* |
HP0P1ASIANETH |
Parent 1: Asian country of origin |
R |
Dropped from abbreviated survey to reduce respondent burden. Removed other specify item. |
|
HP0P1BIRTHYEAR |
Parent 1: Birth year |
R |
Revised instructions for format of birth year to account for a wider range of birth years. |
|
HP0P1BORNUS |
Parent 1: Born in the US |
D |
Dropped due to sensitivity of questions related to nativity, per TRP recommendation. |
|
HP0P1BRNCNTRY |
Parent 1: Country of birth |
D |
Dropped due to sensitivity of questions related to nativity, per TRP recommendation. |
|
HP0P1YEARINUS |
Parent 1: First year permanently in US |
D |
Dropped due to sensitivity of questions related to nativity, per TRP recommendation. |
|
HP0P2HISPANIC |
Parent 2: Hispanic or Latino/Latina |
R |
Added conditional wording for “Latino or Latina” when parent’s sex is unknown. |
* |
HP0P2HISPETH |
Parent 2: Hispanic country of origin |
R |
Dropped from abbreviated survey to reduce respondent burden. Added conditional wording for “Latino or Latina” when parent’s sex is unknown. Removed other specify item. |
|
HP0P2RACE |
Parent 2: Race |
|
No change |
* |
HP0P2ASIANETH |
Parent 2: Asian country of origin |
R |
Dropped from abbreviated survey to reduce respondent burden. Removed other specify item. |
|
HP0P2BIRTHYEAR |
Parent 2: Birth year |
R |
Revised instructions for format of birth year to account for a wider range of birth years. |
|
HP0P2BORNUS |
Parent 2: Born in the US |
D |
Dropped due to sensitivity of questions related to nativity, per TRP recommendation. |
|
HP0P2BRNCNTRY |
Parent 2: Country of birth |
D |
Dropped due to sensitivity of questions related to nativity, per TRP recommendation. |
|
HP0P2YEARINUS |
Parent 2: First year permanently in US |
D |
Dropped due to sensitivity of questions related to nativity, per TRP recommendation. |
|
HP0CBIRTHDATE |
Child’s date of birth |
R |
Revised response options to account for full-scale students being 2 years younger than field test students due to delay in data collection. Dropped from abbreviated survey to reduce respondent burden. |
|
HP0CHHISPANIC |
Child’s Hispanic or Latino/Latina |
R |
Added conditional wording for “Latino or Latina” when student’s sex is unknown. |
* |
HP0CHHISPETH |
Child’s Hispanic country of origin |
R |
Dropped from abbreviated survey to reduce respondent burden. |
|
HP0CHRACE |
Child’s race |
R |
Added conditional wording for “Latino or Latina” when student’s sex is unknown. Removed other specify item. |
* |
HP0CHASIANETH |
Child’s Asian country of origin |
R |
Dropped from abbreviated survey to reduce respondent burden. Removed other specify item. |
|
HP0CBORNUS |
Child: Born in the US |
D |
Dropped due to sensitivity of questions related to nativity, per TRP recommendation. |
|
HP0CBRNCNTRY |
Child: County of birth |
D |
Dropped due to sensitivity of questions related to nativity, per TRP recommendation. |
|
HP0CYEARINUS |
Child: First year permanently in US |
D |
Dropped due to sensitivity of questions related to nativity, per TRP recommendation. |
|
HP0NENGHOM |
Any non-English language spoken in home |
|
No change |
* |
HP0LANGHOM |
What non-English language(s) spoken in home |
R |
Removed other specify item. |
* |
HP0ENGHOM |
English spoken in home |
|
No change |
* |
HP0RESPLANG |
Language respondent primarily speaks to child in home |
R |
Dropped from abbreviated survey to reduce respondent burden. Removed conditional wording from last response option since HP0NENGHOM was removed from survey. |
|
HP0CHDSPELANG |
Language primarily spoken by child to respondent in home |
R |
Dropped from abbreviated survey to reduce respondent burden. Removed conditional wording from last response option since HP0NENGHOM was removed from survey. |
|
HP0CHDEVERELL |
Child ever enrolled in English language program |
R |
Dropped from abbreviated survey to reduce respondent burden. |
|
HP0CHDCURRELL |
Child currently enrolled in English language program |
R |
Dropped from abbreviated survey to reduce respondent burden. |
|
HP0DIFPARLANG |
Language other than English: Difficulty of school participation as parent |
|
No change |
|
HP0DINTRO |
Section D introduction |
|
No change |
|
HP0INFLCOURSE |
Who most influences child’s courses in high school |
|
No change |
|
HP0NRESPEDDEC |
Non-resident parent participation in education decisions |
|
No change |
|
HP0ADV |
Parent discusses education/careers with child |
|
No change |
|
HP0TALKDPSEC |
Family member discussed requirements for postsecondary education with teacher/counselor |
|
No change |
|
HP0DESRDLEVED |
Desired level of education for child |
|
No change |
* |
HP0EXPCTLEVED |
Expected level of education for child |
|
No change |
* |
HP0HLPPAYCHED |
Planning to assist child with postsecondary costs |
|
No change |
|
HP0AMTSVDCHED |
How much expect to set aside for postsecondary costs |
R |
Added “Don’t know” response option to reduce nonresponse, per analysis of field test data. Revised question wording to better align with HP0HLPPAYCHED and capture money from other family members. |
|
HP0EINTRO |
Section E introduction |
|
No change |
|
HP0P1HIGHEDU |
Parent 1: Highest level of education |
|
No change |
* |
HP0P1EMPLOYED |
Parent 1: Currently work for pay |
|
No change |
* |
HP0P1WRKLEAVE |
Parent 1 on work leave |
|
No change |
* |
HP0P1LOOKWORK |
Parent 1 looking for work |
R |
Dropped from abbreviated survey to reduce respondent burden. |
|
HP0P1WORKSTAT |
Parent 1 work status |
|
No change |
|
HP0P1EVERWORK |
Parent 1: Ever worked for pay |
|
No change |
* |
HP0P1NUMJOB |
Number of jobs parent 1 has |
|
No change |
|
HP0P1HOURWORK |
Parent 1: Work hours per week |
|
No change |
|
HP0P1HOURWANT |
Parent 1: Wants full-time work |
A |
Added to better capture stability in parental employment, per TRP recommendation. |
|
HP0P1HOURTYPE |
Parent 1: How describes work hours |
A |
Added to better capture stability in parental employment, per TRP recommendation. Added conditional wording to use the same universe used for other employment forms in this section. |
|
HP0P1JOB |
Parent 1: Occupation |
|
No change |
* |
HP0P1JOBDUTY |
Parent 1 job duties |
|
No change |
* |
HP0P1MILITARY |
Parent 1: Currently in military |
|
No change |
|
HP0P2HIGHEDU |
Parent 2: Highest level of education |
|
No change |
* |
HP0P2EMPLOYED |
Parent 2: Currently work for pay |
|
No change |
* |
HP0P2WRKLEAVE |
Parent 2 on work leave |
|
No change |
* |
HP0P2LOOKWORK |
Parent 2 looking for work |
R |
Dropped from abbreviated survey to reduce respondent burden. |
|
HP0P2WORKSTAT |
Parent 2 work status |
|
No change |
|
HP0P2EVERWORK |
Parent 2: Ever worked for pay |
|
No change |
* |
HP0P2NUMJOB |
Number of jobs parent 2 has |
|
No change |
|
HP0P2HOURWORK |
Parent 2: Work hours per week |
|
No change |
|
HP0P2HOURWANT |
Parent 2: Wants full-time work |
A |
Added to better capture stability in parental employment, per TRP recommendation. |
|
HP0P2HOURTYPE |
Parent 2: How describes work hours |
A |
Added to better capture stability in parental employment, per TRP recommendation. Added conditional wording to HP0P2HOURTYPE use the same universe used for other employment forms in this section. |
|
HP0P2JOB |
Parent 2: Occupation |
|
No change |
* |
HP0P2JOBDUTY |
Parent 2 job duties |
|
No change |
* |
HP0P2MILITARY |
Parent 2: Currently in military |
|
No change |
|
HP0HOUSEINCOM |
Household income |
|
No change |
* |
HP0INCOMRANG1 |
Household income range (broad categories) |
|
No change |
* |
HP0INCOMRANG2 |
Household income range (fine categories) |
|
No change |
* |
HP0NUMDEPEN |
Number of dependents |
R |
Added “financially” before the word “dependent” for clarity of interpretation. |
|
HP0FRPLUNCH |
Child receives either free or reduced meals |
R |
Revised wording for clarity of interpretation, especially for CATI administration. |
|
HP0FRPLSPEC |
Free or reduced price |
|
No change |
|
HP0OWNHOME |
Mortgage, rent, or other |
R |
Removed other specify item. |
|
HP0FINTRO |
Section F introduction |
|
No change |
|
HP0CHTIMATADD |
Child’s length of time at current address |
|
No change |
|
HP0CHNORESID |
Number of residences since kindergarten |
|
No change |
|
HP0EATWCHLD |
How often parent eats with child |
|
No change |
|
HP0RKNOWFRND |
Knows child’s friends |
|
No change |
|
HP0TLKPNTFRND |
Talks with parents of child’s friends |
A |
Added to capture intergenerational closure, per TRP recommendation. |
|
HP0TECHRULES |
Family rules for child technology usage |
|
No change |
|
HP0ACTYOUTSCH |
Child activities outside of school |
|
No change |
|
HP0TUTRSUMSCH |
Child tutoring or summer school |
A |
Added to capture use of educational services outside of school, per TRP recommendation. |
|
HP0TUTRSBJCT |
Child tutoring subject(s) |
A |
Added to capture use of educational services outside of school, per TRP recommendation. |
|
HP0SMSCHSBJCT |
Child summer school subject(s) |
A |
Added to capture use of educational services outside of school, per TRP recommendation. |
|
HP0CHHEALTH |
Evaluation of child’s overall health |
R |
Revised question wording to incorporate transitional language from tutoring/questions about school into health-related subjects. |
* |
HP0DNTLVISIT |
Time since child’s last dental visit |
A |
Added to capture access to medical care, per TRP recommendation. |
|
HP0HLTHVISIT |
Time since child’s last health care visit |
A |
Added to capture access to medical care, per TRP recommendation. |
|
HP0EVRASTHMA |
Ever told child has asthma |
A |
Added to better capture chronic health conditions, per TRP recommendation. |
|
HP0HSPASTHMA |
Child ever visited emergency room/hospitalized for asthma |
A |
Added to better capture chronic health conditions, per TRP recommendation. |
|
HP0DAYSSICK |
Missed school because of health issues |
R |
Revised question wording to provide clarification to not include half-days. |
|
HP0CHHAS504 |
Child has 504 plan |
|
No change |
|
HP0CHEVERIEP |
Child ever had IEP/ISP |
|
No change |
* |
HP0CHHASIEP |
Child currently has IEP/ISP |
R |
Removed conditional language so respondents are asked about both IEPs and ISPs. |
* |
HP0CHNEEDSIEP |
Child should have IEP/ISP |
R |
Removed conditional language so respondents are asked about both IEPs and ISPs. |
|
HP0IEPMTG |
IEP/ISP meeting in past 12 months |
R |
Removed conditional language so respondents are asked about both IEPs and ISPs. |
|
HP0EVALPROF |
Child evaluated by professional |
A |
Added to better capture chronic health conditions, per TRP recommendation. |
|
HP0EVRDIAGNOS |
Child ever given diagnosis |
A |
Added to better capture chronic health conditions, per TRP recommendation. |
|
HP0CHDIAGNOS |
Child’s diagnosis |
R |
Revised question wording and removed item for never diagnosed, due to addition of HP0EVRDIAGNOS. |
|
HP0ADDMEDS |
Child taking ADD/ADHD medication |
|
No change |
|
HP0EARACHE |
Child ever have earache |
A |
Added to complement hearing assessment. |
|
HP0EARTUBES |
Child ever had ear tubes |
A |
Added to complement hearing assessment. |
|
HP0HEARTEST |
Child ever tested by hearing specialist |
A |
Added to complement hearing assessment. |
|
HP0HEARDIAG |
Diagnosis by hearing specialist |
A |
Added to complement hearing assessment. |
|
HP0HRDIAGTYP |
Type of hearing diagnosis |
A |
Added to complement hearing assessment. |
|
HP0RECHRDEV |
Hearing specialist recommended a hearing device |
A |
Added to complement hearing assessment. |
|
HP0CHRONNOISE |
Chronic noise exposure |
A |
Added to complement hearing assessment. |
|
HP0ACUTNOISE |
Acute noise exposure |
A |
Added to complement hearing assessment. |
|
HP0LIINTRO |
Locating section introduction |
R |
Simplified wording to indicate that we would ask about other parent(s) or parental figure(s) who live in the household. |
|
HP0NAME |
Verify respondent identity |
|
No change |
* |
HP0RCNTCTINF1 |
Respondent contact information – name and address |
R |
Revised question wording to fill based on response to HP0NAME. |
* |
HP0RCNTCTINF2 |
Respondent contact information – phones and email |
R |
Revised question and item wording to collect other phone rather than home phone, and added item for other phone type. Revisions will improve locating and tracing. |
* |
HP0SSN |
Respondent’s and child’s social security numbers – whole number |
D |
Dropped due to sensitivity of questions on social security numbers. |
|
HP0LAST4SSN |
Respondent’s and child’s social security numbers – last 4 digits |
D |
Dropped due to sensitivity of questions on social security numbers. |
|
HP0P1CNTCTINF |
Parent 1’s contact information |
R |
Revised question wording and added items to collect other phone and other phone type, to improve locating and tracing. |
* |
HP0P2CNTCTINF |
Parent 2’s contact information |
R |
Revised question wording and added items to collect other phone and other phone type, to improve locating and tracing. |
|
HP0NONRESINFO |
Non-resident parent name, address and phones |
R |
Revised item wording to collect other rather than home phone, and added item for other phone type. Revisions will improve locating and tracing. |
|
HP0INCENTSEL |
Incentive selection |
D |
Dropped this form because non-monetary incentives for parents will not be used in the full-scale study. |
|
HP0INCENTIVE |
Incentive name and address |
R |
Added language and a checkbox to allow parent to indicate that they wish to gift their incentive to the school. |
* |
HP0INCENTCASH |
Cash incentive |
R |
Removed “in cash” from that statement to allow for greater flexibility in the type of incentive offered. Revised third response option to remove “Thank you” since the respondent does not need to thank NCES. Removed “offer” wording so the incentive doesn’t sound coercive. |
* |
HP0REINTSEL |
Reinterview selection message |
D |
Dropped due to lack of full-scale reinterview. |
|
HP0PREEND |
Pre-end screen |
|
No change |
* |
HP0END |
End screen |
R |
Added an additional reminder to close browser for security reasons. |
* |
HS&B:21 Parent Survey – English –Base Year Full-Scale
HP0IINTRO *
Question
Wording:
Welcome to the High
School and Beyond Longitudinal Study of 2021 (HS&B:21) study. To
start, we have a few questions to confirm you are eligible to take
this survey.
Please click the “Next” button to
continue.
HP0CHPERMPAR1 *
Question
Wording:
[Student's first
name/Your 9th-grader] has been selected to participate in the High
School and Beyond Longitudinal Study of 2021 (HS&B:21) study. We
recently sent you materials that explain that HS&B:21 is a study
that follows teenagers like [Student's first name/your 9th-grader]
through high school and beyond. The study also focuses on the impact
of the high school experience on teenagers' learning, and their
education and career choices.
[Student's first name/Your
9th-grader]'s participation in HS&B:21 is critically important to
its success. We are asking that [Student's first name/your
9th-grader] complete a survey about [himself/herself/himself or
herself] and [his/her/your 9th-grader's/[Student's first name]'s]
experiences and answer some math [If reading examination is being
administered then fill: and reading] questions. [If vision and
hearing examinations are being administered then fill: We will also
ask [Student's first name/your 9th-grader] to complete a hearing and
vision assessment for which you may receive the results.] The student
session will take no more than 90 minutes. [If student receives
incentive then fill: Your 9th-grader will receive a certificate for 2
hours of community service from the U.S. Department of Education, and
a small gift as a "thank you” for participating.]
Please
click the “Next” button to continue.
HP0CHPERMPAR2 *
Question
Wording:
Completing the survey is voluntary and there are no penalties for not participating. [Student's first name/Your 9th-grader] may also skip any question [he/she/your 9th-grader/[Student's first name]] does not want to answer. The risk of participation in this study is minimal, given the strict confidentiality and security procedures in place as required by law. The National Center for Education Statistics (NCES) is authorized to conduct HS&B:21 by the Education Sciences Reform Act of 2002 (ESRA 2002, 20 U.S.C. §9543) and to collect students' education records from education agencies or institutions for the purposes of evaluating federally supported education programs under the Family Educational Rights and Privacy Act (FERPA, 34 CFR §§ 99.31(a)(3)(iii) and 99.35). The data are being collected for NCES by RTI International, a U.S.-based nonprofit research organization. All of the information your 9th-grader provides may be used only for statistical purposes and may not be disclosed, or used, in identifiable form for any other purpose except as required by law (20 U.S.C. §9573 and 6 U.S.C. §151).
Responses gathered for this study will only be reported as a group; no names will be linked to any study participant's answers. Additionally, your and [Student's first name/your 9th-grader]'s responses will not be reported individually to [his/her/your 9th-grader's/[Student's first name]'s] school, and [Student's first name/your 9th-grader]'s responses cannot be reported to a parent. If you have questions about the study, you may contact the study's Help Desk toll-free number at 855-500-1439, or you can email [Study e-mail address]. Please include your study ID when calling or emailing so we can assist you more easily. If you have questions about [Student's first name/your 9th-grader]'s rights as a study participant, you may contact RTI's Office of Research Protection at 919-316-3358 in Durham, NC (or toll-free at 866-214-2043) or email [email protected].
To review a sample of the letter that we mailed, click here.
To review the study brochure, click here.
May [Student's first name/your 9th-grader] participate in this study when [he/she/your 9th-grader/[Student's first name]] is available?
Item
Name: HP0CHPERMPAR2
1=Yes
0=No
HP0RPERMPAR1 *
Question
Wording:
If permission for child to participate in the study was not needed permission for child to participate in the study was not needed or the survey is being done in the field (survey mode is in (LAPTOP_SA, LAPTOP_SELF, LAPTOP_PHONE)): [The following is some information about this study—the High School and Beyond Longitudinal Study of 2021 (HS&B:21) study—which was also described in the materials we recently sent to you. HS&B:21 is a study that follows teenagers through high school and beyond. The study also focuses on the impact of the high school experience on teenagers' learning, and their education and career choices.
To review a sample of the letter that we mailed, click here.
To review the study brochure, click here. ]
If survey mode is in (LAPTOP_SA, LAPTOP_SELF, LAPTOP_PHONE): [Because [Student's first name/your 9th-grader] has been selected to participate in HS&B:21, we'd like to survey you, too.] Else if permission was not granted (HP0CHPERMPAR2 in (0, no response)): [Even though you do not want [Student's first name/your 9th-grader] to take part in HS&B:21, we'd still like to survey you.] Else [Because [Student's first name/your 9th-grader] has been selected to participate in HS&B:21, we'd like to survey you, too.]
All parents: By participating in this important research, you are representing parents and guardians of teenagers who were not selected to participate in this study. On average, the parent survey takes about [10/25] minutes. You may decline to answer any question or stop the survey at any time; however, your participation is essential to the success of this study. If you are eligible for the survey, we will [If survey mode is in (LAPTOP_SELF, LAPTOP_SA):give/ else: send] you or [Student's first name/your 9th-grader]'s school $[Parent incentive] after you complete your survey as a token of our appreciation.
If
permission for child was not needed to participate in the study was
not needed :
Please click the “Next” button to
continue.
If permission for child was needed to participate in the study was needed : When you are ready to begin, please click "Next" to continue.
HP0RPERMPAR2 *
Question
Wording:
The National Center
for Education Statistics (NCES) is authorized to conduct HS&B:21
by the Education Sciences Reform Act of 2002 (ESRA 2002, 20 U.S.C.
§9543). The data are being collected for NCES by RTI
International, a U.S.-based nonprofit research organization. All of
the information you provide may be used only for statistical purposes
and may not be disclosed, or used, in identifiable form for any other
purpose except as required by law (20 U.S.C. §9573 and 6 U.S.C.
§151). The risk of participation in this study is minimal, given
the strict confidentiality and security procedures in place as
required by law.
If you have questions about the study, you may contact the study's Help Desk toll-free number at 855-500-1439, or you can email [Study e-mail address]. Please include your study ID when calling or emailing so we can assist you more easily. If you have questions about your rights as a study participant, you may contact RTI's Office of Research Protection at 919-316-3358 in Durham, NC (or toll-free at 866-214-2043) or email [email protected].
When
you are ready to begin, please click "Next" to continue.
HP0NAVIGATE *
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.
- To see a Spanish translation, click the “ESPAÑOL” button at the top of your screen.
- 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 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 and close your browser (not just the tab). 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 10 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 or the "Close" button in the lower right corner to close the box.
HP0LIVWCH *
Question
Wording:
Does [Student's first
name/your 9th-grader] [Student's last name] live with you?
Please
select "Yes” if [Student's first name/your 9th-grader]
normally lives with you. For example, if [Student's first name/your
9th-grader] lives with you all the time, every other week, or some
other regularly scheduled times, or if [Student's first name/your
9th-grader] has been legally placed under your care.
Item
Name: HP0LIVWCH
1=Yes
0=No
HP0KNOWCH *
Question
Wording:
Are you a parent,
guardian, or person in this household who knows about [Student's
first name/your 9th-grader]'s development, schooling, and home
life?
Item Name: HP0KNOWCH
1=Yes
0=No
HP0ELIGPCONT *
Question
Wording:
The HS&B:21 team
would like to contact a parent, guardian, or person who lives with
[Student's first name/your 9th-grader] and knows about [Student's
first name/your 9th-grader]'s development, schooling, and home life.
Please provide the name and contact information for this person and a
team member will be in touch soon.
Item
Name: HP0ELIGPFNAME
Item
Wording: First name:
Item
Name: HP0ELIGPMNAME
Item
Wording: Middle name:
Item
Name: HP0ELIGPLNAME
Item
Wording: Last name:
Item
Name: HP0ELIGPSUFFX
Item
Wording: Suffix:
Item
Name: HP0ELIGPTELCD
Item
Wording: Phone number:
Item
Name: HP0ELIGPTYP
-9=- Select
phone type-
1=Landline
2=Work
3=Other
4=Cell
Item
Name: HP0ELIGPEMAIL
Item
Wording: Email:
HP0EXIT *
Question
Wording:
Thank you for your
time and cooperation. [If HP0ELIGPFNAME != no response or
HP0ELIGPLNAME != no response fill: We will contact [HP0ELIGPFNAME]
[HP0ELIGPMNAME] [HP0ELIGPLNAME] soon.] Although you are not eligible
for the survey, we appreciate you helping make HS&B:21 a success!
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 [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. ]
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:
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
HP0CHSEX2 *
Question
Wording:
What is [Student's
first name/your 9th-grader]'s sex?
Item
Name: HP0CHSEX2
1=Male
2=Female
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.
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.
HP0NOCHANGSCH
Question
Wording:
How many times 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: ____ time(s)
HP0REPEATGRD
Question
Wording:
What grade(s), if any,
has [Student's first name/your 9th-grader] repeated since
starting school?
(Check all that apply.)
Item
Name: HP0REPEATNONE
Item
Wording: Has not repeated any
grades
Item
Name: HP0REPEATK
Item
Wording: Kindergarten
Item
Name: HP0REPEAT1
Item
Wording: Grade1
Item
Name: HP0REPEAT2
Item
Wording: Grade2
Item
Name: HP0REPEAT3
Item
Wording: Grade3
Item
Name: HP0REPEAT4
Item
Wording: Grade4
Item
Name: HP0REPEAT5
Item
Wording: Grade5
Item
Name: HP0REPEAT6
Item
Wording: Grade6
Item
Name: HP0REPEAT7
Item
Wording: Grade7
Item
Name: HP0REPEAT8
Item
Wording: Grade8
Item
Name: HP0REPEAT9
Item
Wording: Grade9
HP0SKIPPDGRAD
Question
Wording:
What grade(s), if any,
has [Student's first name/your 9th-grader] skipped since
starting school?
(Check all that apply.)
Item
Name: HP0SKIPPDNONE
Item
Wording: Has not skipped any
grades
Item
Name: HP0SKIPPDK
Item
Wording: Kindergarten
Item
Name: HP0SKIPPD1
Item
Wording: Grade1
Item
Name: HP0SKIPPD2
Item
Wording: Grade2
Item
Name: HP0SKIPPD3
Item
Wording: Grade3
Item
Name: HP0SKIPPD4
Item
Wording: Grade4
Item
Name: HP0SKIPPD5
Item
Wording: Grade5
Item
Name: HP0SKIPPD6
Item
Wording: Grade6
Item
Name: HP0SKIPPD7
Item
Wording: Grade7
Item
Name: HP0SKIPPD8
Item
Wording: Grade8
HP0EVGIFTTAL
Question
Wording:
Since starting
kindergarten, has [Student's first name/your 9th-grader] ever
participated in a Gifted and Talented program?
Item
Name: HP0EVGIFTTAL
1=Yes
0=No
HP0NUMSUSPEXP
Question
Wording:
Since starting
kindergarten, how many times has [Student's first name/your
9th-grader] been suspended or expelled from school? Do not count
detentions.
(Please select '0' if none.)
Item
Name: HP0NUMSUSPEXP
0=0
times
1=1 time
2=2 times
3=3 times
4=4 times
5=5
times
6=6 times
7=7 times
8=8 times
9=9
times
10=10 or more times
98=You don't know if [Student's
first name/your 9th-grader] has been suspended or
expelled.
99=[Student's first name/Your 9th-grader] has been
suspended or expelled, but you don't remember how many times.
HP0TYPSUSPEXP
Question
Wording:
Was the [most recent]
suspension or expulsion an…
Item
Name: HP0TYPSUSPEXP
1=In-school
suspension?
2=Out-of-school suspension?
3=Expulsion?
HP0RSNSUSPEXP
Question
Wording:
What was the reason
for the [most recent] suspension or expulsion?
(Check
all that apply.)
Item
Name: HP0VIOLRULES
Item
Wording: Repeated violation of
the school rules
Item
Name: HP0PROFANITY
Item
Wording: Use of profanity
(swearing)
Item
Name: HP0THRTNING
Item
Wording: Threatening students
or teachers
Item
Name: HP0DSTRYPROP
Item
Wording: Defacing or destroying
school property
Item
Name: HP0WEAPON
Item
Wording: Bringing a weapon to
school
Item
Name: HP0FIGHTING
Item
Wording: Fighting with another
student
Item
Name: HP0GANGINGUP
Item
Wording: Ganging up (with one
or more other students) on another student
Item
Name: HP0EXPLOSIVE
Item
Wording: Threatening to use or
making a false report of the use of an explosive device at
school
Item
Name: HP0ASSAULT
Item
Wording: Assaulting a teacher,
principal, or other school personnel
Item
Name: HP0SUSPEXPOTH
Item
Wording: Other
Item
Name: HP0SUSPEXPDK
Item
Wording: Don't know
HP0DAYSUSPEXP
Question
Wording:
How many days was the
[most recent] suspension or expulsion?
Item
Name: HP0DAYSUSPEXP
Item
Wording: ____ day(s) for [most
recent] suspension or expulsion
Item
Name: HP0DAYSUSPDK
Item
Wording: Don't know
Item
Name: HP0PERMEXPEL
Item
Wording: Check this box if
[Student's first name/your 9th-grader] was expelled permanently.
HP0EVDROPOUT
Question
Wording:
Since starting
kindergarten, has [Student's first name/your 9th-grader] ever stopped
going to school for a period of a month or more for something other
than for illness, injury or vacation?
Item
Name: HP0EVDROPOUT
1=Yes
0=No
HP0PLCEHMWRK
Question
Wording:
Is there a place in
your home that is set aside for [Student's first name/your
9th-grader] to do homework?
Item
Name: HP0PLCEHMWRK
1=Yes
0=No
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
HP0DEVINTACC
Question
Wording:
[Does this device/Do
any of these devices] have access to the internet?
Item
Name: HP0DEVINTACC
1=Yes
0=No
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.
HP0RESPREL *
Question
Wording:
What is your
relationship to [Student's first name/your 9th-grader]?
Item
Name: HP0RESPREL
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=Grandmother
10=Grandfather
11=Foster
mother or legal female guardian
12=Foster father or legal male
guardian
13=Female partner or girlfriend of [Student's first
name/your 9th-grader]'s parent or guardian
14=Male partner or
boyfriend of [Student's first name/your 9th-grader]'s parent or
guardian
15=Other female parent or guardian
16=Other male
parent or guardian
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 [his/her/your 9th-grader's/[Student's first name]'s] 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].
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 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.
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
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
or birth mother
2=Biological or birth father
3=Adoptive
mother
4=Adoptive father
5=Stepmother
6=Stepfather
11=Foster
mother or legal female guardian
12=Foster father or legal male
guardian
Item
Name: HP0OPRELID2
Item
Wording: Second Parent
1=Biological
or birth mother
2=Biological or birth father
3=Adoptive
mother
4=Adoptive father
5=Stepmother
6=Stepfather
11=Foster
mother or legal female guardian
12=Foster father or legal male
guardian
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 [his/her/your 9th-grader's/[Student's first name]'s] 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].
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.
HP0SPPTRRELID *
Question
Wording:
What is your
[spouse/partner]'s relationship to [Student's first name/your
9th-grader]?
Item
Name: HP0SPPTRRELID
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=Grandmother
10=Grandfather
11=Foster
mother or legal female guardian
12=Foster father or legal male
guardian
13=Female partner or girlfriend of [Student's first
name/your 9th-grader]'s parent or guardian
14=Male partner or
boyfriend of [Student's first name/your 9th-grader]'s parent or
guardian
15=Other female parent or guardian
16=Other male
parent or guardian
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 [his/her/your 9th-grader's/[Student's first name]'s] 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].
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 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.
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
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
7=Aunt
8=Uncle
9=Grandmother
10=Grandfather
15=Other
female parent or guardian
16=Other male parent or guardian
Help
Text:
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.
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
HP0TIMELIV
Question
Wording:
How much of the time
does [Student's first name/your 9th-grader] live with you?
Item
Name: HP0TIMELIV
1=All of
the time
2=More than half of the time
3=Half of the
time
4=Less than half of the time
HP0OTHLIVW
Question
Wording:
With whom does
[Student's first name/your 9th-grader] live most of the time when not
living with you?
Item
Name: HP0OTHLIVW
1=With
another parent
2=With another adult relative
3=With a
friend
4=At boarding school
5=With (a) nonrelated adult
guardian(s)
6=By [himself/herself/himself or herself]
7=Other
HP0NRESP
Question
Wording:
Does [Student's first
name/your 9th-grader] have another parent (biological or adoptive)
who lives outside of your home?
Item
Name: HP0NRESP
1=Yes
0=No
HP0CNTCTNRESP
Question
Wording:
Does [Student's first
name/your 9th-grader] currently have any contact with this
parent?
Item
Name: HP0CNTCTNRESP
1=Yes
0=No
2=[Student's
first name/Your 9th-grader] never had contact with this parent.
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 [aunt/other aunt/uncle/other uncle/grandmother/other grandmother/grandfather/other grandfather/female parent or guardian/other female parent or guardian/male parent or guardian/other male parent or guardian/other parental figure],] and [Student's first name/your 9th-grader].
Include adults and children who are temporarily away from home if they have no other permanent home. For example, include siblings living in college housing. 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?
HP0NOSIB
Question
Wording:
How
many of the following types of siblings currently live
in your household with
[Student's first name/your 9th-grader]?
Do not include
[Student's first name/your 9th-grader]. Include siblings who are
temporarily away from home if they have no other permanent home. For
example, include siblings living in college housing.
(Please
enter '0' if none.)
Item
Name: HP0NOSIBNA
Item
Wording: [Student's first name/Your
9th-grader] has no full, adopted, half-, step-, or foster brothers or
sisters in your household.
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)
HP0NOSIBINHS
Question
Wording:
How many of [Student's
first name/your 9th-grader]'s siblings in
your household, including adopted,
half-, step-, and foster brothers and sisters, are
now in high school?
Include
siblings who are temporarily away from home if they have no other
permanent home. For example, include siblings living in college
housing.
(Please enter '0' if none.)
Item
Name: HP0NOSIBINHS
Item
Wording: ____ sibling(s) in
high school
HP0NOSIBGRDHS
Question
Wording:
How many of [Student's
first name/your 9th-grader]'s siblings, including adopted, half-,
step-, and foster brothers and sisters, have
graduated from high school?
Include all siblings no matter where they live.
(Please
enter '0' if no siblings have graduated from high school.)
Item
Name: HP0NOSIBATALL
Item
Wording: [Student's first
name/Your 9th-grader] has no siblings in any household.
Item
Name: HP0NOSIBGRDHS
Item
Wording: sibling(s) who
graduated from high school
HP0NOSIBPSEC
Question
Wording:
How many of [Student's
first name/your 9th-grader]'s siblings, including adopted, half-,
step-, and foster brothers and sisters, have
continued their education after high school?
Include
all siblings no matter where they live.
(Please
enter '0' if no siblings have continued their education after high
school.)
Item
Name: HP0NOSIBPSEC
Item
Wording: ____ sibling(s) who
continued education after high school
HP0CINTRO
Question
Wording:
Now we will ask you about the backgrounds of [you/[Student's first name/your 9th-grader]'s [biological or birth mother/biological or birth father/adoptive mother/adoptive father/stepmother/stepfather/foster mother or legal female guardian/foster father or legal male guardian/parent]][If household includes two parents then fill:, [your [spouse/partner]/[Student's first name/your 9th-grader]'s [biological or birth mother/biological or birth father/adoptive mother/other adoptive mother/adoptive father/other adoptive father/stepmother/stepfather/foster mother or legal female guardian/other foster mother or legal female guardian/foster father or legal male guardian/other foster father or legal male guardian/aunt/other aunt/uncle/other uncle/grandmother/other grandmother/grandfather/other grandfather/female parent or guardian/other female parent or guardian/male parent or guardian/other parent or male guardian/parent/other parent/other parental figure]],] and [Student's first name/your 9th-grader].
Please
click the “Next” button to continue.
HP0P1HISPANIC *
Question
Wording:
[Are/Is] [you/[Student's
first name/your 9th-grader]'s [biological or birth mother/biological
or birth father/adoptive mother/adoptive
father/stepmother/stepfather/foster mother or legal female
guardian/foster father or legal male guardian/parent]] Hispanic
or [Latino/Latina/Latino/Latina]?
Item
Name: HP0P1HISPANIC
1=Yes
0=No
Help
Text:
Hispanic or
[Latino/Latina/Latino/Latina]: Hispanic or
[Latino/Latina/Latino/Latina] refers to people of Mexican, Cuban,
Dominican, Puerto Rican, Central American or South American origin or
descendants of another Spanish culture.
HP0P1HISPETH
Question
Wording:
Which of the following
best describes [your/[Student's first name/your 9th-grader]'s
[biological or birth mother/biological or birth father/adoptive
mother/adoptive father/stepmother/stepfather/foster mother or legal
female guardian/foster father or legal male guardian/parent]'s]
Hispanic or [Latino/Latina/Latino/Latina] heritage?
(Check all
that apply.)
Item
Name: HP0P1MEXICAN
Item
Wording: Mexican,
Mexican-American, or [Chicano/Chicana]
Item
Name: HP0P1CUBAN
Item
Wording: Cuban
Item
Name: HP0P1DOMINICN
Item
Wording: Dominican
Item
Name: HP0P1PUERTORI
Item
Wording: Puerto Rican
Item
Name: HP0P1CENTRALA
Item
Wording: Central American such
as Guatemalan, Salvadoran, Nicaraguan, Costa Rican, Panamanian, or
Honduran
Item
Name: HP0P1SOUTHAM
Item
Wording: South American such as
Colombian, Argentine, or Peruvian
Item
Name: HP0P1OTHRHISP
Item
Wording: Other Hispanic or
[Latino/Latina/Latino/Latina]
HP0P1RACE *
Question
Wording:
[If HP0P1HISPANIC = 1 then fill: In addition to learning about [your/[Student's first name/your 9th-grader]'s [biological or birth mother/biological or birth father/adoptive mother/adoptive father/stepmother/stepfather/foster mother or legal female guardian/foster father or legal male guardian/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 or birth mother/biological or birth father/adoptive mother/adoptive father/stepmother/stepfather/foster mother or legal female guardian/foster father or legal male guardian/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.
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.
HP0P1ASIANETH
Question
Wording:
Which of the following
best describes [your/[Student's first name/your 9th-grader]'s
[biological or birth mother/biological or birth father/adoptive
mother/adoptive father/stepmother/stepfather/foster mother or legal
female guardian/foster father or legal male guardian/parent]'s] Asian
heritage?
(Check all that apply.)
Item
Name: HP0P1ASIANIND
Item
Wording: Asian Indian
Item
Name: HP0P1CHINESE
Item
Wording: Chinese
Item
Name: HP0P1FILIPINO
Item
Wording: Filipino
Item
Name: HP0P1JAPANESE
Item
Wording: Japanese
Item
Name: HP0P1KOREAN
Item
Wording: Korean
Item
Name: HP0P1VIETNAME
Item
Wording: Vietnamese
Item
Name: HP0P1OTHRASIA
Item
Wording: Other Asian
HP0P1BIRTHYEAR
Question
Wording:
In what year
[were/was] [you/[Student's first name/your 9th-grader]'s [biological
or birth mother/biological or birth father/adoptive mother/adoptive
father/stepmother/stepfather/foster mother or legal female
guardian/foster father or legal male guardian/parent]] born?
(Please
enter your answer in this format: XXXX)
HP0P2HISPANIC *
Question
Wording:
[If HP0OTHADULT = 1 then fill: In the next few questions, we will ask you about the other adult in the household you indicated has parental responsibility for [Student's first name/your 9th-grader].]
Is [your [spouse/partner]/[Student's first name/your 9th-grader]'s [biological or birth mother/biological or birth father/adoptive mother/other adoptive mother/adoptive father/other adoptive father/stepmother/stepfather/foster mother or legal female guardian/other foster mother or legal female guardian/foster father or legal male guardian/other foster father or legal male guardian/aunt/other aunt/uncle/other uncle/grandmother/other grandmother/grandfather/other grandfather/female parent or guardian/other female parent or guardian/male parent or guardian/other parent or male guardian/parent/other parent/other parental figure]] Hispanic or [Latino/Latina/Latino/Latina]?
Item
Name: HP0P2HISPANIC
1=Yes
0=No
Help
Text:
Hispanic or
[Latino/Latina/Latino/Latina]: Hispanic or
[Latino/Latina/Latino/Latina] refers to people of Mexican, Cuban,
Dominican, Puerto Rican, Central American or South American origin or
descendants of another Spanish culture.
HP0P2HISPETH
Question
Wording:
Which of the following
best describes [your [spouse/partner]'s/[Student's first name/your
9th-grader]'s [biological or birth mother/biological or birth
father/adoptive mother/other adoptive mother/adoptive father/other
adoptive father/stepmother/stepfather/foster mother or legal female
guardian/other foster mother or legal female guardian/foster father
or legal male guardian/other foster father or legal male
guardian/aunt/other aunt/uncle/other uncle/grandmother/other
grandmother/grandfather/other grandfather/female parent or
guardian/other female parent or guardian/male parent or
guardian/other male parent or guardian/parent/other parent/other
parental figure]'s] Hispanic or [Latino/Latina/Latino/Latina]
heritage?
(Check all that apply.)
Item
Name: HP0P2MEXICAN
Item
Wording: Mexican,
Mexican-American, or [Chicano/Chicana]
Item
Name: HP0P2CUBAN
Item
Wording: Cuban
Item
Name: HP0P2DOMINICN
Item
Wording: Dominican
Item
Name: HP0P2PUERTORI
Item
Wording: Puerto Rican
Item
Name: HP0P2CENTRALA
Item
Wording: Central American such
as Guatemalan, Salvadoran, Nicaraguan, Costa Rican, Panamanian, or
Honduran
Item
Name: HP0P2SOUTHAM
Item
Wording: South American such as
Colombian, Argentine, or Peruvian
Item
Name: HP0P2OTHRHISP
Item
Wording: Other Hispanic or
[Latino/Latina/Latino/Latina]
HP0P2RACE *
Question
Wording:
[If HP0P2HISPANIC = 1 then fill: In addition to learning about [your [spouse/partner]'s/[Student's first name/your 9th-grader]'s [biological or birth mother/biological or birth father/adoptive mother/other adoptive mother/adoptive father/other adoptive father/stepmother/stepfather/foster mother or legal female guardian/other foster mother or legal female guardian/foster father or legal male guardian/other foster father or legal male guardian/aunt/other aunt/uncle/other uncle/grandmother/other grandmother/grandfather/other grandfather/female parent or guardian/other female parent or guardian/male parent or guardian/other male parent or guardian/parent/other parent/other parental figure]'s] Hispanic background, we would also like to know about [his/her/your [spouse/partner]'s/[Student's first name/your 9th-grader]'s [other parent/other parental figure]'s] racial background.]
Which of the following choices describe [your [spouse/partner]'s/[Student's first name/your 9th-grader]'s [biological or birth mother/biological or birth father/adoptive mother/other adoptive mother/adoptive father/other adoptive father/stepmother/stepfather/foster mother or legal female guardian/other foster mother or legal female guardian/foster father or legal male guardian/other foster father or legal male guardian/aunt/other aunt/uncle/other uncle/grandmother/other grandmother/grandfather/other grandfather/female parent or guardian/other female parent or guardian/male parent or guardian/other male parent or guardian/parent/other parent/other parental figure]'s] race?
(Check
all that apply.)
Item
Name: HP0P2WHITE
Item
Wording: White
Item
Name: HP0P2BLACK
Item
Wording: Black or African
American
Item
Name: HP0P2ASIAN
Item
Wording: Asian
Item
Name: HP0P2HAWAIIAN
Item
Wording: Native Hawaiian or
other Pacific Islander
Item
Name: HP0P2AMERINDI
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.
HP0P2ASIANETH
Question
Wording:
Which of the following
best describes [your [spouse/partner]'s/[Student's first name/your
9th-grader]'s [biological or birth mother/biological or birth
father/adoptive mother/other adoptive mother/adoptive father/other
adoptive father/stepmother/stepfather/foster mother or legal female
guardian/other foster mother or legal female guardian/foster father
or legal male guardian/other foster father or legal male
guardian/aunt/other aunt/uncle/other uncle/grandmother/other
grandmother/grandfather/other grandfather/female parent or
guardian/other female parent or guardian/male parent or
guardian/other male parent or guardian/parent/other parent/other
parental figure]'s] Asian heritage?
(Check all that
apply.)
Item
Name: HP0P2ASIANIND
Item
Wording: Asian Indian
Item
Name: HP0P2CHINESE
Item
Wording: Chinese
Item
Name: HP0P2FILIPINO
Item
Wording: Filipino
Item
Name: HP0P2JAPANESE
Item
Wording: Japanese
Item
Name: HP0P2KOREAN
Item
Wording: Korean
Item
Name: HP0P2VIETNAME
Item
Wording: Vietnamese
Item
Name: HP0P2OTHRASIA
Item
Wording: Other Asian
HP0P2BIRTHYEAR
Question
Wording:
In what year was [your
[spouse/partner]/[Student's first name/your 9th-grader]'s [biological
or birth mother/biological or birth father/adoptive mother/other
adoptive mother/adoptive father/other adoptive
father/stepmother/stepfather/foster mother or legal female
guardian/other foster mother or legal female guardian/foster father
or legal male guardian/other foster father or legal male
guardian/aunt/other aunt/uncle/other uncle/grandmother/other
grandmother/grandfather/other grandfather/female parent or
guardian/other female parent or guardian/male parent or
guardian/other parent or male guardian/parent/other parent/other
parental figure]] born?
(Please enter your answer in this
format: XXXX)
HP0CBIRTHDATE
Question
Wording:
Now we have some
questions about [Student's first name/your 9th-grader].
What
is [Student's first name/your
9th-grader]'s date of
birth?
Item
Name: HP0CBIRTHMO
Item
Wording: Month:
-9=- Select
month-
1=January
2=February
3=March
4=April
5=May
6=June
7=July
8=August
9=September
10=October
11=November
12=December
Item
Name: HP0CBIRTHDAY
Item
Wording: Day:
-9=- Select
Day-
1=1
2=2
3=3
4=4
5=5
6=6
7=7
8=8
9=9
10=10
11=11
12=12
13=13
14=14
15=15
16=16
17=17
18=18
19=19
20=20
21=21
22=22
23=23
24=24
25=25
26=26
27=27
28=28
29=29
30=30
31=31
Item
Name: HP0CBIRTHYR
Item
Wording: Year:
-9=- Select
Year-
2002=2002 or
earlier
2003=2003
2004=2004
2005=2005
2006=2006
2007=2007
2008=2008
2009=2009
or later
HP0CHHISPANIC *
Question
Wording:
Is [Student's
first name/your 9th-grader] Hispanic
or [Latino/Latina/Latino/Latina]?
Item
Name: HP0CHHISPANIC
1=Yes
0=No
Help
Text:
Hispanic or
[Latino/Latina/Latino/Latina]: Hispanic or
[Latino/Latina/Latino/Latina] refers to people of Mexican, Cuban,
Dominican, Puerto Rican, Central American or South American origin or
descendants of another Spanish culture.
HP0CHHISPETH
Question
Wording:
Which of the following
best describes [Student's first name/your 9th-grader]'s Hispanic or
[Latino/Latina/Latino/Latina] heritage?
(Check all that
apply.)
Item
Name: HP0CHMEXICAN
Item
Wording: Mexican,
Mexican-American, or [Chicano/Chicana]
Item
Name: HP0CHCUBAN
Item
Wording: Cuban
Item
Name: HP0CHDOMINICN
Item
Wording: Dominican
Item
Name: HP0CHPUERTORI
Item
Wording: Puerto Rican
Item
Name: HP0CHCENTRALA
Item
Wording: Central American such
as Guatemalan, Salvadoran, Nicaraguan, Costa Rican, Panamanian, or
Honduran
Item
Name: HP0CHSOUTHAM
Item
Wording: South American such as
Colombian, Argentine, or Peruvian
Item
Name: HP0CHOTHRHISP
Item
Wording: Other Hispanic or
[Latino/Latina/Latino/Latina]
HP0CHRACE *
Question
Wording:
[If HP0CHHISPANIC = 1 then fill: In addition to learning about [Student's first name/your 9th-grader]'s Hispanic background, we would also like to know about [his/her/your 9th-grader's/[Student's first name]'s] racial background.]
Which of the following choices describes [Student's first name/your 9th-grader]'s race?
(Check
all that apply.)
Item
Name: HP0CHWHITE
Item
Wording: White
Item
Name: HP0CHBLACK
Item
Wording: Black or African
American
Item
Name: HP0CHASIAN
Item
Wording: Asian
Item
Name: HP0CHHAWAIIAN
Item
Wording: Native Hawaiian or
other Pacific Islander
Item
Name: HP0CHAMERINDI
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.
HP0CHASIANETH
Question
Wording:
Which of the following
best describes [Student's first name/your 9th-grader]'s Asian
heritage?
(Check all that apply.)
Item
Name: HP0CHASIANIND
Item
Wording: Asian Indian
Item
Name: HP0CHCHINESE
Item
Wording: Chinese
Item
Name: HP0CHFILIPINO
Item
Wording: Filipino
Item
Name: HP0CHJAPANESE
Item
Wording: Japanese
Item
Name: HP0CHKOREAN
Item
Wording: Korean
Item
Name: HP0CHVIETNAME
Item
Wording: Vietnamese
Item
Name: HP0CHOTHRASIA
Item
Wording: Other Asian
HP0NENGHOM *
Question
Wording:
Is any language other
than English regularly spoken in your home?
Item
Name: HP0NENGHOM
1=Yes
0=No
HP0LANGHOM *
Question
Wording:
What languages other
than English are regularly spoken in your home?
(Check all that
apply.)
Item
Name: HP0SPANISHHOM
Item
Wording: Spanish
Item
Name: HP0OTHEURHOM
Item
Wording: A European language
other than Spanish such as French, German or Russian
Item
Name: HP0CHINESEHOM
Item
Wording: A Chinese
language
Item
Name: HP0FILIPHOM
Item
Wording: A Filipino
language
Item
Name: HP0SESTASNHOM
Item
Wording: A Southeast Asian
language such as Vietnamese, Thai, or Khmer
Item
Name: HP0STHASNHOM
Item
Wording: A South Asian language
such as Hindi or Tamil
Item
Name: HP0OTHASNHOM
Item
Wording: Another Asian language
such as Japanese or Korean
Item
Name: HP0MIDEASTHOM
Item
Wording: A Middle Eastern
language such as Arabic or Farsi
Item
Name: HP0OTHLANGHOM
Item
Wording: Another language
HP0ENGHOM *
Question
Wording:
Is English also
regularly spoken in your home?
Item
Name: HP0ENGHOM
1=Yes
0=No
HP0RESPLANG
Question
Wording:
What language
do you usually
speak to [Student's first
name/your 9th-grader] in your
home?
Item
Name: HP0RESPLANG
0=English
1=Spanish
2=A
European language other than Spanish (such as French, German or
Russian)
3=A Chinese language
4=A Filipino language
5=A
Southeast Asian language (such as Vietnamese, Thai, or Khmer)
6=A
South Asian language (such as Hindi or Tamil)
7=Another Asian
language (such as Japanese or Korean)
8=A Middle Eastern
language (such as Arabic or Farsi)
9=Another language
HP0CHDSPELANG
Question
Wording:
What language
does [Student's first name/your
9th-grader] usually speak
to you in
your home?
Item
Name: HP0CHDSPELANG
0=English
1=Spanish
2=A
European language other than Spanish (such as French, German or
Russian)
3=A Chinese language
4=A Filipino language
5=A
Southeast Asian language (such as Vietnamese, Thai, or Khmer)
6=A
South Asian language (such as Hindi or Tamil)
7=Another Asian
language (such as Japanese or Korean)
8=A Middle Eastern
language (such as Arabic or Farsi)
9=Another language
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
HP0CHDCURRELL
Question
Wording:
Is [Student's first
name/your 9th-grader] currently enrolled
in a program for English Language Learners (ELLs) such as English as
a Second Language (ESL), English immersion, or bilingual
education?
Item
Name: HP0CHDCURRELL
1=Yes
0=No
99=Don't
know
HP0DIFPARLANG
Question
Wording:
How difficult is it
for you to participate in activities at [Student's first name/your
9th-grader]'s school because you or members of your family speak a
language other than English? Would you say...
Item
Name: HP0DIFPARLANG
1=Very
difficult?
2=Somewhat difficult?
3=Not at all difficult?
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.
HP0INFLCOURSE
Question
Wording:
Who do you think will
be the most influential in deciding what courses [Student's first
name/your 9th-grader] will take in high school?
Item
Name: HP0INFLCOURSE
1=[Student's
first name/Your
9th-grader]
2=Teachers
3=Counselors
4=Parents/Guardians
5=Other
adult relative or friend
6=
[Student's first name/Your 9th-grader]'s friends of the same age
HP0NRESPEDDEC
Question
Wording:
To what extent does
[Student's first name/your 9th-grader]'s other parent living outside
your home participate in decisions about [his/her/your
9th-grader's/[Student's first name]'s] education (for example, about
where [he/she/your 9th-grader/[Student's first name]] goes to school
or what courses [he/she/your 9th-grader/[Student's first name]] will
take)?
Item
Name: HP0NRESPEDDEC
1=Never
2=Rarely
3=Sometimes
4=Often
5=Very
often
6=Always
99=Don't know
HP0ADV
Question
Wording:
[Have/Has][you/[Student's
first name/your 9th-grader]'s [biological or birth mother/biological
or birth father/adoptive mother/adoptive
father/stepmother/stepfather/foster mother or legal female
guardian/foster father or legal male guardian/parent]] [If household
includes two parents then fill:and/or [your
[spouse/partner]/[Student's first name/your 9th-grader]'s [biological
or birth mother/biological or birth father/adoptive mother/other
adoptive mother/adoptive father/other adoptive
father/stepmother/stepfather/foster mother or legal female
guardian/other foster mother or legal female guardian/foster father
or legal male guardian/other foster father or legal male
guardian/aunt/other aunt/uncle/other uncle/grandmother/other
grandmother/grandfather/other grandfather/female parent or
guardian/other female parent or guardian/male parent or
guardian/other parent or male guardian/parent/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.
HP0TALKDPSEC
Question
Wording:
Have you or anyone in
your family talked with a counselor or teacher about the academic
requirements for admission to a college or a technical institute
after high school?
Item
Name: HP0TALKDPSEC
1=Yes
0=No
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
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 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.
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
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 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.
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.
HP0AMTSVDCHED
Question
Wording:
About how much money
do you or anyone in your family 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
99=Don't know
HP0EINTRO
Question
Wording:
Next we will ask you
about [your/[Student's first name/your 9th-grader]'s [biological or
birth mother/biological or birth father/adoptive mother/adoptive
father/stepmother/stepfather/foster mother or legal female
guardian/foster father or legal male guardian/parent]'s] [If
household includes two parents then fill: and [your
[spouse/partner]'s/[Student's first name/your 9th-grader]'s
[biological or birth mother/biological or birth father/adoptive
mother/other adoptive mother/adoptive father/other adoptive
father/stepmother/stepfather/foster mother or legal female
guardian/other foster mother or legal female guardian/foster father
or legal male guardian/other foster father or legal male
guardian/aunt/other aunt/uncle/other uncle/grandmother/other
grandmother/grandfather/other grandfather/female parent or
guardian/other female parent or guardian/male parent or
guardian/other male parent or guardian/parent/other parent/other
parental figure]'s]] education and employment.
Please click the
“Next” button to continue.
HP0P1HIGHEDU *
Question
Wording:
What is the highest
level of education [you/[Student's
first name/your 9th-grader]'s [biological or birth mother/biological
or birth father/adoptive mother/adoptive
father/stepmother/stepfather/foster mother or legal female
guardian/foster father or legal male guardian/parent]] [have/has]
completed?
Item
Name: HP0P1HIGHEDU
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
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.
HP0P1EMPLOYED *
Question
Wording:
During the past week,
did [you/[Student's first
name/your 9th-grader]'s [biological or birth mother/biological or
birth father/adoptive mother/adoptive
father/stepmother/stepfather/foster mother or legal female
guardian/foster father or legal male guardian/parent]] work
at a job for pay or income?
Item
Name: HP0P1EMPLOYED
1=Yes
0=No
Help
Text:
Work at a job for pay or income: Include any work for pay, even for as little as one hour.
HP0P1WRKLEAVE *
Question
Wording:
During the past week,
[were/was] [you/[Student's first name/your 9th-grader]'s [biological
or birth mother/biological or birth father/adoptive mother/adoptive
father/stepmother/stepfather/foster mother or legal female
guardian/foster father or legal male guardian/parent]] on leave or
vacation from a job?
Item
Name: HP0P1WRKLEAVE
1=Yes
0=No
HP0P1LOOKWORK
Question
Wording:
[Have/Has]
[you/[Student's first name/your 9th-grader]'s [biological or birth
mother/biological or birth father/adoptive mother/adoptive
father/stepmother/stepfather/foster mother or legal female
guardian/foster father or legal male guardian/parent]] been actively
looking for work in the past 4 weeks?
Item
Name: HP0P1LOOKWORK
1=Yes
0=No
HP0P1WORKSTAT
Question
Wording:
What [were/was]
[you/[Student's first name/your 9th-grader]'s [biological or birth
mother/biological or birth father/adoptive mother/adoptive
father/stepmother/stepfather/foster mother or legal female
guardian/foster father or legal male guardian/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?
HP0P1EVERWORK *
Question
Wording:
[Have/Has]
[you/[Student's first name/your 9th-grader]'s [biological or birth
mother/biological or birth father/adoptive mother/adoptive
father/stepmother/stepfather/foster mother or legal female
guardian/foster father or legal male guardian/parent]] ever held a
regular job for pay or income?
Item
Name: HP0P1EVERWORK
1=Yes
0=No
HP0P1NUMJOB
Question
Wording:
How many jobs
[do/does] [you/[Student's first name/your 9th-grader]'s [biological
or birth mother/biological or birth father/adoptive mother/adoptive
father/stepmother/stepfather/foster mother or legal female
guardian/foster father or legal male guardian/parent]] have
now?
(Please enter '0' if none.)
Item
Name: HP0P1NUMJOB
Item
Wording: ____ job(s)
HP0P1HOURWORK
Question
Wording:
About how many total
hours per week [do/does/did] [you/[Student's first name/your
9th-grader]'s [biological or birth mother/biological or birth
father/adoptive mother/adoptive father/stepmother/stepfather/foster
mother or legal female guardian/foster father or legal male
guardian/parent]] usually work for pay or income, counting all
jobs?
(Please enter '0' if none.)
Item
Name: HP0P1HOURWORK
Item
Wording: ____ hour(s)
HP0P1HOURWANT
Question
Wording:
Do/Does
[you/[Student's first name/your 9th-grader]'s [biological or birth
mother/biological or birth father/adoptive mother/adoptive
father/stepmother/stepfather/foster mother or legal female
guardian/foster father or legal male guardian/parent]] want to work a
full-time workweek of 35 hours or more per week?
Item
Name: HP0P1HOURWANT
1=Yes
0=No
HP0P1HOURTYPE
Question
Wording:
In general, how would
you describe [your/[Student's first name/your 9th-grader]'s
[biological or birth mother/biological or birth father/adoptive
mother/adoptive father/stepmother/stepfather/foster mother or legal
female guardian/foster father or legal male guardian/parent]'s] hours
on [your/[Student's first name/your 9th-grader]'s parent's/his/her]
[most recent, ]main job?
Item
Name: HP0P1HOURTYPE
1=Regular,
steady work throughout the year
2=Predictable seasonal work
during the year
3=Unpredictable or irregular work (e.g.,
unpredictable periods without work, layoffs, and/or sporadic hours)
HP0P1JOB *
Question
Wording:
[What is [your/[Student's first name/your 9th-grader]'s [biological or birth mother/biological or birth father/adoptive mother/adoptive father/stepmother/stepfather/foster mother or legal female guardian/foster father or legal male guardian/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 or birth mother/biological or birth father/adoptive mother/adoptive father/stepmother/stepfather/foster mother or legal female guardian/foster father or legal male guardian/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
Wording:
Item
Name: HP0P1CODEWORDING
Item
Wording: Please help us
categorize [your/[Student's first name/your 9th-grader]'s [biological
or birth mother/biological or birth father/adoptive mother/adoptive
father/stepmother/stepfather/foster mother or legal female
guardian/foster father or legal male guardian/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.
Item
Name: HP0P1JOB2
Item
Wording: General Area:
Item
Name: HP0P1JOB3
Item
Wording: Specific Area:
Item
Name: HP0P1SPECIFICWORDING
Item
Wording: [your/[Student's first
name/your 9th-grader]'s [biological or birth mother/biological or
birth father/adoptive mother/adoptive
father/stepmother/stepfather/foster mother or legal female
guardian/foster father or legal male guardian/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.
Item
Name: HP0P1JOB6
Item
Wording: Detailed Occupation
Classification:
HP0P1JOBDUTY *
Question
Wording:
What [are/were]
[your/[Student's first name/your 9th-grader]'s [biological or birth
mother/biological or birth father/adoptive mother/adoptive
father/stepmother/stepfather/foster mother or legal female
guardian/foster father or legal male guardian/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)?
HP0P1MILITARY
Question
Wording:
[Are/Is]
[you/[Student's first name/your 9th-grader]'s [biological or birth
mother/biological or birth father/adoptive mother/adoptive
father/stepmother/stepfather/foster mother or legal female
guardian/foster father or legal male guardian/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: 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.
HP0P2HIGHEDU *
Question
Wording:
[If HP0OTHADULT = 1 then fill: In the next few questions, we will ask you about the other adult in the household you indicated has parental responsibility for [Student's first name/your 9th-grader].]
What
is the highest level of education [your
[spouse/partner]/[Student's first name/your 9th-grader]'s [biological
or birth mother/biological or birth father/adoptive mother/other
adoptive mother/adoptive father/other adoptive
father/stepmother/stepfather/foster mother or legal female
guardian/other foster mother or legal female guardian/foster father
or legal male guardian/other foster father or legal male
guardian/aunt/other aunt/uncle/other uncle/grandmother/other
grandmother/grandfather/other grandfather/female parent or
guardian/other female parent or guardian/male parent or
guardian/other parent or male guardian/parent/other parent/other
parental figure]] has
completed?
Item
Name: HP0P2HIGHEDU
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
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.
HP0P2EMPLOYED *
Question
Wording:
During the past week,
did [your
[spouse/partner]/[Student's first name/your 9th-grader]'s [biological
or birth mother/biological or birth father/adoptive mother/other
adoptive mother/adoptive father/other adoptive
father/stepmother/stepfather/foster mother or legal female
guardian/other foster mother or legal female guardian/foster father
or legal male guardian/other foster father or legal male
guardian/aunt/other aunt/uncle/other uncle/grandmother/other
grandmother/grandfather/other grandfather/female parent or
guardian/other female parent or guardian/male parent or
guardian/other parent or male guardian/parent/other parent/other
parental figure]] work at a job
for pay or income?
Item
Name: HP0P2EMPLOYED
1=Yes
0=No
Help
Text:
Work at a job for pay or
income: Include any work for pay, even for as little as one hour.
HP0P2WRKLEAVE *
Question
Wording:
During the past week,
was [your [spouse/partner]/[Student's first name/your 9th-grader]'s
[biological or birth mother/biological or birth father/adoptive
mother/other adoptive mother/adoptive father/other adoptive
father/stepmother/stepfather/foster mother or legal female
guardian/other foster mother or legal female guardian/foster father
or legal male guardian/other foster father or legal male
guardian/aunt/other aunt/uncle/other uncle/grandmother/other
grandmother/grandfather/other grandfather/female parent or
guardian/other female parent or guardian/male parent or
guardian/other parent or male guardian/parent/other parent/other
parental figure]] on leave or vacation from a job?
Item
Name: HP0P2WRKLEAVE
1=Yes
0=No
HP0P2LOOKWORK
Question
Wording:
Has [your
[spouse/partner]/[Student's first name/your 9th-grader]'s [biological
or birth mother/biological or birth father/adoptive mother/other
adoptive mother/adoptive father/other adoptive
father/stepmother/stepfather/foster mother or legal female
guardian/other foster mother or legal female guardian/foster father
or legal male guardian/other foster father or legal male
guardian/aunt/other aunt/uncle/other uncle/grandmother/other
grandmother/grandfather/other grandfather/female parent or
guardian/other female parent or guardian/male parent or
guardian/other parent or male guardian/parent/other parent/other
parental figure]] been actively looking for work in the past 4
weeks?
Item
Name: HP0P2LOOKWORK
1=Yes
0=No
HP0P2WORKSTAT
Question
Wording:
What was [your
[spouse/partner]/[Student's first name/your 9th-grader]'s [biological
or birth mother/biological or birth father/adoptive mother/other
adoptive mother/adoptive father/other adoptive
father/stepmother/stepfather/foster mother or legal female
guardian/other foster mother or legal female guardian/foster father
or legal male guardian/other foster father or legal male
guardian/aunt/other aunt/uncle/other uncle/grandmother/other
grandmother/grandfather/other grandfather/female parent or
guardian/other female parent or guardian/male parent or
guardian/other parent or male guardian/parent/other parent/other
parental figure]] doing most of last week? Would you say…
Item
Name: HP0P2WORKSTAT
1=Keeping
house or caring for children?
2=Going to
school?
3=Retired?
4=Unable to work?
5=Something else?
HP0P2EVERWORK *
Question
Wording:
Has [your
[spouse/partner]/[Student's first name/your 9th-grader]'s [biological
or birth mother/biological or birth father/adoptive mother/other
adoptive mother/adoptive father/other adoptive
father/stepmother/stepfather/foster mother or legal female
guardian/other foster mother or legal female guardian/foster father
or legal male guardian/other foster father or legal male
guardian/aunt/other aunt/uncle/other uncle/grandmother/other
grandmother/grandfather/other grandfather/female parent or
guardian/other female parent or guardian/male parent or
guardian/other parent or male guardian/parent/other parent/other
parental figure]] ever held a regular job for pay or income?
Item
Name: HP0P2EVERWORK
1=Yes
0=No
HP0P2NUMJOB
Question
Wording:
How many jobs does
[your [spouse/partner]/[Student's first name/your 9th-grader]'s
[biological or birth mother/biological or birth father/adoptive
mother/other adoptive mother/adoptive father/other adoptive
father/stepmother/stepfather/foster mother or legal female
guardian/other foster mother or legal female guardian/foster father
or legal male guardian/other foster father or legal male
guardian/aunt/other aunt/uncle/other uncle/grandmother/other
grandmother/grandfather/other grandfather/female parent or
guardian/other female parent or guardian/male parent or
guardian/other parent or male guardian/parent/other parent/other
parental figure]] have now?
(Please enter '0' if none.)
Item
Name: HP0P2NUMJOB
Item
Wording: ____ job(s)
HP0P2HOURWORK
Question
Wording:
About how many total
hours per week [does/did] [your [spouse/partner]/[Student's first
name/your 9th-grader]'s [biological or birth mother/biological or
birth father/adoptive mother/other adoptive mother/adoptive
father/other adoptive father/stepmother/stepfather/foster mother or
legal female guardian/other foster mother or legal female
guardian/foster father or legal male guardian/other foster father or
legal male guardian/aunt/other aunt/uncle/other
uncle/grandmother/other grandmother/grandfather/other
grandfather/female parent or guardian/other female parent or
guardian/male parent or guardian/other parent or male
guardian/parent/other parent/other parental figure]] usually work for
pay or income, counting all jobs?
(Please enter '0' if
none.)
Item
Name: HP0P2HOURWORK
Item
Wording: ____ hour(s)
HP0P2HOURWANT
Question
Wording:
Does/Do [your
[spouse/partner]/[Student's first name/your 9th-grader]'s [biological
or birth mother/biological or birth father/adoptive mother/other
adoptive mother/adoptive father/other adoptive
father/stepmother/stepfather/foster mother or legal female
guardian/other foster mother or legal female guardian/foster father
or legal male guardian/other foster father or legal male
guardian/aunt/other aunt/uncle/other uncle/grandmother/other
grandmother/grandfather/other grandfather/female parent or
guardian/other female parent or guardian/male parent or
guardian/other parent or male guardian/parent/other parent/other
parental figure]] want to work a full-time workweek of 35 hours or
more per week?
Item
Name: HP0P2HOURWANT
1=Yes
0=No
HP0P2HOURTYPE
Question
Wording:
In general, how would
you describe [your [spouse/partner]'s/[Student's first name/your
9th-grader]'s [biological or birth mother/biological or birth
father/adoptive mother/other adoptive mother/adoptive father/other
adoptive father/stepmother/stepfather/foster mother or legal female
guardian/other foster mother or legal female guardian/foster father
or legal male guardian/other foster father or legal male
guardian/aunt/other aunt/uncle/other uncle/grandmother/other
grandmother/grandfather/other grandfather/female parent or
guardian/other female parent or guardian/male parent or
guardian/other male parent or guardian/parent/other parent/other
parental figure]'s] hours on [his/her/your
[spouse/partner]'s/[Student's first name/your 9th-grader]'s [other
parent/other parental figure]'s] [most recent, ]main job?
Item
Name: HP0P2HOURTYPE
1=Regular,
steady work throughout the year
2=Predictable seasonal work
during the year
3=Unpredictable or irregular work (e.g.,
unpredictable periods without work, layoffs, and/or sporadic hours)
HP0P2JOB *
Question
Wording:
[What is [your
[spouse/partner]'s/[Student's first name/your 9th-grader]'s
[biological or birth mother/biological or birth father/adoptive
mother/other adoptive mother/adoptive father/other adoptive
father/stepmother/stepfather/foster mother or legal female
guardian/other foster mother or legal female guardian/foster father
or legal male guardian/other foster father or legal male
guardian/aunt/other aunt/uncle/other uncle/grandmother/other
grandmother/grandfather/other grandfather/female parent or
guardian/other female parent or guardian/male parent or
guardian/other male parent or guardian/parent/other parent/other
parental figure]'s] current/ In [his/her/your
[spouse/partner]'s/[Student's first name/your 9th-grader]'s [other
parent/other parental figure]'s] most recent job, what was [your
[spouse/partner]'s/[Student's first name/your 9th-grader]'s
[biological or birth mother/biological or birth father/adoptive
mother/other adoptive mother/adoptive father/other adoptive
father/stepmother/stepfather/foster mother or legal female
guardian/other foster mother or legal female guardian/foster father
or legal male guardian/other foster father or legal male
guardian/aunt/other aunt/uncle/other uncle/grandmother/other
grandmother/grandfather/other grandfather/female parent or
guardian/other female parent or guardian/male parent or
guardian/other male parent or guardian/parent/other parent/other
parental figure]'s]] job
title (for example: 4th-grade
teacher, apprentice plumber)? If [he/she/your
[spouse/partner]/[Student's first name/your 9th-grader]'s [other
parent/other parental figure]] [has/had] more than one job, describe
the one at which [he/she/your [spouse/partner]/[Student's first
name/your 9th-grader]'s [other parent/other parental figure]]
[works/worked] the most hours.
(Select the closest match from the options returned. If you are unable to find a close match for [his/her/your [spouse/partner]'s/[Student's first name/your 9th-grader]'s [other parent/other parental figure]'s] job title, click "Job title not listed.")
Item
Name: HP0P2JOBTLTXT
Item
Wording:
Item
Name: HP0P2CODEWORDING
Item
Wording: Please help us
categorize [your [spouse/partner]'s/[Student's first name/your
9th-grader]'s [biological or birth mother/biological or birth
father/adoptive mother/other adoptive mother/adoptive father/other
adoptive father/stepmother/stepfather/foster mother or legal female
guardian/other foster mother or legal female guardian/foster father
or legal male guardian/other foster father or legal male
guardian/aunt/other aunt/uncle/other uncle/grandmother/other
grandmother/grandfather/other grandfather/female parent or
guardian/other female parent or guardian/male parent or
guardian/other male parent or guardian/parent/other parent/other
parental figure]'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 [his/her/your [spouse/partner]'s/[Student's first name/your
9th-grader]'s [other parent/other parental figure]'s] specific area
from the second dropdown, and detailed occupation classification from
the last dropdown.
Item
Name: HP0P2JOB2
Item
Wording: General Area:
Item
Name: HP0P2J0B3
Item
Wording: Specific Area:
Item
Name: HP0P2SPECIFICWORDING
Item
Wording: [your
[spouse/partner]'s/[Student's first name/your 9th-grader]'s
[biological or birth mother/biological or birth father/adoptive
mother/other adoptive mother/adoptive father/other adoptive
father/stepmother/stepfather/foster mother or legal female
guardian/other foster mother or legal female guardian/foster father
or legal male guardian/other foster father or legal male
guardian/aunt/other aunt/uncle/other uncle/grandmother/other
grandmother/grandfather/other grandfather/female parent or
guardian/other female parent or guardian/male parent or
guardian/other male parent or guardian/parent/other parent/other
parental figure]'s] job title could be classified into more than one
category. Please select the specific category that best describes
[his/her/your [spouse/partner]'s/[Student's first name/your
9th-grader]'s [other parent/other parental figure]'s] job.
Item
Name: HP0P2JOB6
Item
Wording: Detailed Occupation
Classification:
HP0P2JOBDUTY *
Question
Wording:
What [are/were] [your
[spouse/partner]'s/[Student's first name/your 9th-grader]'s
[biological or birth mother/biological or birth father/adoptive
mother/other adoptive mother/adoptive father/other adoptive
father/stepmother/stepfather/foster mother or legal female
guardian/other foster mother or legal female guardian/foster father
or legal male guardian/other foster father or legal male
guardian/aunt/other aunt/uncle/other uncle/grandmother/other
grandmother/grandfather/other grandfather/female parent or
guardian/other female parent or guardian/male parent or
guardian/other male parent or guardian/parent/other parent/other
parental figure]'s] job
duties [If HP0P2JOBTLTXT = not
blank then fill:as [a/an] [HP0P2JOBTLTXT]] (For example: instruct and
evaluate students and create lesson plans; assemble and install pipe
sections and review building plans for work details)?
HP0P2MILITARY
Question
Wording:
Is [your
[spouse/partner]/[Student's first name/your 9th-grader]'s [biological
or birth mother/biological or birth father/adoptive mother/other
adoptive mother/adoptive father/other adoptive
father/stepmother/stepfather/foster mother or legal female
guardian/other foster mother or legal female guardian/foster father
or legal male guardian/other foster father or legal male
guardian/aunt/other aunt/uncle/other uncle/grandmother/other
grandmother/grandfather/other grandfather/female parent or
guardian/other female parent or guardian/male parent or
guardian/other parent or male guardian/parent/other parent/other
parental figure]] currently serving on active duty in the U.S. Armed
Forces, Reserves, or National Guard?
Item
Name: HP0P2MILITARY
1=Yes
0=No
Help
Text:
Active duty: 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.
HP0HOUSEINCOM *
Question
Wording:
Income is a key family
characteristic that factors into many research questions including
how family finances affect students' ability to go to college. This
information is critically important to the success of this study.
Please remember that data will only be reported in summary form and
your individual information will not be published in a way that may
directly identify you.
What was your total household
income from all sources prior to taxes and deductions in calendar
year 2020 (in other words, from January to December 2020)? Please
include all income such as income from work, investments and alimony.
Item
Name: HP0HOUSEINCOM
Item
Wording: $ ____ (Please enter
whole numbers only.)
Help
Text:
Total household income:
Estimate your household's gross income from calendar year 2020
(January 1, 2020-December 31, 2020) from all sources. Gross income is
the full amount before taxes, Social Security, and other deductions
are taken out. If you are unsure, provide your best estimate.
HP0INCOMRANG1 *
Question
Wording:
We understand that you
may not be able to provide an exact number for your family's
income.
However, it would be extremely helpful if you
would indicate which of the following ranges best estimates your
total household income from all sources prior to taxes and deductions
in calendar year 2020. Please include all income such as income from
work, investments and alimony.
Item
Name: HP0INCOMRANG1
1=$35,000
or less
2=$35,001 - $75,000
3=$75,001 - $115,000
4=$115,001
or more
Help
Text:
Total household income:
Estimate your household's gross income from calendar year 2020
(January 1, 2020-December 31, 2020) from all sources. Gross income is
the full amount before taxes, Social Security, and other deductions
are taken out. If you are unsure, provide your best estimate.
HP0INCOMRANG2 *
Question
Wording:
Now which of the
following categories best estimates your total household income from
all sources prior to taxes and deductions in calendar year 2020?
(Please include all income such as income from work, investments and alimony.)
Item
Name: HP0INCOMRANG2
1=$15,000
or less
2=$15,001 - $35,000
3=$35,001 - $55,000
4=$55,001
- $75,000
5=$75,001 - $95,000
6=$95,001 -
$115,000
7=$115,001 - $135,000
8=$135,001 -
$155,000
9=$155,001 - $175,000
10=$175,001 -
$195,000
11=$195,001 - $215,000
12=$215,001 -
$235,000
13=More than $235,000
Help
Text:
Total household income:
Estimate your household's gross income from calendar year 2020
(January 1, 2020-December 31, 2020) from all sources. Gross income is
the full amount before taxes, Social Security, and other deductions
are taken out. If you are unsure, provide your best estimate.
HP0NUMDEPEN
Question
Wording:
Altogether, how many
people are financially dependent upon [you/[Student's first name/your
9th-grader]'s [biological or birth mother/biological or birth
father/adoptive mother/adoptive father/stepmother/stepfather/foster
mother or legal female guardian/foster father or legal male
guardian/parent]] [If household includes two parents then fill: or
[your [spouse/partner]/[Student's first name/your 9th-grader]'s
[biological or birth mother/biological or birth father/adoptive
mother/other adoptive mother/adoptive father/other adoptive
father/stepmother/stepfather/foster mother or legal female
guardian/other foster mother or legal female guardian/foster father
or legal male guardian/other foster father or legal male
guardian/aunt/other aunt/uncle/other uncle/grandmother/other
grandmother/grandfather/other grandfather/female parent or
guardian/other female parent or guardian/male parent or
guardian/other parent or male guardian/parent/other parent/other
parental figure]]]?
Count everyone besides [yourself/[Student's first name/your 9th-grader]'s [biological or birth mother/biological or birth father/adoptive mother/adoptive father/stepmother/stepfather/foster mother or legal female guardian/foster father or legal male guardian/parent]] [If household includes two parents then fill: and [your [spouse/partner]/[Student's first name/your 9th-grader]'s [biological or birth mother/biological or birth father/adoptive mother/other adoptive mother/adoptive father/other adoptive father/stepmother/stepfather/foster mother or legal female guardian/other foster mother or legal female guardian/foster father or legal male guardian/other foster father or legal male guardian/aunt/other aunt/uncle/other uncle/grandmother/other grandmother/grandfather/other grandfather/female parent or guardian/other female parent or guardian/male parent or guardian/other parent or male guardian/parent/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 or birth mother/biological or birth father/adoptive mother/adoptive father/stepmother/stepfather/foster mother or legal female guardian/foster father or legal male guardian/parent]] [If household includes two parents then fill: or [your [spouse/partner]/[Student's first name/your 9th-grader]'s [biological or birth mother/biological or birth father/adoptive mother/other adoptive mother/adoptive father/other adoptive father/stepmother/stepfather/foster mother or legal female guardian/other foster mother or legal female guardian/foster father or legal male guardian/other foster father or legal male guardian/aunt/other aunt/uncle/other uncle/grandmother/other grandmother/grandfather/other grandfather/female parent or guardian/other female parent or guardian/male parent or guardian/other parent or male guardian/parent/other parent/other parental figure]]]. Include individuals not living with [you/[Student's first name/your 9th-grader]'s [biological or birth mother/biological or birth father/adoptive mother/adoptive father/stepmother/stepfather/foster mother or legal female guardian/foster father or legal male guardian/parent]] [If household includes two parents then fill: and [your [spouse/partner]/[Student's first name/your 9th-grader]'s [biological or birth mother/biological or birth father/adoptive mother/other adoptive mother/adoptive father/other adoptive father/stepmother/stepfather/foster mother or legal female guardian/other foster mother or legal female guardian/foster father or legal male guardian/other foster father or legal male guardian/aunt/other aunt/uncle/other uncle/grandmother/other grandmother/grandfather/other grandfather/female parent or guardian/other female parent or guardian/male parent or guardian/other parent or male guardian/parent/other parent/other parental figure]]].
Total number of dependents not counting [you/[Student's first name/your 9th-grader]'s [biological or birth mother/biological or birth father/adoptive mother/adoptive father/stepmother/stepfather/foster mother or legal female guardian/foster father or legal male guardian/parent]] [If household includes two parents then fill: or [your [spouse/partner]/[Student's first name/your 9th-grader]'s [biological or birth mother/biological or birth father/adoptive mother/other adoptive mother/adoptive father/other adoptive father/stepmother/stepfather/foster mother or legal female guardian/other foster mother or legal female guardian/foster father or legal male guardian/other foster father or legal male guardian/aunt/other aunt/uncle/other uncle/grandmother/other grandmother/grandfather/other grandfather/female parent or guardian/other female parent or guardian/male parent or guardian/other parent or male guardian/parent/other parent/other parental figure]]]:
(Please
enter '0' if none.)
Item
Name: HP0NUMDEPEN
Item
Wording: ____ dependent(s)
HP0FRPLUNCH
Question
Wording:
Does [Student's first
name/your 9th-grader] receive free or reduced price meals at
school?
Item
Name: HP0FRPLUNCH
1=Yes
0=No
99=Don't
know
HP0FRPLSPEC
Question
Wording:
Are these meals free,
or are they reduced price?
Item
Name: HP0FRPLSPEC
1=Free
2=Reduced
price
HP0OWNHOME
Question
Wording:
Do you…
Item
Name: HP0OWNHOME
1=Pay a mortgage towards or own your home?
2=Rent your
home?
3=Have some other arrangement?
Help
Text:
Pay mortgage towards or own: Paying a mortgage or owning includes making mortgage payments towards a home or a home that is paid for in full.
Rent: Renting includes paying a landlord rent to live in a home.
Some other arrangement: Some other arrangement can include exchanging services for housing, living in a temporary housing or shelter, or living with a relative or in a dwelling owned by a relative (may or may not contribute to expenses or contribution unknown).
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.
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
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
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
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
HP0TLKPNTFRND
Question
Wording:
Please think about all
of [Student's first name/your 9th-grader]'s friends. About how many
parents of [Student's first name/your 9th-grader]'s friends do you
talk or text with regularly, either in person, online, or on the
phone?
Item
Name: HP0TLKPNTFRND
1=None
2=Some
3=About
half
4=Most
5=All or almost all
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
HP0ACTYOUTSCH
Question
Wording:
During the last 12
months, has [Student's first name/your 9th-grader] participated in
any of the following activities outside of school?
(Check all
that apply.)
Item
Name: HP0ARTSACTY
Item
Wording: Music, dance, art, or
theater
Item
Name: HP0SPORTSACTY
Item
Wording: Organized sports
supervised by an adult
Item
Name: HP0RELACTY
Item
Wording: Religious youth group
or religious instruction
Item
Name: HP0SCOUTACTY
Item
Wording: Scouting or another
group or club activity
Item
Name: HP0ACADEMACTY
Item
Wording: Academic instruction
outside of school such as from a Saturday Academy, learning center,
personal tutor or summer school program
Item
Name: HP0MTHSCICAMP
Item
Wording: A math or science
camp
Item
Name: HP0CAMPACTY
Item
Wording: Another camp
Item
Name: HP0ACTYNONE
Item
Wording: None of these
HP0TUTRSUMSCH
Question
Wording:
During the last 12
months, has [Student's first name/your 9th-grader]…
(Select
one for each row.)
Item
Name: HP0REMTUTOR
Item
Wording: Had a tutor or mentor
to help with [his/her/your 9th-grader's/[Student's first name]'s]
basic reading, writing, and/or math skills?
Item
Name: HP0ADVTUTOR
Item
Wording: Had a tutor or mentor
to help with [his/her/your 9th-grader's/[Student's first name]'s]
skills so that [he/she/your 9th-grader/[Student's first name]] could
take an advanced or enrichment course?
Item
Name: HP0REMSUMSCH
Item
Wording: Attended summer school
for a class [he/she/your 9th-grader/[Student's first name]] did not
do well in during the school year?
Item
Name: HP0ADVSUMSCH
Item
Wording: Attended summer school
so that [he/she/your 9th-grader/[Student's first name]] could take an
advanced or enrichment course?
1=Yes
0=No
HP0TUTRSBJCT
Question
Wording:
What is or was
[Student's first name/your 9th-grader] tutored in?
(Check all
that apply.)
Item
Name: HP0TUTRREAD
Item
Wording: Reading
Item
Name: HP0TUTRMATH
Item
Wording: Math
Item
Name: HP0TUTRSCI
Item
Wording: Science
Item
Name: HP0TUTRFRGNL
Item
Wording: Foreign language
Item
Name: HP0TUTROTHR
Item
Wording: Other
HP0SMSCHSBJCT
Question
Wording:
What did [Student's
first name/your 9th-grader] attend summer school for?
(Check all
that apply.)
Item
Name: HP0SMSCHREAD
Item
Wording: Reading
Item
Name: HP0SMSCHMATH
Item
Wording: Math
Item
Name: HP0SMSCHSCI
Item
Wording: Science
Item
Name: HP0SMSCHFRGNL
Item
Wording: Foreign language
Item
Name: HP0SMSCHOTHR
Item
Wording: Other
HP0CHHEALTH *
Question
Wording:
Now we would like to
ask about [Student's first name/your 9th-grader]’s health.
In
general, would you say that [Student's first name/your 9th-grader]'s
health is...
Item
Name: HP0CHHEALTH
1=Excellent?
2=Very
good?
3=Good?
4=Fair?
5=Poor?
HP0DNTLVISIT
Question
Wording:
How long has it been
since [Student's first name/your 9th-grader]'s last visit to a
dentist or dental hygienist for dental care?
Item
Name: HP0DNTLVISIT
1=Less than
6 months
2=6 months to less than 1 year
3=1 year to less
than 2 years
4=2 years or more
5=Never
99=Don't know
HP0HLTHVISIT
Question
Wording:
How long has it been
since [Student's first name/your 9th-grader]'s last visit to a
clinic, health center, hospital, doctor's office, or other place for
routine health care?
Item
Name: HP0HLTHVISIT
1=Less than
6 months
2=6 months to less than 1 year
3=1 year to less
than 2 years
4=2 years or more
5=Never
99=Don't know
Help
Text:
Routine health care:
Routine health care may include check-ups, or immunization
appointments.
HP0EVRASTHMA
Question
Wording:
Has a doctor, nurse,
or other medical professional ever told you that [Student's first
name/your 9th-grader] has asthma?
Item
Name: HP0EVRASTHMA
1=Yes
0=No
HP0HSPASTHMA
Question
Wording:
Has [Student's first
name/your 9th-grader] ever been taken to an emergency room or
hospitalized for at least one night because of asthma?
Item
Name: HP0HSPASTHMA
1=Yes
0=No
HP0DAYSSICK
Question
Wording:
How many full 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: ____ day(s)
HP0CHHAS504
Question
Wording:
Now we would like to ask about experiences [Student's first name/your 9th-grader] and your family may have had with special education services.
Does [Student's first name/your 9th-grader] currently have a 504 plan based on section 504 of the Rehabilitation Act that describes accommodations to support [his/her/your 9th-grader's/[Student's first name]'s] learning?
Item
Name: HP0CHHAS504
1=Yes
0=No
99=Don't
know
Help
Text:
Section 504 plan: A written plan to provide appropriate services to a student with a disability, whether or not the disability is judged to affect the student's educational performance. Speech therapy services may often be specified as part of a Section 504 plan.
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).
HP0CHHASIEP *
Question
Wording:
Does [Student's first
name/your 9th-grader] still have an IEP or ISP?
Item
Name: HP0CHHASIEP
1=Yes
0=No
99=Don't
know
HP0CHNEEDSIEP
Question
Wording:
Do you believe
[Student's first name/your 9th-grader] should have an IEP or
ISP?
Item
Name: HP0CHNEEDSIEP
1=Yes
0=No
99=Don't
know
HP0IEPMTG
Question
Wording:
In the last 12 months,
has there been an IEP or ISP meeting about [Student's first name/your
9th-grader]'s special education program or services?
Item
Name: HP0IEPMTG
1=Yes
0=No
99=Don't
know
HP0EVALPROF
Question
Wording:
The next set of
questions is about professional evaluations [Student's first
name/your 9th-grader] may have had in the past.
Has [Student's first name/your 9th-grader] ever been evaluated by a professional because of an issue with...
(Check
all that apply.)
Item
Name: HP0INDCARE
Item
Wording: Independently taking
care of [himself/herself/himself or herself]?
Item
Name: HP0PAYATTN
Item
Wording: Paying
attention?
Item
Name: HP0LRNPROB
Item
Wording: Reading, learning,
thinking, or solving problems?
Item
Name: HP0BODYCOORD
Item
Wording: Coordinating or moving
[his/her/your 9th-grader's/[Student's first name]'s] whole body,
arms, or legs?
Item
Name: HP0RELCHLDRN
Item
Wording: Behaving or relating
to other children?
Item
Name: HP0RELADULTS
Item
Wording: Behaving or relating
to adults?
Item
Name: HP0ACTYLEVEL
Item
Wording: [his/her/your
9th-grader's/[Student's first name]'s] activity level?
Item
Name: HP0MNTLHLTH
Item
Wording: [his/her/your
9th-grader's/[Student's first name]'s] emotional or mental
health?
Item
Name: HP0ANXTYPROB
Item
Wording: Anxiety or fear?
Item
Name: HP0SELFHARM
Item
Wording: Harming
[himself/herself/himself or herself]?
Item
Name: HP0SENSITIVTY
Item
Wording: Over-sensitivity or
under-sensitivity to touch, sound, or temperature?
Item
Name: HP0LANGPROB
Item
Wording: Communicating or
understanding what is said in the primary language?
Item
Name: HP0EATINGPROB
Item
Wording: Eating too much or
eating too little?
Item
Name: HP0SLEEPPROB
Item
Wording: Sleeping too much or
sleeping too little?
Item
Name: HP0CHRNHLTH
Item
Wording: A chronic health
problem (e.g., asthma, seizure, sickle cell anemia)?
Item
Name: HP0EVALOTHER
Item
Wording: Other
Item
Name: HP0EVALOTHER_other
Item
Wording: Please specify:
Item
Name: HP0EVALNONE
Item
Wording: [Student's first
name/Your 9th-grader] has never been evaluated.
Help
Text:
Professional: This
includes health and mental health professionals such as doctors,
pediatricians, nurse practitioners, optometrists, ophthalmologists,
school or other psychologists, psychiatrists, social workers,
speech-language pathologists, physical therapists, etc. Do not
include teachers, principals or guidance counselors.
HP0EVRDIAGNOS
Question
Wording:
You said that
[Student's first name/your 9th-grader] was evaluated by a
professional [for [TEXT FROM
HP0INDCARE/HP0PAYATTN/HP0LRNPROB/HP0BODYCOORD/HP0RELCHLDRN/HP0RELADULTS/HP0ACTYLEVEL/HP0MNTLHLTH/HP0ANXTYPROB/HP0SELFHARM/HP0SENSITIVTY/HP0LANGPROB/HP0EATINGPROB/HP0SLEEPPROB/HP0CHRNHLTH/[HP0EVALOTHER_other/another
issue]]].
Did a professional give you a diagnosis or diagnoses of a problem?
Item
Name: HP0EVRDIAGNOS
1=Yes
0=No
Help
Text:
Professional: This
includes health and mental health professionals such as doctors,
pediatricians, nurse practitioners, optometrists, ophthalmologists,
school or other psychologists, psychiatrists, social workers,
speech-language pathologists, physical therapists, etc. Do not
include teachers, principals or guidance counselors.
HP0CHDIAGNOS
Question
Wording:
What was the diagnosis
or diagnoses?
If you don't see [Student's first name/your
9th-grader]'s diagnosis or diagnoses in the list below, please select
"Other" and type it in the "Please specify"
box.
(Check all that apply.)
Item
Name: HP0READDISAB
Item
Wording: Learning disability
(LD) — Reading disability (or dyslexia)
Item
Name: HP0MATHDISAB
Item
Wording: Learning disability
(LD) — Math disability
Item
Name: HP0OTHERDISAB
Item
Wording: Learning disability
(LD) — other
Item
Name: HP0ADDADHD
Item
Wording: Attention Deficit
Disorder (ADD) or Attention Deficit Hyperactivity Disorder (ADHD)
Item
Name: HP0AUTISM
Item
Wording: Autism Spectrum
Disorder (ASD); such as Autistic Disorder/Asperger's
Disorder/Pervasive Developmental Disorder (PDD)
Item
Name: HP0SPEECHDIS
Item
Wording: Speech or language
disorder
Item
Name: HP0INTEDISAB
Item
Wording: Intellectual
disability (or severe cognitive disability)
Item
Name: HP0HLTHIMPAIR
Item
Wording: Health impairment
(such as seizures, asthma, diabetes)
Item
Name: HP0PHYSDISAB
Item
Wording: Physical disability
(such as cerebral palsy, spina bifida, amputee, contractures)
Item
Name: HP0SENSIMPAIR
Item
Wording: Sensory impairment
(such as hypersensitivity; sensory processing problems; sensory
integration problems; sensory deficit, or sensory organization
problems)
Item
Name: HP0EMOTDISTUR
Item
Wording: Emotional disturbance
Item
Name: HP0CONDUCTDIS
Item
Wording: Conduct disorder or
oppositional defiant disorder
Item
Name: HP0PTSD
Item
Wording: Post Traumatic Stress
Disorder (PTSD)
Item
Name: HP0ANXIETY
Item
Wording: Anxiety disorder or
phobia
Item
Name: HP0OCD
Item
Wording: Obsessive compulsive
disorder (OCD)
Item
Name: HP0EATINGDIS
Item
Wording: Eating disorder
Item
Name: HP0DEPRESSION
Item
Wording: Depression
Item
Name: HP0BIPOLAR
Item
Wording: Bipolar disorder
Item
Name: HP0TOURETTES
Item
Wording: Tourette's syndrome
Item
Name: HP0BRAININJUR
Item
Wording: Traumatic brain injury
Item
Name: HP0UNKOWNDIAG
Item
Wording: Diagnosis not yet
determined
Item
Name: HP0OTHERDIAG
Item
Wording: Other
Item
Name: HP0OTHERDIAG_other
Item
Wording: Please specify
Help
Text:
Learning disability (LD): Learning disability involves problems with one or more of the basic processes used in understanding or in using language (spoken or written), listening, thinking, reading, writing, spelling, or solving problems in math. In some cases a child with a learning disability can perform at grade level with special help.
Reading disability: Reading disability is a learning disability that affects a child's ability to read and often also affects his or her writing.
Math disability: Math disability is a learning disability that affects the child's ability to understand and solve math problems.
Attention Deficit Disorder (ADD)/ Attention Deficit Hyperactivity Disorder (ADHD): ADD and ADHD are health impairments that make it hard for a child to focus and pay attention. With ADHD, a child is also often hyperactive (always on the go) and may have trouble being patient. A child may act without thinking, and struggle to sit still (more than is appropriate for his or her age).
Autism Spectrum Disorder (ASD): ASD or autism affects a child's ability to communicate (verbally and nonverbally) and interact socially. A child with autism has difficulty understanding emotions and the perspective of others. The characteristics may include a lack of responsiveness to other people, facial expressions that do not seem appropriate for the situation, responding in other socially inappropriate ways, and repetitive activities and movements (such as hand-flapping or rocking). A child with autism may show resistance to change and hypersensitivity to sensory experiences such as the texture of some clothes for example. A child with autism may be advanced or gifted in one or more areas. Autism Spectrum Disorder (ASD) includes children with Asperger's syndrome and pervasive developmental disorder (PDD).
Speech or language disorder: Speech or language impairment refers to a communication disorder. A child with a speech disorder may have voice disorders, stutter, or have problems distinguishing sounds. Speech disorders range from difficulty with using a particular sound (for example, the "th" sound in "this") to difficulty with speaking loudly. A child with a language impairment may have difficulty understanding and forming sentences, using words correctly, finding words for what she or he wants to say, or his or her ability to repeat information just heard.
Intellectual disability (Severe cognitive disability): A child's mental development is noticeably behind what is expected for a child of his or her age. A child with an intellectual disability also has difficulty with performing some daily life activities or functions on his or her own. A child's learning in school is very slow and far behind other children of that age. Previously called "mental retardation."
Health impairment: Health impairment includes health issues that cause problems with strength, vitality, and alertness. A child with a health condition may function intellectually or cognitively as well as his or her peers, but have difficulty "keeping up" in general. Health impairments include problems such as epilepsy or other seizure disorder, asthma, diabetes, sickle cell anemia, or hemophilia.
Physical disability: Physical disability affects a child's ability to move or balance. Disabling physical problems can include for example, cerebral palsy, amputations, bone tuberculosis, polio, and contractures (difficulty straightening a joint such as knees, elbows, and fingers).
Sensory impairment: Sensory impairments involve being hypersensitive (overly responsive) to touch, sound, movement, or temperature; or very under responsive to those sensory input. Sensory impairments may also involve a lack of control over what sensory information to pay attention to. A child may have an increased alertness to very small changes in the environment making it difficult to maintain attention to what she or he is supposed to be learning.
Emotional disturbance: Emotional Disturbance (ED) involves difficulty with emotions over a long period of time that hurts a child's school performance. ED may include (a) difficulty learning that cannot be explained by other factors; (b) difficulty with interpersonal relationships (i.e., getting along) with peers and teachers; (c) behavior or feelings that do not match what is happening; d) a general mood of unhappiness or depression; and/or (e) a tendency to develop physical symptoms or fears associated with personal or school problems. Emotional disturbance includes schizophrenia. It does not apply to a child who is socially maladjusted (extreme behavior problems), unless he or she also has an emotional disturbance.
Conduct disorder: Conduct disorder (CD) involves a pattern of behavior that is frequently defiant, angry, hostile, and disrespectful, and disrupts child's normal functioning. Before the age of ten, a child exhibiting these negative behaviors is usually diagnosed with oppositional defiant disorder (ODD). If behavioral symptoms after age ten are not severe, a child may also be diagnosed with oppositional defiant disorder (ODD).
Post Traumatic Stress Disorder (PTSD): Post Traumatic Stress Disorder, also known as PTSD, is a condition that some people develop after experiencing a shocking, terrifying, or dangerous event. PTSD can cause high anxiety, nightmares, flashbacks to the event, and can interfere with a child's ability to function.
Anxiety disorder or phobia: A child who has an anxiety disorder worries much more than other children and may worry all the time. She or he may worry about nothing in particular or themselves, other's safety, her or his health, and/or the world. She or he often has physical signs of anxiety such as headache, abdominal pain, cramps, diarrhea, vomiting, and dizziness. Anxiety disorders include generalized anxiety disorder, social anxiety disorder (also called social phobia), and other specific phobias that interfere with a child's ability to function.
Obsessive compulsive disorder (OCD): A child must have obsessions or compulsions or both to have this disorder, and these obsessions and/or compulsions must be disabling to the child. Obsessions are thoughts that occur over and over and cause distress. A child spends so much time on the thoughts that she or he has a hard time taking care of herself or himself or relating to others. Compulsions are acts that a child feels driven to repeat over and over, such as a need to clean or organize excessively, to keep everything the same.
Eating disorder: Eating disorders may involve eating too little and an obsession with staying thin (anorexia) or binge eating (gorging food). A child may make his or herself throw-up (vomit) after binge eating and/or taking laxatives (bulimia) or a child may vomit without trying after overeating.
Depression: Depression is a general or pervasive mood of sadness or unhappiness. It includes feeling helpless, hopeless, and worthless. Depression lasts for many days to weeks keeping a child from functioning normally.
Bipolar disorder: Bipolar Disorder (also known as manic depressive disorder or manic depression) causes unusual swings in mood, energy, and activity levels in a child. This disability can make it difficult to carry out day-to-day tasks and can lead to poor decisions. The intense emotional swings are often unrelated to life events.
Tourette's syndrome: Tourette's syndrome is a nervous system disorder that involves movements or vocalizations that are repetitive and involuntary (not under the control of the child). These involuntary movements and vocalizations are called tics. Some examples include repeated facial grimaces, eye blinking, throat clearing, or grunting. Tics often get worse if a child is excited or anxious. Early symptoms are often first noticed between 3 and 9 years of age.
Traumatic brain injury: Traumatic Brain Injury (TBI) is an injury to the brain from an impact to the head such as a bad fall or a car accident. A TBI makes it hard for a child to learn and may affect day to day functioning. TBI applies to open or closed head injuries that lead to difficulties in one or more areas, such as understanding; memory; attention; reasoning; abstract thinking; judgment; problem-solving; language; sensory, perceptual, and motor abilities; social behavior; physical functions; information processing; and speech. The term does not apply to brain injuries that are there or that occur at birth, or that grow worse over time.
HP0ADDMEDS
Question
Wording:
Is [Student's first
name/your 9th-grader] currently taking prescription medication for
ADD or ADHD?
Item
Name: HP0ADDMEDS
1=Yes
0=No
HP0EARACHE
Question
Wording:
These next questions are about [Student's first name/your 9th-grader]’s hearing.
Has [Student's first name/your 9th-grader] EVER had 3 or more ear infections or earaches?
Item
Name: HP0EARACHE
1=Yes
0=No
99=Don't
know
Help
Text:
Ever: Ever means since birth.
Ear infections or earaches: Typically refers to a doctor's diagnosis of ear infection (otitis media).
HP0EARTUBES
Question
Wording:
Has [Student's first name/your 9th-grader] EVER had a tube(s) placed in [his/her/your 9th-grader's/[Student's first name]'s] ear to drain fluid or to treat ear infections?
Item
Name: HP0EARTUBES
1=Yes
0=No
99=Don't
know
Help
Text:
Ever: Ever means since
birth.
HP0HEARTEST
Question
Wording:
Other than hearing screenings done at school, has [Student's first name/your 9th-grader]'s hearing EVER been tested by a doctor or other health care professional?
Item
Name: HP0HEARTEST
1=Yes
0=No
99=Don't
know
Help
Text:
Ever: Ever means since birth.
Doctor or other health care professional: Doctor or other health care professional includes pediatricians, ear-nose-throat (ENT) doctors, nurses or nurse practitioners, audiologists, speech pathologists, or other licensed health professionals. It does not include teachers or other non-health professionals.
HP0HEARDIAG
Question
Wording:
Did you obtain a diagnosis of a problem from a doctor or other health care professional?
Item
Name: HP0HEARDIAG
1=Yes
0=No
Help
Text:
Doctor or other health care professional: Doctor or other health care professional includes pediatricians, ear-nose-throat (ENT) doctors, nurses or nurse practitioners, audiologists, speech pathologists, or other licensed health professionals. It does not include teachers or other non-health professionals.
HP0HRDIAGTYP
Question
Wording:
What diagnosis did the
doctor or health care professional provide?
(Check
all that apply.)
Item
Name: HP0HRDGEINF
Item
Wording: Ear infection, often
with earache and fever, can progress quickly and keep coming
back
Item
Name: HP0HRDGFLUID
Item
Wording: Fluid in the ear(s),
for example, fluid behind the eardrum, runny ears, fluid or pus
draining from the ear, long-lasting or chronic, sometimes treated
with ear tubes
Item
Name: HP0HRDGEINJ
Item
Wording: Ear injury or
deformity
Item
Name: HP0HRDGHLGEN
Item
Wording: Hearing loss due to a
genetic cause, syndrome, or present from birth
Item
Name: HP0HRDGHLINF
Item
Wording: Hearing loss due to
infectious illness, such as meningitis, measles, rubella, or
CMV
Item
Name: HP0HRDGHLLT
Item
Wording: Hearing loss due to
long term exposure to loud noise, such as power tools, farm
equipment, or loud recreational activities
Item
Name: HP0HRDGHLST
Item
Wording: Hearing loss due to
brief, explosive sounds, such as firecrackers or gunfire
Item
Name: HP0HRDGHLTX
Item
Wording: Hearing loss due to
toxins, such as lead, ototoxic drugs, or chemicals
Item
Name: HP0HRDGOTH
Item
Wording: Other diagnosis
Item
Name: HP0HRDGDK
Item
Wording: Don't know
Help
Text:
Doctor or other health
care professional: Doctor or other health care professional includes
pediatricians, ear-nose-throat (ENT) doctors, nurses or nurse
practitioners, audiologists, speech pathologists, or other licensed
health professionals. It does not include teachers or other
non-health professionals.
HP0RECHRDEV
Question
Wording:
Has a hearing
specialist, doctor, or other health care
professional EVER recommended
a hearing aid, cochlear implant, or other assistive listening device
for [Student's first name/your 9th-grader]?
Item
Name: HP0RECHRDEV
1=Yes
0=No
99=Don't
know
Help
Text:
Hearing specialist, doctor, or other health care professional: Hearing specialist, doctor, or other health care professional includes pediatricians, ear-nose-throat (ENT) doctors, nurses or nurse practitioners, audiologists, speech pathologists, or other licensed health professionals. It does not include teachers or other non-health professionals.
Ever: Ever means since birth.
Hearing aid: A hearing aid is a small electronic device worn in or behind the ear to make sounds louder.
Cochlear implant: A cochlear implant is an electrical device that is permanently inserted in the user's head by a doctor during surgery. It is used by those who are almost totally deaf to send sound to the brain using a magnetic transmitter on the side of the head.
Other assistive listening device: Other assistive listening device includes any device or service used to help hear, such as a personal sound amplifier, pocket talker, phone app, amplified telephone, or interpreter.
HP0CHRONNOISE
Question
Wording:
Has [Student's first name/your 9th-grader] EVER been exposed to very loud noise several hours a week for a total of 3 months or more? Examples of loud noise include farm equipment, lawn mowers or edgers, power tools, loud music, gaming, loud motor vehicles, and noisy sporting events.
Item
Name: HP0CHRONNOISE
1=Yes
0=No
99=Don't
know
Help
Text:
Ever: Ever means since birth.
Very loud: Very loud refers to sounds so loud [he/she/your 9th-grader/[Student's first name]] would have to shout to be understood by someone 3 feet away.
HP0ACUTNOISE
Question
Wording:
Has [Student's first name/your 9th-grader] EVER been exposed to very loud, brief sounds such as firecrackers, gunfire, or other explosive noise on 10 or more occasions?
Item
Name: HP0ACUTNOISE
1=Yes
0=No
99=Don't
know
Help
Text:
Ever: Ever means since birth.
Very loud: Very loud refers to sounds so loud [he/she/your 9th-grader/[Student's first name]] would have to shout to be understood by someone 3 feet away.
HP0LIINTRO
Question
Wording:
In this last section of the survey we will ask you for contact information for yourself [If respondent is not Parent 1 ((HP0RESPREL in (7,8,9,10,15,16) or HP0RESPREL = no response) and HP0OPINHOUSE = 2) then fill:, [you/[Student's first name/your 9th-grader]'s [biological or birth mother/biological or birth father/adoptive mother/adoptive father/stepmother/stepfather/foster mother or legal female guardian/foster father or legal male guardian/parent]]][If household includes two parents then fill:, [your [spouse/partner]/[Student's first name/your 9th-grader]'s [biological or birth mother/biological or birth father/adoptive mother/other adoptive mother/adoptive father/other adoptive father/stepmother/stepfather/foster mother or legal female guardian/other foster mother or legal female guardian/foster father or legal male guardian/other foster father or legal male guardian/aunt/other aunt/uncle/other uncle/grandmother/other grandmother/grandfather/other grandfather/female parent or guardian/other female parent or guardian/male parent or guardian/other parent or male guardian/parent/other parent/other parental figure]]][If HP0CNTCTNRESP = 1 or HP0OTHLIVW =1 then fill:, [Student's first name/your 9th-grader]'s non-resident parent] and [Student's first name/your 9th-grader].
This information will only be used to help us contact you and [Student's first name/your 9th-grader] in the future for this study. It will be kept in protected files separate from the responses you provided in your survey.
Please
click the “Next” button to continue.
HP0NAME *
Question
Wording:
Are you [Parent's
first name] [Parent's middle name] [Parent's last name] [Parent's
suffix]?
Item
Name: HP0NAME
1=Yes
0=No
HP0RCNTCTINF1 *
Question
Wording:
[Please confirm or provide your full name and home address./Please confirm the spelling of your full name and confirm or provide your home address./Please correct your full name and confirm or provide your home address.] [This information was given to us by [Student's first name/your 9th-grader]'s school.] If your contact information is not right or is incomplete, please fix it. Then click "Next” to continue.
Name:
Item
Name: HP0RFIRNAME
Item
Wording: First name:
Item
Name: HP0RMIDNAME
Item
Wording: Middle name:
Item
Name: HP0RLSTNAME
Item
Wording: Last name:
Item
Name: HP0RSUFFIX
Item
Wording: Suffix:
Question
Wording:
Address:
Item
Name: HP0RAD
Item
Wording: Street address:
Item
Name: HP0RCY
Item
Wording: City:
Item
Name: HP0RST
Item
Wording: State:
Item
Name: HP0RZP
Item
Wording: ZIP Code:
AutoFill
City and State from ZIP Code
Item
Name: HP0RFOR
Item
Wording: Please check here if
the address is an international address.
Item
Name: HP0RFAD
Item
Wording: Foreign Address:
Item
Name: HP0RFCY
Item
Wording: Foreign City:
Item
Name: HP0RFS
Item
Wording: Foreign State/Province:
Item
Name: HP0RFC
Item
Wording: Foreign Country:
Item
Name: HP0RFZ
Item
Wording: Foreign ZIP/Postal Code:
HP0RCNTCTINF2 *
Question
Wording:
Please confirm or
provide your cell and other phone numbers including area code, and
main email address. [This information was given to us by [Student's
first name/your 9th-grader]'s school.] If your contact information is
not right or is incomplete, please fix it. Then click "Next”
to continue.
Item
Name: HP0RCELLTEL1
Item
Wording: Cell phone
number:
Item
Name: HP0RNCELLTEL
Item
Wording: You do not have a cell
phone number.
Item
Name: HP0ROTHTEL1
Item
Wording: Other telephone
number:
Item
Name: HP0RNOTHTEL
Item
Wording: You do not have
another telephone number.
Item
Name: HP0ROTHTYP
-9=- Select
phone type-
1=Landline
2=Work
3=Other
Item
Name: HP0REMAIL
Item
Wording: Email address:
Item
Name: HP0RNOEMAIL
Item
Wording: You do not have an
email address.
HP0P1CNTCTINF *
Question
Wording:
What are the name,
cell and other phone numbers, and email address of [you/[Student's
first name/your 9th-grader]'s [biological or birth mother/biological
or birth father/adoptive mother/adoptive
father/stepmother/stepfather/foster mother or legal female
guardian/foster father or legal male guardian/parent]]?
Name:
Item
Name: HP0P1FIRNAME
Item
Wording: First name:
Item
Name: HP0P1MIDNAME
Item
Wording: Middle name:
Item
Name: HP0P1LSTNAME
Item
Wording: Last name:
Item
Name: HP0P1SUFFIX
Item
Wording: Suffix:
Question
Wording:
Item
Name: HP0P1CELLCODE
Item
Wording: Cell
phone number:
Item
Name: HP0P1NCELLTEL
98=[He/She]
does not have a cell phone number.
99=You don't know.
Question
Wording:
Item
Name: HP0P1OTHCODE
Item
Wording: Other
telephone number:
Item
Name: HP0P1NOTHTEL
98=[He/She]
does not have another telephone number.
99=You don't know.
Item
Name: HP0P1OTHTYP
-9=- Select
phone type-
1=Landline
2=Work
3=Other
Question
Wording:
Item
Name: HP0P1EMAIL
Item
Wording: Email
address:
Item
Name: HP0P1NOEMAIL
98=[He/She]
does not have an email address.
99=You don't know.
HP0P2CNTCTINF
Question
Wording:
What are the name,
cell and other phone numbers, and email address of [your
[spouse/partner]/[Student's first name/your 9th-grader]'s [biological
or birth mother/biological or birth father/adoptive mother/other
adoptive mother/adoptive father/other adoptive
father/stepmother/stepfather/foster mother or legal female
guardian/other foster mother or legal female guardian/foster father
or legal male guardian/other foster father or legal male
guardian/aunt/other aunt/uncle/other uncle/grandmother/other
grandmother/grandfather/other grandfather/female parent or
guardian/other female parent or guardian/male parent or
guardian/other parent or male guardian/parent/other parent/other
parental figure]]?
Name:
Item
Name: HP0P2FIRNAME
Item
Wording: First name:
Item
Name: HP0P2MIDNAME
Item
Wording: Middle name:
Item
Name: HP0P2LSTNAME
Item
Wording: Last name:
Item
Name: HP0P2SUFFIX
Item
Wording: Suffix:
Question
Wording:
Item
Name: HP0P2CELLCODE
Item
Wording: Cell
phone number:
Item
Name: HP0P2NCELLTEL
98=[He/She/Your
[spouse/partner]/[Student's first name/your 9th-grader]'s [other
parent/other parental figure]] does not have a cell phone
number.
99=You don't know.
Question
Wording:
This question is
missing question text.
Item
Name: HP0P2OTHCODE
Item
Wording: Other
telephone number:
Item
Name: HP0P2NOTHTEL
98=[He/She/Your
[spouse/partner]/[Student's first name/your 9th-grader]'s [other
parent/other parental figure]] does not have another telephone
number.
99=You don't know.
Item
Name: HP0P2OTHTYP
-9=- Select
phone type-
1=Landline
2=Work
3=Other
Question
Wording:
Item
Name: HP0P2EMAIL
Item
Wording: Email
address:
Item
Name: HP0P2NOEMAIL
98=[He/She/Your
[spouse/partner]/[Student's first name/your 9th-grader]'s [other
parent/other parental figure]] does not have an email address.
99=You
don't know.
HP0NONRESINFO
Question
Wording:
What are the name,
address, and telephone numbers of [Student's
first name/your 9th-grader]'s non-resident parent?
Name:
Item
Name: HP0NONRESFNM
Item
Wording: First Name:
Item
Name: HP0NONRESMNM
Item
Wording: Middle Name:
Item
Name: HP0NONRESLNM
Item
Wording: Last Name:
Item
Name: HP0NONRESSUF
Item
Wording: Suffix:
Question
Wording:
Address:
Item
Name: HP0NONRESAD1
Item
Wording: Street address:
Item
Name: HP0NONRESCY
Item
Wording: City:
Item
Name: HP0NONRESST
Item
Wording: State:
Item
Name: HP0NONRESZP
Item
Wording: ZIP Code:
AutoFill
City and State from ZIP Code
Item
Name: HP0NONRESFOR
Item
Wording: Please check here if
the address is an international address.
Item
Name: HP0NONRESFAD
Item
Wording: Foreign Address:
Item
Name: HP0NONRESFCY
Item
Wording: Foreign City:
Item
Name: HP0NONRESFS
Item
Wording: Foreign State/Province:
Item
Name: HP0NONRESFC
Item
Wording: Foreign Country:
Item
Name: HP0NONRESFZ
Item
Wording: Foreign ZIP/Postal Code:
Question
Wording:
Telephone
Numbers:
Item
Name: HP0NONRESCLCD
Item
Wording: Cell phone
number:
Item
Name: HP0NONRESNCEL
98=He/she
does not have a cell phone number.
99=You don't know.
Item
Name: HP0NONRESOTCD
Item
Wording: Other telephone
number:
Item
Name: HP0NONRESNOTL
98=He/she
does not have another telephone number.
99=You don't know.
Item
Name: HP0NONRESOTYP
-9=- Select
phone type-
1=Landline
2=Work
3=Other
HP0INCENTIVE *
Question
Wording:
Thank you. To show our appreciation for completing the survey today, we would like to send you $[Parent incentive].
If you would like [Student's first name/your 9th-grader]'s school to receive this [Parent incentive], please click the "I want to gift my [Parent incentive] to [Student's first name/your 9th-grader]'s school" box below. If you would like to receive this [Parent incentive], please confirm your information.
If the information below is right, click "Next." If the information below is not right or is incomplete, please fix it below, and then click "Next."
(Please allow 4 weeks for delivery.)
If you do not want to receive this [Parent incentive], please click the box below, and then click "Next" to continue.
Item
Name: HP0INC_School
Item
Wording: I want to gift my
[Parent incentive] to [Student's first name/your 9th-grader]'s
school.
Item
Name: HP0INC_NoInc
Item
Wording: I do not want to
receive anything for completing this survey.
Item
Name: HP0INCNAME_LBL
Item
Wording: Name:
Item
Name: HP0INCFIRNAME
Item
Wording: First name:
Item
Name: HP0INCMIDNAME
Item
Wording: Middle name:
Item
Name: HP0INCLSTNAME
Item
Wording: Last name:
Item
Name: HP0INCSUFFIX
Item
Wording: Suffix:
Question
Wording:
Address:
Item
Name: HP0INCAD
Item
Wording: Street address:
Item
Name: HP0INCAD2
Item
Wording:
Item
Name: HP0INCCY
Item
Wording: City:
Item
Name: HP0INCST
Item
Wording: State:
Item
Name: HP0INCZP
Item
Wording: ZIP Code:
AutoFill
City and State from ZIP Code
Item
Name: HP0INCFOR
Item
Wording: Please check here if
the address is an international address.
Item
Name: HP0INCFAD
Item
Wording: Foreign Address:
Item
Name: HP0INCFCY
Item
Wording: Foreign City:
Item
Name: HP0INCFS
Item
Wording: Foreign State/Province:
Item
Name: HP0INCFC
Item
Wording: Foreign Country:
Item
Name: HP0INCFZ
Item
Wording: Foreign ZIP/Postal Code:
HP0INCENTCASH *
Question
Wording:
Thank you. To show our
appreciation for completing the survey today, we would like to give
you [Parent incentive].
Item
Name: HP0INCENTCASH
1=RESPONDENT
HAS BEEN GIVEN THE $[Parent incentive] INCENTIVE.
2=[If survey
mode is = LAPTOP_SELF then fill: I do not want to receive anything
for completing this survey./else fill: RESPONDENT DECLINED
INCENTIVE.]
3=I accept the $[Parent incentive].
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.
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:21!
[If survey mode is = WEB then fill: Be sure to CLOSE ALL browser windows to keep your responses secure. For example, if you used Chrome or Safari to open the survey, make sure no Chrome or Safari windows are open after you end the survey. Not closing all browsers may allow someone else to see your responses. Click "Finish" to complete and close the survey./
else if survey mode is = CATI then fill: (CLICK "Finish" TO RETURN TO THE CATI FRONTEND.)/
else if survey mode is = LAPTOP_SELF then fill: Please return the laptop to the interviewer now.
[If survey mode is = LAPTOP_SELF & HP0INCENTCASH = 2 then fill: INTERVIEWER: RESPONDENT DECLINED THE INCENTIVE.]
[If survey mode is = LAPTOP_SELF & HP0INCENTCASH <> 2 then fill: INTERVIEWER: PAY THE RESPONDENT $[Parent incentive] FOR COMPLETING THE SURVEY.]]
Appendix B5. Parent Questionnaire – Spanish
Table 4. HS&B:21 Full-Scale Parent Questionnaire - Spanish
Form Name |
Form Label |
Change |
Rationale |
Abbreviated |
General |
Applies to multiple forms |
R |
Revised parent fills to reflect revisions to parent relationship response options. Revised calendar year to the correct year (2020-2021 for past year) due to data collection being delayed Updated study name to HS&B:21, and revised study e-mail address where necessary due to the delay of data collection. Added parentheses around text that interviewers were not required to read unless helpful to the respondent and removed parentheses around text that interviewers should read for consistent administration. Replaced / with “or” to aid with interviewer administration. Made text revisions to more closely align with English translation. |
|
HP0IINTRO |
Survey introduction |
|
No change |
* |
HP0CHPERMPAR1 |
Permission for child’s participation – Screen 1 |
|
No change |
* |
HP0CHPERMPAR2 |
Permission for child’s participation – Screen 2 |
R |
Revised wording to make it clear that the parent’s responses will not be individually reported, not just the students. |
* |
HP0RPERMPAR1 |
Parent consent – Screen 1 |
R |
Updated burden estimates (25 minutes for full survey, 10 minutes for abbreviated survey) to reflect decisions made for FS. Added language indicating that the parent could either receive the incentive or it could go to the school. |
* |
HP0RPERMPAR2 |
Parent consent – Screen 2 |
|
No change |
* |
HP0NAVIGATE |
Survey navigation |
R |
Revised question wording to reflect the new timeout limit and to improve instructions relating to security. Revised help text wording to be more accurate on how to close the help text box. Added instruction related to the language toggle feature. |
* |
HP0LIVWCH |
Lives with child |
|
No change |
* |
HP0KNOWCH |
Knows about child |
|
No change |
* |
HP0ELIGPCONT |
Contact information for eligible parent |
R |
Added an item to collect type of phone number (e.g., landline, work, other, cell) for use in contacting respondents. |
* |
HP0EXIT |
Exit for ineligible parents |
R |
Added to abbreviated instrument |
* |
HP0STUDNAME |
Verify spelling of child’s name |
|
No change |
* |
HP0CHSEX1 |
Child’s sex – verify |
|
No change |
* |
HP0CHSEX2 |
Child’s sex – collect |
|
No change |
* |
HP0AINTRO |
Section A introduction |
|
No change |
|
HP0SCHASSIGN |
Assigned school or school chosen |
|
No change |
|
HP0NOCHANGSCH |
Number of times child changed schools |
|
No change |
|
HP0NONUSSCH |
Child ever attended school outside US |
D |
Dropped due to sensitivity of questions related to nativity, per TRP recommendation. |
|
HP0NONUSGRADE |
Grades completed outside US |
D |
Dropped due to sensitivity of questions related to nativity, per TRP recommendation. |
|
HP0BGNUSGRADE |
Grade placement when starting school in US |
D |
Dropped due to sensitivity of questions related to nativity, per TRP recommendation. |
|
HP0REPEATGRD |
Child repeated grades and grades repeated |
|
No change |
|
HP0SKIPPDGRAD |
Child skipped grades and grade skipped |
|
No change |
|
HP0EVGIFTTAL |
Child participated in gifted and talented program |
A |
Added to capture more information on educational experiences. |
|
HP0SUSPEXPEL |
Child suspended or expelled |
D |
Dropped due to addition of HP0NUMSUSPEXP. |
|
HP0NUMSUSPEXP |
Times child suspended or expelled |
A |
Added to capture more information on disciplinary actions, per TRP recommendation. |
|
HP0TYPSUSPEXP |
Type of child’s suspension or expulsion |
A |
Added to capture more information on disciplinary actions, per TRP recommendation. |
|
HP0RSNSUSPEXP |
Reason child suspended or expelled |
A |
Added to capture more information on disciplinary actions, per TRP recommendation. |
|
HP0DAYSUSPEXP |
Days child suspended or expelled |
A |
Added to capture more information on disciplinary actions, per TRP recommendation. |
|
HP0EVDROPOUT |
Child ever dropped out |
R |
Revised question wording for clarification. Dropped from abbreviated survey to reduce respondent burden. |
|
HP0PLCEHMWRK |
Place set aside for homework |
A |
Added to capture more information about educational support at home, per TRP recommendation. |
|
HP0DEVINHOME |
Computer/device in home for schoolwork |
|
No change |
|
HP0DEVINTACC |
Computer/device with internet access in home |
|
No change |
|
HP0BINTRO |
Section B introduction |
|
No change |
|
HP0RESPREL |
Respondent’s relationship to child |
R |
Revised response options and help text, per cognitive testing results. |
* |
HP0OPINHOUSE |
Number of parents in household |
|
No change |
* |
HP0OPRELID |
Parents’ relationships to child |
R |
Revised response options and added help text, per cognitive testing results. |
* |
HP0P1SPPTR |
Spouse or partner in household |
|
No change |
* |
HP0SPPTRRELID |
Spouse/partner’s relationship to child |
R |
Revised response options and help text, per cognitive testing results. |
* |
HP0OTHADULT |
Other adult with parental responsibility |
|
No change |
* |
HP0OTHREL |
Other adult’s relationship to child |
R |
Revised response options and help text, per cognitive testing results. |
* |
HP0MARSTAT |
Marital status |
|
No change |
* |
HP0TIMELIV |
Amount of time living with child |
|
No change |
|
HP0OTHLIVW |
Who child lives with when not living with respondent |
|
No change |
|
HP0NRESP |
Non-resident parent |
|
No change |
|
HP0CNTCTNRESP |
Child contact with non-resident parent |
|
No change |
|
HP0NOINHOUSE |
Number of people in household |
R |
Revised question wording to provide more direction to respondents on who to include in response, per cognitive testing results. |
* |
HP0NOSIB |
Number of siblings in household |
R |
Revised question wording to provide more direction to respondents on who to include in response, per cognitive testing results. Added check box for no siblings in household, to reduce respondent burden and nonresponse. |
|
HP0NOSIBINHS |
Number of siblings in high school |
R |
Revised question wording to provide more direction to respondents on who to include in response, per cognitive testing results. |
|
HP0NOSIBGRDHS |
Number of siblings who graduated high school |
R |
Revised question wording to provide more direction to respondents on who to include in response, per cognitive testing results. Added a new item so respondents could indicate whether there are no siblings in any household. |
|
HP0NOSIBPSEC |
Number of siblings who continued education after high school |
R |
Revised question wording to provide more direction to respondents on who to include in response, per cognitive testing results. |
|
HP0CINTRO |
Section C introduction |
|
No change |
|
HP0P1HISPANIC |
Parent 1: Hispanic or Latino/Latina |
|
Added conditional wording for “Latino or Latina” when respondent’s sex is unknown. |
* |
HP0P1HISPETH |
Parent 1: Hispanic country of origin |
R |
Dropped from abbreviated survey to reduce respondent burden. Added conditional wording for “Latino or Latina” when respondent’s sex is unknown. Removed other specify item. |
|
HP0P1RACE |
Parent 1: Race |
|
No change |
* |
HP0P1ASIANETH |
Parent 1: Asian country of origin |
R |
Dropped from abbreviated survey to reduce respondent burden. Removed other specify item. |
|
HP0P1BIRTHYEAR |
Parent 1: Birth year |
R |
Revised instructions for format of birth year to account for a wider range of birth years. |
|
HP0P1BORNUS |
Parent 1: Born in the US |
D |
Dropped due to sensitivity of questions related to nativity, per TRP recommendation. |
|
HP0P1BRNCNTRY |
Parent 1: Country of birth |
D |
Dropped due to sensitivity of questions related to nativity, per TRP recommendation. |
|
HP0P1YEARINUS |
Parent 1: First year permanently in US |
D |
Dropped due to sensitivity of questions related to nativity, per TRP recommendation. |
|
HP0P2HISPANIC |
Parent 2: Hispanic or Latino/Latina |
R |
Added conditional wording for “Latino or Latina” when parent’s sex is unknown. |
* |
HP0P2HISPETH |
Parent 2: Hispanic country of origin |
R |
Dropped from abbreviated survey to reduce respondent burden. Added conditional wording for “Latino or Latina” when parent’s sex is unknown. Removed other specify item. |
|
HP0P2RACE |
Parent 2: Race |
|
No change |
* |
HP0P2ASIANETH |
Parent 2: Asian country of origin |
R |
Dropped from abbreviated survey to reduce respondent burden. Removed other specify item. |
|
HP0P2BIRTHYEAR |
Parent 2: Birth year |
R |
Revised instructions for format of birth year to account for a wider range of birth years. |
|
HP0P2BORNUS |
Parent 2: Born in the US |
D |
Dropped due to sensitivity of questions related to nativity, per TRP recommendation. |
|
HP0P2BRNCNTRY |
Parent 2: Country of birth |
D |
Dropped due to sensitivity of questions related to nativity, per TRP recommendation. |
|
HP0P2YEARINUS |
Parent 2: First year permanently in US |
D |
Dropped due to sensitivity of questions related to nativity, per TRP recommendation. |
|
HP0CBIRTHDATE |
Child’s date of birth |
R |
Revised response options to account for full-scale students being 2 years younger than field test students due to delay in data collection. Dropped from abbreviated survey to reduce respondent burden. |
|
HP0CHHISPANIC |
Child’s Hispanic or Latino/Latina |
R |
Added conditional wording for “Latino or Latina” when student’s sex is unknown. |
* |
HP0CHHISPETH |
Child’s Hispanic country of origin |
R |
Dropped from abbreviated survey to reduce respondent burden. |
|
HP0CHRACE |
Child’s race |
R |
Added conditional wording for “Latino or Latina” when student’s sex is unknown. Removed other specify item. |
* |
HP0CHASIANETH |
Child’s Asian country of origin |
R |
Dropped from abbreviated survey to reduce respondent burden. Removed other specify item. |
|
HP0CBORNUS |
Child: Born in the US |
D |
Dropped due to sensitivity of questions related to nativity, per TRP recommendation. |
|
HP0CBRNCNTRY |
Child: County of birth |
D |
Dropped due to sensitivity of questions related to nativity, per TRP recommendation. |
|
HP0CYEARINUS |
Child: First year permanently in US |
D |
Dropped due to sensitivity of questions related to nativity, per TRP recommendation. |
|
HP0NENGHOM |
Any non-English language spoken in home |
|
No change |
* |
HP0LANGHOM |
What non-English language(s) spoken in home |
R |
Removed other specify item. |
* |
HP0ENGHOM |
English spoken in home |
|
No change |
* |
HP0RESPLANG |
Language respondent primarily speaks to child in home |
R |
Dropped from abbreviated survey to reduce respondent burden. Removed conditional wording from last response option since HP0NENGHOM was removed from survey. |
|
HP0CHDSPELANG |
Language primarily spoken by child to respondent in home |
R |
Dropped from abbreviated survey to reduce respondent burden. Removed conditional wording from last response option since HP0NENGHOM was removed from survey. |
|
HP0CHDEVERELL |
Child ever enrolled in English language program |
R |
Dropped from abbreviated survey to reduce respondent burden. |
|
HP0CHDCURRELL |
Child currently enrolled in English language program |
R |
Dropped from abbreviated survey to reduce respondent burden. |
|
HP0DIFPARLANG |
Language other than English: Difficulty of school participation as parent |
|
No change |
|
HP0DINTRO |
Section D introduction |
|
No change |
|
HP0INFLCOURSE |
Who most influences child’s courses in high school |
|
No change |
|
HP0NRESPEDDEC |
Non-resident parent participation in education decisions |
|
No change |
|
HP0ADV |
Parent discusses education/careers with child |
|
No change |
|
HP0TALKDPSEC |
Family member discussed requirements for postsecondary education with teacher/counselor |
|
No change |
|
HP0DESRDLEVED |
Desired level of education for child |
|
No change |
* |
HP0EXPCTLEVED |
Expected level of education for child |
|
No change |
* |
HP0HLPPAYCHED |
Planning to assist child with postsecondary costs |
|
No change |
|
HP0AMTSVDCHED |
How much expect to set aside for postsecondary costs |
R |
Added “Don’t know” response option to reduce nonresponse, per analysis of field test data. Revised question wording to better align with HP0HLPPAYCHED and capture money from other family members. |
|
HP0EINTRO |
Section E introduction |
|
No change |
|
HP0P1HIGHEDU |
Parent 1: Highest level of education |
|
No change |
* |
HP0P1EMPLOYED |
Parent 1: Currently work for pay |
|
No change |
* |
HP0P1WRKLEAVE |
Parent 1 on work leave |
|
No change |
* |
HP0P1LOOKWORK |
Parent 1 looking for work |
R |
Dropped from abbreviated survey to reduce respondent burden. |
|
HP0P1WORKSTAT |
Parent 1 work status |
|
No change |
|
HP0P1EVERWORK |
Parent 1: Ever worked for pay |
|
No change |
* |
HP0P1NUMJOB |
Number of jobs parent 1 has |
|
No change |
|
HP0P1HOURWORK |
Parent 1: Work hours per week |
|
No change |
|
HP0P1HOURWANT |
Parent 1: Wants full-time work |
A |
Added to better capture stability in parental employment, per TRP recommendation. |
|
HP0P1HOURTYPE |
Parent 1: How describes work hours |
A |
Added to better capture stability in parental employment, per TRP recommendation. Added conditional wording to use the same universe used for other employment forms in this section. |
|
HP0P1JOB |
Parent 1: Occupation |
|
No change |
* |
HP0P1JOBDUTY |
Parent 1 job duties |
|
No change |
* |
HP0P1MILITARY |
Parent 1: Currently in military |
|
No change |
|
HP0P2HIGHEDU |
Parent 2: Highest level of education |
|
No change |
* |
HP0P2EMPLOYED |
Parent 2: Currently work for pay |
|
No change |
* |
HP0P2WRKLEAVE |
Parent 2 on work leave |
|
No change |
* |
HP0P2LOOKWORK |
Parent 2 looking for work |
R |
Dropped from abbreviated survey to reduce respondent burden. |
|
HP0P2WORKSTAT |
Parent 2 work status |
|
No change |
|
HP0P2EVERWORK |
Parent 2: Ever worked for pay |
|
No change |
* |
HP0P2NUMJOB |
Number of jobs parent 2 has |
|
No change |
|
HP0P2HOURWORK |
Parent 2: Work hours per week |
|
No change |
|
HP0P2HOURWANT |
Parent 2: Wants full-time work |
A |
Added to better capture stability in parental employment, per TRP recommendation. |
|
HP0P2HOURTYPE |
Parent 2: How describes work hours |
A |
Added to better capture stability in parental employment, per TRP recommendation. Added conditional wording to HP0P2HOURTYPE use the same universe used for other employment forms in this section. |
|
HP0P2JOB |
Parent 2: Occupation |
|
No change |
* |
HP0P2JOBDUTY |
Parent 2 job duties |
|
No change |
* |
HP0P2MILITARY |
Parent 2: Currently in military |
|
No change |
|
HP0HOUSEINCOM |
Household income |
|
No change |
* |
HP0INCOMRANG1 |
Household income range (broad categories) |
|
No change |
* |
HP0INCOMRANG2 |
Household income range (fine categories) |
|
No change |
* |
HP0NUMDEPEN |
Number of dependents |
R |
Added “financially” before the word “dependent” for clarity of interpretation. |
|
HP0FRPLUNCH |
Child receives either free or reduced meals |
R |
Revised wording for clarity of interpretation, especially for CATI administration. |
|
HP0FRPLSPEC |
Free or reduced price |
|
No change |
|
HP0OWNHOME |
Mortgage, rent, or other |
R |
Removed other specify item. |
|
HP0FINTRO |
Section F introduction |
|
No change |
|
HP0CHTIMATADD |
Child’s length of time at current address |
|
No change |
|
HP0CHNORESID |
Number of residences since kindergarten |
|
No change |
|
HP0EATWCHLD |
How often parent eats with child |
|
No change |
|
HP0RKNOWFRND |
Knows child’s friends |
|
No change |
|
HP0TLKPNTFRND |
Talks with parents of child’s friends |
A |
Added to capture intergenerational closure, per TRP recommendation. |
|
HP0TECHRULES |
Family rules for child technology usage |
|
No change |
|
HP0ACTYOUTSCH |
Child activities outside of school |
|
No change |
|
HP0TUTRSUMSCH |
Child tutoring or summer school |
A |
Added to capture use of educational services outside of school, per TRP recommendation. |
|
HP0TUTRSBJCT |
Child tutoring subject(s) |
A |
Added to capture use of educational services outside of school, per TRP recommendation. |
|
HP0SMSCHSBJCT |
Child summer school subject(s) |
A |
Added to capture use of educational services outside of school, per TRP recommendation. |
|
HP0CHHEALTH |
Evaluation of child’s overall health |
R |
Revised question wording to incorporate transitional language from tutoring/questions about school into health-related subjects. |
* |
HP0DNTLVISIT |
Time since child’s last dental visit |
A |
Added to capture access to medical care, per TRP recommendation. |
|
HP0HLTHVISIT |
Time since child’s last health care visit |
A |
Added to capture access to medical care, per TRP recommendation. |
|
HP0EVRASTHMA |
Ever told child has asthma |
A |
Added to better capture chronic health conditions, per TRP recommendation. |
|
HP0HSPASTHMA |
Child ever visited emergency room/hospitalized for asthma |
A |
Added to better capture chronic health conditions, per TRP recommendation. |
|
HP0DAYSSICK |
Missed school because of health issues |
R |
Revised question wording to provide clarification to not include half-days. |
|
HP0CHHAS504 |
Child has 504 plan |
|
No change |
|
HP0CHEVERIEP |
Child ever had IEP/ISP |
|
No change |
* |
HP0CHHASIEP |
Child currently has IEP/ISP |
R |
Removed conditional language so respondents are asked about both IEPs and ISPs. |
* |
HP0CHNEEDSIEP |
Child should have IEP/ISP |
R |
Removed conditional language so respondents are asked about both IEPs and ISPs. |
|
HP0IEPMTG |
IEP/ISP meeting in past 12 months |
R |
Removed conditional language so respondents are asked about both IEPs and ISPs. |
|
HP0EVALPROF |
Child evaluated by professional |
A |
Added to better capture chronic health conditions, per TRP recommendation. |
|
HP0EVRDIAGNOS |
Child ever given diagnosis |
A |
Added to better capture chronic health conditions, per TRP recommendation. |
|
HP0CHDIAGNOS |
Child’s diagnosis |
R |
Revised question wording and removed item for never diagnosed, due to addition of HP0EVRDIAGNOS. |
|
HP0ADDMEDS |
Child taking ADD/ADHD medication |
|
No change |
|
HP0EARACHE |
Child ever have earache |
A |
Added to complement hearing assessment. |
|
HP0EARTUBES |
Child ever had ear tubes |
A |
Added to complement hearing assessment. |
|
HP0HEARTEST |
Child ever tested by hearing specialist |
A |
Added to complement hearing assessment. |
|
HP0HEARDIAG |
Diagnosis by hearing specialist |
A |
Added to complement hearing assessment. |
|
HP0HRDIAGTYP |
Type of hearing diagnosis |
A |
Added to complement hearing assessment. |
|
HP0RECHRDEV |
Hearing specialist recommended a hearing device |
A |
Added to complement hearing assessment. |
|
HP0CHRONNOISE |
Chronic noise exposure |
A |
Added to complement hearing assessment. |
|
HP0ACUTNOISE |
Acute noise exposure |
A |
Added to complement hearing assessment. |
|
HP0LIINTRO |
Locating section introduction |
R |
Simplified wording to indicate that we would ask about other parent(s) or parental figure(s) who live in the household. |
|
HP0NAME |
Verify respondent identity |
|
No change |
* |
HP0RCNTCTINF1 |
Respondent contact information – name and address |
R |
Revised question wording to fill based on response to HP0NAME. |
* |
HP0RCNTCTINF2 |
Respondent contact information – phones and email |
R |
Revised question and item wording to collect other phone rather than home phone, and added item for other phone type. Revisions will improve locating and tracing. |
* |
HP0SSN |
Respondent’s and child’s social security numbers – whole number |
D |
Dropped due to sensitivity of questions on social security numbers. |
|
HP0LAST4SSN |
Respondent’s and child’s social security numbers – last 4 digits |
D |
Dropped due to sensitivity of questions on social security numbers. |
|
HP0P1CNTCTINF |
Parent 1’s contact information |
R |
Revised question wording and added items to collect other phone and other phone type, to improve locating and tracing. |
* |
HP0P2CNTCTINF |
Parent 2’s contact information |
R |
Revised question wording and added items to collect other phone and other phone type, to improve locating and tracing. |
|
HP0NONRESINFO |
Non-resident parent name, address and phones |
R |
Revised item wording to collect other rather than home phone, and added item for other phone type. Revisions will improve locating and tracing. |
|
HP0INCENTSEL |
Incentive selection |
D |
Dropped this form because non-monetary incentives for parents will not be used in the full-scale study. |
|
HP0INCENTIVE |
Incentive name and address |
R |
Added language and a checkbox to allow parent to indicate that they wish to gift their incentive to the school. |
* |
HP0INCENTCASH |
Cash incentive |
R |
Removed “in cash” from that statement to allow for greater flexibility in the type of incentive offered. Revised third response option to remove “Thank you” since the respondent does not need to thank NCES. Removed “offer” wording so the incentive doesn’t sound coercive. |
* |
HP0REINTSEL |
Reinterview selection message |
D |
Dropped due to lack of full-scale reinterview. |
|
HP0PREEND |
Pre-end screen |
|
No change |
* |
HP0END |
End screen |
R |
Added an additional reminder to close browser for security reasons. |
* |
HS&B:21 Parent Survey – Spanish – Base Year Full-Scale
HP0IINTRO *
Question
Wording:
Bienvenido(a) al
estudio Durante y Después de High
School 2021 (High
School and Beyond Longitudinal Study of 2021 o HS&B:21,
por sus siglas en inglés). Para comenzar, tenemos algunas
preguntas para confirmar que usted es elegible para contestar esta
encuesta.
Para continuar, por favor haga clic en el botón
que dice “Siguiente.”
HP0CHPERMPAR1 *
Question
Wording:
[Student's first
name/Su estudiante de 9º grado] ha sido seleccionado(a) para
participar en el estudio Durante y Después de High
School 2021 (HS&B:21).
Recientemente le enviamos materiales que explican que HS&B:21 es
un estudio que sigue a los adolescentes como [Student's first name/su
estudiante de 9º grado] a través de high
school y luego de salir de la
escuela secundaria. El estudio también se enfoca en el impacto
de la experiencia escolar en el aprendizaje de los adolescentes y en
sus decisiones sobre su educación y sobre carreras.
La
participación de [Student's first name/su estudiante de 9º
grado] en HS&B:21 es de fundamental importancia para el éxito
del estudio. Estamos pidiendo que [Student's first name/su estudiante
de 9º grado] complete una encuesta sobre sí mismo(a) y
sobre sus experiencias y que también conteste algunas
preguntas de matemáticas [If reading examination is being
administered then fill: y lectura]. [If vision and hearing
examinations are being administered then fill: Además vamos a
pedirle a [Student's first name/su estudiante de 9º grado] que
complete una evaluación de la vista y la audición cuyos
resultados tal vez usted reciba.] La sesión para los
estudiantes no tomará más de 90 minutos. [If student
receives incentive then fill: Su estudiante de 9º grado recibirá
un certificado del Departamento de Educación de los Estados
Unidos equivalente a 2 horas de servicio comunitario y un pequeño
regalo como agradecimiento por participar.]
Para
continuar, por favor haga clic en el botón que dice
“Siguiente.”
HP0CHPERMPAR2 *
Question
Wording:
Completar la encuesta es voluntario y no hay penalidades por no participar. [Student's first name/Su estudiante de 9º grado] también puede dejar sin contestar cualquier pregunta que prefiera no responder. El riesgo de participar en este estudio es mínimo, debido a los procedimientos estrictos para proteger la confidencialidad y la seguridad de la información, como las leyes lo exigen. El Centro Nacional para Estadísticas de Educación (NCES) está autorizado a hacer el estudio HS&B:21 por el Acta de la Reforma de Educación de 2002 (ESRA 2002, 20 U.S.C. §9543) y a obtener expedientes escolares de los estudiantes, de agencias o instituciones educativas con el propósito de evaluar programas educativos que cuentan con apoyo a nivel federal bajo la Ley de Derechos Educativos y Privacidad Familiar (FERPA, 34 CFR §§ 99.31(a)(3)(iii) y 99.35). La recolección de datos la está llevando a cabo en nombre de NCES la firma RTI International, una organización sin fines de lucro que realiza estudios y está basada en los Estados Unidos. Todos los datos que su estudiante de 9º grado proporcione podrán usarse solamente para propósitos estadísticos y no podrán divulgarse ni usarse de manera que permita identificar a los participantes para ningún otro propósito a menos que lo exija alguna ley (20 U.S.C. §9573 y 6 U.S.C. §151).
La información que se obtenga se combinará con la de otros participantes para producir reportes estadísticos; ningún nombre se asociará a las respuestas de ningún participante. Además, las respuestas suyas y de [Student's first name/su estudiante de 9º grado] no se reportarán de manera individual a su escuela ni tampoco pueden reportarse a los padres. Si usted tiene preguntas sobre el estudio, puede ponerse en contacto con la Línea de Ayuda del estudio llamando al teléfono gratuito 855-500-1439 o puede enviar un correo electrónico a [Study e-mail address]. Por favor incluya su número de identificación del estudio cuando nos llame o nos escriba para que le podamos asistir más fácilmente. Si usted tiene preguntas sobre los derechos de [Student's first name/su estudiante de 9º grado] como participante en un estudio, puede ponerse en contacto con la Oficina de Protección de Participantes en Estudios de RTI llamando al 919-316-3358 en Durham, NC (o al teléfono gratuito 866-214-2043) o enviar un correo electrónico a [email protected].
Para revisar una copia de la carta que le enviamos, haga clic aquí.
Para revisar el folleto del estudio, haga clic aquí.
¿Puede [Student's first name/su estudiante de 9º grado] participar en el estudio cuando [él/ella/su estudiante de 9º grado/[Student's first name]] esté disponible?
Item
Name: HP0CHPERMPAR2
1=Sí
0=No
HP0RPERMPAR1 *
Question
Wording:
If permission for child was not needed or the survey is being done in the field (survey mode is in (LAPTOP_SA, LAPTOP_SELF, LAPTOP_PHONE)): [Lo que sigue es algo de información sobre este estudio—Durante y Después de High School 2021 (HS&B:21)—el cual también se describe en los materiales que le enviamos recientemente. HS&B:21 es un estudio que sigue a los adolescentes a través de la escuela secundaria o superior y más allá. El estudio también se enfoca en el impacto de la experiencia escolar en el aprendizaje de los adolescentes y en sus decisiones sobre su educación y sobre carreras.
Para revisar una copia de la carta que le enviamos, haga clic aquí.
Para revisar el folleto del estudio, haga clic aquí. ]
If survey mode is in (LAPTOP_SA, LAPTOP_SELF, LAPTOP_PHONE): [Dado que [Student's first name/su estudiante de 9º grado] ha sido seleccionado(a) para participar en HS&B:21, quisiéramos que usted participe en la encuesta también.] Else if permission was not granted (HP0CHPERMPAR2 in (0, no response)): [Aunque usted no desea que [Student's first name/su estudiante de 9º grado] participe en HS&B:21, igualmente quisiéramos que usted participe en la encuesta.] Else [Dado que [Student's first name/su estudiante de 9º grado] ha sido seleccionado(a) para participar en HS&B:21, quisiéramos que usted participe en la encuesta también.]
All parents: Al participar en este importante estudio, usted está representando a padres y tutores de adolescentes que no fueron seleccionados para participar en el estudio. En promedio, la encuesta de padres toma unos [10/25] minutos. Usted puede negarse a contestar cualquier pregunta o parar la encuesta en cualquier momento; sin embargo, su participación es esencial para el éxito del estudio. Si usted es elegible para la encuesta, le [If survey mode is in (LAPTOP_SELF, LAPTOP_SA): daremos/ else: enviaremos] a usted o a la escuela de [Student's first name/su estudiante de 9º grado] $[Parent incentive] después que usted complete su encuesta como muestra de nuestro agradecimiento.
If
permission for child was not needed :
Para
continuar, por favor haga clic en el botón que dice
“Siguiente.”
If permission for child was needed : [ Cuando esté listo(a) para comenzar, por favor haga clic en el botón "Siguiente" para continuar. ]
HP0RPERMPAR2 *
Question
Wording:
El Centro Nacional
para Estadísticas de Educación (NCES) está
autorizado a hacer el estudio HS&B:21 por el Acta de la Reforma
de Educación de 2002 (ESRA 2002, 20 U.S.C. §9543). La
recolección de datos la está llevando a cabo en nombre
de NCES la firma RTI International, una organización sin fines
de lucro que realiza estudios y está basada en los Estados
Unidos. Todos los datos que usted proporcione podrán usarse
solamente para propósitos estadísticos y no podrán
divulgarse ni usarse de manera que permita identificar a los
participantes para ningún otro propósito a menos que lo
exija alguna ley (20 U.S.C. §9573 y 6 U.S.C. §151). El
riesgo de participar es mínimo, debido a los estrictos
procedimientos de confidencialidad y seguridad establecidos.
Si
usted tiene preguntas sobre el estudio, puede ponerse en contacto con
la Línea de Ayuda del estudio llamando al teléfono
gratuito 855-500-1439 o puede enviar un correo electrónico a
[Study e-mail address]. Por favor incluya su número de
identificación del estudio cuando nos llame o nos escriba para
que le podamos asistir más fácilmente. Si usted tiene
preguntas sobre sus derechos como participante en un estudio, puede
ponerse en contacto con la Oficina de Protección de
Participantes en Estudios de RTI llamando al 919-316-3358 en Durham,
NC (o al teléfono gratuito 866-214-2043) o enviar un correo
electrónico a [email protected].
Cuando
esté listo(a) para comenzar, por favor haga clic en el botón
"Siguiente" para continuar.
HP0NAVIGATE *
Question
Wording:
¡Muchas gracias
por participar! Antes de empezar, aquí tenemos algunas
sugerencias útiles:
- Para contestar las preguntas,
seleccione en la pantalla la opción que represente su
respuesta.
- Conteste cada pregunta lo más preciso
posible; si es necesario, puede dar una respuesta aproximada.
-
Haga clic en el botón que dice “Siguiente” para
guardar sus respuestas y continuar.
- Haga clic en el botón "Anterior" para volver a la pantalla anterior.
-
Para ver una traducción al
inglés, haga clic en el botón de "ENGLISH"
arriba de todo en su pantalla.
- Algunas preguntas tienen una
explicación que ayuda a comprender la pregunta o las posibles
respuestas. Haga clic en el símbolo de "AYUDA" en la
parte de arriba de la pantalla o en el símbolo de ayuda en la
encuesta para ver el texto de la explicación de ayuda. El
símbolo de "AYUDA" arriba de la pantalla es donde
también encontrará el número gratuito telefónico
para pedir ayuda.
- Si necesita interrumpir y salir de la
encuesta en cualquier momento, haga clic en el botón de
"SALIR" que está en la esquina de arriba a la
izquierda de su pantalla y cierre el navegador (no solamente la tab o
pestaña en que se encuentra). Cuando vuelva a entrar en la
encuesta, aparecerá directamente en la pantalla en que usted
se salió.
- Para proteger su información, la
sesión terminará si la encuesta está inactiva
por más de 10 minutos.
Para continuar, por
favor haga clic en el botón que dice “Siguiente.”
Help
Text:
Para pantallas con texto
de ayuda específico, esto le dará información
sobre una frase o frases en particular o sobre una o más
opciones de respuesta. Para pantallas sin texto de ayuda específico,
esto le dará información sobre cómo comunicarse
con la Línea de Ayuda. Haga clic en la X que está en la
esquina de arriba a la derecha o en el botón de “Cerrar”
que está en la esquina de abajo a la derecha para cerrar el
recuadro.
Símbolo de ayuda: Esto le dará información sobre una frase u opción de respuesta en particular. Haga clic en la X que está en la esquina de arriba a la derecha para cerrar el recuadro.
Si tiene alguna pregunta sobre este estudio, puede llamar a la Línea de Ayuda al teléfono 855-500-1439 o puede enviar un correo electrónico a [Study e-mail address].
Horario
de la línea de ayuda: (Todos los horarios son en hora del
Este)
De lunes a jueves: de 9am a 11pm
Viernes: de 9am a
9pm
Sábados: de 9:30am a 6pm
Domingos: de 1pm a
9:30pm
Si
tiene preguntas sobre sus derechos como participante en un estudio,
por favor llame a la Oficina de Protección de Participantes en
Estudios de RTI al teléfono 866-214-2043.
HP0LIVWCH *
Question
Wording:
¿Vive
[Student's first name/su estudiante de 9º grado] [Student's last
name] con usted?
Si [Student's first name/su estudiante de
9º grado] vive normalmente con usted, por favor seleccione "Sí."
Por ejemplo, si [Student's first name/su estudiante de 9º grado]
vive con usted todo el tiempo, una de cada dos semanas, o de alguna
otra forma programada de manera habitual, o si usted está a
cargo de su cuidado por decisión legal.
Item
Name: HP0LIVWCH
1=Sí
0=No
HP0KNOWCH *
Question
Wording:
¿Es usted uno
de los padres, un tutor o guardián legal, o la persona en este
hogar que sabe sobre el desarrollo, la educación escolar y la
vida del hogar de [Student's first name/su estudiante de 9º
grado]?
Item
Name: HP0KNOWCH
1=Sí
0=No
HP0ELIGPCONT *
Question
Wording:
Al equipo de HS&B:21
le gustaría comunicarse con uno de los padres, un tutor o
guardián legal, o la persona que viva con [Student's first
name/su estudiante de 9º grado] y que sepa sobre su desarrollo,
educación escolar y vida del hogar. Por favor ponga el nombre
y la información de contacto de esta persona y un miembro del
equipo se comunicará próximamente.
Item
Name: HP0ELIGPFNAME
Item
Wording: Primer nombre:
Item
Name: HP0ELIGPMNAME
Item
Wording: Segundo nombre:
Item
Name: HP0ELIGPLNAME
Item
Wording: Apellido(s):
Item
Name: HP0ELIGPSUFFX
Item
Wording: Sufijo:
Item
Name: HP0ELIGPTELCD
Item
Wording: Número de
teléfono:
Item
Name: HP0ELIGPTYP
-9=-
Seleccione tipo de teléfono-
1=Teléfono de
tierra
2=Del trabajo
3=Otro
4=
Celular
Item
Name: HP0ELIGPEMAIL
Item
Wording: Correo electrónico:
HP0EXIT *
Question
Wording:
Gracias por su tiempo
y cooperación. [If HP0ELIGPFNAME != no response or
HP0ELIGPLNAME != no response then fill: Nos comunicaremos con
[HP0ELIGPFNAME] [HP0ELIGPMNAME] [HP0ELIGPLNAME] próximamente.]
Aunque usted no es elegible para la encuesta, apreciamos su ayuda
para que el estudio HS&B:21 sea un éxito.
HP0STUDNAME *
Question
Wording:
[¿Cuál
es el nombre completo de su estudiante de 9º grado?/Por favor
confirme que el nombre completo de [Student's
first name/su estudiante de 9º grado] esté
escrito correctamente. Si el nombre de [Student's first name/su
estudiante de 9º grado] no está escrito correctamente,
por favor corríjalo. Si todo está bien escrito, haga
clic en “Siguiente” para continuar. ]
Item
Name: CFNAME
Item
Wording: Primer nombre:
Item
Name: CMNAME
Item
Wording: Segundo nombre:
Item
Name: CLNAME
Item
Wording: Apellido(s):
Item
Name: CSUFFIX
Item
Wording: Sufijo:
HP0CHSEX1 *
Question
Wording:
Sólo para confirmar, nuestros archivos indican que [Student's first name/su estudiante de 9º grado] es [hombre/mujer]. ¿Correcto?
Item
Name: HP0CHSEX1
1=Sí
0=No
HP0CHSEX2 *
Question
Wording:
¿De qué
sexo es [Student's first name/su estudiante de 9º grado]?
Item
Name: HP0CHSEX2
1=Masculino
2=Femenino
HP0AINTRO
Question
Wording:
Ahora nos gustaría
aprender más sobre las experiencias de [Student's first
name/su estudiante de 9º grado] en la escuela.
Para
continuar, por favor haga clic en el botón que dice
“Siguiente.”
HP0SCHASSIGN
Question
Wording:
¿Es [Name of
base year school] una escuela asignada de manera habitual o una
escuela que usted eligió?
Item
Name: HP0SCHASSIGN
1=Asignada
2=Elegida
3=Esta
escuela le fue asignada a [Student's first name/su estudiante de 9º
grado], pero usted la habría elegido si le daban opción.
HP0NOCHANGSCH
Question
Wording:
¿Cuántas
veces ha cambiado [Student's first name/su estudiante de 9º
grado] de escuela desde que entró al kindergarten?
No cuente los cambios al pasar de grado o año o al pasar al
siguiente nivel, como por ejemplo pasar de la escuela primaria a la
escuela intermedia o de la escuela intermedia a high
school en el mismo
distrito.
(Por favor ponga '0' si la respuesta es
ninguna.)
Item
Name: HP0NOCHANGSCH
Item
Wording:
____ vez/veces
HP0REPEATGRD
Question
Wording:
¿Qué
grados o años escolares ha repetido [Student's
first name/su estudiante de 9º grado] desde que entró a
la escuela, si es que repitió alguno?
(Seleccione todo lo
que corresponda.)
Item
Name: HP0REPEATNONE
Item
Wording: No ha repetido ningún
grado o año escolar
Item
Name: HP0REPEATK
Item
Wording: Kindergarten
Item
Name: HP0REPEAT1
Item
Wording: 1º grado
Item
Name: HP0REPEAT2
Item
Wording: 2º grado
Item
Name: HP0REPEAT3
Item
Wording: 3º grado
Item
Name: HP0REPEAT4
Item
Wording: 4º grado
Item
Name: HP0REPEAT5
Item
Wording: 5º grado
Item
Name: HP0REPEAT6
Item
Wording: 6º grado
Item
Name: HP0REPEAT7
Item
Wording: 7º grado
Item
Name: HP0REPEAT8
Item
Wording: 8º grado
Item
Name: HP0REPEAT9
Item
Wording: 9º grado
HP0SKIPPDGRAD
Question
Wording:
¿Qué
grados o años escolares se ha saltado [Student's
first name/su estudiante de 9º grado] desde que entró a
la escuela, si es que se ha saltado alguno?
(Seleccione todo lo
que corresponda.)
Item
Name: HP0SKIPPDNONE
Item
Wording: No se ha saltado
ningún grado o año escolar
Item
Name: HP0SKIPPDK
Item
Wording: Kindergarten
Item
Name: HP0SKIPPD1
Item
Wording: 1º grado
Item
Name: HP0SKIPPD2
Item
Wording: 2º grado
Item
Name: HP0SKIPPD3
Item
Wording: 3º grado
Item
Name: HP0SKIPPD4
Item
Wording: 4º grado
Item
Name: HP0SKIPPD5
Item
Wording: 5º grado
Item
Name: HP0SKIPPD6
Item
Wording: 6º grado
Item
Name: HP0SKIPPD7
Item
Wording: 7º grado
Item
Name: HP0SKIPPD8
Item
Wording: 8º grado
HP0EVGIFTTAL
Question
Wording:
Desde que [Student's
first name/su estudiante de 9º grado] empezó a ir
a kindergarten,
¿alguna vez ha participado en un programa para estudiantes
dotados y talentosos (Gifted and
Talented)?
Item
Name: HP0EVGIFTTAL
1=Sí
0=No
HP0NUMSUSPEXP
Question
Wording:
Desde que [Student's
first name/su estudiante de 9º grado] empezó a ir
a kindergarten,
¿cuántas veces ha sido suspendido(a) o expulsado(a) de
la escuela? No cuente las detenciones (en que [Student's first
name/su estudiante de 9º grado] tuvo que quedarse después
de clases como castigo).
(Por favor seleccione '0' si la
respuesta es ninguna.)
Item
Name: HP0NUMSUSPEXP
0=0
veces
1=1 vez
2=2 veces
3=3 veces
4=4 veces
5=5
veces
6=6 veces
7=7 veces
8=8 veces
9=9
veces
10=10 o más veces
98=Usted no sabe si
[Student's first name/su estudiante de 9º grado] ha sido
suspendido(a) o expulsado(a).
99=[Student's first name/Su
estudiante de 9º grado] ha sido suspendido(a) o expulsado(a)
pero usted no recuerda cuántas veces.
HP0TYPSUSPEXP
Question
Wording:
¿La suspensión
o expulsión [más reciente] fue …
Item
Name: HP0TYPSUSPEXP
1=Una
suspensión dentro de la escuela?
2=Una suspensión
fuera de la escuela?
3=Una expulsión?
HP0RSNSUSPEXP
Question
Wording:
¿Cuál
fue la razón de la suspensión o expulsión [más
reciente]?
(Seleccione
todo lo que corresponda.)
Item
Name: HP0VIOLRULES
Item
Wording: Violaciones repetidas
de las reglas escolares
Item
Name: HP0PROFANITY
Item
Wording: Uso de malas
palabras
Item
Name: HP0THRTNING
Item
Wording: Amenazas a estudiantes
o maestros
Item
Name: HP0DSTRYPROP
Item
Wording: Daño o
destrucción de propiedad de la escuela
Item
Name: HP0WEAPON
Item
Wording: Traer un arma a la
escuela
Item
Name: HP0FIGHTING
Item
Wording: Pelear con otro
estudiante
Item
Name: HP0GANGINGUP
Item
Wording: Agruparse (con uno u
otros más estudiantes) en contra de otro estudiante
Item
Name: HP0EXPLOSIVE
Item
Wording: Amenazar con poner una
bomba en la escuela o dar una falsa alarma de una bomba
Item
Name: HP0ASSAULT
Item
Wording: Atacar a un maestro,
director u otro miembro del personal de la escuela
Item
Name: HP0SUSPEXPOTH
Item
Wording: Otro
Item
Name: HP0SUSPEXPDK
Item
Wording: Usted no sabe.
HP0DAYSUSPEXP
Question
Wording:
¿Por cuántos
días fue la suspensión o expulsión [más
reciente]?
Item
Name: HP0DAYSUSPEXP
Item
Wording: ____ día(s) de
duración de la suspensión o expulsión [más
reciente]
Item
Name: HP0DAYSUSPDK
Item
Wording: Usted no sabe.
Item
Name: HP0PERMEXPEL
Item
Wording: Marque este cuadrito
si [Student's first name/su estudiante de 9º grado] fue
expulsado(a) permanentemente.
HP0EVDROPOUT
Question
Wording:
Desde que [Student's
first name/su estudiante de 9º grado] empezó a ir
a kindergarten,
¿alguna vez dejó de ir a la escuela por un periodo de
un mes o más por algo que no fuera una enfermedad, una lesión
o por vacaciones?
Item
Name: HP0EVDROPOUT
1=Sí
0=No
HP0PLCEHMWRK
Question
Wording:
¿Hay un lugar
determinado en su hogar para que [Student's first name/su estudiante
de 9º grado] haga las tareas escolares?
Item
Name: HP0PLCEHMWRK
1=Sí
0=No
HP0DEVINHOME
Question
Wording:
¿Tiene en su
hogar las siguientes cosas que [Student's first name/su estudiante de
9º grado] puede usar para tareas escolares?
(Seleccione una
opción en cada línea.)
Item
Name: HP0SMARTPHONE
Item
Wording: Teléfono
inteligente o smartphone
Item
Name: HP0TABLET
Item
Wording: Tableta
Item
Name: HP0LAPDESKTOP
Item
Wording: Computadora portátil
(laptop)
o de escritorio
1=Sí,
lo/la comparte con otro miembro de la familia
2=Sí, es de
él/ella
0=No
HP0DEVINTACC
Question
Wording:
¿Tiene [este
dispositivo/alguno de estos dispositivos] acceso a Internet?
Item
Name: HP0DEVINTACC
1=Sí
0=No
HP0BINTRO
Question
Wording:
Ahora vamos a
preguntarle sobre la familia de [Student's first name/su estudiante
de 9º grado].
Para continuar, por favor haga clic en
el botón que dice “Siguiente.”
HP0RESPREL *
Question
Wording:
¿Qué
relación o parentesco tiene usted con [Student's first name/su
estudiante de 9º grado]?
Item
Name: HP0RESPREL
1=Madre
biológica o de nacimiento
2=Padre biológico o de
nacimiento
3=Madre adoptiva
4=Padre
adoptivo
5=Madrastra
6=Padrastro
7=Tía
8=Tío
9=Abuela
10=Abuelo
11=Madre foster o
tutora o guardiana legal
12=Padre foster o
tutor o guardián legal
13=Mujer que es pareja o novia de
uno de los padres, madres o tutores o guardianes de [Student's first
name/su estudiante de 9º grado]
14=Hombre que es pareja o
novio de uno de los padres, madres o tutores o guardianes de
[Student's first name/su estudiante de 9º grado]
15=Otra
madre o tutora o guardiana
16=Otro padre o tutor o guardián
Help
Text:
Madre biológica o de nacimiento: La madre biológica de [Student's first name/su estudiante de 9º grado]. Puede tratarse de la madre que dio a luz al niño(a), pero también podría aplicarse a una madre que usó una madre subrogada o sustituta o a una donante para tener un hijo.
Padre biológico o de nacimiento: El padre biológico de [Student's first name/su estudiante de 9º grado], pero también es aplicable a un padre que usó un donante para tener un hijo.
Madre adoptiva: La mujer que ha adoptado legalmente a [Student's first name/su estudiante de 9º grado] para criarlo(a) como su propio hijo o hija.
Padre adoptivo: El hombre que ha adoptado legalmente a [Student's first name/su estudiante de 9º grado] para criarlo(a) como su propio hijo o hija.
Madre foster o tutora o guardiana legal: Una madre foster es una mujer bajo cuidado han puesto a [Student's first name/su estudiante de 9º grado] de manera temporal, generalmente por medio de una agencia de servicios sociales y/o una corte. Una tutora o guardiana legal es una mujer que ha sido asignada legalmente para estar a cargo de [Student's first name/su estudiante de 9º grado].
Padre foster o tutor o guardián legal: Un padre foster es un hombre bajo cuidado han puesto a [Student's first name/su estudiante de 9º grado] de manera temporal, generalmente por medio de una agencia de servicios sociales y/o una corte. Un tutor o guardián legal es un hombre que ha sido asignado legalmente para estar a cargo de [Student's first name/su estudiante de 9º grado].
Mujer que es pareja o novia de uno de los padres, madres o tutores o guardianes de [Student's first name/su estudiante de 9º grado]: Una mujer que tiene una relación romántica con uno de los padres, madres o tutores o guardianes de [Student's first name/su estudiante de 9º grado] y vive con esa persona sin estar casados.
Hombre que es pareja o novio de uno de los padres, madres o tutores o guardianes de [Student's first name/su estudiante de 9º grado]: Un hombre que tiene una relación romántica con uno de los padres, madres o tutores o guardianes de [Student's first name/su estudiante de 9º grado] y vive con esa persona sin estar casados
Otra madre o tutora o guardiana: Una mujer que se comporta como una madre con [Student's first name/su estudiante de 9º grado], pero no cabe en una de las otras categorías.
Otra padre o tutor o guardián: Un hombre que se comporta como un padre con [Student's first name/su estudiante de 9º grado], pero no cabe en una de las otras categorías.
HP0OPINHOUSE *
Question
Wording:
¿Tiene
[Student's first name/su estudiante de 9º grado] padres
biológicos, padres adoptivos, padrastro o madrastra, o
padres foster que
vivan en su hogar?
Item
Name: HP0OPINHOUSE
1=Sí,
uno de los padres vive en el hogar
2=Sí, ambos padres
viven en el hogar
3=Ninguno de los padres vive en el hogar
HP0OPRELID *
Question
Wording:
¿Qué
relación o parentesco [tiene este padre o esta madre/tienen
estos padres] con [Student's first name/su estudiante de 9º
grado]?
Item
Name: HP0OPRELID1
Item
Wording: Primer(a) Padre/Madre
1=Madre
biológica o de nacimiento
2=Padre biológico o de
nacimiento
3=Madre adoptiva
4=Padre
adoptivo
5=Madrastra
6=Padrastro
11=Madre foster o
tutora o guardiana legal
12=Padre foster o
tutor o guardián legal
Item
Name: HP0OPRELID2
Item
Wording: Segundo(a) Padre/Madre
1=Madre
biológica o de nacimiento
2=Padre biológico o de
nacimiento
3=Madre adoptiva
4=Padre
adoptivo
5=Madrastra
6=Padrastro
11=Madre foster o
tutora o guardiana legal
12=Padre foster o
tutor o guardián legal
Help
Text:
Madre biológica o de nacimiento: La madre biológica de [Student's first name/su estudiante de 9º grado]. Puede tratarse de la madre que dio a luz al niño(a), pero también podría aplicarse a una madre que usó una madre subrogada o sustituta o a una donante para tener un hijo.
Padre biológico o de nacimiento: El padre biológico de [Student's first name/su estudiante de 9º grado], pero también es aplicable a un padre que usó un donante para tener un hijo.
Madre adoptiva: La mujer que ha adoptado legalmente a [Student's first name/su estudiante de 9º grado] para criarlo(a) como su propio hijo o hija.
Padre adoptivo: El hombre que ha adoptado legalmente a [Student's first name/su estudiante de 9º grado] para criarlo(a) como su propio hijo o hija.
Madre foster o tutora o guardiana legal: Una madre foster es una mujer bajo cuidado han puesto a [Student's first name/su estudiante de 9º grado] de manera temporal, generalmente por medio de una agencia de servicios sociales y/o una corte. Una tutora o guardiana legal es una mujer que ha sido asignada legalmente para estar a cargo de [Student's first name/su estudiante de 9º grado].
Padre foster o tutor o guardián legal: Un padre foster es un hombre bajo cuidado han puesto a [Student's first name/su estudiante de 9º grado] de manera temporal, generalmente por medio de una agencia de servicios sociales y/o una corte. Un tutor o guardián legal es un hombre que ha sido asignado legalmente para estar a cargo de [Student's first name/su estudiante de 9º grado].
HP0P1SPPTR *
Question
Wording:
¿Tiene usted
un(a) esposo(a) o pareja que vive en su hogar con usted y [Student's
first name/su estudiante de 9º grado]?
Item
Name: HP0P1SPPTR
1=Sí,
esposo(a)
2=Sí, pareja
3=No
Help
Text:
Pareja: Pareja se refiere
a una persona que tiene con usted una relación romántica
y vive con usted pero no están casados entre ustedes.
HP0SPPTRRELID *
Question
Wording:
¿Qué
relación o parentesco tiene su [esposo(a)/pareja] con
[Student's first name/su estudiante de 9º grado]?
Item
Name: HP0SPPTRRELID
1=Madre
biológica o de nacimiento
2=Padre biológico o de
nacimiento
3=Madre adoptiva
4=Padre
adoptivo
5=Madrastra
6=Padrastro
7=Tía
8=Tío
9=Abuela
10=Abuelo
11=Madre foster o
tutora o guardiana legal
12=Padre foster o
tutor o guardián legal
13=Mujer que es pareja o novia de
uno de los padres, madres o tutores o guardianes de [Student's first
name/su estudiante de 9º grado]
14=Hombre que es pareja o
novio de uno de los padres, madres o tutores o guardianes de
[Student's first name/su estudiante de 9º grado]
15=Otra
madre o tutora o guardiana
16=Otro padre o tutor o guardián
Help
Text:
Madre biológica o de nacimiento: La madre biológica de [Student's first name/su estudiante de 9º grado]. Puede tratarse de la madre que dio a luz al niño(a), pero también podría aplicarse a una madre que usó una madre subrogada o sustituta o a una donante para tener un hijo.
Padre biológico o de nacimiento: El padre biológico de [Student's first name/su estudiante de 9º grado], pero también es aplicable a un padre que usó un donante para tener un hijo.
Madre adoptiva: La mujer que ha adoptado legalmente a [Student's first name/su estudiante de 9º grado] para criarlo(a) como su propio hijo o hija.
Padre adoptivo: El hombre que ha adoptado legalmente a [Student's first name/su estudiante de 9º grado] para criarlo(a) como su propio hijo o hija.
Madre foster o tutora o guardiana legal: Una madre foster es una mujer bajo cuidado han puesto a [Student's first name/su estudiante de 9º grado] de manera temporal, generalmente por medio de una agencia de servicios sociales y/o una corte. Una tutora o guardiana legal es una mujer que ha sido asignada legalmente para estar a cargo de [Student's first name/su estudiante de 9º grado].
Padre foster o tutor o guardián legal: Un padre foster es un hombre bajo cuidado han puesto a [Student's first name/su estudiante de 9º grado] de manera temporal, generalmente por medio de una agencia de servicios sociales y/o una corte. Un tutor o guardián legal es un hombre que ha sido asignado legalmente para estar a cargo de [Student's first name/su estudiante de 9º grado].
Mujer que es pareja o novia de uno de los padres, madres o tutores o guardianes de [Student's first name/su estudiante de 9º grado]: Una mujer que tiene una relación romántica con uno de los padres, madres o tutores o guardianes de [Student's first name/su estudiante de 9º grado] y vive con esa persona sin estar casados.
Hombre que es pareja o novio de uno de los padres, madres o tutores o guardianes de [Student's first name/su estudiante de 9º grado]: Un hombre que tiene una relación romántica con uno de los padres, madres o tutores o guardianes de [Student's first name/su estudiante de 9º grado] y vive con esa persona sin estar casados.
Otra madre o tutora o guardiana: Una mujer que se comporta como una madre con [Student's first name/su estudiante de 9º grado], pero no cabe en una de las otras categorías.
Otro padre o tutor o guardián: Un hombre que se comporta como un padre con [Student's first name/su estudiante de 9º grado], pero no cabe en una de las otras categorías.
HP0OTHADULT *
Question
Wording:
Además de
usted, ¿hay algún otro adulto en el hogar, como un
abuelo o abuela u otro pariente, que tiene responsabilidad por
[Student's first name/su estudiante de 9º grado] como si fuera
el padre o la madre?
Item
Name: HP0OTHADULT
1=Sí
0=No
HP0OTHREL *
Question
Wording:
¿Qué
relación o parentesco tiene ese adulto con [Student's first
name/su estudiante de 9º grado]? Si hay más de un adulto,
por favor conteste acerca del que más participa en la crianza
de [Student's first name/su estudiante de 9º grado].
Item
Name: HP0OTHREL
7=Tía
8=Tío
9=Abuela
10=Abuelo
15=Otra
madre o tutora o guardiana
16=Otro padre o tutor o guardián
Help
Text:
Otra madre o tutora o guardiana: Una mujer que se comporta como una madre con [Student's first name/su estudiante de 9º grado], pero no cabe en una de las otras categorías.
Otro padre o tutor o guardián: Un hombre que se comporta como un padre con [Student's first name/su estudiante de 9º grado], pero no cabe en una de las otras categorías.
HP0MARSTAT *
Question
Wording:
[¿Cuál
es el estado civil actual de usted?/¿Cuál es el estado
civil actual de este padre o esta madre?/¿Qué relación
matrimonial tienen estos padres entre sí actualmente?]
Item
Name: HP0MARSTAT
1=[Casado(a)/Casados(as)]
2=[Divorciado(a)/Divorciados(as)]|
3=[Separado(a)/Separados(as)]
4=[Nunca
se casó/Nunca se casaron]
5=[Viudo(a)/Viudos(as)]
HP0TIMELIV
Question
Wording:
¿Qué
parte del tiempo vive con usted [Student's first name/su estudiante
de 9º grado]?
Item
Name: HP0TIMELIV
1=Todo el
tiempo
2=Más de la mitad del tiempo
3=La mitad del
tiempo
4=Menos de la mitad del tiempo
HP0OTHLIVW
Question
Wording:
¿Con quién
vive [Student's first name/su estudiante de 9º grado] la mayor
parte del tiempo cuando no vive con usted?
Item
Name: HP0OTHLIVW
1=Con otro
padre u otra madre
2=Con otro pariente adulto
3=Con un
amigo o amiga
4=En un internado
5=Con uno o más
tutores o guardianes legales que no son parientes
6=Vive
solo(a)
7=Otro
HP0NRESP
Question
Wording:
¿Tiene
[Student's first name/su estudiante de 9º grado] otra madre u
otro padre (biológico(a) o adoptivo(a)) que viva fuera de su
hogar?
Item Name: HP0NRESP
1=Sí
0=No
HP0CNTCTNRESP
Question
Wording:
¿Tiene
[Student's first name/su estudiante de 9º grado] algún
contacto con este padre o esta madre actualmente?
Item
Name: HP0CNTCTNRESP
1=Sí
0=No
2=[Student's
first name/Su estudiante de 9º grado] nunca ha tenido contacto
con este padre o esta madre.
HP0NOINHOUSE *
Question
Wording:
Quisiéramos
saber cuántas personas viven en
su hogar incluyendo a usted[,
su esposo(a)/, su pareja/, el padre o la madre de [Student's first
name/su estudiante de 9º grado]/, los padres de [Student's first
name/su estudiante de 9º grado]/, [la tía/la otra tía/el
tío/el otro tío/la abuela/la otra abuela/el abuelo/el
otro abuelo/la otra madre o tutora o guardiana/el otro padre o tutor
o guardián/la otra figura paterna o materna] de [Student's
first name/su estudiante de 9º grado]] y [Student's first
name/su estudiante de 9º grado].
Incluya a adultos y niños que estén temporalmente fuera del hogar siempre que no tengan otro hogar permanente. Por ejemplo, incluya a hermanos y hermanas que estén viviendo en una residencia escolar. ¿Cuántas personas que viven en su hogar tienen…
(Por
favor ponga '0' si la respuesta es ninguna.)
Item
Name: HP0NOCINHOUSE
Item
Wording: menores de 18
años?
Item
Name: HP0NOAINHOUSE
Item
Wording: de 18 años de
edad o más?
HP0NOSIB
Question
Wording:
¿Cuántos de los siguientes tipos de hermanos o hermanas viven actualmente en su hogar con usted y [Student's first name/su estudiante de 9º grado]?
No incluya a [Student's first name/su estudiante de 9º grado]. Incluya a hermanos y hermanas que estén temporalmente fuera del hogar siempre que no tengan otro hogar permanente. Por ejemplo, incluya a hermanos y hermanas que estén viviendo en una residencia escolar.
(Por
favor ponga '0' si la respuesta es ninguno(a).)
Item
Name: HP0NOSIBNA
Item
Wording:[Student's first name/Su
estudiante de 9º grado] no tiene hermanos(as) por ambos padres,
hermanos(as) adoptivos(as), medio(a) hermanos(as), hermanastros(as) o
hermanos(as) foster en
su hogar.
Item
Name: HP0NOFULLSIB
Item
Wording: Hermano(s) y/o hermana(s)
de [Student's first name/su estudiante de 9º grado] por ambos
padres
Item
Name: HP0NOADOPSIB
Item
Wording: Hermano(s) adoptivo(s)
y/o hermana(s) adoptiva(s) de [Student's first name/su estudiante de
9º grado]
Item
Name: HP0NOHALFSIB
Item
Wording: Medio hermano(s) y/o
media hermana(s) de [Student's first name/su estudiante de 9º
grado]
Item
Name: HP0NOSTEPSIB
Item
Wording: Hermanastro(s) y/o
hermanastra(s) de [Student's first name/su estudiante de 9º
grado]
Item
Name: HP0NOFOSTSIB
Item
Wording: Hermano(s) y/o
hermana(s) foster de
[Student's first name/su estudiante de 9º grado]
HP0NOSIBINHS
Question
Wording:
¿Cuántos
de los hermanos o hermanas de [Student's first name/su estudiante de
9º grado] que viven actualmente en
su hogar, incluyendo hermanos
adoptivos, medio hermanos, hermanastros y hermanos foster, están
ahora en high
school?
Incluya a
hermanos y hermanas que estén temporalmente fuera del hogar
siempre que no tengan otro hogar permanente. Por ejemplo, incluya a
hermanos y hermanas que estén viviendo en una residencia
escolar.
(Por favor ponga '0' si la respuesta es
ninguno(a).)
Item
Name: HP0NOSIBINHS
Item
Wording: ____ hermanos(as)
en high school
HP0NOSIBGRDHS
Question
Wording:
¿Cuántos
de los hermanos o hermanas de [Student's first name/su estudiante de
9º grado], incluyendo hermanos adoptivos, medio hermanos,
hermanastros y hermanos foster, se
han graduado de high
school?
Incluya
a todos los hermanos y hermanas, no importa dónde vivan.
(Por
favor ponga '0' si ningún hermano o hermana se ha graduado
de high school.)
Item
Name: HP0NOSIBATALL
Item
Wording: [Student's first
name/Su estudiante de 9º grado] no tiene hermanos ni hermanas
en ninguna casa.
Item
Name: HP0NOSIBGRDHS
Item
Wording: hermanos(as) que se
han graduado de high school
HP0NOSIBPSEC
Question
Wording:
¿Cuántos
de los hermanos o hermanas de [Student's first name/su estudiante de
9º grado], incluyendo hermanos adoptivos, medio hermanos,
hermanastros y hermanos foster, han
continuado sus estudios después de high
school?
Incluya
a todos los hermanos y hermanas, no importa dónde vivan.
(Por
favor ponga '0' si ningún hermano o hermana ha continuado sus
estudios después de high
school.)
Item
Name: HP0NOSIBPSEC
Item
Wording: ____ hermanos(as) que
continuaron estudios después de high
school
HP0CINTRO
Question
Wording:
Ahora vamos a preguntarle sobre el origen de [usted/[la madre biológica o de nacimiento/el padre biológico o de nacimiento/la madre adoptiva/el padre adoptivo/la madrastra/el padrastro/la madre foster o tutora o guardiana legal/el padre foster o tutor o guardián legal/el padre o la madre] de [Student's first name/su estudiante de 9º grado]] [If household includes two parents then fill: , [su [esposo(a)/pareja]/[la madre biológica o de nacimiento/el padre biológico o de nacimiento/la madre adoptiva/la otra madre adoptiva/el padre adoptivo/el otro padre adoptivo/la madrasta/el padrastro/la madre foster o tutora o guardiana legal/la otra madre foster o tutora o guardiana legal/el padre foster o tutor o guardián legal/el otro padre foster o tutor o guardián legal/la tía/la otra tía/el tío/el otro tío/la abuela/la otra abuela/el abuelo/el otro abuelo/la madre o tutora o guardiana/la otra madre o tutora o guardiana/el padre o tutor o guardián/el otro padre o tutor o guardián/el otro padre o la otra madre/la otra figura paterna o materna] de [Student's first name/su estudiante de 9º grado]]] y [Student's first name/su estudiante de 9º grado].
Para
continuar, por favor haga clic en el botón que dice
“Siguiente.”
HP0P1HISPANIC *
Question
Wording:
¿Es [usted/[la
madre biológica o de nacimiento/el padre biológico o de
nacimiento/la madre adoptiva/el padre adoptivo/la madrastra/el
padrastro/la madre foster o
tutora o guardiana legal/el padre foster o
tutor o guardián legal/el padre o la madre] de [Student's
first name/su estudiante de 9º grado]][hispano
o latino/hispana o latina/hispano(a) o latino(a)]?
Item
Name: HP0P1HISPANIC
1=Sí
0=No
Help
Text:
[Hispano o latino/Hispana
o latina/Hispano(a) o latino(a)]: [Hispano o latino/Hispana o
latina/Hispano(a) o latino(a)] se refiere a las personas de origen
mexicano, cubano, dominicano, puertorriqueño, centroamericano
o sudamericano o que son descendientes de otra cultura española.
HP0P1HISPETH
Question
Wording:
¿Cuál de
los siguientes describe mejor la ascendencia hispana o latina [de
usted/[de la madre biológica o de nacimiento/del padre
biológico o de nacimiento/de la madre adoptiva/del padre
adoptivo/de la madrastra/del padrastro/de la madre foster o
tutora o guardiana legal/del padre foster o
tutor o guardián legal/del padre o de la madre] de [Student's
first name/su estudiante de 9º grado]]?
(Seleccione todo lo
que corresponda.)
Item
Name: HP0P1MEXICAN
Item
Wording: Mexicana, mexicana
americana o chicana
Item
Name: HP0P1CUBAN
Item
Wording: Cubana
Item
Name: HP0P1DOMINICN
Item
Wording: Dominicana
Item
Name: HP0P1PUERTORI
Item
Wording: Puertorriqueña
Item
Name: HP0P1CENTRALA
Item
Wording: Centroamericana, como
por ejemplo guatemalteca, salvadoreña, nicaragüense,
costarricense, panameña u hondureña
Item
Name: HP0P1SOUTHAM
Item
Wording: Sudamericana, como por
ejemplo colombiana, argentina o peruana
Item
Name: HP0P1OTHRHISP
Item
Wording: Otra hispana o latina
HP0P1RACE *
Question
Wording:
[If HP0P1HISPANIC = 1 then fill: Además de informarnos sobre la ascendencia hispana [de usted/[de la madre biológica o de nacimiento/del padre biológico o de nacimiento/de la madre adoptiva/del padre adoptivo/de la madrastra/del padrastro/de la madre foster o tutora o guardiana legal/del padre foster o tutor o guardián legal/del padre o de la madre] de [Student's first name/su estudiante de 9º grado]], también quisiéramos saber acerca de su origen racial.]
¿Cuál de las siguientes opciones describe la raza [de usted/[de la madre biológica o de nacimiento/del padre biológico o de nacimiento/de la madre adoptiva/del padre adoptivo/de la madrastra/del padrastro/de la madre foster o tutora o guardiana legal/del padre foster o tutor o guardián legal/del padre o de la madre] de [Student's first name/su estudiante de 9º grado]]?
(Seleccione
todo lo que corresponda.)
Item
Name: HP0P1WHITE
Item
Wording: Blanca
Item
Name: HP0P1BLACK
Item
Wording: Negra o
afroamericana
Item
Name: HP0P1ASIAN
Item
Wording: Asiática
Item
Name: HP0P1HAWAIIAN
Item
Wording: Nativa de Hawái
o de otras islas del Pacífico
Item
Name: HP0P1AMERINDI
Item
Wording: India americana o
nativa de Alaska
Help
Text:
Para cumplir con los estándares federales para recopilar información sobre raza y grupo étnico, a las personas de etnicidad hispana o latina se les pregunta su origen racial.
Blanca: Personas con origen o extracción cultural de Europa, el Medio Oriente o del norte de África. Esto incluye, por ejemplo, personas de Alemania, Irlanda, Inglaterra, Italia, Líbano y Egipto.
Negra o afroamericana: Personas de origen o extracción cultural de cualquiera de los grupos raciales negros de África. Esto incluye, por ejemplo, personas afroamericanas y personas de Jamaica, Haití, Nigeria, Etiopía y Somalia.
Asiática: Personas con orígenes en cualquiera de los pueblos originales de oriente, del sudeste asiático y del subcontinente indio. Esto incluye, por ejemplo, a las personas de China, Vietnam, las Filipinas, Corea, India, Japón, Pakistán, Camboya y Laos.
Nativa de Hawái o de otras islas del Pacífico: Personas con orígenes en cualquiera de los pueblos originales de las islas del Pacífico. Esto incluye, por ejemplo, personas de Hawái, Samoa, las Marianas, Tonga, Fiji y las Islas Marshall.
India americana o nativa de Alaska: Personas con orígenes en cualquiera de los pueblos originales de América del Norte, América del Sur o América Central, y que mantienen afiliación tribal o apego a su comunidad. Ejemplos de tribus incluyen Navajo Nation, Blackfeet Tribe, mayas, aztecas, Native Village of Barrow Inupiat Traditional Government y Nome Eskimo Community.
HP0P1ASIANETH
Question
Wording:
¿Cuál de
los siguientes describe mejor la ascendencia asiática [de
usted/[de la madre biológica o de nacimiento/del padre
biológico o de nacimiento/de la madre adoptiva/del padre
adoptivo/de la madrastra/del padrastro/de la madre foster o
tutora o guardiana legal/del padre foster o
tutor o guardián legal/del padre o de la madre] de [Student's
first name/su estudiante de 9º grado]]?
(Seleccione todo lo
que corresponda.)
Item
Name: HP0P1ASIANIND
Item
Wording: India asiática
Item
Name: HP0P1CHINESE
Item
Wording: China
Item
Name: HP0P1FILIPINO
Item
Wording: Filipina
Item
Name: HP0P1JAPANESE
Item
Wording: Japonesa
Item
Name: HP0P1KOREAN
Item
Wording: Coreana
Item
Name: HP0P1VIETNAME
Item
Wording: Vietnamita
Item
Name: HP0P1OTHRASIA
Item
Wording: Otra asiática
HP0P1BIRTHYEAR
Question
Wording:
¿En qué
año nació [usted/[la madre biológica o de
nacimiento/el padre biológico o de nacimiento/la madre
adoptiva/el padre adoptivo/la madrastra/el padrastro/la
madre foster o
tutora o guardiana legal/el padre foster o
tutor o guardián legal/el padre o la madre] de [Student's
first name/su estudiante de 9º grado]]?
(Por favor
ponga su respuesta en este formato: XXXX)
HP0P2HISPANIC *
Question
Wording:
[If HP0OTHADULT = 1 then fill: En las siguientes preguntas, vamos a preguntarle sobre el otro adulto en el hogar que usted indicó tiene responsabilidad por [Student's first name/su estudiante de 9º grado] como si fuera el padre o la madre.]
¿Es [su [esposo(a)/pareja]/[la madre biológica o de nacimiento/el padre biológico o de nacimiento/la madre adoptiva/la otra madre adoptiva/el padre adoptivo/el otro padre adoptivo/la madrasta/el padrastro/la madre foster o tutora o guardiana legal/la otra madre foster o tutora o guardiana legal/el padre foster o tutor o guardián legal/el otro padre foster o tutor o guardián legal/la tía/la otra tía/el tío/el otro tío/la abuela/la otra abuela/el abuelo/el otro abuelo/la madre o tutora o guardiana/la otra madre o tutora o guardiana/el padre o tutor o guardián/el otro padre o tutor o guardián/el otro padre o la otra madre/la otra figura paterna o materna] de [Student's first name/su estudiante de 9º grado]] [hispano o latino/hispana o latina/hispano(a) o latino(a)]?
Item
Name: HP0P2HISPANIC
1=Sí
0=No
Help
Text:
[Hispano o latino/Hispana
o latina/Hispano(a) o latino(a)]: [Hispano o latino/Hispana o
latina/Hispano(a) o latino(a)] se refiere a las personas de origen
mexicano, cubano, dominicano, puertorriqueño, centroamericano
o sudamericano o que son descendientes de otra cultura española.
HP0P2HISPETH
Question
Wording:
¿Cuál de
los siguientes describe mejor la ascendencia hispana o latina [de su
[esposo(a)/pareja]/[de la madre biológica o de nacimiento/del
padre biológico o de nacimiento/de la madre adoptiva/de la
otra madre adoptiva/del padre adoptivo/del otro padre adoptivo/de la
madrasta/del padrastro/de la madre foster o
tutora o guardiana legal/de la otra madre foster o
tutora o guardiana legal/del padre foster o
tutor o guardián legal/del otro padre foster o
tutor o guardián legal/de la tía/de la otra tía/del
tío/del otro tío/de la abuela/de la otra abuela/del
abuelo/del otro abuelo/de la madre o tutora o guardiana/de la otra
madre o tutora o guardiana/del padre o tutor o guardián/del
otro padre o tutor o guardián/del otro padre o de la otra
madre/de la otra figura paterna o materna] de [Student's first
name/su estudiante de 9º grado]]?
(Seleccione todo lo que
corresponda.)
Item
Name: HP0P2MEXICAN
Item
Wording: Mexicana, mexicana
americana o chicana
Item
Name: HP0P2CUBAN
Item
Wording: Cubana
Item
Name: HP0P2DOMINICN
Item
Wording: Dominicana
Item
Name: HP0P2PUERTORI
Item
Wording: Puertorriqueña
Item
Name: HP0P2CENTRALA
Item
Wording: Centroamericana, como
por ejemplo guatemalteca, salvadoreña, nicaragüense,
costarricense, panameña u hondureña
Item
Name: HP0P2SOUTHAM
Item
Wording: Sudamericana, como por
ejemplo colombiana, argentina o peruana
Item
Name: HP0P2OTHRHISP
Item
Wording: Otra hispana o latina
HP0P2RACE *
Question
Wording:
[If HP0P2HISPANIC = 1 then fill: Además de informarnos sobre la ascendencia hispana [de su [esposo(a)/pareja]/[de la madre biológica o de nacimiento/del padre biológico o de nacimiento/de la madre adoptiva/de la otra madre adoptiva/del padre adoptivo/del otro padre adoptivo/de la madrasta/del padrastro/de la madre foster o tutora o guardiana legal/de la otra madre foster o tutora o guardiana legal/del padre foster o tutor o guardián legal/del otro padre foster o tutor o guardián legal/de la tía/de la otra tía/del tío/del otro tío/de la abuela/de la otra abuela/del abuelo/del otro abuelo/de la madre o tutora o guardiana/de la otra madre o tutora o guardiana/del padre o tutor o guardián/del otro padre o tutor o guardián/del otro padre o de la otra madre/de la otra figura paterna o materna] de [Student's first name/su estudiante de 9º grado]], también quisiéramos saber acerca de su origen racial.]
¿Cuál de las siguientes opciones describe la raza [de su [esposo(a)/pareja]/[de la madre biológica o de nacimiento/del padre biológico o de nacimiento/de la madre adoptiva/de la otra madre adoptiva/del padre adoptivo/del otro padre adoptivo/de la madrasta/del padrastro/de la madre foster o tutora o guardiana legal/de la otra madre foster o tutora o guardiana legal/del padre foster o tutor o guardián legal/del otro padre foster o tutor o guardián legal/de la tía/de la otra tía/del tío/del otro tío/de la abuela/de la otra abuela/del abuelo/del otro abuelo/de la madre o tutora o guardiana/de la otra madre o tutora o guardiana/del padre o tutor o guardián/del otro padre o tutor o guardián/del otro padre o de la otra madre/de la otra figura paterna o materna] de [Student's first name/su estudiante de 9º grado]]?
(Seleccione
todo lo que corresponda.)
Item
Name: HP0P2WHITE
Item
Wording: Blanca
Item
Name: HP0P2BLACK
Item
Wording: Negra o
afroamericana
Item
Name: HP0P2ASIAN
Item
Wording: Asiática
Item
Name: HP0P2HAWAIIAN
Item
Wording: Nativa de Hawái
o de otras islas del Pacífico
Item
Name: HP0P2AMERINDI
Item
Wording: India americana o
nativa de Alaska
Help
Text:
Para cumplir con los estándares federales para recopilar información sobre raza y grupo étnico, a las personas de etnicidad hispana o latina se les pregunta su origen racial.
Blanca: Personas con origen o extracción cultural de Europa, el Medio Oriente o del norte de África. Esto incluye, por ejemplo, personas de Alemania, Irlanda, Inglaterra, Italia, Líbano y Egipto.
Negra o afroamericana: Personas de origen o extracción cultural de cualquiera de los grupos raciales negros de África. Esto incluye, por ejemplo, personas afroamericanas y personas de Jamaica, Haití, Nigeria, Etiopía y Somalia.
Asiática: Personas con orígenes en cualquiera de los pueblos originales de oriente, del sudeste asiático y del subcontinente indio. Esto incluye, por ejemplo, a las personas de China, Vietnam, las Filipinas, Corea, India, Japón, Pakistán, Camboya y Laos.
Nativa de Hawái o de otras islas del Pacífico: Personas con orígenes en cualquiera de los pueblos originales de las islas del Pacífico. Esto incluye, por ejemplo, personas de Hawái, Samoa, las Marianas, Tonga, Fiji y las Islas Marshall.
India americana o nativa de Alaska: Personas con orígenes en cualquiera de los pueblos originales de América del Norte, América del Sur o América Central, y que mantienen afiliación tribal o apego a su comunidad. Ejemplos de tribus incluyen Navajo Nation, Blackfeet Tribe, mayas, aztecas, Native Village of Barrow Inupiat Traditional Government y Nome Eskimo Community.
HP0P2ASIANETH
Question
Wording:
¿Cuál de
los siguientes describe mejor la ascendencia asiática [de su
[esposo(a)/pareja]/[de la madre biológica o de nacimiento/del
padre biológico o de nacimiento/de la madre adoptiva/de la
otra madre adoptiva/del padre adoptivo/del otro padre adoptivo/de la
madrasta/del padrastro/de la madre foster o
tutora o guardiana legal/de la otra madre foster o
tutora o guardiana legal/del padre foster o
tutor o guardián legal/del otro padre foster o
tutor o guardián legal/de la tía/de la otra tía/del
tío/del otro tío/de la abuela/de la otra abuela/del
abuelo/del otro abuelo/de la madre o tutora o guardiana/de la otra
madre o tutora o guardiana/del padre o tutor o guardián/del
otro padre o tutor o guardián/del otro padre o de la otra
madre/de la otra figura paterna o materna] de [Student's first
name/su estudiante de 9º grado]]?
(Seleccione todo lo que
corresponda.)
Item
Name: HP0P2ASIANIND
Item
Wording: India asiática
Item
Name: HP0P2CHINESE
Item
Wording: China
Item
Name: HP0P2FILIPINO
Item
Wording: Filipina
Item
Name: HP0P2JAPANESE
Item
Wording: Japonesa
Item
Name: HP0P2KOREAN
Item
Wording: Coreana
Item
Name: HP0P2VIETNAME
Item
Wording: Vietnamita
Item
Name: HP0P2OTHRASIA
Item
Wording: Otra asiática
HP0P2BIRTHYEAR
Question
Wording:
¿En qué
año nació [su [esposo(a)/pareja]/[la madre biológica
o de nacimiento/el padre biológico o de nacimiento/la madre
adoptiva/la otra madre adoptiva/el padre adoptivo/el otro padre
adoptivo/la madrasta/el padrastro/la madre foster o
tutora o guardiana legal/la otra madre foster o
tutora o guardiana legal/el padre foster o
tutor o guardián legal/el otro padre foster o
tutor o guardián legal/la tía/la otra tía/el
tío/el otro tío/la abuela/la otra abuela/el abuelo/el
otro abuelo/la madre o tutora o guardiana/la otra madre o tutora o
guardiana/el padre o tutor o guardián/el otro padre o tutor o
guardián/el otro padre o la otra madre/la otra figura paterna
o materna] de [Student's first name/su estudiante de 9º
grado]]?
(Por favor ponga su respuesta en este formato:
XXXX)
HP0CBIRTHDATE
Question
Wording:
Ahora tenemos algunas
preguntas sobre [Student's first name/su estudiante de 9º
grado].
¿En qué fecha nació [Student's
first name/su estudiante de 9º grado]?
Item
Name: HP0CBIRTHMO
Item
Wording: Mes:
-9=-
Seleccione
mes-
1=enero
2=febrero
3=marzo
4=abril
5=mayo
6=junio
7=julio
8=agosto
9=septiembre
10=octubre
11=noviembre
12=diciembre
Item
Name: HP0CBIRTHDAY
Item
Wording: Día:
-9=-
Seleccione
día-
1=1
2=2
3=3
4=4
5=5
6=6
7=7
8=8
9=9
10=10
11=11
12=12
13=13
14=14
15=15
16=16
17=17
18=18
19=19
20=20
21=21
22=22
23=23
24=24
25=25
26=26
27=27
28=28
29=29
30=30
31=31
Item
Name: HP0CBIRTHYR
Item
Wording: Año:
-9=-Seleccione
año-
2002=2002 o
antes
2003=2003
2004=2004
2005=2005
2006=2006
2007=2007
2008=2008
2009=2009
o después
HP0CHHISPANIC *
Question
Wording:
¿Es [Student's
first name/su estudiante de 9º grado] [hispano
o latino/hispana o latina/hispano(a) o latino(a)]?
Item
Name: HP0CHHISPANIC
1=Sí
0=No
Help
Text:
[Hispano o latino/Hispana
o latina/Hispano(a) o latino(a)]: [Hispano o latino/Hispana o
latina/Hispano(a) o latino(a)] se refiere a las personas de origen
mexicano, cubano, dominicano, puertorriqueño, centroamericano
o sudamericano o que son descendientes de otra cultura española.
HP0CHHISPETH
Question
Wording:
¿Cuál de
los siguientes describe mejor la ascendencia hispana o latina de
[Student's first name/su estudiante de 9º grado]?
(Seleccione
todo lo que corresponda.)
Item
Name: HP0CHMEXICAN
Item
Wording: Mexicana, mexicana
americana o chicana
Item
Name: HP0CHCUBAN
Item
Wording: Cubana
Item
Name: HP0CHDOMINICN
Item
Wording: Dominicana
Item
Name: HP0CHPUERTORI
Item
Wording: Puertorriqueña
Item
Name: HP0CHCENTRALA
Item
Wording: Centroamericana, como
por ejemplo guatemalteca, salvadoreña, nicaragüense,
costarricense, panameña u hondureña
Item
Name: HP0CHSOUTHAM
Item
Wording: Sudamericana, como por
ejemplo colombiana, argentina o peruana
Item
Name: HP0CHOTHRHISP
Item
Wording: Otra hispana o latina
HP0CHRACE *
Question
Wording:
[If HP0CHHISPANIC = 1 then fill: Además de informarnos sobre la ascendencia hispana de [Student's first name/su estudiante de 9º grado], también quisiéramos saber acerca de su origen racial.]
¿Cuál de las siguientes opciones describe la raza de [Student's first name/su estudiante de 9º grado]?
(Seleccione
todo lo que corresponda.)
Item
Name: HP0CHWHITE
Item
Wording: Blanca
Item
Name: HP0CHBLACK
Item
Wording: Negra o
afroamericana
Item
Name: HP0CHASIAN
Item
Wording: Asiática
Item
Name: HP0CHHAWAIIAN
Item
Wording: Nativa de Hawái
o de otras islas del Pacífico
Item
Name: HP0CHAMERINDI
Item
Wording: India americana o
nativa de Alaska
Help
Text:
Para cumplir con los estándares federales para recopilar información sobre raza y grupo étnico, a las personas de etnicidad hispana o latina se les pregunta su origen racial.
Blanca: Personas con origen o extracción cultural de Europa, el Medio Oriente o del norte de África. Esto incluye, por ejemplo, personas de Alemania, Irlanda, Inglaterra, Italia, Líbano y Egipto.
Negra o afroamericana: Personas de origen o extracción cultural de cualquiera de los grupos raciales negros de África. Esto incluye, por ejemplo, personas afroamericanas y personas de Jamaica, Haití, Nigeria, Etiopía y Somalia.
Asiática: Personas con orígenes en cualquiera de los pueblos originales de oriente, del sudeste asiático y del subcontinente indio. Esto incluye, por ejemplo, a las personas de China, Vietnam, las Filipinas, Corea, India, Japón, Pakistán, Camboya y Laos.
Nativa de Hawái o de otras islas del Pacífico: Personas con orígenes en cualquiera de los pueblos originales de las islas del Pacífico. Esto incluye, por ejemplo, personas de Hawái, Samoa, las Marianas, Tonga, Fiji y las Islas Marshall.
India americana o nativa de Alaska: Personas con orígenes en cualquiera de los pueblos originales de América del Norte, América del Sur o América Central, y que mantienen afiliación tribal o apego a su comunidad. Ejemplos de tribus incluyen Navajo Nation, Blackfeet Tribe, mayas, aztecas, Native Village of Barrow Inupiat Traditional Government y Nome Eskimo Community.
HP0CHASIANETH
Question
Wording:
¿Cuál de
los siguientes describe mejor la ascendencia asiática de
[Student's first name/su estudiante de 9º grado]?
(Seleccione
todo lo que corresponda.)
Item
Name: HP0CHASIANIND
Item
Wording: India asiática
Item
Name: HP0CHCHINESE
Item
Wording: China
Item
Name: HP0CHFILIPINO
Item
Wording: Filipina
Item
Name: HP0CHJAPANESE
Item
Wording: Japonesa
Item
Name: HP0CHKOREAN
Item
Wording: Coreana
Item
Name: HP0CHVIETNAME
Item
Wording: Vietnamita
Item
Name: HP0CHOTHRASIA
Item
Wording: Otra asiática
HP0NENGHOM *
Question
Wording:
¿Se habla en su
hogar algún otro idioma que no sea inglés de manera
habitual?
Item
Name: HP0NENGHOM
1=Sí
0=No
HP0LANGHOM *
Question
Wording:
¿Qué
idiomas aparte de inglés se hablan en su hogar de manera
habitual?
(Seleccione todo lo que corresponda.)
Item
Name: HP0SPANISHHOM
Item
Wording: Español
Item
Name: HP0OTHEURHOM
Item
Wording: Un idioma europeo
aparte de español, como por ejemplo francés, alemán
o ruso
Item
Name: HP0CHINESEHOM
Item
Wording: Un idioma chino
Item
Name: HP0FILIPHOM
Item
Wording: Un idioma
filipino
Item
Name: HP0SESTASNHOM
Item
Wording: Un idioma del sudeste
asiático, como por ejemplo vietnamita, tailandés o
camboyano
Item
Name: HP0STHASNHOM
Item
Wording: Un idioma del sur de
Asia, como por ejemplo hindi o tamil
Item
Name: HP0OTHASNHOM
Item
Wording: Otro idioma asiático,
como por ejemplo japonés o coreano
Item
Name: HP0MIDEASTHOM
Item
Wording: Un idioma del Medio
Oriente, como por ejemplo árabe o farsi
Item
Name: HP0OTHLANGHOM
Item
Wording: Otro idioma
HP0ENGHOM *
Question
Wording:
En su hogar, ¿se
habla también inglés de manera habitual?
Item
Name: HP0ENGHOM
1=Sí
0=No
HP0RESPLANG
Question
Wording:
¿En qué
idioma le habla usted a [Student's
first name/su estudiante de 9º grado] generalmente
en su hogar?
Item
Name: HP0RESPLANG
0=Inglés
1=Español
2=Un
idioma europeo aparte de español (por ejemplo francés,
alemán o ruso)
3=Un idioma chino
4=Un idioma
filipino
5=Un idioma del sudeste asiático (por ejemplo
vietnamita, tailandés o camboyano)
6=Un idioma del sur de
Asia (por ejemplo hindi o tamil)
7=Otro idioma asiático
(por ejemplo japonés o coreano)
8=Un idioma del Medio
Oriente (por ejemplo árabe o farsi)
9=Otro idioma
HP0CHDSPELANG
Question
Wording:
¿En qué
idioma le habla [Student's first
name/su estudiante de 9º grado] a usted generalmente
en su hogar?
Item
Name: HP0CHDSPELANG
0=Inglés
1=Español
2=Un
idioma europeo aparte de español (por ejemplo francés,
alemán o ruso)
3=Un idioma chino
4=Un idioma
filipino
5=Un idioma del sudeste asiático (por ejemplo
vietnamita, tailandés o camboyano)
6=Un idioma del sur de
Asia (por ejemplo hindi o tamil)
7=Otro idioma asiático
(por ejemplo japonés o coreano)
8=Un idioma del Medio
Oriente (por ejemplo árabe o farsi)
9=Otro idioma
HP0CHDEVERELL
Question
Wording:
¿Alguna
vez [Student's first name/su
estudiante de 9º grado] ha estado inscrito(a) en un programa
para estudiantes que están aprendiendo inglés (ELLs,
por sus siglas en inglés), tal como Inglés como Segundo
Idioma (ESL, por sus siglas en inglés), inmersión en
inglés o educación bilingüe?
Item
Name: HP0CHDEVERELL
1=Sí
0=No
99=Usted
no sabe.
HP0CHDCURRELL
Question
Wording:
¿Está
[Student's first name/su estudiante de 9º grado]
inscrito(a) actualmente en
un programa para estudiantes que están aprendiendo inglés
(ELLs, por sus siglas en inglés), tal como Inglés como
Segundo Idioma (ESL, por sus siglas en inglés), inmersión
en inglés o educación bilingüe?
Item
Name: HP0CHDCURRELL
1=Sí
0=No
99=Usted
no sabe.
HP0DIFPARLANG
Question
Wording:
¿Qué tan
difícil es para usted participar en actividades en la escuela
de [Student's first name/su estudiante de 9º grado] debido a que
usted u otros miembros de su familia hablan un idioma distinto del
inglés? ¿Diría que…
Item
Name: HP0DIFPARLANG
1=Muy
difícil?
2=Algo difícil?
3=Nada difícil?
HP0DINTRO
Question
Wording:
En esta sección
vamos a preguntarle sobre los planes para el futuro de [Student's
first name/su estudiante de 9º grado].
Para
continuar, por favor haga clic en el botón que dice
“Siguiente.”
HP0INFLCOURSE
Question
Wording:
¿Quién
piensa usted que tendrá la mayor influencia en las decisiones
sobre qué cursos va a tomar [Student's first name/su
estudiante de 9º grado] en high
school?
Item
Name: HP0INFLCOURSE
1=[Student's
first name/Su estudiante de 9º grado]
2=Maestros
3=Consejeros
escolares
4=Padres/Guardianes o tutores legales
5=Otro
pariente o amigo(a) adulto(a)
6=Los amigos de [Student's first
name/su estudiante de 9º grado] de su misma edad
HP0NRESPEDDEC
Question
Wording:
¿Hasta qué
punto el otro padre/madre de [Student's first name/su estudiante de
9º grado] que vive fuera de su hogar participa en decisiones
sobre la educación de [Student's first name/su estudiante de
9º grado] (por ejemplo sobre a qué escuela va o que
cursos va a tomar)?
Item
Name: HP0NRESPEDDEC
1=Nunca
2=Rara
vez
3=Algunas veces
4=Con frecuencia
5=Con mucha
frecuencia
6=Siempre
99=Usted no sabe.
HP0ADV
Question
Wording:
¿Alguna vez
[usted/[la madre biológica o de nacimiento/el padre biológico
o de nacimiento/la madre adoptiva/el padre adoptivo/la madrastra/el
padrastro/la madre foster o
tutora o guardiana legal/el padre foster o
tutor o guardián legal/el padre o la madre] de [Student's
first name/su estudiante de 9º grado]] [If household includes
two parents then fill:y/o [su [esposo(a)/pareja]/[la madre biológica
o de nacimiento/el padre biológico o de nacimiento/la madre
adoptiva/la otra madre adoptiva/el padre adoptivo/el otro padre
adoptivo/la madrasta/el padrastro/la madre foster o
tutora o guardiana legal/la otra madre foster o
tutora o guardiana legal/el padre foster o
tutor o guardián legal/el otro padre foster o
tutor o guardián legal/la tía/la otra tía/el
tío/el otro tío/la abuela/la otra abuela/el abuelo/el
otro abuelo/la madre o tutora o guardiana/la otra madre o tutora o
guardiana/el padre o tutor o guardián/el otro padre o tutor o
guardián/el otro padre o la otra madre/la otra figura paterna
o materna] de [Student's first name/su estudiante de 9º grado]]]
le [dio/dieron] consejos o información a [Student's first
name/su estudiante de 9º grado] sobre las siguientes
cosas?
(Seleccione una opción en cada línea.)
Item
Name: HP0ADVCOURSE
Item
Wording: Seleccionar cursos o
programas en la escuela
Item
Name: HP0ADVCOLEXAM
Item
Wording: Planes y preparación
para exámenes de admisión al college,
por ejemplo el ACT, SAT o ASVAB
Item
Name: HP0ADVAPLYCOL
Item
Wording: Solicitar admisión a
un college o
universidad o a otras escuelas después de high
school
Item
Name: HP0ADVJOBS
Item
Wording: Empleos específicos
a los que [Student's first name/su estudiante de 9º grado]
podría solicitar trabajar después de high
school
1=Sí
0=No
Help
Text:
ASVAB: El ASVAB, o
Batería de Aptitudes Vocacionales para las Fuerzas Armadas,
mide las habilidades desarrolladas y ayuda a predecir un desempeño
exitoso futuro académico y educativo en las fuerzas armadas.
HP0TALKDPSEC
Question
Wording:
¿Usted o
alguien en su familia ha hablado con un consejero o maestro sobre los
requisitos académicos para ser admitido a un college o
a un instituto técnico después de high
school?
Item
Name: HP0TALKDPSEC
1=Sí
0=No
HP0DESRDLEVED *
Question
Wording:
Si no hubiera ningún
obstáculo, ¿hasta dónde querría usted que
llegue [Student's first name/su estudiante de 9º grado] en sus
estudios?
Item
Name: HP0DESRDLEVED
1=Que no
llegue a completar high
school
2=Que complete un
diploma de high school o
su equivalente (por ejemplo, GED, HiSET, TASC)
3=Que complete un
certificado o diploma de una escuela que proporciona entrenamiento
ocupacional, tal como una escuela de oficios
4=Que complete un
grado asociado
5=Que complete una licenciatura o título
de bachelor
6=Que
complete una maestría
7=Que complete un doctorado, título
de médico o abogado, u otro título profesional
avanzado
99=Usted no sabe.
Help
Text:
Que no llegue a completar high school: Que no reciba un diploma de high school o su equivalente.
Que complete un diploma de high school o su equivalente (por ejemplo, GED, HiSET, TASC): Que reciba un diploma común de high school o que complete high school recibiendo algún otro tipo de reconocimiento formal de una escuela o una autoridad del gobierno. Por ejemplo, el GED (Examen de Desarrollo de Educación General), HiSET (Prueba de Equivalencia de High School) y TASC (Prueba de Evaluación Para La Terminación de Secundaria).
Que complete un certificado o diploma de una escuela que proporciona entrenamiento ocupacional, tal como una escuela de oficios: Que reciba un certificado o diploma de una institución educativa que se especializa en entrenamiento para trabajos o habilidades técnicas que se requieren para cumplir las tareas de un trabajo particular y específico. Tales instituciones pueden llamarse escuela de oficios, instituto técnico o escuela vocacional. Ejemplos de trabajos incluyen cosmetología y carpintería.
Que complete un grado asociado: Un grado asociado (AA, AS, AAS, AGE, etc.) normalmente requiere estudios de college a tiempo completo, generalmente por un mínimo de 2 años pero menos de 4.
Que complete una licenciatura o título de bachelor: Un título de bachelor (BA, BS, etc.) generalmente requiere al menos 4 años de estudios de college a tiempo completo.
Que complete una maestría: Una maestría (MA, MS, MBA, MFA, etc.) generalmente requiere al menos 2 años de estudios graduados a tiempo completo y puede requerir una tesis o un prácticum.
Que complete un doctorado, título de médico o abogado, u otro título profesional avanzado: Un Ph.D. o doctorado generalmente requiere al menos 4 años de estudios graduados a tiempo completo y generalmente requiere una disertación. Un título profesional generalmente requiere estudios graduados en una de las siguientes áreas: quiropráctica, odontología, derecho, medicina, optometría, medicina osteopática, farmacia, podiatría, religión o divinidad, o veterinaria.
HP0EXPCTLEVED *
Question
Wording:
Según como van
las cosas por ahora, ¿hasta dónde cree usted que
[Student's first name/su estudiante de 9º grado] realmente
llegará en sus estudios?
Item
Name: HP0EXPCTLEVED
1=Que no
llegará a completar high
school
2=Que completará
un diploma de high school o
su equivalente (por ejemplo, GED, HiSET, TASC)
3=Que completará
un certificado o diploma de una escuela que proporciona entrenamiento
ocupacional, tal como una escuela de oficios
4=Que completará
un grado asociado
5=Que completará una licenciatura o
título de bachelor
6=Que
completará una maestría
7=Que completará
un doctorado, título de médico o abogado, u otro
títiulo profesional avanzado
99=Usted no sabe.
Help
Text:
Que no llegará a completar high school: No recibirá un diploma de high school o su equivalente.
Que completará un diploma de high school o su equivalente (por ejemplo, GED, HiSET, TASC): Recibirá un diploma común de high school o completará high school recibiendo algún otro tipo de reconocimiento formal de una escuela o una autoridad del gobierno. Por ejemplo, el GED (Examen de Desarrollo de Educación General), HiSET (Prueba de Equivalencia de High School) y TASC (Prueba de Evaluación Para La Terminación de Secundaria).
Que completará un certificado o diploma de una escuela que proporciona entrenamiento ocupacional, tal como una escuela de oficios: Recibirá un certificado o diploma de una institución educativa que se especializa en entrenamiento para trabajos o habilidades técnicas que se requieren para cumplir las tareas de un trabajo particular y específico. Tales instituciones pueden llamarse escuela de oficios, instituto técnico o escuela vocacional. Ejemplos de trabajos incluyen cosmetología y carpintería.
Que completará un grado asociado: Un grado asociado (AA, AS, AAS, AGE, etc.) normalmente requiere estudios de college a tiempo completo, generalmente por un mínimo de 2 años pero menos de 4.
Que completará una licenciatura o título de bachelor: Un título de bachelor (BA, BS, etc.) generalmente requiere al menos 4 años de estudios de college a tiempo completo.
Que completará una maestría: Una maestría (MA, MS, MBA, MFA, etc.) generalmente requiere al menos 2 años de estudios graduados a tiempo completo y puede requerir una tesis o un prácticum.
Que completará un doctorado, título de médico o abogado, u otro título profesional avanzado: Un Ph.D. o doctorado generalmente requiere al menos 4 años de estudios graduados a tiempo completo y generalmente requiere una disertación. Un título profesional generalmente requiere estudios graduados en una de las siguientes áreas: quiropráctica, odontología, derecho, medicina, optometría, medicina osteopática, farmacia, podiatría, religión o divinidad, o veterinaria.
HP0HLPPAYCHED
Question
Wording:
¿Usted o
alguien en su familia tiene planeado ayudar a [Student's first
name/su estudiante de 9º grado] a pagar por sus estudios después
de high school?
Item
Name: HP0HLPPAYCHED
1=Sí
0=No
98=Usted
todavía no pensó en esto.
HP0AMTSVDCHED
Question
Wording:
¿Aproximadamente
cuánto dinero espera usted o alguien en su familia tener
apartado para los estudios futuros de [Student's first name/su
estudiante de 9º grado] al momento en que [él/ella/su
estudiante de 9º grado/[Student's first name]] termine high
school?
Item
Name: HP0AMTSVDCHED
1=Nada
2=$2,000
o
menos
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=Más
de $60,000
99=Usted no sabe.
HP0EINTRO
Question
Wording:
Ahora vamos a
preguntarle acerca de educación y empleo [de usted/[de la
madre biológica o de nacimiento/del padre biológico o
de nacimiento/de la madre adoptiva/del padre adoptivo/de la
madrastra/del padrastro/de la madre foster o
tutora o guardiana legal/del padre foster o
tutor o guardián legal/del padre o de la madre] de [Student's
first name/su estudiante de 9º grado]] [If household includes
two parents then fill: y [de su [esposo(a)/pareja]/[de la madre
biológica o de nacimiento/del padre biológico o de
nacimiento/de la madre adoptiva/de la otra madre adoptiva/del padre
adoptivo/del otro padre adoptivo/de la madrasta/del padrastro/de la
madre foster o
tutora o guardiana legal/de la otra madre foster o
tutora o guardiana legal/del padre foster o
tutor o guardián legal/del otro padre foster o
tutor o guardián legal/de la tía/de la otra tía/del
tío/del otro tío/de la abuela/de la otra abuela/del
abuelo/del otro abuelo/de la madre o tutora o guardiana/de la otra
madre o tutora o guardiana/del padre o tutor o guardián/del
otro padre o tutor o guardián/del otro padre o de la otra
madre/de la otra figura paterna o materna] de [Student's first
name/su estudiante de 9º grado]]].
Para continuar, por
favor haga clic en el botón que dice “Siguiente.”
HP0P1HIGHEDU *
Question
Wording:
¿Cuál es
el nivel de estudios más alto que [usted/[la
madre biológica o de nacimiento/el padre biológico o de
nacimiento/la madre adoptiva/el padre adoptivo/la madrastra/el
padrastro/la madre foster o
tutora o guardiana legal/el padre foster o
tutor o guardián legal/el padre o la madre] de [Student's
first name/su estudiante de 9º grado]] ha
completado?
Item
Name: HP0P1HIGHEDU
1=No llegó
a completar high
school
2=Completó un
diploma de high school o
su equivalente (por ejemplo, GED, HiSET, TASC)
3=Completó
un certificado o diploma de una escuela que proporciona entrenamiento
ocupacional, tal como una escuela de oficios
4=Completó
un grado asociado
5=Completó una licenciatura o título
de bachelor
6=Completó
una maestría
7=Completó un doctorado, título
de médico o abogado, u otro título profesional avanzado
Help
Text:
No llegó a completar high school: No recibió un diploma de high school o su equivalente.
Completó un diploma de high school o su equivalente (por ejemplo, GED, HiSET, TASC): Recibió un diploma común de high school o completó high school recibiendo algún otro tipo de reconocimiento formal de una escuela o una autoridad del gobierno. Por ejemplo, el GED (Examen de Desarrollo de Educación General), HiSET (Prueba de Equivalencia de High School) y TASC (Prueba de Evaluación Para La Terminación de Secundaria).
Completó un certificado o diploma de una escuela que proporciona entrenamiento ocupacional, tal como una escuela de oficios: Recibió un certificado o diploma de una institución educativa que se especializa en entrenamiento para trabajos o habilidades técnicas que se requieren para cumplir las tareas de un trabajo particular y específico. Tales instituciones pueden llamarse escuela de oficios, instituto técnico o escuela vocacional. Ejemplos de trabajos incluyen cosmetología y carpintería.
Completó un grado asociado: Un grado asociado (AA, AS, AAS, AGE, etc.) normalmente requiere estudios de college a tiempo completo, generalmente por un mínimo de 2 años pero menos de 4.
Completó una licenciatura o título de bachelor: Un título de bachelor (BA, BS, etc.) generalmente requiere al menos 4 años de estudios de college a tiempo completo.
Completó una maestría: Una maestría (MA, MS, MBA, MFA, etc.) generalmente requiere al menos 2 años de estudios graduados a tiempo completo y puede requerir una tesis o un prácticum.
Completó un doctorado, título de médico o abogado, u otro título profesional avanzado: Un Ph.D. o doctorado generalmente requiere al menos 4 años de estudios graduados a tiempo completo y generalmente requiere una disertación. Un título profesional generalmente requiere estudios graduados en una de las siguientes áreas: quiropráctica, odontología, derecho, medicina, optometría, medicina osteopática, farmacia, podiatría, religión o divinidad, o veterinaria.
HP0P1EMPLOYED *
Question
Wording:
Durante la última
semana, ¿trabajó [usted/[la
madre biológica o de nacimiento/el padre biológico o de
nacimiento/la madre adoptiva/el padre adoptivo/la madrastra/el
padrastro/la madre foster o
tutora o guardiana legal/el padre foster o
tutor o guardián legal/el padre o la madre] de [Student's
first name/su estudiante de 9º grado]] en
un trabajo por pago o ganancias?
Item
Name: HP0P1EMPLOYED
1=Sí
0=No
Help
Text:
Trabajar en un trabajo por pago o ganancias: Incluya cualquier trabajo por pago, aunque haya sido solo una hora.
HP0P1WRKLEAVE *
Question
Wording:
Durante la última
semana, ¿estuvo [usted/[la madre biológica o de
nacimiento/el padre biológico o de nacimiento/la madre
adoptiva/el padre adoptivo/la madrastra/el padrastro/la
madre foster o
tutora o guardiana legal/el padre foster o
tutor o guardián legal/el padre o la madre] de [Student's
first name/su estudiante de 9º grado]] con permiso o licencia, o
de vacaciones de un trabajo?
Item
Name: HP0P1WRKLEAVE
1=Sí
0=No
HP0P1LOOKWORK
Question
Wording:
¿Ha estado
[usted/[la madre biológica o de nacimiento/el padre biológico
o de nacimiento/la madre adoptiva/el padre adoptivo/la madrastra/el
padrastro/la madre foster o
tutora o guardiana legal/el padre foster o
tutor o guardián legal/el padre o la madre] de [Student's
first name/su estudiante de 9º grado]] buscando trabajo
activamente durante las últimas 4 semanas?
Item
Name: HP0P1LOOKWORK
1=Sí
0=No
HP0P1WORKSTAT
Question
Wording:
¿Qué
estuvo haciendo [usted/[la madre biológica o de nacimiento/el
padre biológico o de nacimiento/la madre adoptiva/el padre
adoptivo/la madrastra/el padrastro/la madre foster o
tutora o guardiana legal/el padre foster o
tutor o guardián legal/el padre o la madre] de [Student's
first name/su estudiante de 9º grado]] la mayor parte de la
semana pasada? ¿Diría que estuvo…
Item
Name: HP0P1WORKSTAT
1=Cuidando
del hogar u atendiendo a los niños?
2=Yendo a la
escuela/universidad?
3=Jubilado(a)?
4=Sin poder
trabajar?
99=Haciendo alguna otra cosa?
HP0P1EVERWORK *
Question
Wording:
¿Alguna vez
[usted/[la madre biológica o de nacimiento/el padre biológico
o de nacimiento/la madre adoptiva/el padre adoptivo/la madrastra/el
padrastro/la madre foster o
tutora o guardiana legal/el padre foster o
tutor o guardián legal/el padre o la madre] de [Student's
first name/su estudiante de 9º grado]] ha tenido un trabajo
habitual por pago o ganancias?
Item
Name: HP0P1EVERWORK
1=Sí
0=No
HP0P1NUMJOB
Question
Wording:
¿Cuántos
trabajos tiene [usted/[la madre biológica o de nacimiento/el
padre biológico o de nacimiento/la madre adoptiva/el padre
adoptivo/la madrastra/el padrastro/la madre foster o
tutora o guardiana legal/el padre foster o
tutor o guardián legal/el padre o la madre] de [Student's
first name/su estudiante de 9º grado]] actualmente?
(Por
favor ponga '0' si la respuesta es ninguno.)
Item
Name: HP0P1NUMJOB
Item
Wording: ____ trabajo(s)
HP0P1HOURWORK
Question
Wording:
¿En total,
alrededor de cuántas horas por semana [trabaja/trabajaba]
[usted/[la madre biológica o de nacimiento/el padre biológico
o de nacimiento/la madre adoptiva/el padre adoptivo/la madrastra/el
padrastro/la madre foster o
tutora o guardiana legal/el padre foster o
tutor o guardián legal/el padre o la madre] de [Student's
first name/su estudiante de 9º grado]] generalmente por pago o
ganancias, contando todos los trabajos?
(Por
favor ponga '0' si la respuesta es ninguna.)
Item
Name: HP0P1HOURWORK
Item
Wording: ____ hora(s)
HP0P1HOURWANT
Question
Wording:
¿[Desea/Deseaba]
[usted/[la madre biológica o de nacimiento/el padre biológico
o de nacimiento/la madre adoptiva/el padre adoptivo/la madrastra/el
padrastro/la madre foster o
tutora o guardiana legal/el padre foster o
tutor o guardián legal/el padre o la madre] de [Student's
first name/su estudiante de 9º grado]] trabajar a tiempo
completo cada semana o sea 35 horas o más a la semana?
Item
Name: HP0P1HOURWANT
1=Sí
0=No
HP0P1HOURTYPE
Question
Wording:
En general, ¿cómo
describiría usted el horario [de usted/[de la madre biológica
o de nacimiento/del padre biológico o de nacimiento/de la
madre adoptiva/del padre adoptivo/de la madrastra/del padrastro/de la
madre foster o
tutora o guardiana legal/del padre foster o
tutor o guardián legal/del padre o de la madre] de [Student's
first name/su estudiante de 9º grado]] en su trabajo principal
[más reciente]?
Item
Name: HP0P1HOURTYPE
1=Trabajo
habitual y estable a través del año
2=Trabajo por
temporada pero predecible en el año
3=Trabajo
impredecible o irregular (por ej., periodos impredecibles sin
trabajo, en layoff o
descanso, y/o horarios esporádicos)
HP0P1JOBDUTY_S *
Question
Wording:
[¿Cuál
es actualmente/En su trabajo más reciente, ¿cuál
era] el título del
puesto [de usted/[de la madre
biológica o de nacimiento/del padre biológico o de
nacimiento/de la madre adoptiva/del padre adoptivo/de la
madrastra/del padrastro/de la madre foster o
tutora o guardiana legal/del padre foster o
tutor o guardián legal/del padre o de la madre] de [Student's
first name/su estudiante de 9º grado]] (por ejemplo: maestro(a)
de 4º grado, aprendiz de plomero)? Si [usted/la madre o el padre
de [Student's first name/su estudiante de 9º grado]/él/ella]
[tiene/tenía] más de un trabajo, describa el trabajo en
el cual [usted/la madre o el padre de [Student's first name/su
estudiante de 9º grado]/él/ella] [trabaja/trabajaba] más
cantidad de horas.
Question
Wording:
¿Cuáles
[son/eran] las responsabilidades de trabajo [de usted/[de la madre
biológica o de nacimiento/del padre biológico o de
nacimiento/de la madre adoptiva/del padre adoptivo/de la
madrastra/del padrastro/de la madre foster o
tutora o guardiana legal/del padre foster o
tutor o guardián legal/del padre o de la madre] de [Student's
first name/su estudiante de 9º grado]] (por ejemplo: enseñar
y evaluar a los estudiantes y crear planes para las lecciones; armar
e instalar secciones de tuberías y revisar planes de
construcción para ver detalles del trabajo)?
HP0P1MILITARY
Question
Wording:
¿Está
[usted/[la madre biológica o de nacimiento/el padre biológico
o de nacimiento/la madre adoptiva/el padre adoptivo/la madrastra/el
padrastro/la madre foster o
tutora o guardiana legal/el padre foster o
tutor o guardián legal/el padre o la madre] de [Student's
first name/su estudiante de 9º grado]] actualmente en servicio
activo en las Fuerzas Armadas de los Estados Unidos, en la reserva
militar o en la Guardia Nacional?
Item
Name: HP0P1MILITARY
1=Sí
0=No
Help
Text:
Servicio activo: Servicio
activo quiere decir empleo de tiempo completo en los servicios
uniformados como oficial o persona enlistada. Los empleados civiles
de las fuerzas armadas no se incluyen. Servicio activo no incluye
entrenamiento para la reserva militar o la Guardia Nacional, pero sí
incluye ser llamado al servicio activo.
HP0P2HIGHEDU *
Question
Wording:
[If HP0OTHADULT = 1 then fill: En las siguientes preguntas, vamos a preguntarle sobre el otro adulto en el hogar que usted indicó tiene responsabilidad por [Student's first name/su estudiante de 9º grado] como si fuera el padre o la madre.]
¿Cuál
es el nivel de estudios más alto que [su
[esposo(a)/pareja]/[la madre biológica o de nacimiento/el
padre biológico o de nacimiento/la madre adoptiva/la otra
madre adoptiva/el padre adoptivo/el otro padre adoptivo/la
madrasta/el padrastro/la madre foster o
tutora o guardiana legal/la otra madre foster o
tutora o guardiana legal/el padre foster o
tutor o guardián legal/el otro padre foster o
tutor o guardián legal/la tía/la otra tía/el
tío/el otro tío/la abuela/la otra abuela/el abuelo/el
otro abuelo/la madre o tutora o guardiana/la otra madre o tutora o
guardiana/el padre o tutor o guardián/el otro padre o tutor o
guardián/el otro padre o la otra madre/la otra figura paterna
o materna] de [Student's first name/su estudiante de 9º
grado]] ha completado?
Item
Name: HP0P2HIGHEDU
1=No llegó
a completar high
school
2=Completó un
diploma de high school o
su equivalente (por ejemplo, GED, HiSET, TASC)
3=Completó
un certificado o diploma de una escuela que proporciona entrenamiento
ocupacional, tal como una escuela de oficios
4=Completó
un grado asociado
5=Completó una licenciatura o título
de bachelor
6=Completó
una maestría
7=Completó un doctorado, título
de médico o abogado, u otro título profesional avanzado
Help
Text:
No llegó a completar high school: No recibió un diploma de high school o su equivalente.
Completó un diploma de high school o su equivalente (por ejemplo, GED, HiSET, TASC): Recibió un diploma común de high school o completó high school recibiendo algún otro tipo de reconocimiento formal de una escuela o una autoridad del gobierno. Por ejemplo, el GED (Examen de Desarrollo de Educación General), HiSET (Prueba de Equivalencia de High School) y TASC (Prueba de Evaluación Para La Terminación de Secundaria).
Completó un certificado o diploma de una escuela que proporciona entrenamiento ocupacional, tal como una escuela de oficios: Recibió un certificado o diploma de una institución educativa que se especializa en entrenamiento para trabajos o habilidades técnicas que se requieren para cumplir las tareas de un trabajo particular y específico. Tales instituciones pueden llamarse escuela de oficios, instituto técnico o escuela vocacional. Ejemplos de trabajos incluyen cosmetología y carpintería.
Completó un grado asociado: Un grado asociado (AA, AS, AAS, AGE, etc.) normalmente requiere estudios de college a tiempo completo, generalmente por un mínimo de 2 años pero menos de 4.
Completó una licenciatura o título de bachelor: Un título de bachelor (BA, BS, etc.) generalmente requiere al menos 4 años de estudios de college a tiempo completo.
Completó una maestría: Una maestría (MA, MS, MBA, MFA, etc.) generalmente requiere al menos 2 años de estudios graduados a tiempo completo y puede requerir una tesis o un prácticum.
Completó un doctorado, título de médico o abogado, u otro título profesional avanzado: Un Ph.D. o doctorado generalmente requiere al menos 4 años de estudios graduados a tiempo completo y generalmente requiere una disertación. Un título profesional generalmente requiere estudios graduados en una de las siguientes áreas: quiropráctica, odontología, derecho, medicina, optometría, medicina osteopática, farmacia, podiatría, religión o divinidad, o veterinaria.
HP0P2EMPLOYED *
Question
Wording:
Durante la última
semana, ¿trabajó [su
[esposo(a)/pareja]/[la madre biológica o de nacimiento/el
padre biológico o de nacimiento/la madre adoptiva/la otra
madre adoptiva/el padre adoptivo/el otro padre adoptivo/la
madrasta/el padrastro/la madre foster o
tutora o guardiana legal/la otra madre foster o
tutora o guardiana legal/el padre foster o
tutor o guardián legal/el otro padre foster o
tutor o guardián legal/la tía/la otra tía/el
tío/el otro tío/la abuela/la otra abuela/el abuelo/el
otro abuelo/la madre o tutora o guardiana/la otra madre o tutora o
guardiana/el padre o tutor o guardián/el otro padre o tutor o
guardián/el otro padre o la otra madre/la otra figura paterna
o materna] de [Student's first name/su estudiante de 9º
grado]] en un trabajo por pago
o ganancias?
Item
Name: HP0P2EMPLOYED
1=Sí
0=No
Help
Text:
Trabajar en un trabajo
por pago o ganancias: Incluya cualquier trabajo por pago, aunque haya
sido solo una hora.
HP0P2WRKLEAVE *
Question
Wording:
Durante la última
semana, ¿estuvo [su [esposo(a)/pareja]/[la madre biológica
o de nacimiento/el padre biológico o de nacimiento/la madre
adoptiva/la otra madre adoptiva/el padre adoptivo/el otro padre
adoptivo/la madrasta/el padrastro/la madre foster o
tutora o guardiana legal/la otra madre foster o
tutora o guardiana legal/el padre foster o
tutor o guardián legal/el otro padre foster o
tutor o guardián legal/la tía/la otra tía/el
tío/el otro tío/la abuela/la otra abuela/el abuelo/el
otro abuelo/la madre o tutora o guardiana/la otra madre o tutora o
guardiana/el padre o tutor o guardián/el otro padre o tutor o
guardián/el otro padre o la otra madre/la otra figura paterna
o materna] de [Student's first name/su estudiante de 9º grado]]
con permiso o licencia, o de vacaciones de un trabajo?
Item
Name: HP0P2WRKLEAVE
1=Sí
0=No
HP0P2LOOKWORK
Question
Wording:
¿Ha estado [su
[esposo(a)/pareja]/[la madre biológica o de nacimiento/el
padre biológico o de nacimiento/la madre adoptiva/la otra
madre adoptiva/el padre adoptivo/el otro padre adoptivo/la
madrasta/el padrastro/la madre foster o
tutora o guardiana legal/la otra madre foster o
tutora o guardiana legal/el padre foster o
tutor o guardián legal/el otro padre foster o
tutor o guardián legal/la tía/la otra tía/el
tío/el otro tío/la abuela/la otra abuela/el abuelo/el
otro abuelo/la madre o tutora o guardiana/la otra madre o tutora o
guardiana/el padre o tutor o guardián/el otro padre o tutor o
guardián/el otro padre o la otra madre/la otra figura paterna
o materna] de [Student's first name/su estudiante de 9º grado]]
buscando trabajo activamente durante las últimas 4
semanas?
Item
Name: HP0P2LOOKWORK
1=Sí
0=No
HP0P2WORKSTAT
Question
Wording:
¿Qué
estuvo haciendo [su [esposo(a)/pareja]/[la madre biológica o
de nacimiento/el padre biológico o de nacimiento/la madre
adoptiva/la otra madre adoptiva/el padre adoptivo/el otro padre
adoptivo/la madrasta/el padrastro/la madre foster o
tutora o guardiana legal/la otra madre foster o
tutora o guardiana legal/el padre foster o
tutor o guardián legal/el otro padre foster o
tutor o guardián legal/la tía/la otra tía/el
tío/el otro tío/la abuela/la otra abuela/el abuelo/el
otro abuelo/la madre o tutora o guardiana/la otra madre o tutora o
guardiana/el padre o tutor o guardián/el otro padre o tutor o
guardián/el otro padre o la otra madre/la otra figura paterna
o materna] de [Student's first name/su estudiante de 9º grado]]
la mayor parte de la semana pasada? ¿Diría que
estuvo…
Item
Name: HP0P2WORKSTAT
1=Cuidando
del hogar u atendiendo a los niños?
2=Yendo a la
escuela/universidad?
3=Jubilado(a)?
4=Sin poder
trabajar?
5=Haciendo alguna otra cosa?
HP0P2EVERWORK *
Question
Wording:
¿Alguna vez [su
[esposo(a)/pareja]/[la madre biológica o de nacimiento/el
padre biológico o de nacimiento/la madre adoptiva/la otra
madre adoptiva/el padre adoptivo/el otro padre adoptivo/la
madrasta/el padrastro/la madre foster o
tutora o guardiana legal/la otra madre foster o
tutora o guardiana legal/el padre foster o
tutor o guardián legal/el otro padre foster o
tutor o guardián legal/la tía/la otra tía/el
tío/el otro tío/la abuela/la otra abuela/el abuelo/el
otro abuelo/la madre o tutora o guardiana/la otra madre o tutora o
guardiana/el padre o tutor o guardián/el otro padre o tutor o
guardián/el otro padre o la otra madre/la otra figura paterna
o materna] de [Student's first name/su estudiante de 9º grado]]
ha tenido un trabajo habitual por pago o ganancias?
Item
Name: HP0P2EVERWORK
1=Sí
0=No
HP0P2NUMJOB
Question
Wording:
¿Cuántos
trabajos tiene [su [esposo(a)/pareja]/[la madre biológica o de
nacimiento/el padre biológico o de nacimiento/la madre
adoptiva/la otra madre adoptiva/el padre adoptivo/el otro padre
adoptivo/la madrasta/el padrastro/la madre foster o
tutora o guardiana legal/la otra madre foster o
tutora o guardiana legal/el padre foster o
tutor o guardián legal/el otro padre foster o
tutor o guardián legal/la tía/la otra tía/el
tío/el otro tío/la abuela/la otra abuela/el abuelo/el
otro abuelo/la madre o tutora o guardiana/la otra madre o tutora o
guardiana/el padre o tutor o guardián/el otro padre o tutor o
guardián/el otro padre o la otra madre/la otra figura paterna
o materna] de [Student's first name/su estudiante de 9º grado]]
actualmente?
(Por favor ponga '0' si la respuesta es
ninguno.)
Item
Name: HP0P2NUMJOB
Item
Wording: ____ trabajo(s)
HP0P2HOURWORK
Question
Wording:
¿En total,
alrededor de cuántas horas por semana [trabaja/trabajaba] [su
[esposo(a)/pareja]/[la madre biológica o de nacimiento/el
padre biológico o de nacimiento/la madre adoptiva/la otra
madre adoptiva/el padre adoptivo/el otro padre adoptivo/la
madrasta/el padrastro/la madre foster o
tutora o guardiana legal/la otra madre foster o
tutora o guardiana legal/el padre foster o
tutor o guardián legal/el otro padre foster o
tutor o guardián legal/la tía/la otra tía/el
tío/el otro tío/la abuela/la otra abuela/el abuelo/el
otro abuelo/la madre o tutora o guardiana/la otra madre o tutora o
guardiana/el padre o tutor o guardián/el otro padre o tutor o
guardián/el otro padre o la otra madre/la otra figura paterna
o materna] de [Student's first name/su estudiante de 9º grado]]
generalmente por pago o ganancias, contando todos los trabajos?
(Por
favor ponga '0' si la respuesta es ninguna.)
Item
Name: HP0P2HOURWORK
Item
Wording: ____ hora(s)
HP0P2HOURWANT
Question
Wording:
¿[Desea/Deseaba]
[su [esposo(a)/pareja]/[la madre biológica o de nacimiento/el
padre biológico o de nacimiento/la madre adoptiva/la otra
madre adoptiva/el padre adoptivo/el otro padre adoptivo/la
madrasta/el padrastro/la madre foster o
tutora o guardiana legal/la otra madre foster o
tutora o guardiana legal/el padre foster o
tutor o guardián legal/el otro padre foster o
tutor o guardián legal/la tía/la otra tía/el
tío/el otro tío/la abuela/la otra abuela/el abuelo/el
otro abuelo/la madre o tutora o guardiana/la otra madre o tutora o
guardiana/el padre o tutor o guardián/el otro padre o tutor o
guardián/el otro padre o la otra madre/la otra figura paterna
o materna] de [Student's first name/su estudiante de 9º grado]]
trabajar a tiempo completo cada semana o sea 35 horas o más a
la semana?
Item
Name: HP0P2HOURWANT
1=Sí
0=No
HP0P2HOURTYPE
Question
Wording:
En general, ¿cómo
describiría usted el horario [de su [esposo(a)/pareja]/[de la
madre biológica o de nacimiento/del padre biológico o
de nacimiento/de la madre adoptiva/de la otra madre adoptiva/del
padre adoptivo/del otro padre adoptivo/de la madrasta/del
padrastro/de la madre foster o
tutora o guardiana legal/de la otra madre foster o
tutora o guardiana legal/del padre foster o
tutor o guardián legal/del otro padre foster o
tutor o guardián legal/de la tía/de la otra tía/del
tío/del otro tío/de la abuela/de la otra abuela/del
abuelo/del otro abuelo/de la madre o tutora o guardiana/de la otra
madre o tutora o guardiana/del padre o tutor o guardián/del
otro padre o tutor o guardián/del otro padre o de la otra
madre/de la otra figura paterna o materna] de [Student's first
name/su estudiante de 9º grado]] en su trabajo principal [más
reciente]?
Item
Name: HP0P2HOURTYPE
1=Trabajo
habitual y estable a través del año
2=Trabajo por
temporada pero predecible en el año
3=Trabajo
impredecible o irregular (por ej., periodos impredecibles sin
trabajo, en layoff o
descanso, y/o horarios esporádicos)
HP0P2JOBDUTY_S *
Question
Wording:
[¿Cuál
es actualmente/En su trabajo más reciente, ¿cuál
era] el título del
puesto [de su
[esposo(a)/pareja]/[de la madre biológica o de nacimiento/del
padre biológico o de nacimiento/de la madre adoptiva/de la
otra madre adoptiva/del padre adoptivo/del otro padre adoptivo/de la
madrasta/del padrastro/de la madre foster o
tutora o guardiana legal/de la otra madre foster o
tutora o guardiana legal/del padre foster o
tutor o guardián legal/del otro padre foster o
tutor o guardián legal/de la tía/de la otra tía/del
tío/del otro tío/de la abuela/de la otra abuela/del
abuelo/del otro abuelo/de la madre o tutora o guardiana/de la otra
madre o tutora o guardiana/del padre o tutor o guardián/del
otro padre o tutor o guardián/del otro padre o de la otra
madre/de la otra figura paterna o materna] de [Student's first
name/su estudiante de 9º grado]] (Por ejemplo: maestro(a) de 4º
grado, aprendiz de plomero)? Si [él/ella/su
[esposo(a)/pareja]/[el otro padre o la otra madre/la otra figura
paterna o materna] de [Student's first name/su estudiante de 9º
grado]] [tiene/tenía] más de un trabajo, describa el
trabajo en el cual [trabaja/trabajaba] más cantidad de
horas.
Question
Wording:
¿Cuáles
[son/eran] las responsabilidades de trabajo [de su
[esposo(a)/pareja]/[de la madre biológica o de nacimiento/del
padre biológico o de nacimiento/de la madre adoptiva/de la
otra madre adoptiva/del padre adoptivo/del otro padre adoptivo/de la
madrasta/del padrastro/de la madre foster o
tutora o guardiana legal/de la otra madre foster o
tutora o guardiana legal/del padre foster o
tutor o guardián legal/del otro padre foster o
tutor o guardián legal/de la tía/de la otra tía/del
tío/del otro tío/de la abuela/de la otra abuela/del
abuelo/del otro abuelo/de la madre o tutora o guardiana/de la otra
madre o tutora o guardiana/del padre o tutor o guardián/del
otro padre o tutor o guardián/del otro padre o de la otra
madre/de la otra figura paterna o materna] de [Student's first
name/su estudiante de 9º grado]] (Por ejemplo: enseñar y
evaluar a los estudiantes y crear planes para las lecciones; armar e
instalar secciones de tuberías y revisar planes de
construcción para ver detalles del trabajo)?
HP0P2MILITARY
Question
Wording:
¿Está
[su [esposo(a)/pareja]/[la madre biológica o de nacimiento/el
padre biológico o de nacimiento/la madre adoptiva/la otra
madre adoptiva/el padre adoptivo/el otro padre adoptivo/la
madrasta/el padrastro/la madre foster o
tutora o guardiana legal/la otra madre foster o
tutora o guardiana legal/el padre foster o
tutor o guardián legal/el otro padre foster o
tutor o guardián legal/la tía/la otra tía/el
tío/el otro tío/la abuela/la otra abuela/el abuelo/el
otro abuelo/la madre o tutora o guardiana/la otra madre o tutora o
guardiana/el padre o tutor o guardián/el otro padre o tutor o
guardián/el otro padre o la otra madre/la otra figura paterna
o materna] de [Student's first name/su estudiante de 9º grado]]
actualmente en servicio activo en las Fuerzas Armadas de los Estados
Unidos, en la reserva militar o en la Guardia Nacional?
Item
Name: HP0P2MILITARY
1=Sí
0=No
Help
Text:
Servicio activo: Servicio
activo quiere decir empleo de tiempo completo en los servicios
uniformados como oficial o persona enlistada. Los empleados civiles
de las fuerzas armadas no se incluyen. Servicio activo no incluye
entrenamiento para la reserva militar o la Guardia Nacional, pero sí
incluye ser llamado al servicio activo.
HP0HOUSEINCOM *
Question
Wording:
El ingreso de una
familia es una característica clave que pesa en muchas
preguntas de investigación, incluyendo el efecto de las
finanzas familiares en las posibilidades de los estudiantes de ir
al college o
universidad. Esta información es de crítica importancia
para el éxito de este estudio. Por favor recuerde que los
datos se reportarán solamente en forma de resumen y que su
información personal no será publicada de ninguna
manera que permita identificarle directamente.
¿Cuánto
fue el ingreso total de su hogar de todas las fuentes antes de
impuestos y deducciones en el año 2020 (en otras palabras,
desde enero hasta diciembre de 2020)? Por favor incluya todos los
ingresos, como por ejemplo ingresos por trabajos, inversiones y pagos
de pensión alimenticia de un ex-esposo o una ex-esposa.
Item
Name: HP0HOUSEINCOM
Item
Wording: $ ____ (Por favor
ponga solamente números enteros.)
Help
Text:
Ingreso total de su
hogar: Calcule el ingreso bruto de su hogar en el año 2020
(desde el 1 de enero de 2020 hasta el 31 de diciembre de 2020) de
todas las fuentes. El ingreso bruto es la suma total antes de los
impuestos, Social Security y
otras deducciones. Si no está seguro(a), puede darnos un
cálculo aproximado.
HP0INCOMRANG1 *
Question
Wording:
Entendemos que usted
tal vez no pueda darnos la cantidad exacta de ingresos de su
familia.
Sin embargo, sería extremadamente útil
si usted pudiera indicar en cuál de los siguientes grupos
calcula que estarían el ingreso total de su hogar de todas las
fuentes antes de impuestos y deducciones en el año 2020. Por
favor incluya todos los ingresos, como por ejemplo ingresos por
trabajos, inversiones y pensiones alimenticias.
Item
Name: HP0INCOMRANG1
1=$35,000 o
menos
2=$35,001 - $75,000
3=$75,001 - $115,000
4=$115,001
o más
Help
Text:
Ingreso total de su
hogar: Calcule el ingreso bruto de su hogar en el año 2020
(desde el 1 de enero de 2020 hasta el 31 de diciembre de 2020) de
todas las fuentes. El ingreso bruto es la suma total antes de los
impuestos, Social Security y
otras deducciones. Si no está seguro(a), puede darnos un
cálculo aproximado.
HP0INCOMRANG2 *
Question
Wording:
Ahora, ¿cuál
de las siguientes categorías es un mejor cálculo del
ingreso total de su hogar de todas las fuentes antes de impuestos y
deducciones en el año 2020? (Por favor incluya todos los
ingresos, como por ejemplo ingresos por trabajos, inversiones, y
pensiones alimenticias.)
Item
Name: HP0INCOMRANG2
1=$15,000 o
menos
2=$15,001 - $35,000
3=$35,001 - $55,000
4=$55,001
- $75,000
5=$75,001 - $95,000
6=$95,001 -
$115,000
7=$115,001 - $135,000
8=$135,001 -
$155,000
9=$155,001 - $175,000
10=$175,001 -
$195,000
11=$195,001 - $215,000
12=$215,001 -
$235,000
13=Más de $235,000
Help
Text:
Ingreso total de su
hogar: Calcule el ingreso bruto de su hogar en el año 2020
(desde el 1 de enero de 2020 hasta el 31 de diciembre de 2020) de
todas las fuentes. El ingreso bruto es la suma total antes de los
impuestos, Social Security y
otras deducciones. Si no está seguro(a), puede darnos un
cálculo aproximado.
HP0NUMDEPEN
Question
Wording:
En total, ¿cuántas
personas dependen económicamente [de usted/[de la madre
biológica o de nacimiento/del padre biológico o de
nacimiento/de la madre adoptiva/del padre adoptivo/de la
madrastra/del padrastro/de la madre foster o
tutora o guardiana legal/del padre foster o
tutor o guardián legal/del padre o de la madre] de [Student's
first name/su estudiante de 9º grado]] [If household includes
two parents then fill: o [de su [esposo(a)/pareja]/[de la madre
biológica o de nacimiento/del padre biológico o de
nacimiento/de la madre adoptiva/de la otra madre adoptiva/del padre
adoptivo/del otro padre adoptivo/de la madrasta/del padrastro/de la
madre foster o
tutora o guardiana legal/de la otra madre foster o
tutora o guardiana legal/del padre foster o
tutor o guardián legal/del otro padre foster o
tutor o guardián legal/de la tía/de la otra tía/del
tío/del otro tío/de la abuela/de la otra abuela/del
abuelo/del otro abuelo/de la madre o tutora o guardiana/de la otra
madre o tutora o guardiana/del padre o tutor o guardián/del
otro padre o tutor o guardián/del otro padre o de la otra
madre/de la otra figura paterna o materna] de [Student's first
name/su estudiante de 9º grado]]]?
Cuente a todas las personas además [de usted/[de la madre biológica o de nacimiento/del padre biológico o de nacimiento/de la madre adoptiva/del padre adoptivo/de la madrastra/del padrastro/de la madre foster o tutora o guardiana legal/del padre foster o tutor o guardián legal/del padre o de la madre] de [Student's first name/su estudiante de 9º grado]] [If household includes two parents then fill: y [de su [esposo(a)/pareja]/[de la madre biológica o de nacimiento/del padre biológico o de nacimiento/de la madre adoptiva/de la otra madre adoptiva/del padre adoptivo/del otro padre adoptivo/de la madrasta/del padrastro/de la madre foster o tutora o guardiana legal/de la otra madre foster o tutora o guardiana legal/del padre foster o tutor o guardián legal/del otro padre foster o tutor o guardián legal/de la tía/de la otra tía/del tío/del otro tío/de la abuela/de la otra abuela/del abuelo/del otro abuelo/de la madre o tutora o guardiana/de la otra madre o tutora o guardiana/del padre o tutor o guardián/del otro padre o tutor o guardián/del otro padre o de la otra madre/de la otra figura paterna o materna] de [Student's first name/su estudiante de 9º grado]]] que reciben la mitad o más del sustento económico [de usted/[de la madre biológica o de nacimiento/del padre biológico o de nacimiento/de la madre adoptiva/del padre adoptivo/de la madrastra/del padrastro/de la madre foster o tutora o guardiana legal/del padre foster o tutor o guardián legal/del padre o de la madre] de [Student's first name/su estudiante de 9º grado]] [If household includes two parents then fill: o [de su [esposo(a)/pareja]/[de la madre biológica o de nacimiento/del padre biológico o de nacimiento/de la madre adoptiva/de la otra madre adoptiva/del padre adoptivo/del otro padre adoptivo/de la madrasta/del padrastro/de la madre foster o tutora o guardiana legal/de la otra madre foster o tutora o guardiana legal/del padre foster o tutor o guardián legal/del otro padre foster o tutor o guardián legal/de la tía/de la otra tía/del tío/del otro tío/de la abuela/de la otra abuela/del abuelo/del otro abuelo/de la madre o tutora o guardiana/de la otra madre o tutora o guardiana/del padre o tutor o guardián/del otro padre o tutor o guardián/del otro padre o de la otra madre/de la otra figura paterna o materna] de [Student's first name/su estudiante de 9º grado]]]. Incluya a personas que no viven con [usted/[la madre biológica o de nacimiento/el padre biológico o de nacimiento/la madre adoptiva/el padre adoptivo/la madrastra/el padrastro/la madre foster o tutora o guardiana legal/el padre foster o tutor o guardián legal/el padre o la madre] de [Student's first name/su estudiante de 9º grado]] [If household includes two parents then fill: y [su [esposo(a)/pareja]/[la madre biológica o de nacimiento/el padre biológico o de nacimiento/la madre adoptiva/la otra madre adoptiva/el padre adoptivo/el otro padre adoptivo/la madrasta/el padrastro/la madre foster o tutora o guardiana legal/la otra madre foster o tutora o guardiana legal/el padre foster o tutor o guardián legal/el otro padre foster o tutor o guardián legal/la tía/la otra tía/el tío/el otro tío/la abuela/la otra abuela/el abuelo/el otro abuelo/la madre o tutora o guardiana/la otra madre o tutora o guardiana/el padre o tutor o guardián/el otro padre o tutor o guardián/el otro padre o la otra madre/la otra figura paterna o materna] de [Student's first name/su estudiante de 9º grado]]].
Número total de dependientes sin contar [a usted/[a la madre biológica o de nacimiento/al padre biológico o de nacimiento/a la madre adoptiva/al padre adoptivo/a la madrastra/al padrastro/a la madre foster o tutora o guardiana legal/al padre foster o tutor o guardián legal/al padre o a la madre] de [Student's first name/su estudiante de 9º grado]] [If household includes two parents then fill: o [a su [esposo(a)/pareja]/[a la madre biológica o de nacimiento/al padre biológico o de nacimiento/a la madre adoptiva/a la otra madre adoptiva/al padre adoptivo/al otro padre adoptivo/a la madrasta/al padrastro/a la madre foster o tutora o guardiana legal/a la otra madre foster o tutora o guardiana legal/al padre foster o tutor o guardián legal/al otro padre foster o tutor o guardián legal/a la tía/a la otra tía/al tío/al otro tío/a la abuela/a la otra abuela/al abuelo/al otro abuelo/a la madre o tutora o guardiana/a la otra madre o tutora o guardiana/al padre o tutor o guardián/al otro padre o tutor o guardián/al otro padre o a la otra madre/a la otra figura paterna o materna] de [Student's first name/su estudiante de 9º grado]]]:
(Por
favor ponga '0' si la respuesta es ninguno(a).)
Item
Name: HP0NUMDEPEN
Item
Wording:
____ dependiente(s)
HP0FRPLUNCH
Question
Wording:
¿Recibe
[Student's first name/su estudiante de 9º grado] comidas
gratuitas o a precio reducido en la escuela?
Item
Name: HP0FRPLUNCH
1=Sí
0=No
99=Usted
no sabe.
HP0FRPLSPEC
Question
Wording:
¿Estas comidas
son gratuitas o son a precio reducido?
Item
Name: HP0FRPLSPEC
1=Gratuitas
2=A
precio reducido
HP0OWNHOME
Question
Wording:
¿Usted…
Item
Name: HP0OWNHOME
1=Está
pagando el préstamo por su vivienda (hipoteca) o es dueño(a)
de la vivienda?
2=Alquila su vivienda?
3=Tiene algún
otro tipo de situación de vivienda?
Help
Text:
Está pagando el préstamo por su vivienda (hipoteca) o es dueño(a) de la vivienda: Estar pagando una hipoteca o ser dueño incluye tanto hacer pagos del préstamo hipotecario para comprar una casa o una casa que ya está pagada.
Alquila: Alquilar incluye pagar renta o alquiler a un arrendatario para vivir en una casa.
Algún otro tipo de situación de vivienda: Alguna otra situación puede incluir prestar servicios a cambio de vivienda, vivir en vivienda temporal o en un refugio o albergue, o vivir con un pariente o en una vivienda que es propiedad de un pariente (puede o no contribuir a los gastos o no se sabe cuánto contribuye).
HP0FINTRO
Question
Wording:
Ahora vamos a
preguntarle sobre la vida en el hogar, la salud y el bienestar de
[Student's first name/su estudiante de 9º grado].
Para
continuar, por favor haga clic en el botón que dice
“Siguiente.”
HP0CHTIMATADD
Question
Wording:
¿Cuánto
tiempo ha vivido [Student's first name/su estudiante de 9º
grado] en su hogar actual?
Item
Name: HP0CHTIMATADD
-9=-seleccione
uno-
0=Menos de 1 año
1=1 año
2=2
años
3=3 años
4=4 años
5=5
años
6=6 años
7=7 años
8=8
años
9=9 años
10=10 años
11=11
años
12=12 años
13=13 años
14=14
años
15=15 años
16=16 años
17=17
años o más
99=Usted no sabe.
HP0CHNORESID
Question
Wording:
Desde que [Student's
first name/su estudiante de 9º grado] empezó kindergarten,
¿en cuántos lugares diferentes (casas, apartamentos,
etc.) ha vivido por cuatro meses o más?
Item
Name: HP0CHNORESID
-9=-
Seleccione el número de
lugares-
0=0
1=1
2=2
3=3
4=4
5=5
6=6
7=7
8=8
9=9
10=10
o más
99=Usted no sabe.
HP0EATWCHLD
Question
Wording:
En una semana normal,
¿cuántos días come usted al menos una comida con
[Student's first name/su estudiante de 9º grado]?
Item
Name: HP0EATWCHLD
0=0 días
por semana
1=1 día por semana
2=2 días por
semana
3=3 días por semana
4=4 días por
semana
5=5 días por semana
6=6 días por
semana
7=7 días por semana
HP0RKNOWFRND
Question
Wording:
¿A cuántos
de los amigos de [Student's first name/su estudiante de 9º
grado] conoce usted?
Item
Name: HP0RKNOWFRND
1=Ninguno
2=Algunos
3=Como
la mitad
4=La mayoría
5=Todos o casi todos
HP0TLKPNTFRND
Question
Wording:
Por favor piense en
todos los amigos o amigas de [Student's first name/su estudiante de
9º grado]. Más o menos, ¿con cuántos padres
de amigos de [Student's first name/su estudiante de 9º grado]
habla o se comunica usted con regularidad a través de textos,
en persona, por Internet o por teléfono?
Item
Name: HP0TLKPNTFRND
1=Ninguno
2=Algunos
3=Como
la mitad
4=La mayoría
5=Todos o casi todos
HP0TECHRULES
Question
Wording:
¿Tiene su
familia reglas sobre...
(Seleccione una opción en cada
línea.)
Item
Name: HP0WHOTECH
Item
Wording: A quién puede
[Student's first name/su estudiante de 9º grado] enviar textos,
mensajes, hablar por video (video chat), enviar emails o con quién
puede jugar juegos por Internet?
Item
Name: HP0WHENTECH
Item
Wording: Cuándo puede
[Student's first name/su estudiante de 9º grado] enviar textos,
mensajes, hablar por video (video chat), enviar emails o jugar juegos
por Internet?
Item
Name: HP0HOWMCHTECH
Item
Wording: Cuánto
tiempo puede usar aparatos
electrónicos [Student's first name/su estudiante de 9º
grado] (por ejemplo, un límite de horas de "tiempo en
pantalla" al día)?
1=Sí
0=No
HP0ACTYOUTSCH
Question
Wording:
Durante los últimos
12 meses, ¿ha participado [Student's first name/su estudiante
de 9º grado] en alguna de las siguientes actividades fuera de la
escuela?
(Seleccione todo lo que corresponda.)
Item
Name: HP0ARTSACTY
Item
Wording: Música, baile o
danza, arte o teatro
Item
Name: HP0SPORTSACTY
Item
Wording:Deportes organizados
supervisados por un adulto
Item
Name: HP0RELACTY
Item
Wording:Grupo religioso juvenil o
instrucción religiosa
Item
Name: HP0SCOUTACTY
Item
Wording: Grupo de scouts u
otra actividad de un grupo o club
Item
Name: HP0ACADEMACTY
Item
Wording: Enseñanza
académica fuera de la escuela como por ejemplo un curso
de Saturday Academy,
centro de enseñanza, tutor personal o programa de escuela de
verano
Item
Name: HP0MTHSCICAMP
Item
Wording: Un campamento de
matemáticas o ciencias
Item
Name: HP0CAMPACTY
Item
Wording: Otro campamento
Item
Name: HP0ACTYNONE
Item
Wording: Ninguna de estas
HP0TUTRSUMSCH
Question
Wording:
Durante los últimos
12 meses, ¿[Student's first name/su estudiante de 9º
grado]…
(Seleccione una opción en cada
línea.)
Item
Name: HP0REMTUTOR
Item
Wording: Tuvo un tutor o mentor
para ayudar a [Student's first name/su estudiante de 9º grado]
con habilidades básicas de lectura, escritura y/o
matemáticas?
Item
Name: HP0ADVTUTOR
Item
Wording: Tuvo un tutor o mentor
para ayudar a [Student's first name/su estudiante de 9º grado]
con habilidades para que [él/ella/su estudiante de 9º
grado/[Student's first name]] pudiera tomar un curso avanzado o de
enriquecimiento?
Item
Name: HP0REMSUMSCH
Item
Wording: Asistió a
escuela de verano para tomar una clase en la que a [él/ella/su
estudiante de 9º grado/[Student's first name]] no le fue bien
durante el año escolar?
Item
Name: HP0ADVSUMSCH
Item
Wording: Asistió a
escuela de verano para tomar un curso avanzado o de enriquecimiento?
1=Sí
0=No
HP0TUTRSBJCT
Question
Wording:
¿En qué
materia le dan o dieron tutoría a [Student's first name/su
estudiante de 9º grado]?
(Seleccione todo lo que
corresponda.)
Item
Name: HP0TUTRREAD
Item
Wording: Lectura
Item
Name: HP0TUTRMATH
Item
Wording: Matemáticas
Item
Name: HP0TUTRSCI
Item
Wording: Ciencias
Item
Name: HP0TUTRFRGNL
Item
Wording: Idioma
extranjero
Item
Name: HP0TUTROTHR
Item
Wording: Otra
HP0SMSCHSBJCT
Question
Wording:
¿Para qué
materia asistió [Student's first name/su estudiante de 9º
grado] a escuela de verano?
(Seleccione todo lo que
corresponda.)
Item
Name: HP0SMSCHREAD
Item
Wording: Lectura
Item
Name: HP0SMSCHMATH
Item
Wording: Matemáticas
Item
Name: HP0SMSCHSCI
Item
Wording: Ciencias
Item
Name: HP0SMSCHFRGNL
Item
Wording: Idioma
extranjero
Item
Name: HP0SMSCHOTHR
Item
Wording: Otra
HP0CHHEALTH
*
Question
Wording:
Ahora nos gustaría
preguntarle sobre la salud de [Student's first name/su estudiante de
9º grado].
En general, ¿diría usted que
la salud de [Student's first name/su estudiante de 9º grado] es…
Item Name:
HP0CHHEALTH
1=Excelente?
2=Muy buena?
3=Buena?
4=Regular?
5=Mala?
HP0DNTLVISIT
Question
Wording:
¿Cuánto
tiempo ha pasado desde la última visita de [Student's first
name/su estudiante de 9º grado] a un dentista o higienista
dental para cuidado dental?
Item
Name: HP0DNTLVISIT
1=Menos de
6 meses
2=De 6 meses a menos de 1 año
3=De 1 año
a menos de 2 años
4=2 años o más
5=Nunca
99=Usted
no sabe.
HP0HLTHVISIT
Question
Wording:
¿Cuánto
tiempo ha pasado desde la última visita de [Student's first
name/su estudiante de 9º grado] a una clínica, centro de
salud, hospital, consultorio médico u otro lugar para cuidado
de salud de rutina?
Item
Name: HP0HLTHVISIT
1=Menos de
6 meses
2=De 6 meses a menos de 1 año
3=De 1 año
a menos de 2 años
4=2 años o más
5=Nunca
99=Usted
no sabe.
Help
Text:
Cuidado de salud de
rutina: El cuidado de salud de rutina puede incluir citas para
exámenes médicos generales o vacunación.
HP0DAYSSICK
Question
Wording:
¿Cuántos
días completos ha faltado a clases [Student's first name/su
estudiante de 9º grado] en los últimos 30 días
debido a cuestiones de salud?
(Por favor ponga '0' si la
respuesta es ninguno.)
Item
Name: HP0DAYSSICK
Item
Wording: ____ día(s)
HP0CHHAS504
Question
Wording:
Ahora nos gustaría preguntarle sobre las experiencias que [Student's first name/su estudiante de 9º grado] y su familia puedan haber tenido con servicios de educación especial.
¿Tiene actualmente [Student's first name/su estudiante de 9º grado] un plan 504 basado en la sección 504 del Acta de Rehabilitación que describe las adaptaciones para facilitarle el aprendizaje a [Student's first name/su estudiante de 9º grado]?
Item
Name: HP0CHHAS504
1=Sí
0=No
99=Usted no sabe.
Help
Text:
Plan 504: Un plan por escrito para proporcionar servicios apropiados a un estudiante con una discapacidad, independientemente de si esta discapacidad afecta o no el desempeño escolar del estudiante. A menudo se puede especificar los servicios de terapia del habla como parte de un plan de la Sección 504.
Post-logic:
Go
to HP0CHEVERIEP.
HP0CHEVERIEP
*
Question
Wording:
¿Alguna vez ha
tenido [Student's first name/su estudiante de 9º grado] un
Programa Educativo Individualizado (IEP, por sus siglas en inglés)
o un Plan de Servicios de Instrucción o Plan de Servicios
Individuales (ISP, por sus siglas en inglés)?
Item
Name: HP0CHEVERIEP
1=Sí
0=No
99=Usted no sabe.
Help
Text:
Programa Educativo Individualizado (IEP, por sus siglas en inglés): Una declaración escrita para cada estudiante con discapacidad que fija las metas escolares para el estudiante, indica cómo se medirá su progreso, describe los servicios de educación especial y servicios relacionados que la escuela proporcionará, qué tanto tiempo estará el estudiante en clases habituales con estudiantes no discapacitados, y que enumera las adaptaciones o modificaciones necesarias para medir mediante pruebas lo que el estudiante sabe.
Plan de Servicios de Instrucción o Plan de Servicios Individuales (ISP, por sus siglas en inglés): Un plan pagado por un distrito escolar local para que estudiantes con discapacidad asistan a escuelas privadas. El plan detalla los servicios de educación especial y servicios relacionados que se le ofrecerán al estudiante. Los servicios los puede ofrecer una escuela privada o una agencia local de educación (LEA, por sus siglas en inglés).
HP0CHHASIEP
*
Question
Wording:
¿Todavía
tiene [Student's first name/su estudiante de 9º grado] un
[IEP/ISP]?
Item Name:
HP0CHHASIEP
1=Sí
0=No
99=Usted no sabe.
HP0CHNEEDSIEP
Question Wording:
¿Cree
usted que [Student's first name/su estudiante de 9º grado]
debería tener un [IEP/ISP]?
Item
Name: HP0CHNEEDSIEP
1=Sí
0=No
99=Usted no sabe.
HP0IEPMTG
Pre-logic:
If HP0CHEVERIEP = 1 and
HP0CHHASIEP in (1,99, no response) go to HP0IEPMTG, else go to
HP0EVALPROF.
Question Wording:
En
los últimos 12 meses, ¿ha habido una reunión de
[IEP/ISP] acerca del programa o servicios de educación
especial de [Student's first name/su estudiante de 9º grado]?
Item Name: HP0IEPMTG
1=Sí
0=No
99=Usted no sabe.
HP0EVALPROF
Question
Wording:
El siguiente grupo de
preguntas es acerca de evaluaciones profesionales que le hayan hecho
a [Student's first name/su estudiante de 9º grado] en el pasado.
¿Alguna vez ha sido evaluado(a) [Student's first name/su estudiante de 9º grado] por un profesional debido a un problema con...
(Seleccione
todo lo que corresponda.)
Item
Name: HP0INDCARE
Item
Wording: Hacerse cargo
independientemente de sí [mismo/misma/mismo o misma]?
Item
Name: HP0PAYATTN
Item
Wording: Prestar
atención?
Item
Name: HP0LRNPROB
Item
Wording: Leer, aprender, pensar
o resolver problemas?
Item
Name: HP0BODYCOORD
Item
Wording: Coordinar o mover su
cuerpo entero, brazos o piernas?
Item
Name: HP0RELCHLDRN
Item
Wording: Comportarse o
relacionarse con otros
muchachos?
Item
Name: HP0RELADULTS
Item
Wording: Comportarse o
relacionarse con adultos?
Item
Name: HP0ACTYLEVEL
Item
Wording: Su nivel de
actividad?
Item
Name: HP0MNTLHLTH
Item
Wording: Su salud emocional o
mental?
Item
Name: HP0ANXTYPROB
Item
Wording: Ansiedad o
temor?
Item
Name: HP0SELFHARM
Item
Wording: Hacerse daño a
sí [mismo/misma/mismo o misma]?
Item
Name: HP0SENSITIVTY
Item
Wording: Mucha o muy poca
sensibilidad al contacto físico, al sonido o a la
temperatura?
Item
Name: HP0LANGPROB
Item
Wording: Comunicarse o entender
lo que se dice en su idioma principal?
Item
Name: HP0EATINGPROB
Item
Wording: Comer demasiado o
comer muy poco?
Item
Name: HP0SLEEPPROB
Item
Wording: Dormir demasiado o
dormir muy poco?
Item
Name: HP0CHRNHLTH
Item
Wording: Problemas de salud
crónicos (por ejemplo, asma, convulsiones, anemia
falciforme)?
Item
Name: HP0EVALOTHER
Item
Wording: Otro
Item
Name: HP0EVALOTHER_other
Item
Wording: Por favor
especifique
Item
Name: HP0EVALNONE
Item
Wording: [Student's first
name/Su estudiante de 9º grado] nunca ha sido evaluado(a).
Help
Text:
Profesional: Esto incluye
a los profesionales de salud y salud mental como doctores, pediatras,
enfermeras con práctica médica, optometristas,
oftalmólogos, psicólogos escolares o de otro tipo,
psiquiatras, trabajadores sociales, patólogos del habla y del
lenguaje, fisioterapistas, etc. No incluye a maestros, directores de
escuela o principales ni a consejeros académicos.
HP0EVRDIAGNOS
Question
Wording:
Usted dijo que
[Student's first name/su estudiante de 9º grado] fue evaluado(a)
por un profesional [a causa de [TEXT FROM
HP0INDCARE/HP0PAYATTN/HP0LRNPROB/HP0BODYCOORD/HP0RELCHLDRN/HP0RELADULTS/HP0ACTYLEVEL/HP0MNTLHLTH/HP0ANXTYPROB/HP0SELFHARM/HP0SENSITIVTY/HP0LANGPROB/HP0EATINGPROB/HP0SLEEPPROB/HP0CHRNHLTH/[HP0EVALOTHER_other/otra
problema]]].
¿El profesional le dio a usted uno o más diagnósticos de un problema?
Item
Name: HP0EVRDIAGNOS
1=Sí
0=No
Help
Text:
Profesional: Esto incluye a los profesionales de salud y salud mental como doctores, pediatras, enfermeras con práctica médica, optometristas, oftalmólogos, psicólogos escolares o de otro tipo, psiquiatras, trabajadores sociales, patólogos del habla y del lenguaje, fisioterapistas, etc. No incluye a maestros, directores de escuela o principales ni a consejeros académicos.
HP0CHDIAGNOS
Question
Wording:
¿Cuál
fue el diagnóstico o diagnósticos?
Si no ve
el diagnóstico o diagnósticos de [Student's first
name/su estudiante de 9º grado] en la siguiente lista, por favor
seleccione "Otro" y escríbalo en el cuadro "Por
favor especifique."
(Seleccione todo lo que
corresponda.)
Item
Name: HP0READDISAB
Item
Wording: Discapacidad de
aprendizaje (LD, por sus siglas en inglés) —
Discapacidad para el aprendizaje de lectura (o dislexia)
Item
Name: HP0MATHDISAB
Item
Wording: Discapacidad de
aprendizaje (LD, por sus siglas en inglés) —
Discapacidad para el aprendizaje de matemáticas
Item
Name: HP0OTHERDISAB
Item
Wording: Discapacidad de
aprendizaje (LD, por sus siglas en inglés) — de otro
tipo
Item
Name: HP0ADDADHD
Item
Wording: Trastorno por Déficit
de Atención (TDA [o ADD, por sus siglas en inglés]) o
Trastorno de Déficit de Atención con Hiperactividad
(TDAH [o ADHD, por sus siglas en inglés])
Item
Name: HP0AUTISM
Item
Wording: Trastorno del Espectro
Autista (TEA [o ASD, por sus siglas en inglés]); como
Trastorno autístico/Síndrome de Asperger/Trastorno
Generalizado del Desarrollo (TGD [o PDD, por sus siglas en inglés])
Item
Name: HP0SPEECHDIS
Item
Wording: Trastorno del habla o
lenguaje
Item
Name: HP0INTEDISAB
Item
Wording: Discapacidad
intelectual (o discapacidad cognitiva severa)
Item
Name: HP0HLTHIMPAIR
Item
Wording: Impedimento de salud
(como ataques o convulsiones, asma, diabetes)
Item
Name: HP0PHYSDISAB
Item
Wording: Discapacidad física
(como parálisis cerebral, espina bífida, amputación,
contracturas)
Item
Name: HP0SENSIMPAIR
Item
Wording: Discapacidad sensorial
(como hipersensibilidad; problemas de procesamiento sensorial;
problemas de integración sensorial; déficit sensorial o
problemas de organización sensorial)
Item
Name: HP0EMOTDISTUR
Item
Wording: Trastorno emocional
Item
Name: HP0CONDUCTDIS
Item
Wording: Trastorno de conducta
o Trastorno de Oposición Desafiante
Item
Name: HP0PTSD
Item
Wording: Trastorno de Estrés
Postraumático (TEPT [o PTSD, por sus siglas en inglés])
Item
Name: HP0ANXIETY
Item
Wording: Trastorno de ansiedad
o fobia
Item
Name: HP0OCD
Item
Wording: Trastorno
obsesivo-compulsivo (TOC [o OCD, por sus siglas en inglés])
Item
Name: HP0EATINGDIS
Item
Wording: Trastorno de la
alimentación
Item
Name: HP0DEPRESSION
Item
Wording: Depresión
Item
Name: HP0BIPOLAR
Item
Wording: Trastorno bipolar
Item
Name: HP0TOURETTES
Item
Wording: Síndrome de
Tourette
Item
Name: HP0BRAININJUR
Item
Wording: Lesión cerebral
traumática
Item
Name: HP0UNKOWNDIAG
Item
Wording: Todavía no se
ha determinado el diagnóstico
Item
Name: HP0OTHERDIAG
Item
Wording: Otro
Item
Name: HP0OTHERDIAG_other
Item
Wording: Por favor
especifique
Help Text:
Discapacidad de aprendizaje (LD, por sus siglas en inglés): Un problema con uno o más de los procesos básicos usados para la comprensión o el uso del lenguaje (hablado o escrito), para escuchar, pensar, leer, escribir, deletrear o resolver problemas matemáticos. En algunos casos, un muchacho con una discapacidad de aprendizaje puede desempeñarse a su nivel escolar con ayuda especial.
Discapacidad para el aprendizaje de lectura: Una discapacidad para lectura es una discapacidad de aprendizaje que afecta la habilidad del muchacho para leer y a menudo también afecta la escritura.
Discapacidad para el aprendizaje de matemáticas: Una discapacidad para las matemáticas es una discapacidad de aprendizaje que afecta la habilidad del muchacho para comprender y resolver problemas matemáticos.
Trastorno por Déficit de Atención (TDA [o ADD, por sus siglas en inglés]) o Trastorno de Déficit de Atención con Hiperactividad (TDAH [o ADHD, por sus siglas en inglés]): El TDA/ADD y el TDAH/ADHD son deficiencias de salud que le dificultan al muchacho concentrarse y prestar atención. Un muchacho con TDAH/ADHD también es a menudo hiperactivo (siempre inquieto) y puede tener problemas para tener paciencia. Un muchacho así puede actuar sin pensar y tener problemas para estar sentado quieto (más de lo esperado para su edad).
Trastorno del Espectro Autista (TEA [o ASD, por sus siglas en inglés]): El TEA/ASD o autismo afecta la habilidad del muchacho para comunicarse (verbal y no verbalmente) e interactuar socialmente. Un muchacho con autismo tiene dificultad para comprender las emociones y la perspectiva de los demás. Las características pueden incluir: falta de respuesta a otras personas, expresiones faciales que no parecen adecuadas para la situación, otras maneras de responder socialmente inapropiadas, así como actividades y movimientos repetitivos (tales como aletear las manos o mecerse). Un muchacho con autismo puede mostrar resistencia a los cambios. También puede mostrar hipersensibilidad a experiencias sensoriales como la producida por la textura de la ropa. Un muchacho con autismo puede estar muy adelantado o tener mucho talento en alguna o más áreas. El Trastorno del Espectro Autista (TEA/ASD) incluye a los muchachos con el síndrome de Asperger y el Trastorno Generalizado del Desarrollo (TGD [o PDD, por sus siglas en inglés]).
Trastorno del habla o lenguaje: Un trastorno del habla o lenguaje se refiere a un trastorno de la comunicación. Un muchacho con un trastorno del habla puede tener trastornos de la voz, tartamudear o tener problemas para distinguir sonidos. La variedad de los trastornos del habla va desde la dificultad al usar un sonido en particular (por ejemplo, el sonido "rr" en "carro") hasta la dificultad para hablar con voz fuerte. Un muchacho con un impedimento del lenguaje puede tener dificultad para entender y formar oraciones, para usar las palabras correctamente y para encontrar palabras que él o ella quiere decir. También puede tener dificultad para repetir información que acaba de oír.
Discapacidad intelectual (o discapacidad cognitiva severa): El desarrollo mental de un muchacho está notoriamente retrasado con respecto a lo esperado para un muchacho de su edad. Un muchacho con una discapacidad intelectual también tiene dificultad para desempeñar por sí mismo algunas actividades o funciones diarias. El aprendizaje escolar del muchacho es muy lento y bastante retrasado con relación a otros muchachos de la misma edad. Anteriormente esto se llamaba "retraso mental."
Impedimento de salud: Un impedimento de salud incluye cuestiones de salud que le ocasionan problemas con la fuerza física, la vitalidad y la agilidad mental. Un muchacho con un problema de salud puede funcionar intelectual o cognitivamente tan bien como sus compañeros, pero generalmente tiene dificultad para "mantenerse a la par de los demás." Los impedimentos de salud incluyen problemas tales como la epilepsia u otros trastornos convulsivos, asma, diabetes, anemia falciforme o hemofilia.
Discapacidad física: Una discapacidad física afecta la habilidad del muchacho para moverse o mantener el equilibrio. Problemas de discapacidad física pueden incluir parálisis cerebral, amputaciones, tuberculosis de los huesos, polio y contracturas (dificultad para extender las articulaciones como las rodillas, codos y dedos).
Discapacidad sensorial: Las discapacidades sensoriales consisten en ser hipersensible (demasiado sensible) al contacto físico, al sonido, al movimiento o a la temperatura; o muy poco sensible a dichas cosas. Las discapacidades sensoriales también pueden consistir en una falta de control sobre a qué información sensorial le deben prestar atención. Un muchacho puede tener un mayor estado de alerta a cambios muy pequeños en su entorno que le hacen difícil mantener la atención sobre lo que debería estar aprendiendo.
Trastorno emocional: Los trastornos emocionales (ED, por sus siglas en inglés) consisten en dificultades con las emociones durante un largo periodo de tiempo que perjudica el rendimiento escolar de un muchacho. ED puede incluir (a) una dificultad de aprendizaje que no puede ser explicada por otros factores; (b) dificultad en las relaciones interpersonales (es decir, en llevarse bien) con sus compañeros y maestros; (c) comportamiento o sentimientos que no tienen que ver con lo que está sucediendo; (d) un estado de ánimo general de infelicidad o depresión; y/o (e) una tendencia a desarrollar síntomas físicos o temores asociados con problemas personales o escolares. Los trastornos emocionales incluyen esquizofrenia. No se aplica a un muchacho que es socialmente inadaptado (problemas de comportamiento extremos), a menos que él o ella también tenga un trastorno emocional.
Trastorno de conducta o Trastorno de Oposición Desafiante: Un trastorno de conducta (CD, por sus siglas en inglés) consiste en un patrón de comportamiento que es con frecuencia desafiante, enojado, hostil e irrespetuoso, e interrumpe el funcionamiento normal del muchacho. Antes de los diez años de edad, un muchacho que exhibe estos comportamientos negativos es generalmente diagnosticado con trastorno de oposición desafiante (ODD, por sus siglas en inglés). Si los síntomas de comportamiento después de los diez años no son graves, un muchacho también puede ser diagnosticado con trastorno de oposición desafiante (ODD, por sus siglas en inglés).
Trastorno de Estrés Postraumático (TEPT [o PTSD, por sus siglas en inglés]): Trastorno de estrés postraumático, también conocido como TEPT (o PTSD, por sus siglas en inglés), es un trastorno que algunas personas desarrollan después de pasar por un evento que les causa un shock, los aterra o que es peligroso. El TEPT/PTSD puede causar extremada ansiedad, pesadillas, traer a la mente imágenes del evento y puede interferir con la capacidad de funcionamiento del muchacho.
Trastorno de ansiedad o fobia: Un muchacho que tiene un trastorno o fobia de ansiedad se preocupa mucho más que otros muchachos y puede preocuparse todo el tiempo. Él puede preocuparse por nada en particular o por sí mismo, por la seguridad de otros, por su propia salud y/o por el mundo. Él tiene a menudo signos físicos de ansiedad, tales como dolor de cabeza, dolor abdominal, calambres, diarrea, vómitos y mareos. Los trastornos de ansiedad incluyen trastorno de ansiedad generalizada, trastorno de ansiedad social (también llamado fobia social) y otras fobias específicas que interfieren con la capacidad del muchacho para funcionar.
Trastorno obsesivo-compulsivo (TOC [o OCD, por sus siglas en inglés]): Un muchacho debe tener obsesiones o compulsiones o ambas cosas para tener este trastorno, y estas obsesiones y/o compulsiones debe impedir el funcionamiento normal del muchacho. Las obsesiones son pensamientos que se producen una y otra vez y causan angustia. Un muchacho dedica tanto tiempo a los pensamientos que eso le causa dificultad para cuidar de sí mismo o relacionarse con los demás. Las compulsiones son actos que un muchacho se ve obligado a repetir una y otra vez, tal como una necesidad de limpiar u organizar en exceso, para mantener todo igual.
Trastorno de la alimentación: Los trastornos de la alimentación consisten en comer muy poco y una obsesión por mantenerse delgado (anorexia) o comer sin parar (atracarse de comida). Un muchacho puede obligarse a vomitar después de los atracones y/o tomar laxantes (bulimia), o un muchacho puede vomitar sin intentarlo después de comer en exceso.
Depresión: La depresión es un estado de ánimo, de tristeza o infelicidad penetrante. Incluye el sentirse inútil, desesperanzado y despreciable. La depresión dura muchos días o hasta semanas, impidiendo que el muchacho funcione de manera normal.
Trastorno bipolar: El trastorno bipolar (también conocido como trastorno maniaco depresivo o depresión maniaca) causa cambios inusuales de humor, energía y niveles de actividad en un muchacho. Este trastorno puede hacer difícil que se hagan las actividades diarias y puede llevar a que se tomen malas decisiones. Esos cambios emocionales intensos generalmente no están relacionados a eventos de la vida.
Síndrome de Tourette: El síndrome de Tourette es un trastorno del sistema nervioso que consiste en movimientos o vocalizaciones repetitivos e involuntarios (que el muchacho no controla). A estos movimientos y vocalizaciones involuntarias se les llama tics. Algunos ejemplos incluyen muecas faciales, parpadeo de ojos, carraspeos o gruñidos. Estos tics a menudo empeoran si el muchacho está emocionado o ansioso. Los síntomas tempranos generalmente se notan entre 3 y 9 años de edad.
Lesión cerebral traumática: Lesión cerebral traumática (LCT [o TBI, por sus siglas en inglés]) es una lesión en el cerebro debido a un impacto o golpe en la cabeza, debido a una caída seria o un accidente automovilístico. El LCT se aplica a una lesión abierta o cerrada en la cabeza que conlleva a dificultades en una o más áreas, como la comprensión; memoria; atención; razonamiento; pensamiento abstracto; juicio; solución de problemas; lenguaje; habilidades sensoriales, de percepción y motoras; comportamiento social; funciones físicas; procesamiento de información; y el habla. El término no se aplica a lesiones cerebrales que ya están ahí o que ocurren al nacer, o que empeoran con el tiempo.
HP0ADDMEDS
Question
Wording:
¿Está
tomando [Student's first name/su estudiante de 9º grado]
actualmente algún medicamento recetado para TDA (o ADD, por
sus siglas en inglés) o TDAH (o ADHD, por sus siglas en
inglés)?
Item
Name: HP0ADDMEDS
1=Sí
0=No
HP0EARACHE
Question
Wording:
La siguiente serie de preguntas trata sobre el oído de [Student's first name/su estudiante de 9º grado].
¿ALGUNA VEZ [Student's first name/su estudiante de 9º grado] ha tenido 3 o más infecciones de oído o dolores de oído?
Item
Name: HP0EARACHE
1=Sí
0=No
99=Usted
no sabe.
Help
Text:
Alguna vez: Alguna vez quiere decir desde que nació.
Infecciones de oído o dolores de oído: Infecciones de oído o dolores de oído normalmente se refiere a cuando un doctor ha diagnosticado una infección de oído (otitis media).
HP0EARTUBES
Question
Wording:
¿ALGUNA VEZ le colocaron a [Student's first name/su estudiante de 9º grado] un tubo en uno o en ambos oídos para drenar líquido o tratar infecciones de oído?
Item
Name: HP0EARTUBES
1=Sí
0=No
99=Usted
no sabe.
Help
Text:
Alguna vez: Alguna vez quiere decir desde que nació.
HP0HEARTEST
Question
Wording:
Aparte de evaluaciones de audición en la escuela, ¿ALGUNA VEZ un doctor u otro profesional médico le ha hecho una prueba para ver qué tan bien oye [Student's first name/su estudiante de 9º grado]?
Item
Name: HP0HEARTEST
1=Sí
0=No
99=Usted
no sabe.
Help
Text:
Alguna vez: Alguna vez quiere decir desde que nació.
Doctor u otro profesional médico: Doctor u otro profesional médico incluye a pediatras, otorrinolaringólogos (ENT, por sus siglas en inglés), enfermeras o enfermeras con práctica médica, audiólogos, patólogos del habla-lenguaje u otros profesionales de la salud con licencia. No incluya a maestros ni ningún otro profesional que no sea de servicios médicos.
HP0HEARDIAG
Question
Wording:
¿Algún doctor u otro profesional médico le diagnosticó un problema?
Item
Name: HP0HEARDIAG
1=Sí
0=No
Help
Text:
Doctor u otro profesional
médico: Doctor u otro profesional médico incluye a
pediatras, otorrinolaringólogos (ENT, por sus siglas en
inglés), enfermeras o enfermeras con práctica médica,
audiólogos, patólogos del habla-lenguaje u otros
profesionales de la salud con licencia. No incluya a maestros ni
ningún otro profesional que no sea de servicios médicos.
HP0HRDIAGTYP
Question
Wording:
¿Cuál fue el diagnóstico que le dio el doctor o profesional médico?
(Seleccione
todo lo que corresponda.)
Item
Name: HP0HRDGEINF
Item
Wording: Infección de
oído, a menudo con dolor de oído y fiebre, puede
empeorar rápidamente y repetirse con frecuencia
Item
Name: HP0HRDGFLUID
Item
Wording: Líquido en uno
o ambos oídos, por ejemplo, líquido detrás del
tímpano, goteo o secreción de los oídos, líquido
o pus drenando de la oreja, dura mucho o es crónico, a veces
se lo trata con tubos en los oídos
Item
Name: HP0HRDGEINJ
Item
Wording: Lesión o
deformidad en la oreja o el oído
Item
Name: HP0HRDGHLGEN
Item
Wording: Pérdida de
audición por una causa genética, síndrome o
desde el nacimiento
Item
Name: HP0HRDGHLINF
Item
Wording: Pérdida de
audición debido a una enfermedad infecciosa, como meningitis,
sarampión, rubeola o citomegalovirus
Item
Name: HP0HRDGHLLT
Item
Wording: Pérdida de
audición debido a exposición prolongada a ruidos altos,
como herramientas a motor, equipo agrícola o actividades
recreativas ruidosas
Item
Name: HP0HRDGHLST
Item
Wording: Pérdida de
audición debido a sonidos explosivos breves, como petardos o
disparos de bala
Item
Name: HP0HRDGHLTX
Item
Wording: Pérdida de
audición debido a toxinas, como plomo, medicamentos ototóxicos
o productos químicos
Item
Name: HP0HRDGOTH
Item
Wording: Otro diagnóstico
Item
Name: HP0HRDGDK
Item
Wording: Usted no sabe.
Help
Text:
Doctor u otro profesional
médico: Doctor u otro profesional médico incluye a
pediatras, otorrinolaringólogos (ENT, por sus siglas en
inglés), enfermeras o enfermeras con práctica médica,
audiólogos, patólogos del habla-lenguaje u otros
profesionales de la salud con licencia. No incluya a maestros ni
ningún otro profesional que no sea de servicios médicos.
HP0RECHRDEV
Question
Wording:
¿ALGUNA
VEZ un especialista en
audición, un doctor u otro profesional médico le
recomendó un aparato auditivo, un implante coclear u otro
dispositivo para ayudar a escuchar para [Student's first name/su
estudiante de 9º grado]?
Item
Name: HP0RECHRDEV
1=Sí
0=No
99=Usted
no sabe.
Help
Text:
Especialista en audición, doctor u otro profesional médico: Especialista en audición, doctor u otro profesional médico incluye a pediatras, otorrinolaringólogos (ENT, por sus siglas en inglés), enfermeras o enfermeras con práctica médica, audiólogos, patólogos del habla-lenguaje u otros profesionales de la salud con licencia. No incluya a maestros ni ningún otro profesional que no sea de servicios médicos.
Alguna vez: Alguna vez quiere decir desde que nació.
Aparato auditivo: Un aparato auditivo es un pequeño dispositivo electrónico que se usa dentro o detrás de la oreja para hacer que los sonidos suenen más fuerte.
Implante coclear: Un implante coclear es un dispositivo eléctrico que se inserta de manera permanente en la cabeza de la persona en un procedimiento de cirugía realizado por un doctor. Lo usan las personas que están casi totalmente sordas para enviar sonido al cerebro usando un transmisor magnético colocado al costado de la cabeza.
Otro dispositivo para ayudar a escuchar: Otros dispositivos para ayudar a escuchar incluyen cualquier dispositivo o servicio que se usa para ayudarse a oír, como un amplificador de sonido personal, un pocket talker, una aplicación para el teléfono, un teléfono con amplificador o un intérprete.
HP0CHRONNOISE
Question
Wording:
¿ALGUNA VEZ ha estado [Student's first name/su estudiante de 9º grado] expuesto(a) a un ruido muy fuerte por varias horas a la semana durante un total de 3 meses o más? Ejemplos de ruidos fuertes incluyen equipo agrícola, cortadoras o bordeadoras de césped, herramientas a motor, música fuerte, video juegos, vehículos a motor ruidosos y eventos deportivos ruidosos.
Item
Name: HP0CHRONNOISE
1=Sí
0=No
99=Usted
no sabe.
Help
Text:
Alguna vez: Alguna vez quiere decir desde que nació.
Muy fuerte: Muy fuerte se refiere a sonidos tan fuertes que [él/ella/su estudiante de 9º grado/[Student's first name]] tendría que hablar a los gritos para que alguien que está a 3 pies de distancia lo/la pueda entender.
HP0ACUTNOISE
Question
Wording:
¿ALGUNA VEZ [Student's first name/su estudiante de 9º grado] ha estado expuesto(a) a sonidos muy fuertes y breves, como petardos, disparos de bala u otro ruido de explosiones en 10 o más ocasiones?
Item
Name: HP0ACUTNOISE
1=Sí
0=No
99=Usted
no sabe.
Help
Text:
Alguna vez: Alguna vez quiere decir desde que nació.
Muy fuertes: Muy fuertes se refiere a sonidos tan fuertes que [él/ella/su estudiante de 9º grado/[Student's first name]] tendría que hablar a los gritos para que alguien que está a 3 pies de distancia lo/la pueda entender.
HP0LIINTRO
Question
Wording:
En esta última sección de la encuesta vamos a pedirle información de contacto suya. [If respondent is not Parent 1 ((HP0RESPREL in (7,8,9,10,15,16) or HP0RESPREL = no response) and HP0OPINHOUSE = 2) or household includes two parents or (HP0CNTCTNRESP = 1 or HP0OTHLIVW =1) then fill: También le pediremos información para contactar a cualquier otro padre o madre o figuras paternas o maternas que vivan con [Student's first name/su estudiante de 9º grado]./else: no fill]
Esta información solo se usará para ayudarnos a contactarlos a usted y a [Student's first name/su estudiante de 9º grado] en el futuro para este estudio. Se mantendrá en archivos protegidos y separados de las respuestas que usted dé en su encuesta.
Para
continuar, por favor haga clic en el botón que dice
“Siguiente.”
HP0NAME *
Question
Wording:
¿Es usted
[Parent's first name] [Parent's middle name] [Parent's last name]
[Parent's suffix]?
Item
Name: HP0NAME
1=Sí
0=No
HP0RCNTCTINF1 *
Question
Wording:
[Por favor confirme o proporcione su nombre completo y dirección de su hogar./Por favor confirme que esté bien escrito su nombre completo y confirme o proporcione la dirección de su hogar./Por favor corrija su nombre completo y confirme o proporcione la dirección de su hogar.] [Esta información nos la dio la escuela de [Student's first name/su estudiante de 9º grado].] Si su información de contacto no es correcta o está incompleta, por favor corríjala. Luego haga clic en "Siguiente" para continuar.
Nombre:
Item
Name: HP0RFIRNAME
Item
Wording: Primer nombre:
Item
Name: HP0RMIDNAME
Item
Wording: Segundo nombre:
Item
Name: HP0RLSTNAME
Item
Wording: Apellido(s):
Item
Name: HP0RSUFFIX
Item
Wording: Sufijo:
Question
Wording:
Dirección:
Item
Name: HP0RAD
Item
Wording: Dirección:
Item
Name: HP0RCY
Item
Wording: Ciudad:
Item
Name: HP0RST
Item
Wording: Estado:
Item
Name: HP0RZP
Item
Wording: Código postal:
Encuentra
la ciudad y el estado desde el código postal
Item
Name: HP0RFOR
Item
Wording: Por favor marque aquí
si la dirección es en el extranjero.
Item
Name: HP0RFAD
Item
Wording:
Dirección (extranjera):
Item
Name: HP0RFCY
Item
Wording: Ciudad
(extranjera):
Item
Name: HP0RFS
Item
Wording: Estado/Provincia
(extranjero(a)):
Item
Name: HP0RFC
Item
Wording: País
(extranjero):
Item
Name: HP0RFZ
Item
Wording: Código postal
(extranjero):
HP0RCNTCTINF2 *
Question
Wording:
Por favor confirme o
proporcione sus números de teléfono celular y otros
números de teléfono, incluyendo el código de
área y su correo electrónico principal. [Esta
información nos la dio la escuela de [Student's first name/su
estudiante de 9º grado].] Si su información de contacto
no es correcta o está incompleta, por favor corríjala.
Luego haga clic en “Siguiente” para continuar.
Item
Name: HP0RCELLTEL1
Item
Wording: Número
de teléfono celular:
Item
Name: HP0RNCELLTEL
Item
Wording: Usted no tiene número
de teléfono celular.
Item
Name: HP0ROTHTEL1
Item
Wording: Otro
número de teléfono:
Item
Name: HP0RNOTHTEL
Item
Wording: Usted no tiene otro
número de teléfono.
Item
Name: HP0ROTHTYP
-9=-
Seleccione tipo de teléfono-
1=Teléfono de
tierra
2=Del trabajo
3=Otro
Item
Name: HP0REMAIL
Item
Wording: Correo
electrónico:
Item
Name: HP0RNOEMAIL
Item
Wording: Usted no tiene correo
electrónico.
HP0P1CNTCTINF *
Question
Wording:
¿Cuál es
el nombre, el número de teléfono celular y otros
números de teléfono, y el correo electrónico [de
usted/[de la madre biológica o de nacimiento/del padre
biológico o de nacimiento/de la madre adoptiva/del padre
adoptivo/de la madrastra/del padrastro/de la madre foster o
tutora o guardiana legal/del padre foster o
tutor o guardián legal/del padre o de la madre] de [Student's
first name/su estudiante de 9º grado]]?
Nombre:
Item
Name: HP0P1FIRNAME
Item
Wording: Primer nombre:
Item
Name: HP0P1MIDNAME
Item
Wording: Segundo nombre:
Item
Name: HP0P1LSTNAME
Item
Wording: Apellido(s):
Item
Name: HP0P1SUFFIX
Item
Wording: Sufijo:
Item
Name: HP0P1CELLCODE
Item
Wording:Número de teléfono celular:
Item
Name: HP0P1NCELLTEL
98=[Él/Ella]
no tiene número de teléfono celular.
99=Usted no
sabe.
Item
Name: HP0P1OTHCODE
Item
Wording: Otro
número de teléfono:
Item
Name: HP0P1NOTHTEL
98=[Él/Ella]
no tiene otro número de teléfono.
99=Usted no
sabe.
Item
Name: HP0P1OTHTYP
-9=-
Seleccione tipo de teléfono-
1=Teléfono de
tierra
2=Del trabajo
3=Otro
Item
Name: HP0P1EMAIL
Item
Wording: Correo
electrónico:
Item
Name: HP0P1NOEMAIL
98=[Él/Ella]
no tiene correo electrónico.
99=Usted no sabe.
HP0P2CNTCTINF
Question
Wording:
¿Cuál es el nombre, el número de teléfono celular y otros números de teléfono, y el correo electrónico [de su [esposo(a)/pareja]/[de la madre biológica o de nacimiento/del padre biológico o de nacimiento/de la madre adoptiva/de la otra madre adoptiva/del padre adoptivo/del otro padre adoptivo/de la madrasta/del padrastro/de la madre foster o tutora o guardiana legal/de la otra madre foster o tutora o guardiana legal/del padre foster o tutor o guardián legal/del otro padre foster o tutor o guardián legal/de la tía/de la otra tía/del tío/del otro tío/de la abuela/de la otra abuela/del abuelo/del otro abuelo/de la madre o tutora o guardiana/de la otra madre o tutora o guardiana/del padre o tutor o guardián/del otro padre o tutor o guardián/del otro padre o de la otra madre/de la otra figura paterna o materna] de [Student's first name/su estudiante de 9º grado]]?
Nombre:
Item
Name: HP0P2FIRNAME
Item
Wording: Primer nombre:
Item
Name: HP0P2MIDNAME
Item
Wording: Segundo nombre:
Item
Name: HP0P2LSTNAME
Item
Wording: Apellido(s):
Item
Name: HP0P2SUFFIX
Item
Wording: Sufijo:
Item
Name: HP0P2CELLCODE
Item
Wording: Número de teléfono celular:
Item
Name: HP0P2NCELLTEL
98=[Él/Ella/Su
[esposo(a)/pareja]/[El otro padre o la otra madre/La otra figura
paterna o materna] de [Student's first name/su estudiante de 9º
grado]] no tiene número de teléfono celular.
99=Usted
no sabe.
Item
Name: HP0P2OTHCODE
Item
Wording: Otro
número de teléfono:
Item
Name: HP0P2NOTHTEL
98=[Él/Ella/Su
[esposo(a)/pareja]/[El otro padre o la otra madre/La otra figura
paterna o materna] de [Student's first name/su estudiante de 9º
grado]] no tiene otro número de teléfono.
99=Usted
no sabe.
Item
Name: HP0P2OTHTYP
-9=-
Seleccione tipo de teléfono-
1=Teléfono de
tierra
2=Del trabajo
3=Otro
Item
Name: HP0P2EMAIL
Item
Wording: Correo
electrónico:
Item
Name: HP0P2NOEMAIL
98=[Él/Ella/Su
[esposo(a)/pareja]/[El otro padre o la otra madre/La otra figura
paterna o materna] de [Student's first name/su estudiante de 9º
grado]] no tiene correo electrónico.
99=Usted no sabe.
HP0NONRESINFO
Question
Wording:
¿Cuál es
el nombre, dirección y números de teléfono del
padre o de la madre de [Student's first name/su estudiante de 9º
grado] que no vive con [él/ella/su estudiante de 9º
grado/[Student's first name]]?
Nombre:
Item
Name: HP0NONRESFNM
Item
Wording: Primer nombre:
Item
Name: HP0NONRESMNM
Item
Wording: Segundo nombre:
Item
Name: HP0NONRESLNM
Item
Wording: Apellido(s):
Item
Name: HP0NONRESSUF
Item
Wording: Sufijo:
Question
Wording: Dirección:
Item
Name: HP0NONRESAD1
Item
Wording: Dirección:
Item
Name: HP0NONRESCY
Item
Wording: Ciudad:
Item
Name: HP0NONRESST
Item
Wording: Estado:
Item
Name: HP0NONRESZP
Item
Wording: Código postal:
Encuentra
la ciudad y el estado desde el código postal
Item
Name: HP0NONRESFOR
Item
Wording: Por favor marque aquí
si la dirección es en el extranjero.
Item
Name: HP0NONRESFAD
Item
Wording: Dirección
(extranjera):
Item
Name: HP0NONRESFCY
Item
Wording: Ciudad
(extranjera):
Item
Name: HP0NONRESFS
Item
Wording: Estado/Provincia
(extranjero(a)):
Item
Name: HP0NONRESFC
Item
Wording: País (extranjero):
Item
Name: HP0NONRESFZ
Item
Wording: Código postal
(extranjero):
Question
Wording:
Números
de teléfono:
Item
Name: HP0NONRESCLCD
Item
Wording: Número de
teléfono celular:
Item
Name: HP0NONRESNCEL
98=Él/Ella
no tiene un número de teléfono celular.
99=Usted
no sabe.
Item
Name: HP0NONRESOTCD
Item
Wording: Otro número de
teléfono:
Item
Name: HP0NONRESNOTL
98=Él/Ella
no tiene otro número de teléfono.
99=Usted no
sabe.
Item
Name: HP0NONRESOTYP
-9=-
Seleccione tipo de teléfono-
1=Teléfono de
tierra
2=Del trabajo
3=Otro
HP0INCENTIVE *
Question
Wording:
Gracias. Como agradecimiento por haber completado hoy la encuesta, nos gustaría enviarle $[Parent incentive].
Si usted desea que la escuela de [Student's first name/su estudiante de 9º grado] reciba este $[Parent incentive], por favor haga clic en el cuadrito a continuación donde dice "Quiero regalar mi [Parent incentive] a la escuela de [Student's first name/su estudiante de 9º grado]." Si usted quiere recibir este [Parent incentive], por favor confirme su información.
Si la información que aparece a continuación es correcta, haga clic en "Siguiente." Si la información no es correcta o está incompleta, por favor corríjala abajo y luego haga clic en "Siguiente."
(Recibirá el envío en unas 4 semanas.)
Si no desea recibir este [Parent incentive], por favor haga clic en el cuadrito de abajo y luego haga clic en "Siguiente" para continuar.
Item
Name: HP0INC_School
Item
Wording: Quiero regalarle mi
[Parent incentive] a la escuela de [Student's first name/su
estudiante de 9º grado].
Item
Name: HP0INC_NoInc
Item
Wording: No quiero recibir nada
por completar esta encuesta.
Item
Name: HP0INCNAME_LBL
Item
Wording: Nombre:
Item
Name: HP0INCFIRNAME
Item
Wording: Primer nombre:
Item
Name: HP0INCMIDNAME
Item
Wording: Segundo nombre:
Item
Name: HP0INCLSTNAME
Item
Wording: Apellido(s):
Item
Name: HP0INCSUFFIX
Item
Wording: Sufijo:
Question
Wording: Dirección:
Item
Name: HP0INCAD
Item
Wording: Dirección:
Item
Name: HP0INCAD2
Item
Wording:
Item
Name: HP0INCCY
Item
Wording: Ciudad:
Item
Name: HP0INCST
Item
Wording: Estado:
Item
Name: HP0INCZP
Item
Wording: Código postal:
Encuentra
la ciudad y el estado desde el código postal
Item
Name: HP0INCFOR
Item
Wording: Por favor marque aquí
si la dirección es en el extranjero.
Item
Name: HP0INCFAD
Item
Wording:
Dirección (extranjera):
Item
Name: HP0INCFCY
Item
Wording: Ciudad (extranjera):
Item
Name: HP0INCFS
Item
Wording: Estado/Provincia
(extranjero(a)):
Item
Name: HP0INCFC
Item
Wording: País
(extranjero):
Item
Name: HP0INCFZ
Item
Wording: Código postal
(extranjero):
HP0INCENTCASH *
Question
Wording:
Gracias. Como
agradecimiento por haber completado hoy la encuesta, nos gustaría
darle $[Parent incentive] en
efectivo.
Item
Name: HP0INCENTCASH
1=RESPONDENT
HAS BEEN GIVEN THE [Parent incentive] INCENTIVE.
2=[If survey
mode is = LAPTOP_SELF then fill: No quiero recibir nada por completar
esta encuesta./else fill: RESPONDENT DECLINED INCENTIVE.]
3=Acepto
el $[Parent incentive].
HP0PREEND *
Question
Wording:
Ha llegado al final de
la encuesta.
Usted no podrá
ingresar nuevamente en la encuesta una vez que haga clic en
"Siguiente" en esta pantalla.
Si usted quiere
revisar alguna de sus respuestas, use el botón que dice
"Anterior" para volver a la(s) pantalla(s) que desee. Si
está conforme con todas sus respuestas, haga clic en
"Siguiente" para pasar a la pantalla final de la encuesta.
Esto indicará que la encuesta está completa.
HP0END *
Question
Wording:
Estas son todas las preguntas que tenemos para usted por el momento. Le agradecemos el tiempo que nos dedicó a completar la encuesta.
¡Muchas gracias por participar en HS&B:21!
[If survey mode is = WEB then fill: Asegúrese de CERRAR TODAS las ventanas del navegador para mantener protegidas sus respuestas. Por ejemplo, si usó Chrome o Safari para abrir la encuesta, asegúrese de que no quede abierta ninguna ventana o pantalla de Chrome o Safari después que usted termine la encuesta. Si usted no cierra todos los navegadores, alguien tal vez pueda ver sus respuestas. Haga clic en "Terminar" para completar y cerrar la encuesta./
else if survey mode is = CATI then fill: (CLICK "Terminar" TO RETURN TO THE CATI FRONTEND.)/
else if survey mode is = LAPTOP_SELF then fill: Por favor devuelva ahora la computadora al entrevistador.
[If survey mode is = LAPTOP_SELF & HP0INCENTCASH = 2 then fill: INTERVIEWER: RESPONDENT DECLINED THE INCENTIVE.]
[If survey mode is = LAPTOP_SELF & HP0INCENTCASH <> 2 then fill: INTERVIEWER: PAY THE RESPONDENT $[Parent incentive] FOR COMPLETING THE SURVEY.]
Appendix B6. Administrator Questionnaire
Table 5. HS&B:21 Full-Scale Administrator Questionnaire
Form name |
Form label |
Change |
Rationale |
Abbreviated |
General |
Applies to multiple forms |
R |
Updated the calendar years to the correct year; either 2021-2022 if discussing the current calendar year, or 2020-2021 if discussing the past calendar year. Updated study name to HS&B:21, and revised study e-mail address where necessary due to the delay of data collection. |
|
HOMEPAGE |
Survey Homepage |
|
|
|
NAME A DESIGNEE PAGE |
Name a Designee Page |
R |
Added incentive language to update the principal about who is awarded the incentive if a designee completes Part 1 of the survey on their behalf. |
|
HA0INFCNSENT1 |
Informed consent 1 |
R |
Revised the wording and wording order to be in alignment with other HS&B:21 surveys. Also added language about receiving an incentive now that it will be offered for completing the survey. |
* |
HA0INFCNSENT2 |
Informed consent 2 |
R |
Updated the approximate number of administrators and schools for the full scale study. Added in language outlining the average time of completion based on respondent and survey type. |
* |
HA0NAVIGATE |
Survey instructions |
R |
Revised the wording to reflect the shortened time limit for the timeout screen. Added instructions about how to return to the homepage. Also revised the wording to include more detail on how to properly close out of the survey. Also revised the help text wording to be more accurate on how to close the help text box. |
* |
HA0INTROA1 |
Section A header |
|
No change |
* |
HA0SCHLCONTRL |
School Type (public or private) |
R |
Revised item wording for grammatical consistency. |
* |
HA0GRADESRV |
Grades Served |
|
No change |
* |
HA0SCHLTYPE |
School Type (regular, charter, vocational, etc.) |
R |
Revised response options so it no longer includes a “please specify:” text box. Also revised help text wording for “Early college high school” to be in alignment with other HS&B:21 surveys. |
* |
HA0SCHLWASCHL |
Type of schools-within-a-school |
|
No change |
|
HA0RELIGSSCHL |
Does school have religious orientation |
|
No change |
|
HA0RELIGSTYP |
Type of religious orientation |
|
No change |
|
HA0SPECIALED |
Offer special education services |
|
No change |
* |
HA0SNGLSEXSCH |
Single sex school |
|
No change |
|
HA0YEARROUND |
Year-round school |
|
No change |
|
HA0SCHFOCUS |
Special focus (STEM, early college, etc.) |
R |
Revised response options so it no longer includes a “please specify:” text box. Also revised item wording for grammatical consistency. |
* |
HA0NUMSCHDAYS |
Number of school days |
|
No change |
|
HA0STARTTIME |
School day start time |
|
No change |
|
HA0TTLINSTRCT |
Hours of instruction per day |
|
No change |
|
HA0ENROLLMENT |
Number of students enrolled |
|
No change |
* |
HA0STLENRLLD |
Percent of 9th-graders enrolled entire school year |
|
No change |
|
HA0SCHLCHOICE |
School choice program |
|
No change |
* |
HA0CHOICETYPE |
Type of school choice program |
R |
Revised response options so it no longer includes a “please specify:” text box. Also revised item wording for grammatical consistency. This form was also added to the abbreviated survey. |
* |
HA0ADMSSNPROC |
Formal admission/application procedures |
|
No change |
|
HA0NUMAPPLIED |
Number of students applied |
|
No change |
|
HA0NUMACCEPT |
Number of students accepted |
|
No change |
|
HA0YMXTUITION |
Maximum yearly tuition |
|
No change |
|
HA0PERCMXTUIT |
Percent of students paying max tuition |
|
No change |
|
HA0PCTFINAID |
Percent of students receiving financial aid |
|
No change |
|
HA0STABLTYPAY |
Family's ability to pay considered |
|
No change |
|
HA0DAILYATTND |
Average daily attendance |
|
No change |
* |
HA0INTROB1 |
Section B header |
|
No change |
* |
HA0PCTRACE |
Percent of racial subgroups |
R |
Revised help text wording be in alignment with other HS&B:21 surveys. |
* |
HA0FRPLUNCH |
Percent of students receiving free- and reduced-priced lunch |
R |
This question was added to the abbreviated survey. |
* |
HA0PCTELLSPED |
Percent of students ELL/Special Ed |
|
No change |
* |
HA0APCOURSES |
Percent of students in AP courses |
R |
Revised item wording be in alignment with other HS&B:21 surveys. |
|
HA0INTROB2 |
Section B header 2 |
|
No change |
|
HA0REPEATING9 |
Percent of students repeating 9th grade |
|
No change |
|
HA0SPECVOTECH |
Percent of students in vocational program |
|
No change |
|
HA0INTROB3 |
Section B header 3 |
R |
Revised the question wording to include conditional wording dependent on whether the school has a 12th grade or not. |
|
HA0TRNSFRALT |
Percent of students transferred to alternative program |
R |
Revised verb to past tense to make it clearer that the question is referring to students who attended the school in the previous school year (i.e., 2020-2021). |
|
HA0PARENGMNT1 |
Parental involvement at school, part 1 |
D |
Dropped this question based on TRP panelists questioning the usefulness of these question as it is currently written. |
|
HA0PARENGMNT2 |
Parental involvement at school, part 2 |
D |
Dropped this question based on TRP panelists questioning the usefulness of these question as it is currently written. |
|
HA0GRADSPCT |
Post-graduation outcomes |
|
No change |
|
HA0INTROC1 |
Section C header |
R |
Revised the question wording to include conditional wording for the abbreviated instrument. |
* |
HA0TEACHRFTPT |
Number of full-time and part-time teachers |
R |
Revised item wording to account for singular or plural responses. |
* |
HA0TCHRACE |
Teaching staff racial/ethnic make-up |
R |
Revised help text wording to be in alignment with other HS&B:21 surveys.. |
|
HA0TCHCERTIF |
Number of certified teachers |
R |
Revised item wording to account for singular or plural responses. This question was added to the abbreviated survey. |
* |
HA0CERTSUBJCT |
Number of teachers certified by level/subject |
|
No change |
|
HA0TCHOUTCERT |
Number of teachers teaching outside certification field |
R
|
Revised item wording to account for singular or plural responses. Added help text for “high school teachers.” |
|
HA0TCHABSENT |
Number of absent teachers |
R |
Revised item wording to account for singular or plural responses. |
|
HA0NEWTCHRS |
Number of new teachers |
R |
Revised item wording to account for singular or plural responses. |
* |
HA0TCHRLEFT |
Number of teachers that left that left since last year |
R |
Revised item wording to account for singular or plural responses. |
* |
HA0EXPCTTECH1 |
Technology expectations for teachers, part 1 |
D |
Dropped this question based on TRP panelists’ recommendation that technology use is not a primary goal of the study. This question was also dropped to maintain the estimated burden for respondents. |
|
HA0EXPCTTECH2 |
Technology expectations for teachers, part 2 |
D |
Dropped this question based on TRP panelists’ recommendation that technology use is not a primary goal of the study. This question was also dropped to maintain the estimated burden for respondents. |
|
HA0INTROC2 |
Section C header 2 |
|
No change |
|
HA0MTHTCHFTPT |
Number of full-time and part-time math teachers |
R |
Revised item wording to account for singular or plural responses. Also added instructions to enter zero if none be consistent with similar questions throughout the survey. |
|
HA0NEWMATHTCH |
Number of new math teachers |
R |
Revised item wording to account for singular or plural responses. |
|
HA0MTHTCHLEFT |
Number of math teachers that left since last year |
R |
Revised item wording to account for singular or plural responses. |
|
HA0MATHTEACHR |
Enough math teachers that teach advanced math |
D |
Dropped this question because the lack of variability in responses. There were questions of the usefulness of this item the way it was written, in addition to its susceptibility to social desirability bias. This question was also dropped to maintain the estimated burden for respondents. |
|
HA0INTROD1 |
Section D header |
R |
The wording changes were made to improve the accuracy of the information covered in this section. |
|
HA0PROGSPRACT |
Programs/practices at the school |
|
No change |
|
HA0COMPBSDED |
Use of competency-based education |
|
No change |
|
HA0WHOCOMPED |
Who is offered competency-based education |
D |
Dropped this question because there was not much variability in responses and the TRP panelists suggested they were unsure how they and other researchers could use the data. |
|
HA0COMPLEARNER |
How competency-based learners are identified |
D |
Dropped this question because there was not much variability in responses and the TRP panelists suggested they were unsure how they and other researchers could use the data. |
|
HA0ELLSERVICES |
ELL services offered |
R |
Revised question wording to be in alignment with question wording used other places of the survey. Revised response options so it no longer includes a “please specify:” text box. Also revised item wording for grammatical consistency. |
|
HA0NONENGSUBJ |
Subjects taught in a non-English language |
|
No change |
|
HA0ELALANG |
What languages English/Language Arts taught in |
D |
Dropped this question to maintain the estimated burden for respondents. |
|
HA0MATHLANG |
What languages Math taught in |
D |
Dropped this question to maintain the estimated burden for respondents. |
|
HA0SCIENLANG |
What languages Science taught in |
D |
Dropped this question to maintain the estimated burden for respondents. |
|
HA0SSHISLANG |
What languages Social Studies/History taught in |
D |
Dropped this question to maintain the estimated burden for respondents. |
|
HA0COMPAVAIL |
Computer availability |
|
No change |
|
HA0TECHINADEQ1 |
Technological inadequacy hinders instruction, part 1 |
D |
Dropped this question to maintain the estimated burden for respondents. |
|
HA0TECHINADEQ2 |
Technological inadequacy hinders instruction, part 2 |
D |
Dropped this question to maintain the estimated timing burden for respondents. |
|
HA0INTROE1 |
Section E header |
|
No change |
|
HA0SCHSAFETYA |
School safety and conduct practices, part 1 |
|
No change |
|
HA0SCHSAFETYB |
School safety and conduct practices, part 2 |
|
No change |
|
HA0SCHSAFETYC |
School safety and conduct practices, part 3 |
|
No change |
|
HA0DISPLNACTA |
Types of disciplinary action, part 1 |
|
No change |
|
HA0DISPLNACTB |
Types of disciplinary action, part 2 |
|
No change |
|
HA0DISPLNACTC |
Types of disciplinary action, part 3 |
R |
Revised the list of items for this question. Dropped one item (HA0DISPLNCRPL) because 100% of field test respondents indicated they did not use the practice of corporal punishment as a form of discipline. It’s possible there’s a response bias based on today’s culture on corporal punishment, or perhaps schools are no longer using this practice. Therefore, the item lacked utility. |
|
HA0INVOLVPAR |
Help parents deal with discipline |
|
No change |
|
HA0INCENTADDR1 |
Incentive address for part 1 |
A |
Added this form since it was decided to provide incentives to administrators for completing the survey. Added an item to be in alignment with other HS&B:21 surveys. |
* |
HA0PREEND1 |
Pre-end survey message for part 1 |
A |
Added this form as there are now two separate PREEND screens (HA0PREEND1 & HA0PREEND2). Although they function similarly, they have separate conditional wording depending on whether the respondent is a principal or a designee. |
* |
HA0END1 |
End of survey message for part 1 |
A |
Added this form as there are now two separate END screens (HA0END1 & HA0END2). Although they function similarly, they have separate conditional wording depending on whether the respondents is a principal or a designee. |
* |
HA0INTROF1 |
Section F header |
|
No change |
|
HA0HIGHDEG |
Highest degree earned |
R |
Revised this form to include help text for “Educational Specialist degree” based on feedback from cognitive interviews. |
|
HA0HIDEGMAJ |
Major or field of study for highest degree |
|
No change |
|
HA0PREPPROGRM |
Alternative prep program for principals |
|
No change |
|
HA0CERTPRNCPL |
Currently certified as a principal |
|
No change |
|
HA0YRSANYSCHL |
Number of years as a school principal at any school |
|
No change |
|
HA0YRSCURSCHL |
Number of years as a school principal at current school |
|
No change |
|
HA0TCHEXPRNCE |
Years of teaching experience |
R |
Revised question wording to reduce respondent burden by only asking for total years teaching rather than by grade level. |
|
HA0HSTCHSUBJ |
Main subject taught in high school |
R |
Revised response options to account for respondent not teaching at the high school level. |
|
HA0EVALFACTOR |
Factors influencing how superiors evaluate principal |
R |
Revised question wording to no longer include conditional wording regarding the school not having a 12th grade. Revised the response options to the original scale used in source survey (ELS:2002) |
|
HA0SEX |
Sex |
|
No change |
|
HA0HISPANIC |
Hispanic/Latino ethnicity |
R |
Added Latino/Latina to the question wording for consistency with ethnicity questions in other surveys. |
|
HA0RACE |
Race |
|
No change |
|
HA0INTROG1 |
Section G header |
|
No change |
|
HA0TCHRSALARY |
Teachers' base/highest salary |
|
No change |
|
HA0TCHRPREPD |
Preparedness of math teachers |
R |
Revised response options to be in alignment with other HS&B:21 surveys. |
|
HA0SCHLCLIM1 |
School Climate, part 1 |
R |
Revised response options and question wording to be in alignment with other HS&B:21 surveys. |
|
HA0SCHLCLIM2A |
School Climate, part 2 |
R |
Revised response options and question wording to be in alignment with other HS&B:21 surveys. |
|
HA0SCHLCLIM2B |
School Climate, part 3 |
R |
Revised response options and question wording to be in alignment with other HS&B:21 surveys. |
|
HA0SCHLCLIM2C |
School Climate, part 4 |
R |
Revised response options and question wording to be in alignment with other HS&B:21 surveys. |
|
HA0SCHLPROBS1A |
School problems, part 1 |
|
No change |
|
HA0SCHLPROBS1B |
School problems, part 2 |
R |
Revised question to include help text for “weapons.” |
|
HA0SCHLPROBS1C |
School problems, part 3 |
|
No change |
|
HA0SCHLPROBS2A |
Severity of school problems, part 1 |
|
No change |
|
HA0SCHLPROBS2B |
Severity of school problems, part 2 |
|
No change |
|
HA0RLTNSHPS |
School's relationships with groups |
|
No change |
|
HA0INCENTADDR2 |
Incentive address for part 2 – full length instrument only |
A |
Added this form since it was decided to provide incentives to administrators for completing the survey. |
|
HA0PREEND2 |
Pre-end survey message for part 2 |
R |
Revised this form as there are now two separate PREEND screens (HA0PREEND1 & HA0PREEND2). Although they function similarly, they have separate conditional wording depending on whether the respondent is a principal or a designee. Revised question wording for grammatical consistency. |
|
HA0END2 |
End of survey message for part 2 |
R |
Revised this form as there are now two separate END screens (HA0END1 & HA0END2). Although they function similarly, they have separate conditional wording depending on whether the respondent is a principal or a designee. Also added an additional reminder to close browser for security reasons. |
|
HS&B:21 Full-Scale Administrator Questionnaire
The following are screen shots of the homepage school principals are routed to upon successful log in. This homepage allows administrators to assign a designee to complete Part 1 of the survey. The second screenshot depicted below shows the text administrators view after selecting “Name a designee to complete Part 1.”
KEY:
*
Forms in the Administrator Abbreviated Survey
PART 1
HA0INFCNSENT1 *
Question
Wording:
Recently, we sent you
materials about the U.S. Department of Education's High School and
Beyond Longitudinal Study of 2021 (HS&B:21). HS&B:21 is a
longitudinal study that follows a group of 9th-grade students through
high school and into postsecondary education and the labor force. In
addition to exploring the transition from high school, this study
will focus on the relationship between students' high school
experiences and their education and career choices.
[If
sampled school is participating in student component in
school:
Because [School's name] is participating in this
study, we'd like to survey you, too./else: no fill] [If principal:
The survey contains questions about your school's characteristics,
students, teachers, courses, and policies, in addition to questions
about your background./else: The survey contains questions about this
school's characteristics, students, teachers, courses, and policies.]
The information you provide will help us understand how the school
environment influences the decisions students make about their
education and their future.
To review the letter that we
mailed, click here.
To
review the study brochure, click
here.
Your participation
in HS&B:21 is critical to its success.
[If (School
allows incentive) and (School does not require a custom incentive)
and (respondent is designee): You will receive $[if (School allows
incentive) and (no incentive cap): 25/else: [Incentive cap]] for
completing the survey./If (School allows incentive) and (School does
not require a custom incentive) and (respondent is principal): If you
complete both parts of the survey, you will receive $[if (School
allows incentive) and (no incentive cap): 25/else: [Incentive
cap]]./else: no fill]
Please click the “Next”
button to continue.
HA0INFCNSENT2 *
Question
Wording:
[If principal: You are one of approximately 920 school administrators who will be taking part in this study./else: This school is one of approximately 920 schools that will be taking part in this study.] Your responses may be used only for statistical purposes and may not be disclosed, or used, in identifiable form for any other purpose except as required by law (20 U.S.C. §9573 and 6 U.S.C. §151). The risk of participation in this study is minimal, given the strict confidentiality and security procedures in place as required by law.
You may decline to answer any questions or stop the survey at any time. On average, the survey takes about [If principal and respondent is taking full survey: On average, the entire survey takes about 40 minutes to complete./else if designee and respondent is taking full survey: On average, the survey takes about 30 minutes to complete./else: On average, the survey takes about 10 minutes to complete]. You may begin the survey now and finish at another time, if necessary.
The National Center for Education Statistics (NCES) is authorized to conduct HS&B:21 by the Education Sciences Reform Act of 2002 (ESRA 2002, 20 U.S.C. §9543). The data are being collected for NCES by RTI International, a U.S.-based nonprofit research organization. If you have questions about the study, you may contact the study's Help Desk toll-free number at 855-500-1439, or you can email [Study e-mail address]. If you have questions about your rights as a study participant, you may contact RTI's Office of Research Protection at 919-316-3358 in Durham, NC (or toll-free at 866-214-2043) or email [email protected].
When you are ready to begin, please click "Next" to continue.
HA0NAVIGATE *
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 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 principal: If you would like to return to the homepage, click the "RETURN TO THE HOMEPAGE" button at the top of the screen./else: no fill]
-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 and close your browser (not just the tab). 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 15 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 or the "Close" button in the
lower right corner to close the box.
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.
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:
Monday
- Friday: 8:00 a.m. - 6:00 p.m. Eastern time zone
If you
have questions about your rights as a study participant, please
contact RTI's Office of Research Protection at 866-214-2043.
HA0INTROA1 *
Question
Wording:
First, we have a few
questions about [School's name]'s characteristics. If you are unsure
about an answer, please provide your best estimate.
HA0SCHLCONTRL *
Question
Wording:
Our records indicate that [School's name] is a [public/private] school. Is this information correct?
Item
Name: HA0SCHLCONTRL
1=Yes
0=No,
[School's name] is a [public/private] school.
HA0GRADESRV *
Question
Wording:
[Our records indicate that this school serves the following grade(s). Please correct any grade(s) that this school does not serve./Please tell us which grade(s) this school serves.]
(Check
all that apply.)
Item
Name: HA0GRADEPK
Item
Wording: Pre-kindergarten
Item
Name: HA0GRADEK
Item
Wording: Kindergarten
Item
Name: HA0GRADE1
Item
Wording: 1st grade
Item
Name: HA0GRADE2
Item
Wording: 2nd grade
Item
Name: HA0GRADE3
Item
Wording: 3rd grade
Item
Name: HA0GRADE4
Item
Wording: 4th grade
Item
Name: HA0GRADE5
Item
Wording: 5th grade
Item
Name: HA0GRADE6
Item
Wording: 6th grade
Item
Name: HA0GRADE7
Item
Wording: 7th grade
Item
Name: HA0GRADE8
Item
Wording: 8th grade
Item
Name: HA0GRADE9
Item
Wording: 9th grade
Item
Name: HA0GRADE10
Item
Wording: 10th grade
Item
Name: HA0GRADE11
Item
Wording: 11th grade
Item
Name: HA0GRADE12
Item
Wording: 12th grade
Item
Name: HA0GRADPST12
Item
Wording: Any grade level higher
than 12
Item
Name: HA0GRADEUNGRD
Item
Wording: Ungraded
HA0SCHLTYPE *
Question
Wording:
Which of the following
describes this school?
(Check all that apply.)
Item
Name: HA0SCHLCOMP
Item
Wording: A regular school (not
including magnet or charter schools)
Item
Name: HA0SCHLCHRTR
Item
Wording: A charter school (a
school that in accordance with an enabling state statute, has been
granted a charter exempting it from selected state or local rules and
regulations)
Item
Name: HA0SCHLMGNT
Item
Wording: A special program
school or magnet school such as a science or math school, performing
arts school, talented or gifted school, or a foreign language
immersion school
Item
Name: HA0SCHLTCH
Item
Wording: A vocational or technical
school
Item
Name: HA0SCHLALT
Item
Wording: An alternative school
(a school that offers a curriculum designed to provide nontraditional
education to students -- for example, to students at risk of school
failure or dropout in a traditional setting)
Item
Name: HA0SCHLEACOL
Item
Wording: Early college high
school
Item
Name: HA0SCHLINSCHL
Item
Wording: Schools-within-a-school
Item
Name: HA0SCHLONLINE
Item
Wording: Online school
Item
Name: HA0SCHLONLY9
Item
Wording: 9th-grade only
school
Item
Name: HA0SCHLOTHR
Item
Wording: Other
Item
Name: HA0SCHLNONE
Item
Wording: None of the
above
Help Text:
Regular school: A school providing instruction and education services that does not focus primarily on special education, vocational/technical education, or alternative education, or on any of the particular themes associated with magnet/special program emphasis schools.
Vocational or technical school: A school that focuses primarily on providing formal preparation for semiskilled, skilled, technical, or professional occupations for high school-age students who have opted to develop or expand their employment opportunities, often in lieu of preparing for college entry.
Early college high school: Early college high schools are formal partnerships that allow students to simultaneously complete requirements for a high school diploma, while earning an associate's degree or up to 2 years of college credit to be applied toward a bachelor's degree by taking a combination of high school and college classes during grades 9-12. Early college high schools can be located either on the campus of a secondary or a post-secondary educational institution (e.g., community college campus).
Schools-within-a-school: Schools that have been divided into subunits of a larger school. This approach establishes within the school a smaller educational unit with a separate educational program and its own staff, students, and budget.
HA0SCHLWASCHL
Question
Wording:
Is the school-within-a-school a…
(Check
all that apply.)
Item
Name: HA0SCHLWASCAR
Item
Wording: career academy?
Item
Name: HA0SCHLWASFRE
Item
Wording: freshman or 9th-grade
academy?
Help
Text:
School-within-a-school: A school that has been divided into subunits of a larger school. This approach establishes within the school a smaller educational unit with a separate educational program and its own staff, students, and budget.
Career academy: A self-contained learning community for students that operate as schools-within-a-school. With its own administrators, space, faculty, and teachers, a career academy prepares high school students for successful transitions to education and the workplace by offering academic and technical curricula around a career theme, as well as work-based learning activities. Career academies are organized around such themes as health sciences, law, business and finance, and engineering.
Freshman or 9th-grade academy: A self-contained learning community for 9th-graders that operate as schools-within-a-school. With its own administrators, space, faculty, and teachers, a freshman or 9th-grade academy is often designed to offer more personalized environment for 9th-graders as they transition into high school.
HA0RELIGSSCHL
Question
Wording:
Does this school have
a religious orientation or affiliation?
Item
Name: HA0RELIGSSCHL
1=Yes
0=No
HA0RELIGSTYP
Question
Wording:
What is this school's
religious orientation or affiliation?
Item
Name: HA0RELIGSTYP
1=Catholic
2=Christian
3=Jewish
4=Muslim
or Islamic
5=Other religious affiliation
HA0SPECIALED *
Question
Wording:
Does this school
offer special education services (for example,
Instructional/Individualized Service Plans (ISPs), Individualized
Education Programs (IEPs), Section 504 plans)?
Item
Name: HA0SPECIALED
1=Yes
0=No
Help
Text:
Instructional/Individualized
Service Plans (ISPs): 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).
Individualized
Education Programs (IEPs): 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.
Section 504 plans: A written plan to
provide appropriate services to a student with a disability, whether
or not the disability is judged to affect the student's educational
performance. Speech therapy services may often be specified as part
of a Section 504 plan.
HA0SNGLSEXSCH
Question
Wording:
Is this school a
single sex school?
Item
Name: HA0SNGLSEXSCH
1=Yes
0=No
HA0YEARROUND
Question
Wording:
Is this school a
year-round school?
Item
Name: HA0YEARROUND
1=Yes
0=No
HA0SCHFOCUS *
Question
Wording:
Do the high school grades at this school have a special focus?
(Check
all that apply.)
Item
Name: HA0FOCSTEM
Item
Wording: STEM (science,
technology, engineering and mathematics)
Item
Name: HA0FOCFINEART
Item
Wording: Performing or fine
arts
Item
Name: HA0FOCGIFTED
Item
Wording: Gifted and talented
education
Item
Name: HA0FOCINTBACC
Item
Wording: International
baccalaureate or other special diploma program
Item
Name: HA0FOCFORLANG
Item
Wording: Foreign language
immersion
Item
Name: HA0FOCENGDEV
Item
Wording: Newcomer and/or
English language development program
Item
Name: HA0FOCOTHER
Item
Wording: Other
Item
Name: HA0FOCNONE
Item
Wording: The high school grades
at this school do not have a special focus.
Help
Text:
High school grades:
Grades 9, 10, 11, and/or 12.
HA0NUMSCHDAYS
Question
Wording:
How many days are in
the 2021-2022 school year for
high school students at this school?
Item
Name: HA0NUMSCHDAYS
Item
Wording: ____ days
Help
Text:
High school students: All
students receiving secondary education services in grades 9-12, as
well as students higher than grade 12 (e.g., high school students who
are enrolled in programs where they can earn college credit in an
extended high school environment, or Career and Technical Education
(CTE) students in a high school program that continues beyond grade
12).
HA0STARTTIME
Question
Wording:
When does the typical
school day start for high school students at this school in
the 2021-2022 school year?
(Please
enter the time classes start for high school students rather than
their arrival time.)
Item
Name: HA0STARTHR
Item
Wording: ____ :
Item
Name: HA0STARTMIN
Item
Wording: ____ AM
Help
Text:
High school students: All
students receiving secondary education services in grades 9-12, as
well as students higher than grade 12 (e.g., high school students who
are enrolled in programs where they can earn college credit in an
extended high school environment, or Career and Technical Education
(CTE) students in a high school program that continues beyond grade
12).
HA0TTLINSTRCT
Question
Wording:
On average, how many
hours of instruction per day, excluding study hall and lunch, do high
school students receive at this school?
Report both hours and minutes, such as 6 hours and 00 minutes or 5 hours and 45 minutes.
Item
Name: HA0INSTRCTNHR
Item
Wording: hours
Item
Name: HA0INSTRCTNMN
Item
Wording: minutes
Help
Text:
High school students: All
students receiving secondary education services in grades 9-12, as
well as students higher than grade 12 (e.g., high school students who
are enrolled in programs where they can earn college credit in an
extended high school environment, or Career and Technical Education
(CTE) students in a high school program that continues beyond grade
12).
HA0ENROLLMENT *
Question
Wording:
[As of the first of October 2021/As of today], how many high school students [were/are] enrolled in this school?
Item
Name: HA0ENROLLMENT
Item
Wording: ____
students
Help Text:
High
school students: All students receiving secondary education services
in grades 9-12, as well as students higher than grade 12 (e.g., high
school students who are enrolled in programs where they can earn
college credit in an extended high school environment, or Career and
Technical Education (CTE) students in a high school program that
continues beyond grade 12).
HA0STLENRLLD
Question
Wording:
On average, what percentage of 9th-grade students enrolled at the beginning of the school year are still enrolled at the end of the school year?
(Exclude those students who transferred into the school after the beginning of the school year in figuring this rate.)
Item
Name: HA0STLENRLLD
Item
Wording: ____%
HA0SCHLCHOICE *
Question
Wording:
Does this school
participate in a public school choice program?
School
choice programs are those aimed at giving families the opportunity to
choose the school their children will attend, such as magnet schools,
charter schools, and school vouchers.
Item
Name: HA0SCHLCHOICE
1=Yes
0=No
HA0CHOICETYPE *
Question
Wording:
In which of the
following types of public school choice programs does this school
participate?
(Check
all that apply.)
Item
Name: HA0CHSCHINDST
Item
Wording: Students assigned to
this school can choose to enroll in this school or another
school within the district.
Item
Name: HA0CHOUTDSTNC
Item
Wording: Students can enroll in
a public school in another
district at no tuition cost to
themselves or their families.
Item
Name: HA0CHOTHDSTNC
Item
Wording: Students from
other districts can
enroll in this school at
no tuition cost to themselves or their families.
Item
Name: HA0CHPVTSCH
Item
Wording: Students assigned to
this school can choose to enroll in a private school using state or
district funds.
Item
Name: HA0CHOTHER
Item
Wording: Any other public
school choice program
Help
Text:
School choice program:
School choice programs are those aimed at giving families the
opportunity to choose the school their children will attend, such as
magnet schools, charter schools, and school vouchers.
HA0ADMSSNPROC
Question
Wording:
Does this school have
formal admission/application procedures for high school
students?
Item
Name: HA0ADMSSNPROC
1=Yes
0=No
Help
Text:
High school students: All
students receiving secondary education services in grades 9-12, as
well as students higher than grade 12 (e.g., high school students who
are enrolled in programs where they can earn college credit in an
extended high school environment, or Career and Technical Education
(CTE) students in a high school program that continues beyond grade
12).
HA0NUMAPPLIED
Question
Wording:
How many students
applied for admission to the high school grades for
the current school year
(2021-2022)?
Item
Name: HA0NUMAPPLIED
Item
Wording: ____
student(s)
Help Text:
High
school grades: Grades 9, 10, 11, and/or 12.
HA0NUMACCEPT
Question
Wording:
How many applicants
were accepted for admission to the high school grades for the current
school year (2021-2022)?
Item
Name: HA0NUMACCEPT
Item
Wording: ____
student(s)
Help Text:
High
school grades: Grades 9, 10, 11, and/or 12.
HA0YMXTUITION
Question
Wording:
What is the maximum
yearly tuition to attend this school? (Please enter '0' if this
school does not charge tuition. Please report your answer rounded to
the nearest dollar.)
Item
Name: HA0YMXTUITION
Item
Wording: $
HA0PERCMXTUIT
Question
Wording:
What percentage of the
students at this school pay the maximum yearly tuition?
Item
Name: HA0PERCMXTUIT
0=0%
1=1-25%
2=26-50%
3=51-75%
4=76-100%
HA0PCTFINAID
Question
Wording:
For what percentage of
the students at this school are you currently providing
financial aid?
(Please round to the nearest whole number.)
Item
Name: HA0PCTFINAID
Item
Wording: %
Item
Name: HA0PCTFINNA
Item
Wording: Not applicable: No
provisions for financial aid
HA0STABLTYPAY
Question
Wording:
In regard to this
school's admissions practices, how often is consideration given to
the student's (family's) ability to pay this school's tuition?
Item
Name: HA0STABLTYPAY
1=Always
considered
2=Usually considered
3=Sometimes
considered
4=Seldom considered
5=Never considered
HA0DAILYATTND *
Question
Wording:
Please
answer the question below using figures from the last school year
(2020-2021).
In terms of
percentage, what was the average daily attendance (ADA) for high
school students at this school last
year (2020-2021)?
(Please round
to the nearest whole number.)
Item
Name: HA0DAILYATTND
Item
Wording: ____%
Help
Text:
High school students: All
students receiving secondary education services in grades 9-12, as
well as students higher than grade 12 (e.g., high school students who
are enrolled in programs where they can earn college credit in an
extended high school environment, or Career and Technical Education
(CTE) students in a high school program that continues beyond grade
12).
HA0INTROB1 *
Question
Wording:
Next we are going to
ask you some questions about the students attending [School's
name] this school year
(2021-2022).
HA0PCTRACE *
Question
Wording:
What percentage of the
current total student body at [School's name] are members of the
following groups?
Please count each student only once. Hispanic students should only be counted in the Hispanic or Latino/Latina category regardless of race.
(Please
round your responses to the nearest whole number. Enter ‘0' for
any group not present at this school. Your responses should sum to
100.)
Item
Name: HA0SHISPANIC_LBL
Item
Wording: Hispanic or
Latino/Latina of any race
Item
Name: HA0SHISPANIC
Item
Wording: %
Item
Name: HA0SWHITE_LBL
Item
Wording: White, non-Hispanic
Item
Name: HA0SWHITE
Item
Wording: %
Item
Name: HA0SBLACK_LBL
Item
Wording: Black or African American,
non-Hispanic
Item
Name: HA0SBLACK
Item
Wording: %
Item
Name: HA0SASIAN_LBL
Item
Wording: Asian, non-Hispanic
Item
Name: HA0SASIAN
Item
Wording: %
Item
Name: HA0SHAWAIIAN_LBL
Item
Wording: Native Hawaiian or other
Pacific Islander, non-Hispanic
Item
Name: HA0SHAWAIIAN
Item
Wording: %
Item
Name: HA0SAMERINDN_LBL
Item
Wording: American Indian or Alaska
Native, non-Hispanic
Item
Name: HA0SAMERINDN
Item
Wording: %
Item
Name: HA0SMULTRACE_LBL
Item
Wording: More than one race,
non-Hispanic
Item
Name: HA0SMULTRACE
Item
Wording: %
Item
Name: HA0SUNKRACE_LBL
Item
Wording: Race/ethnicity is
unknown
Item
Name: HA0SUNKRACE
Item
Wording: %
Help
Text:
Please count each student only once. Hispanic students should only be counted in the Hispanic or Latino/Latina category regardless of race.
Hispanic or Latino/Latina of any race: 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.
White, non-Hispanic: 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, non-Hispanic: 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, non-Hispanic: 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, non-Hispanic: 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, non-Hispanic: 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.
HA0FRPLUNCH *
Question
Wording:
What percentage of the
current total student body at this school...
(Please round to
the nearest whole number. Enter '0' if none.)
Item
Name: HA0PCTFRPLUN
Item
Wording: Receives free or
reduced-priced lunch? ____%
Item
Name: HA0PCTFRPLUNNA
Item
Wording: Does not apply; this
program is not offered at this school
HA0PCTELLSPED *
Question
Wording:
What percentage of the
current total student body at this school...
(Please round to
the nearest whole number. Enter '0' if none.)
Item
Name: HA0PCTELL
Item
Wording: Are English Language
Learners (ELLs)?
Item
Name: HA0PCTSPECED
Item
Wording:
Receives Special
Education services for students with disabilities? ____%
Help
Text:
English Language Learners
(ELLs): Students whose native language is one other than English and
whose skills in listening, speaking, reading, or writing English are
such that they have difficulty understanding school instruction in
English.
HA0APCOURSES
Question
Wording:
What percentage of
the current total high school
student body at this
school...
(Please round to the nearest whole number.
Enter '0' if none.)
Item
Name: HA0PCTAPCRS_LBL
Item
Wording: Are enrolled in
Advanced Placement (AP) courses either at this school or
off-site?
Item
Name: HA0PCTAPCRS
Item
Wording: ____%
Item
Name: HA0PCTAPCRSNA
Item
Wording: Does not apply; this
program is not offered at this school
Help
Text:
High school student body:
The collection of students receiving secondary education services in
grades 9-12, as well as students higher than grade 12 (e.g., high
school students who are enrolled in programs where they can earn
college credit in an extended high school environment, or Career and
Technical Education (CTE) students in a high school program that
continues beyond grade 12).
HA0INTROB2
Question
Wording:
Next we are going to
ask you some questions about the 9th-grade students at [School's
name].
HA0REPEATING9
Question
Wording:
What percentage of the current 9th-grade class at this school is repeating 9th grade?
(Please
round to the nearest whole number. Enter '0' if none.)
Item
Name: HA0REPEATING9
Item
Wording: ____%
HA0SPECVOTECH
Question
Wording:
What percentage of the
current 9th-grade class at this school is in a vocational,
technical, or business program?
(Please round to the
nearest whole number. Enter '0' if none.)
Item
Name: HA0SPECVOTECH
Item
Wording: %
Item
Name: HA0SPECVTECHNA
Item
Wording: Does not apply; this
program is not offered at this school
HA0INTROB3
Question
Wording:
Next we are going to
ask you [If school serves 12th grade: some questions/else: a
question] about students who attended [School's name] last
year (2020-2021).
HA0TRNSFRALT
Question
Wording:
What percentage of
high school students who attended this school in the 2020-2021 school
year were transferred out to
an alternative program or school?
(Please round to
the nearest whole number. Enter '0' if none.)
Item
Name: HA0TRNSFRALT
Item
Wording:
____%
Help
Text:
High school students: All students receiving secondary education services in grades 9-12, as well as students higher than grade 12 (e.g., high school students who are enrolled in programs where they can earn college credit in an extended high school environment, or Career and Technical Education (CTE) students in a high school program that continues beyond grade 12).
Alternative program or school: Alternative programs and schools are designed to address the needs of students that typically cannot be met in regular schools. The students who attend alternative schools and programs are typically at risk of educational failure (as indicated by poor grades, truancy, disruptive behavior, pregnancy, or similar factors associated with temporary or permanent withdrawal from school). Alternative programs are usually housed within regular schools. Alternative schools are usually housed in a separate facility where students are removed from regular schools.
HA0GRADSPCT
Question
Wording:
What percentage
of last year's
(2020-2021) 12th-grade class at
this school... (Please count each student only once based on their
primary activity. Please round your responses to the nearest whole
number. Enter '0' if none. Your responses should sum to 100.)
Item
Name: HA0GRADS4YRPS_LBL
Item
Wording: Went on to 4-year,
bachelor's degree-granting colleges?
Item
Name: HA0GRADS4YRPS
Item
Wording: ____%
Item
Name: HA0GRADS2YRPS_LBL
Item
Wording: Went on to 2-year,
associate's degree-granting colleges or technical institutes?
Item
Name: HA0GRADS2YRPS
Item
Wording: ____%
Item
Name: HA0GRADSJOB_LBL
Item
Wording: Entered the labor
market?
Item
Name: HA0GRADSJOB
Item
Wording: ____%
Item
Name: HA0GRADSMIL_LBL
Item
Wording: Joined the military
without entering postsecondary education?
Item
Name: HA0GRADSMIL
Item
Wording: ____%
Item
Name: HA0GRADSREP12_LBL
Item
Wording: Repeated 12th
grade?
Item
Name: HA0GRADSREP12
Item
Wording: ____%
Item
Name: HA0GRADSOTHER_LBL
Item
Wording: Did something
else?
Item
Name: HA0GRADSOTHER
Item
Wording: ____%
Item
Name: HA0GRADSDK_LBL
Item
Wording: Don't know
Item
Name: HA0GRADSDK
Item
Wording: ____%
HA0INTROC1 *
Question
Wording:
[Next/Finally], we are
going to ask you some questions about the high school teaching staff
at [School's name].
Help
Text:
High school teaching
staff: The collective body of teachers of students receiving
secondary education services in grades 9-12, as well as teachers of
students higher than grade 12.
HA0TEACHRFTPT *
Question
Wording:
How many high school
teachers work full-time and how many work part-time at [School's
name] this year (2021-2022)?
(Please
enter '0' if none.)
Item
Name: HA0TEACHRFT
Item
Wording: ____ full-time
teacher(s)
Item
Name: HA0TEACHRPT
Item
Wording: ____ part-time
teacher(s)
Help Text:
High
school teachers: Teachers of students receiving secondary education
services in grades 9-12, as well as teachers of students higher than
grade 12.
HA0TCHRACE
Question
Wording:
Of the [Sum of full
time and part time high school teachers] total high school teachers
at this school this year
(2021-2022), how many are members of
the following groups?
Please count each teacher only once.
Hispanic teachers should only be counted in the Hispanic or
Latino/Latina category regardless of race.
(Please enter
'0' for any group not present at this school. [If sum of full-time
and part-time high school teachers > 0 then fill: Your responses
should sum to [Sum of full time and part time high school
teachers]./else: no fill])
Item
Name: HA0THISPANIC_LBL
Item
Wording: Hispanic or Latino/Latina
of any race
Item
Name: HA0TWHITE_LBL
Item
Wording: White, non-Hispanic
Item
Name: HA0TBLACK_LBL
Item
Wording: Black or African American,
non-Hispanic
Item
Name: HA0TASIAN_LBL
Item
Wording: Asian, non-Hispanic
Item
Name: HA0THAWAIIAN_LBL
Item
Wording: Native Hawaiian or other
Pacific Islander, non-Hispanic
Item
Name: HA0TAMERIND_LBL
Item
Wording: American Indian or Alaska
Native, non-Hispanic
Item
Name: HA0TMULRACE_LBL
Item
Wording: More than one race,
non-Hispanic
Item
Name: HA0TUNKRACE_LBL
Item
Wording: Race/ethnicity is
unknown
Help
Text:
High school teachers: Teachers of students receiving secondary education services in grades 9-12, as well as teachers of students higher than grade 12.
Please count each teacher only once. Hispanic teachers should only be counted in the Hispanic or Latino/Latina category regardless of race.
Hispanic or Latino/Latina of any race: 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.
White, non-Hispanic: 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, non-Hispanic: 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, non-Hispanic: 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, non-Hispanic: 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, non-Hispanic: 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.
HA0TCHCERTIF *
Question
Wording:
Of the [Sum of full
time and part time high school teachers] total high school teachers
at this school this year
(2021-2022), how many are
certified?
Please include provisionally certified teachers
in your counts. (Please enter '0' if none.)
Item
Name: HA0TCHCERTIF
Item
Wording:
____ certified high school teacher(s)
Help
Text:
High school teachers:
Teachers of students receiving secondary education services in grades
9-12, as well as teachers of students higher than grade 12.
HA0CERTSUBJCT
Question
Wording:
Of the [number of
certified high school teachers] total high school teachers who are
certified at this school this
year (2021-2022), how many have the
following certifications? Your best estimate is fine.
Please
include provisionally certified teachers in your counts. (Please
enter '0' if none.)
Item
Name: HA0CERTSCND
Item
Wording: Secondary subject
matter certification
Item
Name: HA0CERTNAT
Item
Wording: National board
certification
Item
Name: HA0CERTSPEC
Item
Wording: Special education
certification
Item
Name: HA0CERTELL
Item
Wording: English Language
Learner (ELL) certification
Help
Text:
High school teachers: Teachers of students receiving secondary education services in grades 9-12, as well as teachers of students higher than grade 12.
English Language Learner (ELL) certification: A specialized teaching certification for teaching students whose native language is one other than English and whose skills in listening, speaking, reading, or writing English are such that they have difficulty understanding school instruction in English.
HA0TCHOUTCERT
Question
Wording:
Of the [number of
certified high school teachers] total high school teachers who
are certified at this
school this year (2021-2022),
how many teach outside their field of certification?
Please
include provisionally certified teachers in your counts. (Please
enter '0' if none.)
Item
Name: HA0TCHOUTCERT
Item
Wording: ____ teach(es)
outside field of certification
Help
Text:
High school teachers:
Teachers of students receiving secondary education services in grades
9-12, as well as teachers of students higher than grade 12.
HA0TCHABSENT
Question
Wording:
Of the [Sum of full
time and part time high school teachers] total high school teachers
at this school this year
(2021-2022), how many are absent on
an average day? (Please enter '0' if none.)
Item
Name: HA0TCHABSENT
Item
Wording: ____ absent
teacher(s)
Help Text:
High
school teachers: Teachers of students receiving secondary education
services in grades 9-12, as well as teachers of students higher than
grade 12.
HA0NEWTCHRS *
Question
Wording:
Of the [Sum of full
time and part time high school teachers] total high school teachers
at this school this year
(2021-2022), how many did
not teach at this school last
year (2020-2021)? (Please enter '0'
if none.)
Item
Name: HA0NEWTCHRS
Item
Wording: ____
teacher(s)
Help Text:
High
school teachers: Teachers of students receiving secondary education
services in grades 9-12, as well as teachers of students higher than
grade 12.
HA0TCHRLEFT *
Question
Wording:
How many high school
teachers who taught at this school last
year (2020-2021) did not return to
teach at this school this year
(2021-2022)? (Please enter '0' if
none.)
Item
Name: HA0TCHRLEFT
Item
Wording: ____ teacher(s)
Help
Text:
High school teachers:
Teachers of students receiving secondary education services in grades
9-12, as well as teachers of students higher than grade 12.
HA0INTROC2
Question
Wording:
Now we are going to
ask you some questions about the high school teaching staff in
the math department at
[School's name].
Help
Text:
High school teaching
staff: The collective body of teachers of students receiving
secondary education services in grades 9-12, as well as teachers of
students higher than grade 12.
HA0MTHTCHFTPT
Question
Wording:
How many high school math teachers work full-time and how many work part-time at [School's name] this year (2021-2022)?
(Please
enter '0' if none.)
Item
Name: HA0MTHTCHFT
Item
Wording: ____ full-time
math teacher(s)
Item
Name: HA0MTHTCHPT
Item
Wording: ____ part-time
math teacher(s)
Help
Text:
High school math
teachers: Teachers of students receiving secondary math education
services in grades 9-12, as well as teachers of students higher than
grade 12 receiving secondary math education services.
HA0NEWMATHTCH
Question
Wording:
Of the [Sum of
full-time and part-time high school math teachers] total high school
math teachers at this school this
year (2021-2022), how many did not
teach at this school last
year (2020-2021)? (Please enter '0'
if none.)
Item
Name: HA0NEWMATHTCH
Item
Wording: ____ math
teacher(s)
Help Text:
High
school math teachers: Teachers of students receiving secondary math
education services in grades 9-12, as well as teachers of students
higher than grade 12 receiving secondary math education services.
HA0MTHTCHLEFT
Question
Wording:
How many high
school math teachers who taught at this school last
year (2020-2021) did not return
to teach at this school this
year (2021-2022)? (Please enter '0'
if none.)
Item
Name: HA0MTHTCHLEFT
Item
Wording: ____ math
teacher(s)
Help Text:
High
school math teachers: Teachers of students receiving secondary math
education services in grades 9-12, as well as teachers of students
higher than grade 12 receiving secondary math education services.
HA0INTROD1
Question
Wording:
Next we are going to
ask you some questions about the programs/courses offered and
practices used at [School's name].
HA0PROGSPRACT
Question
Wording:
Please indicate which of the following programs or practices are used in high school grades at [School's name].
(Check
all that apply.)
Item
Name: HA0PRCOMPTEST
Item
Wording: Minimum competency
tests for promotion to next grade
Item
Name: HA0PRCMMNCUR
Item
Wording: Common academic
curriculum for all students in the same grade
Item
Name: HA0PRCOOPLRN
Item
Wording: Classes organized for
cooperative learning
Item
Name: HA0PRMINICRS
Item
Wording: Exploratory mini
courses for all students in all grades
Item
Name: HA0PRMULTIGRD
Item
Wording: Students from more
than one grade level assigned together to the same academic
classes
Item
Name: HA0PREXACTVT
Item
Wording: Extracurricular
activities for all students
Item
Name: HA0PRHOMEWRK
Item
Wording: Information on how to
help students with homework and skills provided to parents
Item
Name: HA0PRTRNSMTGS
Item
Wording: Translators made
available to parents for parent-teacher and parent-school staff
meetings for parents who speak a language other than English
Item
Name: HA0PRMTGNATLAN
Item
Wording: Parent-teacher and
parent-school meetings conducted in the parents' non-English language
for parents who speak a language other than English
Item
Name: HA0PRTRNSWRIT
Item
Wording: Translations of
written communications provided to families of children from
households where a language other than English is spoken
Item
Name: HA0PRNONE
Item
Wording: None of the
above
Help Text:
High
school grades: Grades 9, 10, 11, and/or 12.
HA0COMPBSDED
Question
Wording:
In the 2021-2022 school year, does this school provide students with opportunities for competency-based advancement?
Item
Name: HA0COMPBSDED
1=Yes
0=No
Help
Text:
Competency-based
advancement: Advancement based on a student's demonstrated mastery of
content as opposed to credit achievement and "seat time.”
HA0ELLSERVICES
Question
Wording:
Please indicate what type(s) of specialized language instruction are provided to English Language Learners (ELLs) at this school. Examples of the programs included in each category are provided below.
(Check
all that apply.)
Item
Name: HA0ELLLIT2LAN
Item
Wording:
Programs that focus on developing students' literacy in two languages. For example:
Two-way immersion program or two-way bilingual program
Developmental bilingual program, late exit transitional program, or maintenance bilingual education program
Transitional program, early exit bilingual program, or early transitional program
Heritage language program or indigenous language program
Item
Name: HA0ELLLITENGL
Item
Wording:
Programs that focus on developing students' literacy solely in English. For example:
Sheltered English instruction or content-based English as a Second Language (ESL) program
Structured English Immersion (SEI)
Pull-out English as a Second Language (ESL) or English Language Development (ELD)
Push-in English as a Second Language (ESL) program
Item
Name: HA0ELLOTHER
Item
Wording: Other program
Item
Name: HA0ELLNOSERV
Item
Wording: No specialized
language program is provided to English Language Learners
(ELLs).
Item
Name: HA0ELLNOELL
Item
Wording: There are no English
Language Learners (ELLs) at this school.
Help
Text:
English Language Learners (ELLs): Students whose native language is one other than English and whose skills in listening, speaking, reading, or writing English are such that they have difficulty understanding school instruction in English.
Two-way
immersion program (TWI) or two-way bilingual program: The goal of
these programs is to develop strong skills and proficiency in both
students' home language and English. These programs may also be
called dual language programs. These programs include students whose
native language is not English (but who all speak the same
non-English language) and students whose native language is English.
Instruction is provided in both languages, typically starting with a
smaller proportion of instruction in English, and gradually moving to
half of the instruction in each language.
Developmental
bilingual program, late exit transitional program, or maintenance
bilingual education program: The goal of these programs is to develop
some skills and proficiency in students' home language and strong
skills and proficiency in English. Content is taught in both
languages by teachers fluent in both languages. These programs may
also be called dual language programs. Instruction at lower grades is
in the students' home language with a gradual transition to English.
Students typically transition into mainstream classrooms with their
English-speaking peers. The programs can vary in the focus placed on
acquiring literacy in students' home language, but students generally
do continue to receive some degree of support in their home language
after the transition to English classrooms.
Transitional
program, early exit bilingual program, or early exit transitional
program: The goal of these programs is to develop English proficiency
skills as soon as possible, without delaying learning of academic
core content. Instruction begins in students' home language but
rapidly moves to English. Students typically are transitioned into
mainstream classrooms with their English-speaking peers as soon as
possible.
Heritage language program or indigenous language
program: The goal of these programs is to develop literacy in two
languages. Content is taught in both languages by teachers fluent in
both languages. These programs typically target non-English speakers
with weak literacy skills in their home language.
Sheltered
English instruction or content-based English as a Second Language
(ESL) program: The goal of these programs is to develop proficiency
in English while learning content in an all-English setting. Students
from various linguistic and cultural backgrounds can be in the same
class. Instruction is adapted to students' proficiency in English and
is supported by visual aids and support in the students' home
languages as available. Fully developed prototypes of this program
include Sheltered Instruction Observational Protocol (SIOP) and
Specially Designed Academic Instruction in English
(SDAIE).
Structured English Immersion (SEI): The goal of
SEI is to develop fluency in English. This program usually serves
only English Language Learners. All instruction is in English, though
the instruction is adjusted to the English proficiency level of
students so subject matter is comprehensible. Teachers may have some
receptive skills in the students' home language(s) and generally use
sheltered instructional techniques.
Pull-out English as a
Second Language (ESL) or English Language Development (ELD): The goal
of these programs is to develop fluency in English. ELL students
leave their mainstream classroom for part of the day to receive ESL
instruction, which generally focuses on grammar, vocabulary, and
communication skills, not academic content. There typically is no
support provided for students' home languages.
Push-in
English as a Second Language (ESL) program: The goal of push-in ESL
is to develop fluency in English. Students receive ESL instruction in
a mainstream classroom, with instruction in English with some native
language support if needed. The ESL teacher or an instructional aide
provides clarification, translation if needed, and uses ESL
strategies.
HA0NONENGSUBJ
Question
Wording:
Which academic
subjects are taught in a non-English language in the 9th grade at
this school?
(Check all that apply.)
Item
Name: HA0NONENGELA
Item
Wording: English/language
arts
Item
Name: HA0NONENGMATH
Item
Wording: Mathematics
Item
Name: HA0NONENGSCI
Item
Wording: Science
Item
Name: HA0NONENGSOC
Item
Wording: Social
studies/history
Item
Name: HA0NONENGDNA
Item
Wording: None
HA0COMPAVAIL
Question
Wording:
Which of the following describe desktop, laptop, and/or tablet availability for high school student use during lessons?
(Select
one for each row.)
Item
Name: HA0COMPSTDNT
Item
Wording: Students have a
desktop, laptop, and/or tablet assigned to them for use full
time.
Item
Name: HA0COMPCLASS
Item
Wording:
Classes have desktops, laptops, and/or tablets that students can share.
Item
Name: HA0COMPSCHOOL
Item
Wording:
The school has desktops, laptops, and/or tablets that classes can use sometimes.
1=Yes
0=No
Help
Text:
High school students: All
students receiving secondary education services in grades 9-12, as
well as students higher than grade 12 (e.g., high school students who
are enrolled in programs where they can earn college credit in an
extended high school environment, or Career and Technical Education
(CTE) students in a high school program that continues beyond grade
12).
HA0INTROE1
Question
Wording:
Next we are going to
ask you some questions about the discipline and safety procedures and
practices [School's name] utilizes.
HA0SCHSAFETYA
Question
Wording:
During
the 2021-2022 school year,
is it a practice of [School's name] to do the following? If this
school has changed its practices during the school year, please
answer regarding your most recent practice.
(Select one
for each row.)
Item
Name: HA0SCHVSTRBDG
Item
Wording: Require visitors to
sign or check in and wear badges
Item
Name: HA0SCHBLDGACC
Item
Wording: Control access to
school buildings during school hours (e.g., locked or monitored
doors)
Item
Name: HA0SCHGRNDACC
Item
Wording: Control access to
school grounds during school hours (e.g., locked or monitored
gates)
Item
Name: HA0SCHDLYMTL
Item
Wording: Require metal detector
checks on students every day
Item
Name: HA0SCHRNDMTL
Item
Wording: Perform one or more
random metal detector checks on students
1=Yes
0=No
HA0SCHSAFETYB
Question
Wording:
(Continued) During
the 2021-2022 school year,
is it a practice of this school to do the following? If this
school has changed its practices during the school year, please
answer regarding your most recent practice.
(Select one
for each row.)
Item
Name: HA0SCHCLSLOCK
Item
Wording: Equip classrooms with
locks so that doors can be locked from the inside
Item
Name: HA0SCHCLSDCMP
Item
Wording: Close the campus for
most or all students during lunch
Item
Name: HA0SCHDRUGDOG
Item
Wording: Use one or more random
dog sniffs to check for drugs
Item
Name: HA0SCHRNDSWP
Item
Wording: Perform one or more random
sweeps for contraband (e.g., drugs or weapons), but not including dog
sniffs
Item
Name: HA0SCHSALARM
Item
Wording: Have "panic
button(s)” or silent alarm(s) that directly connect to law
enforcement in the event of an incident
Item
Name: HA0SCHELCTNOT
Item
Wording: Provide an electronic
notification system that automatically notifies parents in case of a
school-wide emergency
Item
Name: HA0SCHRPTSYST
Item
Wording: Provide a structured
anonymous threat reporting system (e.g., online submission, telephone
hotline, or written submission via drop box)
1=Yes
0=No
Help
Text:
Weapons: Any instrument or object used with the intent to threaten, injure, or kill. This includes look-alikes if they are used to threaten others.
HA0SCHSAFETYC
Question
Wording:
(Continued) During
the 2021-2022 school year,
is it a practice of this school to do the following? If this
school has changed its practices during the school year, please
answer regarding your most recent practice.
(Select one
for each row.)
Item
Name: HA0SCHSTDNTB
Item
Wording: Require students to
wear badges or picture IDs
Item
Name: HA0SCHSTAFFB
Item
Wording: Require faculty and
staff to wear badges or picture IDs
Item
Name: HA0SCHSECCAM
Item
Wording: Use one or more
security cameras to monitor the school
Item
Name: HA0SCHPHONECL
Item
Wording: Provide telephones in
most classrooms
Item
Name: HA0SCHRADIO
Item
Wording: Provide two-way radios
to any staff
Item
Name: HA0SCHSECDRLL
Item
Wording: Require faculty,
staff, and students to participate in security drills (e.g., active
shooter scenarios, bomb threat drills)
Item
Name: HA0SCHLAWENFR
Item
Wording: Have sworn law
enforcement officers (including School Resource Officers) present at
this school
1=Yes
0=No
HA0DISPLNACTA
Question
Wording:
During
the 2021-2022 school year,
did this school allow for the use of the following disciplinary
actions?
(Select one for each row.)
Item
Name: HA0DISPLNRMVN
Item
Wording: Removal with no
continuing school services for at least the remainder of the school
year
Item
Name: HA0DISPLNRMVP
Item
Wording: Removal with
school-provided tutoring/at-home instruction for at least the
remainder of the school year
Item
Name: HA0DISPLNSPCS
Item
Wording: Transfer to a specialized
school for disciplinary reasons
Item
Name: HA0DISPLNREGS
Item
Wording: Transfer to another
regular school for disciplinary reasons
Item
Name: HA0DISPLNOOSN
Item
Wording: Out-of-school
suspension or removal for less than the remainder of the school
year with no curriculum/services provided
Item
Name: HA0DISPLNOOSP
Item
Wording: Out-of-school suspension or
removal for less than the remainder of the school year with
curriculum/services provided
1=Yes
0=No
Help
Text:
Specialized school: A
school that is specifically for students who were referred for
disciplinary reasons, although the school may also have students who
were referred for other reasons. The school may be at the same
location as your school.
HA0DISPLNACTB
Question
Wording:
(Continued) During
the 2021-2022 school year,
did this school allow for the use of the following disciplinary
actions?
(Select one for each row.)
Item
Name: HA0DISPLNISSN
Item
Wording: In-school suspension
for less than the remainder of the school year with no
curriculum/services provided
Item
Name: HA0DISPLNISSP
Item
Wording: In-school suspension
for less than the remainder of the school year with
curriculum/services provided
Item
Name: HA0DISPLNCNSL
Item
Wording: Referral to a school
counselor
Item
Name: HA0DISPLNINSP
Item
Wording: Assignment to a
program (during school hours) designed to reduce disciplinary
problems
Item
Name: HA0DISPLNOTSP
Item
Wording: Assignment to a
program (outside of school hours) designed to reduce disciplinary
problems
Item
Name: HA0DISPLNBUSL
Item
Wording: Loss of school bus
privileges due to misbehavior
1=Yes
0=No
HA0DISPLNACTC
Question
Wording:
(Continued) During
the 2021-2022 school year,
did this school allow for the use of the following disciplinary
actions?
(Select one for each row.)
Item
Name: HA0DISPLNPROB
Item
Wording: Placement on school
probation with consequences if another incident occurs
Item
Name: HA0DISPLNDETN
Item
Wording: Detention and/or
Saturday school
Item
Name: HA0DISPLNSPRV
Item
Wording: Loss of student
privileges
Item
Name: HA0DISPLNCSRV
Item
Wording: Requirement of
participation in community service
Item
Name: HA0DISPLNJUST
Item
Wording: Restorative justice
practices
1=Yes
0=No
Help
Text:
Restorative justice practices: Non-punitive approaches to handling conflict and misconduct. These practices emphasize repairing harm done to relationships and people as a result of one's behavior rather than dispensing punishment.
HA0INVOLVPAR
Question
Wording:
Which of the following
does this school do to involve or help parents deal with school
discipline issues?
(Select one for each row.)
Item
Name: HA0OBTPARINPT
Item
Wording: Have a formal process to
obtain parent input on policies related to school crime and
discipline
Item
Name: HA0PROVTRAIN
Item
Wording: Provide training or
technical assistance to parents in dealing with students' problem
behavior
Item
Name: HA0PROGMAINTN
Item
Wording: Have a program that
involves parents at school helping to maintain school discipline
1=Yes
0=No
HA0INCENTADDR1 *
Question
Wording:
Thank you. To show our
appreciation for completing the survey today, we would like to send
you $[If (no incentive cap): 25/else: [Incentive cap]].
Please provide the address to which you would like the $[If (no incentive cap): 25/else: [Incentive cap]] mailed. (Please allow 4 weeks for delivery.)
If you do not want to receive this $[If (no incentive cap): 25/else: [Incentive cap]], please check the box below, and then click "Next" to continue.
Item
Name: HA0INC_NoInc_1
Item
Wording: I do not want to
receive any money for completing this survey.
Item
Name: HA0INCNAME_1
Item
Wording: Name:
Item
Name: HA0INCADDR1_1
Item
Wording: Street address:
Item
Name: HA0INCADDR2_1
Item
Wording:
Item
Name: HA0INCZIPCODE_1
Item
Wording: ZIP Code:
Item
Name: HA0INCCITY_1
Item
Wording: City:
Item
Name: HA0INCSTATE_1
Item
Wording: State:
HA0PREEND1 *
Question
Wording:
[If respondent is designee and respondent is not taking the abbreviated survey: You have reached the end of the survey. You will not be able to log back into the survey after clicking "Next.” 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 your portion of the survey as complete./
If respondent is principal and Part 2 is complete or respondent is taking the abbreviated survey: You have reached the end of the survey. You will not be able to log back into the survey after clicking "Next.” 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 this survey as complete./
else: You have finished this portion of the survey. 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 next screen. This will set this portion of the survey as complete.]
HA0END1 *
Question
Wording:
[If (respondent is designee) or (If respondent is principal and Part 2 is complete) or (respondent is taking the abbreviated survey): These are all the questions we have for you. We appreciate you taking the time to complete the survey. Thank you very much for participating in HS&B:21! Be sure to CLOSE ALL browser windows to keep your responses secure. For example, if you used Chrome or Safari to open the survey, make sure no Chrome or Safari windows are open after you end the survey. Not closing all browsers may allow someone else to see your responses.
Click "Finish" to complete and close the survey./else: These are all the Part 1 questions. Thank you very much! Click "Finish" to complete and close Part 1 of the survey.]
PART 2
HA0INTROF1
Question
Wording:
This section of the
survey will ask you some questions about your background.
HA0HIGHDEG
Question
Wording:
What is the highest
degree you have earned?
Item
Name: HA0HIGHDEG
1=Associate's
degree
2=Bachelor's degree
3=Master's degree
4=Educational
Specialist degree
5=Ph.D., M.D., law degree, or other high level
professional degree
Help
Text:
Educational Specialist
degree: An advanced degree for teachers to gain specialized
proficiency in a particular area of education (e.g., education
technology, early childhood). Educational specialist degrees (Ed.S.)
are generally awarded for 1 year's work beyond the master's level.
Includes Certificate of Advanced Graduate Studies (CAGS).
HA0HIDEGMAJ
Question
Wording:
What was your major field of study for your [Associate's degree/Bachelor's degree/Master's degree/Educational Specialist degree/Ph.D., M.D., law degree, or other high level professional degree/highest degree]?
(Start typing below and select the closest match from the options returned. If you are unable to find a close match for your major or field of study, scroll through and click “Major not listed” at the bottom.)
HA0PREPPROGRM
Question
Wording:
Did you become a
principal through an alternative prep program, such as New Leaders
for New Schools?
Item
Name: HA0PREPPROGRM
1=Yes
0=No
HA0CERTPRNCPL
Question
Wording:
Are you currently
certified as a principal in [School's state]?
Item
Name: HA0CERTPRNCPL
1=Yes
0=No
HA0YRSANYSCHL
Question
Wording:
Including this school
year, how many years have you served as the principal of any
school?
Item
Name: HA0YRSANYSCHL
Item
Wording: ____ year(s)
HA0YRSCURSCHL
Question
Wording:
Including this school
year, how many years have you served as the principal of [School's
name]?
Item
Name: HA0YRSCURSCHL
Item
Wording: ____ year(s)
HA0TCHEXPRNCE
Question
Wording:
Including this school year, how many years have you taught any subject at any grade level at any school?
Item
Name: HA0TCHKTO12_LBL
Item
Wording: any grade
K-12
Item
Name: HA0TCHKTO12
Item
Wording: ____ year(s)
HA0HSTCHSUBJ
Question
Wording:
What was the main subject that you taught at the high school level?
Item
Name: HA0NOTCHHS
Item
Wording: Did not teach at the
high school level
Item
Name: HA0HSTCHSUBJ
1=English
2=Math
3=History
or social studies or social science
4=Natural or physical
sciences
5=Foreign languages
6=Physical
education
7=Vocational education
8=Business
9=Other
subject
Help
Text:
High school level: Any
grades 9-12.
HA0EVALFACTOR
Question
Wording:
How much influence do
you feel each of the following factors has on how your superiors
evaluate your performance?
(Select one for each row.)
Item
Name: HA0EVALSTNTST
Item
Wording: The performance of
your school's students on standardized tests
Item
Name: HA0EVALGRADRT
Item
Wording: High school graduation
rates
1=No
influence
2=Minor influence
3=Great deal of
influence
98=Does not apply
HA0SEX
Question
Wording:
What is your
sex?
Item Name: HA0SEX
1=Male
2=Female
HA0HISPANIC
Question
Wording:
Are you Hispanic or [Latino/Latina/Latino/Latina]?
Item
Name: HA0HISPANIC
1=Yes
0=No
Help
Text:
Hispanic or
[Latino/Latina/Latino/Latina]: Hispanic or
[Latino/Latina/Latino/Latina] refers to people of Mexican, Cuban,
Dominican, Puerto Rican, Central American, or South American origin
or descendants of another Spanish culture.
HA0RACE
Question
Wording:
[If HA0HISPANIC = 1
then fill: In addition to learning about your Hispanic or
[Latino/Latina/Latino/Latina] background, we would also like to know
about your racial background./else: no fill] Which of the following
choices describe your race?
(Check all that apply.)
Item
Name: HA0WHITE
Item
Wording: White
Item
Name: HA0ABLACK
Item
Wording: Black or African
American
Item
Name: HA0ASIAN
Item
Wording: Asian
Item
Name: HA0HAWAIIAN
Item
Wording: Native Hawaiian or other
Pacific Islander
Item
Name: HA0AMERINDIAN
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.
HA0INTROG1
Question
Wording:
Next we are going to
ask you some questions about the school climate at [School's name].
HA0TCHRSALARY
Question
Wording:
What are the lowest
and highest annual salaries currently paid to full-time teachers on
your school's payroll?
Item
Name: HA0TCHRSALLOW
Item
Wording: Lowest: $
Item
Name: HA0TCHRSALHI
Item
Wording: Highest:$
HA0TCHRPREPD
Question
Wording:
To what extent do you
disagree or agree with the following statements?
(Select one for
each row.)
Item
Name: HA0PREPTCHMAT
Item
Wording: Mathematics teachers
at your school are adequately prepared to teach mathematics.
Item
Name: HA0PREPTCHCOU
Item
Wording: Mathematics teachers
at your school are adequately prepared to teach the courses they are
assigned.
Item
Name: HA0PREPTCHDIF
Item
Wording: Mathematics teachers
are adequately prepared to assist students who are experiencing
difficulties in mathematics.
1=Strongly
agree
2=Agree
3=Slightly agree
4=Slightly
disagree
5=Disagree
6=Strongly disagree
7=Subject not
taught at your school
HA0SCHLCLIM1
Question
Wording:
Please indicate the
extent to which you agree or disagree with each of the following
statements about [School's name].
(Select one for each
row.)
Item
Name: HA0STUMORALE
Item
Wording: Student morale is
high.
Item
Name: HA0TCHPRESSTU
Item
Wording: Teachers at your
school press students to achieve academically.
Item
Name: HA0TCHMORALE
Item
Wording: Teacher morale is
high.
Item
Name: HA0STUPRIORIT
Item
Wording: Students place a high
priority on learning.
Item
Name: HA0STUEXPHW
Item
Wording: Students are expected
to do homework.
1=Strongly
agree
2=Agree
3=Slightly agree
4=Slightly
disagree
5=Disagree
6=Strongly disagree
HA0SCHLCLIM2A
Question
Wording:
(Continued) Please
indicate the extent to which you agree or disagree with each of the
following statements about [School's name].
(Select one
for each row.)
Item
Name: HA0STFFCONFLCT
Item
Wording: There is conflict
between teachers and administrators.
Item
Name: HA0DISCEMPHAS
Item
Wording: Discipline is
emphasized at your school.
Item
Name: HA0CLSSSTRUCT
Item
Wording: The classroom
environment for students is structured.
Item
Name: HA0TCHENCOURA
Item
Wording: Teachers at your
school encourage students to do their best.
1=Strongly
agree
2=Agree
3=Slightly agree
4=Slightly
disagree
5=Disagree
6=Strongly disagree
HA0SCHLCLIM2B
Question
Wording:
(Continued) Please
indicate the extent to which you agree or disagree with each of the
following statements about [School's name].
(Select one
for each row.)
Item
Name: HA0TCHNEGATT
Item
Wording: Teachers have a
negative attitude about students.
Item
Name: HA0DIFFMOTSTU
Item
Wording: Teachers find it
difficult to motivate students.
Item
Name: HA0DAYSTRUCT
Item
Wording: The school day for
students is structured.
Item
Name: HA0DEVTOLERAT
Item
Wording: Deviation by students
from school rules is not tolerated.
1=Strongly
agree
2=Agree
3=Slightly agree
4=Slightly
disagree
5=Disagree
6=Strongly disagree
HA0SCHLCLIM2C
Question
Wording:
(Continued) Please
indicate the extent to which you agree or disagree with each of the
following statements about [School's name].
(Select one
for each row.)
Item
Name: HA0SCHLFLEX
Item
Wording: The school environment
is "flexible.”
Item
Name: HA0TCHRESPOND
Item
Wording: Teachers take the time
to respond to students' individual needs.
Item
Name: HA0SCHLSPORT
Item
Wording: The school emphasizes
sports.
Item
Name: HA0GRADECOMP
Item
Wording: Students face
competition for grades.
1=Strongly
agree
2=Agree
3=Slightly agree
4=Slightly
disagree
5=Disagree
6=Strongly disagree
HA0SCHLPROBS1A
Question
Wording:
To the best of your
knowledge, how often do the following types of problems occur at your
school?
(Select one for each row.)
Item
Name: HA0ACTPHYSCON
Item
Wording: Physical conflicts
among students
Item
Name: HA0ACTTHEFT
Item
Wording: Robbery or theft
Item
Name: HA0ACTVANDAL
Item
Wording: Vandalism
Item
Name: HA0ACTDRUGUSE
Item
Wording: Student use of illegal
drugs while at school
1=Never
happens
2=On occasion
3=At least once a month
4=At
least once a week
5=Daily
HA0SCHLPROBS1B
Question
Wording:
(Continued) To
the best of your knowledge, how often do the following types of
problems occur at your school?
(Select one for each
row.)
Item
Name: HA0ACTALCOHOL
Item
Wording: Student use of alcohol
while at school
Item
Name: HA0ACTDRUGSAL
Item
Wording: The sale of drugs on
the way to or from school or on school grounds
Item
Name: HA0ACTPOSWPN
Item
Wording: Student possession of
weapons
Item
Name: HA0ACTPHYABUS
Item
Wording: Physical abuse of
teachers
Item
Name: HA0ACTRACIAL
Item
Wording: Student racial
tensions
1=Never
happens
2=On occasion
3=At least once a month
4=At
least once a week
5=Daily
Help
Text:
Weapons: Any instruments
or objects used with the intent to threaten, injure, or kill. This
includes look-alikes if they are used to threaten others.
HA0SCHLPROBS1C
Question
Wording:
(Continued) To
the best of your knowledge, how often do the following types of
problems occur at your school?
(Select one for each
row.)
Item
Name: HA0ACTBULLY
Item
Wording: Student bullying
Item
Name: HA0VERABUS
Item
Wording: Student verbal abuse
of teachers
Item
Name: HA0ACTINCLASS
Item
Wording: Student in-class
misbehavior
Item
Name: HA0ACTDISRPCT
Item
Wording: Student acts of
disrespect for teachers
Item
Name: HA0ACTGANG
Item
Wording: Student gang
activities
1=Never
happens
2=On occasion
3=At least once a month
4=At
least once a week
5=Daily
HA0SCHLPROBS2A
Question
Wording:
To what degree is each
of the following matters a problem at your school?
(Select one
for each row.)
Item
Name: HA0STUTARDY
Item
Wording: Student
tardiness
Item
Name: HA0SABSENTEE
Item
Wording: Student
absenteeism
Item
Name: HA0STUCUTCLSS
Item
Wording: Student class
cutting
Item
Name: HA0TABSENTEE
Item
Wording: Teacher
absenteeism
Item
Name: HA0STUDROPOUT
Item
Wording: Students dropping out
1=Not a
problem
2=Minor problem
3=Moderate problem
4=Serious
problem
HA0SCHLPROBS2B
Question
Wording:
(Continued) To what
degree is each of the following matters a problem at your
school?
(Select one for each row.)
Item
Name: HA0STUAPATHY
Item
Wording: Student apathy
Item
Name: HA0NOPARINVOL
Item
Wording: Lack of parental
involvement
Item
Name: HA0STUUNPREP
Item
Wording: Students come to
school unprepared to learn
Item
Name: HA0POORSTUHEA
Item
Wording: Poor student
health
Item
Name: HA0TCHLACKRES
Item
Wording: Lack of resources and
materials for teachers
1=Not a
problem
2=Minor problem
3=Moderate problem
4=Serious
problem
HA0RLTNSHPS
Question
Wording:
How would you
characterize your school's relationship with each of the following
individuals or groups?
(Select one for each row.)
Item
Name: HA0RLTNSCHBRD
Item
Wording: School board or
governing board
Item
Name: HA0RLTNTUNION
Item
Wording: Teachers' association
or union
Item
Name: HA0RLTNPARENT
Item
Wording: Parent groups
Item
Name: HA0RLTNCOMNTY
Item
Wording: Community/Community
organizations
1=Very
cooperative
2=Cooperative
3=Somewhat cooperative
4=Not
cooperative
98=Does not apply
HA0INCENTADDR2
Question
Wording:
Thank you. To show our
appreciation for completing the survey today, we would like to send
you $[If (no incentive cap): 25/else: [Incentive cap]].
Please
provide the address to which you would like the $[If (no incentive
cap): 25/else: [Incentive cap]] mailed. (Please allow 4 weeks for
delivery.)
If you do not want to receive this $[If (no
incentive cap): 25/else: [Incentive cap]], please check the box
below, and then click "Next" to continue.
Item
Name: HA0INC_NoInc_2
Item
Wording: I do not want to
receive any money for completing this survey.
Item
Name: HA0INCNAME_2
Item
Wording: Name:
Item
Name: HA0INCADDR1_2
Item
Wording: Street address:
Item
Name: HA0INCADDR2_2
Item
Wording:
Item
Name: HA0INCZIPCODE_2
Item
Wording: ZIP Code:
Item
Name: HA0INCCITY_2
Item
Wording: City:
Item
Name: HA0INCSTATE_2
Item
Wording: State:
HA0PREEND2
Question
Wording:
[If respondent is principal and Part 1 is complete: You have reached the end of the survey. You will not be able to log back into the survey after clicking "Next.” 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 this survey as complete./else: You have finished this portion of the survey. 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 next screen. This will set this portion of the survey as complete.]
HA0END2
Question
Wording:
[If respondent is
principal and Part 1 is complete: These are all the questions we
have for you. We appreciate you taking the time to complete the
survey. Thank you very much for participating in HS&B:21! Be
sure to CLOSE ALL browser windows to keep your responses secure. For
example, if you used Chrome or Safari to open the survey, make sure
no Chrome or Safari windows are open after you end the survey. Not
closing all browsers may allow someone else to see your responses.
Click "Finish" to complete and close the survey./else:
These are all the Part 2 questions. Thank you very much! Click
"Finish" to complete and close Part 2 of the survey.]
Appendix B7. Math Teacher Questionnaire
Table 6. HS&B:21 Full-Scale Math Teacher Questionnaire
Form name |
Form label |
Change |
Rationale |
Abbreviated |
General |
Applies to multiple forms |
R |
Due to data collection postponement, we updated the name of the study to High School and Beyond Longitudinal Study of 2021 (HS&B:21) wherever needed. We also updated the academic years referenced in the survey. Last academic year now refers to (2020-2021), this academic year refers to (2021-2022). We also replaced the study e-mail address with a placeholder of [Survey e-mail address] to account for an expected update to the study’s email address.
|
|
HM0INFCNSENT1 |
Informed consent 1 |
R |
Changed question wording to improve clarity. Added conditional wording to account for different incentive scenarios. |
* |
HM0INFCNSENT2 |
Informed consent 2 |
R |
Aligned security/risk language between HS&B:21 instruments for consistency of message to respondents. Revised the wording to include the new timing estimates as well as the approximate number of teachers for the full scale study. |
* |
HM0NAVIGATE |
Survey instructions |
R |
Revised the wording to reflect the shortened time limit for the timeout screen. Also revised the help text wording to be more accurate on how to close the help text box. Added wording to improve security for out-of-school respondents that exit the survey. |
* |
HM0INTROA1 |
Section A header 1 |
A |
Added a new transition screen now that a portion of the teacher background information is being asked earlier. |
* |
HM0HIGHEDU |
Highest degree earned |
|
No Change |
* |
HM0MAJHIGHEDU |
Highest degree major |
|
No Change |
* |
HM0MAJBACHEDU |
Bachelor’s degree major |
|
No Change |
|
HM0TCHCERTTYP |
Type of teaching certificate |
R |
Revised response option wording for grammatical consistency. |
* |
HM0CERTGRADES |
Grades certified to teach |
|
No Change |
|
HM0ALTTCHCERT |
Entered through alternative teaching program? |
|
No Change |
* |
HM0SUB |
Long-term substitute teacher status |
A |
Added this form to collect more teacher background information and to provide context for the teacher’s assessment of their class(es) and student(s). |
|
HM0YRBORN |
Year of birth |
R |
Added instruction for format of entry. |
* |
HM0SEX |
Sex |
|
No Change |
* |
HM0HISPANIC |
Hispanic ethnicity |
|
No Change |
* |
HM0RACE |
Race |
|
No Change |
* |
HM0INTROA2 |
Section A header 2 |
R |
Form name changed after adding HM0INTROA1, the new header form at the beginning of the section. |
* |
HM0STCLCONFRM |
Student-class link confirmation |
R |
Added “(Continued)” to the beginning of the question wording which will render to respondents if they view this screen more than once during the survey. |
* |
HM0WHICHCLASS |
Student’s class correction |
R |
Added language to clarify how to provide information about student’s class. |
* |
HM0CLSSSTUSUM |
Section B header |
R |
Added clarity to conditional language, specifying the conditions in which respondents will see each version of question wording. |
* |
HM0INTROCLASS |
Intro to class loop header |
R |
Added survey navigation instructions. |
* |
HM0CLSSTYPE |
Math class type |
R |
Removed other specify option due to lack of use in FT and lack of common, significant strings among users of this option. |
* |
HM0CLSSNUMST |
No. of students in class |
R |
Added language to clarify how to provide information about student’s class. |
|
HM0CLSSRIGOR |
Class rigor |
R |
Changed response options so that advanced/honors and AP/IB courses are separate options. Removed other specify option due to lack of use in FT and lack of common, significant strings among users of this option. |
* |
HM0CLSS1STTME |
First time teaching class |
A |
Added this form to better understand the teacher’s experience and familiarity with this course. |
|
HM0CLSSCURDES |
Class curriculum design |
R |
Removed other specify option due to lack of use in FT and lack of common, significant strings among users of this option. |
|
HM0CLSSTCHOBJ1 |
Class teaching objectives, Part 1 |
R |
This form is no longer part of the abbreviated survey as it was not deemed high priority. |
|
HM0CLSSTCHOBJ2 |
Class teaching objectives, Part 2 |
R |
This form is no longer part of the abbreviated survey as it was not deemed high priority. |
|
HM0CLSSTCHOBJ3 |
Class teaching objectives, Part 3 |
R |
This form is no longer part of the abbreviated survey as it was not deemed high priority. |
|
HM0CLSSPRIMAT |
Primary instructional material |
|
No Change |
|
HM0CLSSSUPMAT |
Supplementary instructional material |
|
No Change |
|
HM0CLSSBEHAV |
Class behavior |
|
No Change |
|
HM0CLSSACHIEV |
Class achievement level |
|
No Change |
|
HM0INTROSTUD |
Introduction to student loop |
|
No Change |
* |
HM0STUALLYR |
Taught student since beginning of school year |
A |
Added this form to assess whether the teacher has been the teacher of this student since the beginning of the school year. |
* |
HM0STUDIFFLEV |
Difficulty of class for student |
|
No change |
* |
HM0STUIEP |
Student’s IEP/ISP status |
A |
Per TRP panelists’ recommendations, added this form to obtain student-level information regarding whether this student has an IEP/ISP. |
* |
HM0STUMTHSKLL1 |
Student’s math skills, Part 1 |
R |
Changed item wording of HM0STUEXPLREA to improve clarity. |
* |
HM0STUMTHSKLL2 |
Student’s math skills, Part 2 |
|
No change |
* |
HM0STUPOSBEHV1 |
Student’s demonstrated behaviors, Part 1 |
|
No change |
* |
HM0STUPOSBEHV2 |
Student’s demonstrated behaviors, Part 2 |
|
No change |
* |
HM0STUPREPARED |
Student’s preparedness |
|
No change |
|
HM0STUEXPECT |
Teacher’s expectations of student |
A |
Added this form to obtain student-level teacher expectations because teacher expectations have been shown predictive of student outcomes. |
* |
HM0STULOOPEND |
Student loop end |
|
No change |
* |
HM0CLLOOPEND |
Class loop end |
|
No change |
* |
HM0INTROC |
Section C header |
R |
Revised the question wording to include “more” after breaking up the teacher background section into 2 components; this header transitions into the second half of background questions. |
* |
HM0YRHIGHEDU |
Year highest degree awarded |
D |
Dropped this form as it is a low priority item and we wanted to reduce burden for the respondent, when possible. |
|
HM0YRSTCHMATH |
Total years teaching math |
R |
Revised question wording to reduce respondent burden by only asking for total years teaching math rather than by grade level. Added “(K-12)” in question wording to define what is meant by “any grade level.” Added instruction to indicate how new teachers should respond to the question. |
* |
HM0YRSTCHTTL |
Total years teaching |
R |
Revised question wording to reduce respondent burden by only asking for total years teaching rather than by grade level. Added “(K-12)” in question wording to define what is meant by “any grade level.” Added instruction to indicate how new teachers should respond to the question. |
* |
HM0YRSTCHSCHL |
Total years taught at school |
R |
Added “(K-12)” in question wording to define what is meant by “any grade level.” Added instruction to indicate how new teachers should respond to the question. |
|
HM0HRSPROFDEV |
Hours of professional development received last year |
R |
Added/Changed response options to provide mutually exclusive response options. |
|
HM0INTROD |
Section D header |
|
No change |
* |
HM0SCHLCLIM1 |
School climate |
|
No change |
|
HM0SCHLCLIM2 |
Tolerance for diversity |
|
No change |
|
HM0FOCSTULRN |
School’s focus on student learning |
A |
Per TRP panelists’ recommendations, added this question to capture more information about school climate. |
* |
HM0RELTRUST1 |
Principal-Teacher trust, Part 1 |
A |
Per TRP panelists’ recommendations, added this question to capture more information about school climate and staff relationships. |
|
HM0RELTRUST2 |
Principal-Teacher trust, Part 2 |
A |
Per TRP panelists’ recommendations, added this question to capture more information about school climate and staff relationships. |
|
HM0RELTRUST3 |
Teacher-Teacher trust |
A |
Per TRP panelists’ recommendations, added this question to capture more information about school climate and staff relationships. |
|
HM0TECHDEVAVL |
Technology devices available in class |
D |
Dropped this form as it is a low priority item and we wanted to reduce burden for the respondent, when possible. |
|
HM0HOWTECHUSE1 |
How often technology is used in class, Part 1 |
R |
This question was revised based on TRP panelists’ recommendation to pare down the list of technology uses in the classroom. Removed 2 items (HM0RSRCHTOPIC , HM0PLAYGAME) from this question based on frequency distributions from the BYFT. |
* |
HM0HOWTECHUSE2 |
How often technology is used in class, Part 2 |
R |
This question was revised based on TRP panelists’ recommendation to pare down the list of technology uses in the classroom. Removed 1 item (HM0CREATEPROJ) from this question based on frequency distributions from the BYFT. Added items from HM0HOWTECHUSE3 (HM0SHAREWORK & HM0FREETIME) onto this form to condense the number of screens the respondent would see. |
* |
HM0HOWTECHUSE3 |
How often technology is used in class, Part 3 |
D |
This question was revised to pare down the list of technology uses in the classroom. Removed 2 items (HM0ENRICHACT, HM0PARDISCUSS) from this question based on frequency distributions from the BYFT. Ultimately dropped this form to condense the number of screens the respondent would see, so we moved remaining items (HM0SHAREWORK & HM0FREETIME) to previous form, HM0HOWTECHUSE. |
|
HM0TCHINTACC |
Teacher internet access in class |
|
No change |
|
HM0STUINTACC |
Student internet access in class |
|
No change |
* |
HM0ASSGNHWINT |
Assign homework that requires internet |
|
No change |
* |
HM0INTROE |
Section E header |
|
No change |
* |
HM0GRWTHMNDST |
Growth mindset |
|
No change |
* |
HM0INCENTADDR |
Incentive address |
R |
Included conditional wording to account for different incentive scenarios.. Removed references to checks as incentives may be dispersed in different ways. |
* |
HM0PREEND |
Pre-end survey message |
|
No change |
* |
HM0END |
End survey message |
R |
Added an additional reminder to close browser for security reasons. |
* |
HS&B:21 Full-Scale Math Teacher Questionnaire
KEY:
*
Forms for the Math Teacher Abbreviated Survey
HM0INFCNSENT1
*
Question Wording:
Recently, we sent you materials about the U.S. Department of Education's High School and Beyond Longitudinal Study of 2021 (HS&B:21).
HS&B:21 is a longitudinal study that will follow a group of 9th-grade students through high school and into postsecondary education and the labor force. In addition to exploring the transition from high school, this study will focus on the relationship between students' high school experiences and their education and career choices.
Because your school indicated you are a math teacher of at least one student who has been selected to participate in the study, we'd like to survey you too. The information you provide will help us understand how the home, school, and community environments influence the decisions students make about their education and their future.
To review the letter that we
mailed, click here.
To review the study brochure, click
here.
Your participation in HS&B:21 is critical to its success. [If school allows an incentive and there is not an incentive cap: You will receive $20 for completing the parts about you and your classroom, plus an additional $7 for each individual student about whom you answer questions./else if school allows incentive and has an incentive cap: You will receive $20 for completing the parts about you and your classroom, plus an additional $7 for each individual student about whom you answer questions, up to a maximum of [Incentive cap]./else: no fill]
Please click the “Next” button to continue.
HM0INFCNSENT2
*
Question Wording:
You are one of approximately 2,700 teachers who will be taking part in this study. Your responses may be used only for statistical purposes and may not be disclosed, or used, in identifiable form for any other purpose except as required by law (20 U.S.C. §9573 and 6 U.S.C. §151). The risk of participation in this study is minimal, given the strict confidentiality and security procedures in place as required by law.
You may choose not to answer any question or stop the survey at any time. There are three categories of questions we will ask you about. The questions about students are estimated to take [2/3] minutes per student. There [is/are] [Number of students] HS&B:21 [student/students] that we will ask you to confirm you teach math to. The questions about classes you teach are estimated to take [1/4] [minute/minutes] per class. The questions about yourself and your school are estimated to take [7/11] minutes. You may begin the survey now and finish at another time, if necessary.
If you have questions about the study, you may contact the study's Help Desk toll-free number at 855-500-1439, or you can email [Study e-mail address]. If you have questions about your rights as a study participant, you may contact RTI's Office of Research Protection at 919-316-3358 in Durham, NC (or toll-free at 866-214-2043) or email [email protected].
When you are ready to begin, please click "Next" to continue.
HM0NAVIGATE
*
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 your screen or the help icon in the survey to see the help text. The "HELP" icon at the top of your 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 and close your browser (not just the tab). 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 15 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 or
the "Close" button in the lower right corner to close the
box.
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.
If
you have any questions about this study, you may contact the Help
Desk at 855-500-1439, or you can email [Study e-mail address].
Help
Desk hours are:
Monday - Friday: 8:00 a.m. - 6:00 p.m. Eastern
time zone
If you have questions about your rights as a
study participant, please contact RTI's Office of Research Protection
at 866-214-2043.
HM0INTROA1
*
Question Wording:
First, we have a few
questions about your background followed by some questions about the
classes and students you are currently teaching.
HM0HIGHEDU
*
Question Wording:
What is the highest
degree you have earned?
Item Name: HM0HIGHEDU
1=Associate's degree
2=Bachelor's degree
3=Master's degree
4=Educational
Specialist degree
5=Ph.D., M.D., law degree, or other high
level professional degree
6=You do not have a degree
Help
Text:
Educational Specialist degree: An advanced degree for
teachers to gain specialized proficiency in a particular area of
education (e.g., education technology, early childhood). Educational
specialist degrees (Ed.S.) are generally awarded for 1 year's work
beyond the master's level. Includes Certificate of Advanced Graduate
Studies (CAGS).
HM0MAJHIGHEDU
*
Question Wording:
What was your major
field of study for your [Associate's degree/Bachelor's
degree/Master's degree/Educational Specialist degree/Ph.D., M.D., law
degree, or other high level professional degree/highest
degree]?
(Start typing below and select the closest
match from the options returned. If you are unable to find a
close match for your major field of study, scroll through and
click "Major not listed" at the bottom.)
HM0MAJBACHEDU
Question Wording:
What was your major
field of study for your bachelor's degree?
(Start
typing below and select the closest match from the options
returned. If you are unable to find a close match for your major
field of study, scroll through and click "Major
not listed" at the bottom.)
HM0TCHCERTTYP
*
Question Wording:
Which of the
following describes the math teaching certificate you currently hold
in [School's state]?
Item Name: HM0TCHCERTTYP
1=Regular or standard state
certificate or advanced professional certificate
2=Certificate
issued after satisfying all requirements except the completion of a
probationary teaching period (in some states this is called a
"probationary certificate")
3=Certificate that
requires some additional coursework, student teaching, or passage of
a test before regular certification can be obtained (in some states
this is called a "temporary certificate" or "provisional
certificate")
4=Certificate issued to persons who must
complete a certification program in order to continue teaching (in
some states this is called a "waiver certificate" or
"emergency certificate")
5=You do not hold a math
teaching certificate but you do hold a teaching certificate in
another subject area
6=You do not hold any of the above
certifications in this state
HM0CERTGRADES
Question Wording:
In which grades does
this certificate allow you to teach math in [School's state]?
(Check
all that apply.)
Item Name: HM0CERTKTO5
Item
Wording: Kindergarten through 5th grade (any or all grades)
Item Name: HM0CERT6TO8
Item Wording:
6th through 8th grade (any or all grades)
Item Name:
HM0CERT9TO12
Item Wording: 9th through 12th grade (any
or all grades)
HM0ALTTCHCERT
*
Question Wording:
Did you enter
teaching through an alternative certification program?
An
alternative certification program is a program that is designed to
expedite the transition of non-teachers to a teaching career, for
example, a state, district, or university alternative certification
program.
Item Name: HM0ALTTCHCERT
1=Yes
0=No
HM0SUB
Question Wording:
What is your employment
status in this school or school system?
Item Name:
HM0SUB
1=Regular full-time teacher
2=Regular part-time teacher
3=Long-term substitute
teacher (i.e., your assignment requires that you fill the role of a
regular teacher on a long-term basis, but you are still considered a
substitute)
HM0YRBORN
*
Question Wording:
The next set of
questions asks about you and your background.
In what year were you born?
(Please enter your answer in this format: XXXX)
Item
Name: HM0YRBORN
Item Wording:
HM0SEX
*
Question Wording:
What is your sex?
Item Name: HM0SEX
1=Male
2=Female
HM0HISPANIC
*
Question Wording:
Are you Hispanic or
[Latino/Latina/Latino/Latina]?
Item Name:
HM0HISPANIC
1=Yes
0=No
Help
Text:
Hispanic or [Latino/Latina/Latino/Latina]: Hispanic or
[Latino/Latina/Latino/Latina] refers to people of Mexican, Cuban,
Dominican, Puerto Rican, Central American, or South American origin
or descendants of another Spanish culture.
HM0RACE
*
Question Wording:
[If teacher answered
they are Hispanic: In addition to learning about your Hispanic
background, we would also like to know about your racial
background./else: no fill]
Which of the following choices
describe your race?
(Check all that apply.)
Item
Name: HM0WHITE
Item Wording: White
Item
Name: HM0BLACK
Item Wording: Black or African
American
Item
Name: HM0ASIAN
Item Wording: Asian
Item
Name: HM0HAWAIIN
Item Wording: Native Hawaiian or
other Pacific Islander
Item
Name: HM0AMERINDI
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.
HM0INTROA2
*
Question Wording:
On the following screen(s) we will ask you to confirm whether you teach the listed [student/students]. If you teach [the listed student/any of the listed students], we will ask you to confirm the math [class/classes] in which you teach [that/those] [student/students].
Please click the “Next” button to continue.
HM0STCLCONFRM
*
Question Wording:
[If iteration > 1:
(Continued)/ else: no fill] Please complete the grid below for
[the student/all students] listed.
Item Name:
HM0STUDENTS_STEP1
Item Wording: Step 1: Please
confirm that you are this student's math teacher.
Item
Name: HM0STUDENTS_STEP2
Item Wording: Step 2:
Please confirm that both the class and period/section name for each
student is correct. If the class or the period/section is
incorrect, you will have the chance to update this information.
Item
Name: HM0STUDENT_1
Item Wording: [Student 1's name]
Item Name: HM0STUDENT_2
Item Wording:
[Student 2's name]
Item Name: HM0STUDENT_3
Item
Wording: [Student 3's name]
Item Name:
HM0STUDENT_4
Item Wording: [Student 4's name]
Item
Name: HM0STUDENT_5
Item Wording: [Student 5's name]
0=No, I have never taught math to this student.
1=No, I taught math to this student in the past but I do not currently teach math to this student.
2=Yes, I currently teach math to this student.
Item
Name: HM0STUCLASS_1
Item Wording: [Student 1's math
class]
Item Name: HM0STUCLASS_2
Item
Wording: [Student 2's math class]
Item Name:
HM0STUCLASS_3
Item Wording: [Student 3's math class]
Item Name: HM0STUCLASS_4
Item Wording:
[Student 4's math class]
Item Name: HM0STUCLASS_5
Item Wording: [Student 5's math class]
1=Yes
0=No
HM0WHICHCLASS
*
Question Wording:
You indicated the class title and/or period/section for [Student's name] was incorrect.
Please tell us what class and period/section you teach [Student's name]. If you do not see the name of the class and period/section listed below, please select "Other" and type the name of the class and the period/section in the boxes. If the class does not have a traditional "period/section", then please enter an identifier that will help you distinguish this class.
Item
Name: HM0WHICHCLASS
1=[Math class 1]
2=[Math
class 2]
3=[Math class 3]
4=[Math class 4]
5=[Math
class 5]
6=[Math class 6]
7=[Math class 7]
8=[Math
class 8]
9=[Math class 9]
10=[Math class 10]
11=[Math
class 11]
12=[Math class 12]
13=[Math class 13]
14=[Math
class 14]
15=[Math class 15]
99=Other
Item
Name: HM0WHICHCLASS_COURSE
Item Wording: Please
specify the name of the class:
Item Name:
HM0WHICHCLASS_PERIOD
Item Wording: Please specify the
period/section of the class:
HM0CLSSSTUSUM
*
Question Wording:
[If this is the first time the respondent has seen this screen: Next we have some questions about [If teacher only has 1 confirmed class: this class/else: these classes] and [If teacher only has 1 confirmed student: this student/else: these students] you teach.
Class: [Confirmed Class]
Student: [Confirmed Student]
Student: [Confirmed Student]
Etc.
Class:
[Confirmed Class etc.]
Student: [Confirmed Student]
Student: [Confirmed Student]
Etc.
Please click the “Next” button to continue.
/else:
You
have answered questions about:
Class:
[Confirmed Class]
Student: [Confirmed Student]
Student: [Confirmed Student]
Etc.
We still have some questions for you about:
Class:
[Confirmed Class etc.]
Student: [Confirmed Student]
Student: [Confirmed Student]
Etc.
Please click the “Next” button to continue.]
HM0INTROCLASS
*
Question Wording:
Now we would like to know about your [Math class name] class.
Please click the “Next” button to continue.
HM0CLSSTYPE
*
Question Wording:
Class: [Math class name]
We would like to standardize the various class titles we receive from schools into defined categories. This class may or may not exactly match one of these categories. Regardless, please indicate which of the following best categorizes this [Math class name] class.
Item
Name: HM0CLSSTYPE
1=Pre-Algebra
2=Review or
Remedial Math
3=Algebra I, part 1 or part 2
4=Algebra I
5=Algebra II
6=Geometry
7=Trigonometry
8=Analytic
Geometry
9=Statistics or Probability
10=Pre-Calculus
11=Calculus
12=Integrated Math I
13=Integrated Math
II or above
14=Other math
HM0CLSSNUMST
Question Wording:
Class: [Math class name]
How many students are enrolled in this [Math class name] class?
Please only include students enrolled in this specific period/section of this [Math class name] class.
Item
Name: HM0CLSSNUMST
Item Wording: ____ students
HM0CLSSRIGOR
*
Question Wording:
Class:
[Math class name]
How would you best describe the
academic rigor of this [Math class name] class?
Item
Name: HM0CLSSRIGOR
1=Basic or remedial
2=General
or regular
3=Advanced or Honors4=Advanced Placement (AP) or
International Baccalaureate (IB)
5=Other
Help
Text:
Academic rigor: A course's level of difficulty.
Basic or remedial: A course focusing primarily on skills development, including literacy in language, mathematics, and the physical and social sciences. These courses are typically less rigorous than standard courses and may be intended to prepare a student for a general course.
General or regular: A course providing instruction in a given subject area that focuses primarily on general concepts appropriate for the grade level. General courses typically meet the state's or district's expectations of scope and difficulty for mastery of the content.
Advanced: An advanced course is one that augments the content and/or rigor of a general course, but does not carry an honors designation.
Honors: An honors course is an advanced-level course designed for students who have earned honors status according to educational requirements. These courses typically include additional content not found in general courses, and are formally designated as honors courses.
HM0CLSS1STTM
Question Wording:
Class: [Math class
name]
Is
this the first time you have taught this course?
Item
Name: HM0CLSS1STTM
1=Yes
0=No
HM0CLSSCURDES
Question Wording:
Class: [Math class
name]
The
curriculum used for [Math class name] this year is...
(Check
all that apply.)
Item Name: HM0LOCALCUR
Item
Wording: Locally or district-designed
Item Name:
HM0STATECUR
Item Wording: State-designed
Item
Name: HM0NATIONCUR
Item Wording: Nationally-designed
Item Name: HM0OTHERCUR
Item Wording:
Other
HM0CLSSTCHOBJ1
Question Wording:
Class: [Math class
name]
Think about the full duration of this [Math
class name] class. How much emphasis are you placing on each of
the following objectives?
(Select
one for each row.)
Item Name: HM0INCRINTRST
Item
Wording: Increasing students’ interest in mathematics
Item
Name: HM0TCHCONCEPT
Item Wording: Teaching students
mathematical concepts
Item Name: HM0TCHALGOR
Item
Wording: Teaching students mathematical algorithms or procedures
Item Name: HM0DEVCOMP
Item Wording:
Developing students’ computational skills
Item
Name: HM0DEVPROBSOL
Item Wording: Developing
students’ problem solving skills
1=No emphasis
2=Minimal
emphasis
3=Moderate emphasis
4=Heavy emphasis
HM0CLSSTCHOBJ2
Question Wording:
Class: [Math class
name]
(Continued) Think about the full duration of
this [Math class name] class. How much emphasis are you
placing on each of the following objectives?
(Select
one for each row.)
Item Name: HM0TCHREASON
Item
Wording: Teaching students to reason mathematically
Item
Name: HM0TCHCONNECT
Item Wording: Teaching students
how mathematics ideas connect with one another
Item
Name: HM0PREPFUTSTU
Item Wording: Preparing students
for further study in mathematics
Item Name:
HM0TCHLOGSTRC
Item Wording: Teaching students the
logical structures of mathematics
Item Name:
HM0TCHHISTMTH
Item Wording: Teaching students about the
history and nature of mathematics
1=No emphasis
2=Minimal
emphasis
3=Moderate emphasis
4=Heavy emphasis
HM0CLSSTCHOBJ3
Question Wording:
Class: [Math class
name]
(Continued) Think about the full duration of
this [Math class name] class. How much emphasis are you
placing on each of the following objectives?
(Select
one for each row.)
Item Name: HM0TCHEXPLMTH
Item
Wording: Teaching students to explain ideas in mathematics
effectively
Item Name: HM0TCHAPPLMTH
Item
Wording: Teaching students how to apply mathematics in business
and industry
Item Name: HM0TCHPERCOMP
Item
Wording: Teaching students to perform computations with speed and
accuracy
Item Name: HM0PREPSTDTST
Item
Wording: Preparing students for standardized tests
1=No emphasis
2=Minimal
emphasis
3=Moderate emphasis
4=Heavy emphasis
HM0CLSSPRIMAT
Question Wording:
Class: [Math class
name]
What
do you use as your primary basis for instruction for this
[Math class name] class?
Item Name:
HM0CLSSPRIMAT
1=Textbook (Print)
2=E-book
3=District or state educational content repository
4=Open
educational resources
5=Other
Item
Name: HM0CLSSPRIMAT_other
Item Wording: Please
specify:
Item Name: HM0CLSSPRIMAT_other2
Item
Wording: Please specify:
Help Text:
District
or state educational content repository: A database of digital
educational resources (such as lesson plans, worksheets, and/or
readings) provided and/or maintained by your school's district or
state.
Open
educational resources: Teaching, learning, and research materials in
any medium—digital or
otherwise—that reside in the
public domain or have been released under an open license that
permits no-cost access, use, adaptation, and redistribution by others
with limited or no restrictions. Resources can include full courses,
course materials, modules, textbooks, streaming videos, tests,
software, and any other tools, materials, or techniques used to
support access to knowledge.
HM0CLSSSUPMAT
Question Wording:
Class: [Math class
name]
In
addition to your primary math curriculum, which of the following do
you use as a supplement for this [Math class name]
class?
(Check all that apply.)
Item Name:
HM0TXTSUPMAT
Item Wording: Textbook (Print)
Item
Name: HM0EBKSUPMAT
Item Wording: E-book
Item
Name: HM0REPSUPMAT
Item Wording: District or state
educational content repository
Item Name:
HM0OPNSUPMAT
Item Wording: Open educational
resources
Item Name: HM0OPNSUPMAT_other
Item Wording: Please specify
Item Name:
HM0OTHSUPMAT
Item Wording: Other
Item
Name: HM0OTHSUPMAT_other
Item Wording: Please
specify:
Item Name: HM0NOSUPMAT
Item
Wording: You do not use additional resources to supplement
instruction.
Help Text:
District or state
educational content repository: A database of digital educational
resources (such as lesson plans, worksheets, and/or readings)
provided and/or maintained by your school's district or state.
Open
educational resources: Teaching, learning, and research materials in
any medium—digital or
otherwise—that reside in the
public domain or have been released under an open license that
permits no-cost access, use, adaptation, and redistribution by others
with limited or no restrictions. Resources can include full courses,
course materials, modules, textbooks, streaming videos, tests,
software, and any other tools, materials, or techniques used to
support access to knowledge.
HM0CLSSBEHAV
Question Wording:
Class: [Math class
name]
At this point in the school year, how would you
rate the behavior of the students in this [Math class name]
class?
Item Name: HM0CLSSBEHAV
1=Students misbehave very
frequently and are almost always difficult to handle.
2=Students
misbehave frequently and are often difficult to handle.
3=Students
misbehave occasionally.
4=Students behave well.
5=Students
behave exceptionally well.
HM0CLSSACHIEV
Question Wording:
Class: [Math class
name]
Which of the following best describes the
achievement level of students in this [Math class name] class
compared with the average 9th-grade student in this school?
Item
Name: HM0CLSSACHIEV
1=Higher achievement levels
2=Average achievement levels
3=Lower achievement levels
4=Widely differing achievement levels
HM0INTROSTUD
*
Question Wording:
Now we would like to
ask some questions about [Student's name] in this [Math
class name] class.
[This
section includes questions about [his/her/his/her] math skills and
other behaviors at school./no fill]
Please click the
“Next” button to continue.
HM0STUALLYR
*
Question Wording:
Class: [Student's
math class] -- Student: [Student's name]
Have
you taught [Student's name] since the beginning of
this school year (2021-2022)?
Item Name:
HM0STUALLYR
1=Yes
0=No
HM0STUDIFFLEV
*
Question Wording:
Class: [Student's
math class] -- Student: [Student's name]
Is the math
class in which you teach [Student's name] too difficult, the
appropriate level, or not challenging enough for [him/her/him/her]?
Item Name: HM0STUDIFFLEV
1=Too difficult
2=Appropriate
level
3=Not challenging enough
HM0STUIEP
*
Question Wording:
Class: [Student's math class] -- Student: [Student's name]
Is [Student's name] currently receiving special education services through an Individualized Education Program (IEP) or Instructional/Individual Services Plan (ISP)?
Item
Name: HM0STUIEP
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).
HM0STUMTHSKLL1
*
Question Wording:
Class: [Student's
math class] -- Student: [Student's name]
Please
rate [Student's name]'s skills in the following areas, as
exhibited in this [Math class name] class.
(Select one
for each row.)
Item Name: HM0STUAPPMTH
Item
Wording: Ability to apply mathematical concepts to "real
world" problems
Item Name: HM0STUPROOFS
Item
Wording: Ability to complete or conduct proofs or
demonstrations of [his/her/his/her] mathematical reasoning
Item
Name: HM0STUTALKREA
Item Wording: Ability to talk
about [his/her/his/her] reasoning or thinking in solving a
problem
Item Name: HM0STUEXPLREA
Item
Wording: Ability to explain in writing [his/her/his/her]
reasoning in solving a problem
1=Outstanding
2=Very good
3=Good
4=Fair
5=Poor
98=Not applicable or not
observed
HM0STUMTHSKLL2
*
Question Wording:
Class: [Student's
math class] -- Student: [Student's name]
(Continued)
Please rate [Student's name]'s skills in the following areas,
as exhibited in this [Math class name] class.
(Select
one for each row.)
Item Name: HM0STUUSEREPR
Item
Wording: Ability to use representations to model
mathematical ideas
Item
Name: HM0STUUSECALC
Item Wording: Ability to use
a calculator to solve problems
Item Name:
HM0STUAPPFACT
Item Wording: Ability to fluently apply
math facts and procedures
1=Outstanding
2=Very good
3=Good
4=Fair
5=Poor
98=Not applicable or not
observed
Help
Text:
Representations: Representations are the many ways to record mathematical concepts or relationships. Representations can refer to both product (i.e., models) and process. Models are used to "show" math through the use of manipulative materials, diagrams, graphical displays, and symbolic expressions. The process of representation includes using models to organize, record, and communicate mathematical ideas, as well as selecting, applying, and translating these models to solve problems and interpret mathematics.
Fluently apply math: The ability to efficiently, appropriately, and flexibly apply mathematical calculations and procedures.
HM0STUPOSBEHV1
*
Question Wording:
Class: [Student's
math class] -- Student: [Student's name]
For
each item below, please think about [Student's name]'s
behavior during the past month. Describe how often
[he/she/he/she] demonstrated the behavior.
(Select one for each
row.)
Item Name: HM0STUORGANIZ
Item
Wording: Organizes work
Item Name:
HM0STUMOTIVAT
Item Wording: Appears motivated to learn
new things
Item Name: HM0STUINDEPEN
Item
Wording: Works well independently
1=Never
2=Sometimes
3=Often
4=Very often
5=Always
98=No
opportunity to observe this behavior
HM0STUPOSBEHV2
*
Question Wording:
Class: [Student's
math class] -- Student: [Student's name]
(Continued)
For each item below, please think about [Student's name]'s
behavior during the past month. Describe how often
[he/she/he/she] demonstrated the behavior.
(Select one for each
row.)
Item Name: HM0STUADAPTS
Item
Wording: Adapts to changes in plans, requirements, or routines
Item Name: HM0STUPERSIST
Item Wording:
Persists in completing tasks
Item Name:
HM0STUPAYATT
Item Wording: Pays attention well
1=Never
2=Sometimes
3=Often
4=Very often
5=Always
98=No
opportunity to observe this behavior
HM0STUPREPARED
Question Wording:
Class: [Student's
math class] -- Student: [Student's name]
Over the
last month, how often has [Student's name]...
(Select
one for each row.)
Item Name: HM0STULATE
Item
Wording: Been late to your class?
Item Name:
HM0STUABSENT
Item Wording: Been absent from your class?
Item Name: HM0STUINCOMHW
Item Wording:
Come to class without completing prior assignments or homework?
Item Name: HM0STUWOUTMAT
Item Wording:
Come to class without class materials (such as pencils, paper,
tablet, books, or calculator)?
1=0 times
2=1-2 times
3=3-6 times
4=7-9 times
5=10-12 times
6=13 or
more times
HM0STUEXPECT
*
Question Wording:
Class: [Student's
math class] -- Student: [Student's name]
Please
indicate whether [Student's name] (in your opinion) will
probably go to college.
Item Name: HM0STUEXPECT
1=Yes
0=No
99=Don't
know
HM0STULOOPEND
*
Question Wording:
Thank you. These are
all the questions we have about [Student's name].
Please click the “Next” button to continue.
HM0CLLOOPEND
*
Question Wording:
Thank you for answering all the questions about this [Math class name] class and the [student/students] in this class.
Please
click the “Next” button to continue.
HM0INTROC
*
Question Wording:
Next we would like to
ask you some more questions about your professional background and
experience.
Please click the “Next” button to continue.
HM0YRSTCHMATH
*
Question Wording:
Including this school year, how many years have you taught math at any grade level (K-12) at any school?
If you have been teaching for less than one year, enter 1.
Item
Name: HM0YRSMATHK12
Item Wording: any grade K-12
____ years
HM0YRSTCHTTL
*
Question Wording:
[The next two
questions are/The next question is] about your years teaching math
or any other subject.
Including this school year, how many years have you taught any subject at any grade level (K-12) at any school?
If you have been teaching for less than one year, enter 1.
Item
Name: HM0YRSTTLK12
Item Wording: any grade K-12
____ years
HM0YRSTCHSCHL
Question Wording:
Including this
school year, how many years have you taught any subject at any
grade level (K-12) at [School's name]?
If you have been teaching for less than one year, enter 1.
Item
Name: HM0YRSTCHSCHL
Item Wording: ____
years
HM0HRSPROFDEV
Question Wording:
How many hours of professional development did you receive during the previous school year (2020-2021) that were focused on math?
Item
Name: HM0HRSPROFDEV
98=Not applicable, you did not
teach during the previous school year (2020-2021).
0=None, you
taught during the previous school year (2020-2021) but did not
receive any math professional development during that time.
1=Some,
but less than 1 hour
2=1-5 hours
3=6-15 hours
4=16-35
hours
5=More than 35 hours
Help
Text:
Professional development: Professional development
refers to many types of educational experiences related to improving
teaching practices. Formal examples of professional development may
include conferences, seminars, or workshops; collaborative learning
among members of a work team; or a course at a college or university.
Professional development may occur in or outside of the school.
HM0INTROD
*
Question Wording:
Next we are going to
ask you some questions about your school and your teaching
practices.
HM0SCHLCLIM1
Question Wording:
Please indicate the
extent to which you agree or disagree with each of the following
statements about [School's name].
(Select one for each row.)
Item Name: HM0SAFEATSCH
Item Wording:
You feel safe at this school.
Item Name:
HM0SECURSUFF
Item Wording: This school's security
policies and practices are sufficient.
Item Name:
HM0STGTALGTCH
Item Wording: The students get along well
with teachers.
1=Strongly agree
2=Agree
3=Slightly agree
4=Slightly disagree
5=Disagree
6=Strongly disagree
HM0SCHLCLIM2
Question Wording:
(Continued) Please
indicate the extent to which you agree or disagree with each of the
following statements about [School's name].
(Select one for
each row.)
Item Name: HM0SCHLMATDIV
Item
Wording: This school provides instructional materials (e.g.,
textbooks, handouts) that reflect students' cultural backgrounds,
ethnicities, and identities.
Item Name:
HM0PPLDIVERS
Item Wording: People of different cultural
backgrounds, races, or ethnicities get along well at this school.
1=Strongly agree
2=Agree
3=Slightly agree
4=Slightly disagree
5=Disagree
6=Strongly disagree
HM0FOCSTULRN
*
Question Wording:
[If respondent is taking the full survey: (Continued)/else: no fill] Please indicate the extent to which you agree or disagree with each of the following statements about [School's name].
(Select
one for each row.)
Item Name: HM0FOCSOCSKL
Item
Wording: This school really works at developing students'
social-emotional skills.
Item Name: HM0FOCIMPDEC
Item Wording: When making important decisions, the
school always focuses on what's best for student learning.
Item
Name: HM0FOCDEFIND
Item Wording: This school has
well defined learning expectations for all students.
Item
Name: HM0FOCHISTAND
Item Wording: This school sets
high standards for academic performance.
Item Name:
HM0FOCMXTIME
Item Wording: The school day is organized
to maximize instructional time.
1=Strongly agree
2=Agree
3=Slightly agree
4=Slightly disagree
5=Disagree
6=Strongly disagree
HM0RELTRUST1
Question Wording:
Please indicate the
extent to which you agree or disagree with each of the following
statements.
(Select one for each row.)
Item
Name: HM0RELDISPRIN
Item Wording: It's OK in this
school to discuss feelings, worries, and frustrations with the
principal.
Item
Name: HM0RELWELFAR
Item Wording: The principal looks
out for the personal welfare of the faculty members.
Item
Name: HM0RELWORD
Item Wording: I trust the principal
at his or her word.
Item Name: HM0RELAHEAD
Item
Wording: The principal places the needs of students ahead of
personal and political interests.
1=Strongly agree
2=Agree
3=Slightly agree
4=Slightly disagree
5=Disagree
6=Strongly disagree
HM0RELTRUST2
Question Wording:
(Continued) Please
indicate the extent to which you agree or disagree with each of the
following statements.
(Select one for each row.)
Item
Name: HM0RELTCHEXP
Item Wording: The principal has
confidence in the expertise of teachers.
Item Name:
HM0RELDEVELP
Item Wording: The principal takes a
personal interest in the professional development of teachers.
Item
Name: HM0RELRESPCT
Item Wording: I really respect my
principal as an educator.
1=Strongly agree
2=Agree
3=Slightly agree
4=Slightly disagree
5=Disagree
6=Strongly disagree
HM0RELTRUST3
Question Wording:
(Continued) Please
indicate the extent to which you agree or disagree with each of the
following statements.
(Select one for each row.)
Item
Name: HM0RELTCHTRU
Item Wording: Teachers in this
school trust each other.
Item Name: HM0RELDISTCH
Item Wording: It's OK in this school to discuss
feelings, worries and frustrations with other teachers.
Item
Name: HM0RELTKLEAD
Item Wording: Teachers respect
other teachers who take the lead in school improvement efforts.
Item Name: HM0RELTCHRESP
Item Wording:
Teachers at this school respect those colleagues who are expert at
their craft.
1=Strongly agree
2=Agree
3=Slightly agree
4=Slightly disagree
5=Disagree
6=Strongly disagree
HM0HOWTECHUSE1
*
Question Wording:
In your math classes
this year, how often do your students use technological
resources to do each of the following?
If the frequency is
different for different math classes that you teach, please respond
with an average across all math classes.
(Select one for each
row.)
Item Name: HM0PRACTTOPIC
Item
Wording: Practice or review mathematics topics
Item
Name: HM0SHOWWORK
Item Wording: Show work to the
class in real time
1=Never
2=Rarely
3=Monthly
4=Weekly
5=Daily
HM0HOWTECHUSE2
*
Question Wording:
(Continued) In your
math classes this year, how often do your students use
technological resources to do each of the following?
If the
frequency is different for different math classes that you teach,
please respond with an average across all math classes.
(Select
one for each row.)
Item Name: HM0WATCHSIMUL
Item
Wording: Conduct or watch simulations
Item Name:
HM0ANALYZDATA
Item Wording: Collect and analyze data
Item Name: HM0SBMTASSIGN
Item Wording:
Submit assignments online
Item Name: HM0SHAREWORK
Item Wording: Share or post their work for others to
view at any time
Item Name: HM0FREETIME
Item
Wording: Fill free time
1=Never
2=Rarely
3=Monthly
4=Weekly
5=Daily
HM0TCHINTACC
Question Wording:
How easily can you
access the internet in your math classes?
Item Name:
HM0TCHINTACC
1=Cannot access
2=Inconsistently, often a poor connection
3=Easily,
usually a good connection
4=Very easily, a strong and
consistent connection
HM0STUINTACC
*
Question Wording:
How easily can your
students access the internet in your math classes?
Item
Name: HM0STUINTACC
1=Cannot access
2=Inconsistently, often a poor connection
3=Easily,
usually a good connection
4=Very easily, a strong and
consistent connection
HM0ASSGNHWINT
*
Question Wording:
In your math classes,
how often do you assign homework that requires your students to
connect to the internet?
If the frequency is different for
different math classes that you teach, please respond with an average
across all math classes.
Item Name: HM0ASSGNHWINT
1=Not at all
2=Rarely
3=Sometimes
4=Often
HM0INTROE
*
Question Wording:
The next few
questions ask for your opinion about intelligence, so there are no
right or wrong answers. Please click the “Next” button to
continue.
HM0GRWTHMNDST
*
Question Wording:
How much do you agree
or disagree with the following statements?
(Select one for each
row.)
Item Name: HM0FXDAMTINTL
Item
Wording: You have a certain amount of intelligence and you can’t
really do much to change it.
Item Name:
HM0CNTCHGINTL
Item Wording: Your intelligence is
something about you that you can’t change very much.
Item
Name: HM0LRNNWTHNGS
Item Wording: You can learn new
things, but you can’t really change your basic intelligence.
1=Strongly agree
2=Agree
3=Slightly agree
4=Slightly disagree
5=Disagree
6=Strongly disagree
HM0INCENTADDR
*
Question Wording:
[If teacher does not
teach any HS&B:21 students: Since you are not the math teacher
for any HS&B:21 students, it is not necessary for you to answer
any other questions./else: Thank you.]
To
show our appreciation for completing the survey today, we would like
to send you $[If school allows standard incentive: [Calculated
incentive]/else: [Incentive cap]]. Please provide the address to
which you would like the $[If school allows standard incentive:
[Calculated incentive]/else: [Incentive cap]] mailed. (Please allow 4
weeks for delivery.)
If you do not want to receive this $[If
school allows standard incentive: [Calculated incentive]/else:
[Incentive cap]], please check the box below, and then click "Next"
to continue.
Item Name: HM0INC_NoInc
Item
Wording: I do not want to receive any money for completing this
survey.
Item
Name: HM0INCNAME
Item Wording: Name:
Item
Name: HM0INCADDR1
Item Wording: Street address:
Item Name: HM0INCADDR2
Item
Wording:
Item
Name: HM0INCZIPCODE
Item Wording: ZIP Code:
Item
Name: HM0INCCITY
Item Wording: City:
Item
Name: HM0INCSTATE
Item Wording: State:
HM0PREEND
*
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.
HM0END
*
Question Wording:
[If teacher teaches
HS&B:21 students: These are all the questions we have for you. We
appreciate you taking the time to complete the survey.
Thank
you very much for participating in HS&B:21!/
else:
Thank you for taking the time to answer our questions!]
Be
sure to CLOSE ALL browser windows to keep your responses secure.
For example, if you used Chrome or Safari to open the survey, make
sure no Chrome or Safari windows are open after you end the survey.
Not closing all browsers may allow someone else to see your
responses. Click "Finish" to complete and close the
survey.
Appendix B8. Counselor Questionnaire
Table 7. HS&B:21 Full-Scale Counselor Questionnaire
Form name |
Form label |
Change |
Rationale |
Abbreviated |
General |
Applies to multiple forms |
R |
Updated the calendar years to the correct year; either 2021-2022 if discussing the current calendar year, or 2020-2021 if discussing the past calendar year. Updated study name to HS&B:21 and revised study e-mail address where necessary due to the delay of data collection. |
|
HC0INFCNSENT1 |
Informed consent 1 |
R |
Revised the consent language to be in alignment with other HS&B:21 surveys. Also added language about receiving an incentive now that it will be offered for completing the survey. |
* |
HC0INFCNSENT2 |
Informed consent 2 |
R |
Updated the approximate number of counselors for the full scale study. Revised question wording to include timing estimate for abbreviated survey. |
* |
HC0NAVIGATE |
Survey instructions |
R |
Revised the wording to reflect the shortened time limit for the timeout screen. Also revised the wording to include more detail on how to properly close out of the survey. Also revised the help text wording to be more accurate on how to close the help text box. |
* |
HC0INTROA |
Section A header |
|
No change |
* |
HC0ENROLLPRAC |
How students are enrolled to school |
R |
Removed the “please specify:” text box. |
|
HC0NUMCOUN |
Number of full-time and part-time counselors |
|
No change |
* |
HC0NUMCERTCOU1 |
Number of full-time and part-time certified counselors (plural) |
R |
Renamed the form as there are now two forms that ask about certified counselors. This form will be used if a school has more than one counselor. Also added instructions to inform respondents what they should do if their school does not have any certified counselors. |
|
HC0NUMCERTCOU2 |
Number of full-time and part-time certified counselors (singular) |
A |
Added this form, which corresponds with HC0NUMCERTCOU1, in order to accommodate schools that may only have one counselor. |
|
HC0CASELOADFT |
Average caseload of full-time counselors |
|
No change |
|
HC0CASELOADPT |
Average caseload of part-time counselors |
|
No change |
|
HC0ASSIGNED |
How counselors are assigned to high school students |
A |
Added to assess how counselors are assigned to high school students at schools. Also revised the item wording for HC0ASSGNCLSS due to data collection being postponed such that it references the intended graduation/class year. |
* |
HC0SAMECNSLR |
Same counselor throughout high school |
|
No change |
|
HC0PRIRESPONS |
Counselors' primary responsibilities |
|
No change |
|
HC0EMPHGOALS |
Highest priority of counseling program |
|
No change |
* |
HC0STAFFSRVCS1 |
Frequency of delivering services, part 1 |
R |
. Added help text for “high school courses” |
|
HC0STAFFSRVCS2 |
Frequency of delivering services, part 2 |
|
No change |
|
HC0STAFFSRVCS3 |
Frequency of delivering services, part 3 |
|
No change |
|
HC0COUNTOPIC1 |
Frequency of counseling topics, part 1 |
R |
Added instructions to the question wording to remind respondents that the questions are about all the high school counseling staff at the school. Also added help text for high school counseling staff since the newly added instruction references “high school counseling staff”. |
|
HC0COUNTOPIC2 |
Frequency of counseling topics, part 2 |
R |
Added instructions to the question wording to remind respondents that the questions are about all the high school counseling staff at the school. Also added help text for high school counseling staff since the newly added instruction references “high school counseling staff”. |
|
HC0COUNTOPIC3 |
Frequency of counseling topics, part 3 |
R |
Added instructions to the question wording to remind respondents that the questions are about all the high school counseling staff at the school. Revised item wording to provided clarifying text for “critical incident issues”. Also added help text for high school counseling staff since the newly added instruction references “high school counseling staff”. |
|
HC0TRANSASST |
How counselors assist in 8th to 9th transition |
R |
Removed the “please specify:” text box. Added help text for “high school courses.” Form was added to abbreviated survey. |
* |
HC0SCHLASSIST |
How school assists in 8th to 9th transition |
R |
Removed the “please specify:” text box. Form was added to abbreviated survey. |
* |
HC0INTROB1 |
Section B header |
R |
Revised question wording based on cognitive interview feedback. |
* |
HC0HSPLACEMNT1 |
High school course placement factors, part 1 |
R |
Revised response options scale based on cognitive interview feedback. |
* |
HC0HSPLACEMNT2 |
High school course placement factors, part 2 |
R |
Revised response options scale based on cognitive interview feedback. |
* |
HC0HSPLACEMNT3 |
High school course placement factors, part 3 |
R |
Revised response options scale based on cognitive interview feedback. |
* |
HC0SAMEMATH |
All 9th-graders placed in same math course |
|
No change |
* |
HC0APCOURSE |
School offers AP courses |
R |
Revised question wording to mitigate confusion about AP courses offered at the school. |
* |
HC0APPOLICY |
AP course enrollment |
A |
Per TRP recommendations, added form to capture who can take AP courses at the school. |
|
HC0NUMBERAP |
Number of AP courses |
|
No change |
|
HC0IBPROGRAM |
School offers IB courses |
|
No change |
* |
HC0HILEVELIB |
Number of IB courses |
|
No change |
|
HC0DUALENROLL |
School offers dual enrollment program |
R |
Revised help text based on cognitive interview feedback. |
* |
HC0COLCREDIT |
School does not offer dual enrollment program but accepts college credit |
D |
Form dropped to reduce respondent burden. |
|
HC0TYPDUALENR |
Type of dual enrollment program offered |
R |
Revised item wording and help text wording to be in alignment with other HS&B:21 surveys and based on cognitive interview feedback. |
|
HC0OFFRBLEND |
School offers online or blended learning |
R |
Revised item wording based on cognitive interview feedback. |
* |
HC0DISTLEARN |
School offers distance learning |
|
No change |
* |
HC0CTEOFFRED |
Career and technical education offered |
R |
Revised question wording to correctly refer to generally accepted CTE language and to be more in-line with how CTE is referenced throughout the other HS&B:21 surveys. |
* |
HC0PATHWAYS |
Pathways or careers clusters offered |
|
No change |
* |
HC0INDICLASS |
Non-enrolled students can take individual courses in pathways or career cluster programs |
|
No change |
|
HC0WRKBASED |
Type of work-based courses offered |
R |
Removed the “does not apply” response option since there was not much difference between “no” and “does not apply” in frequency distribution from the field test; it was determined the “no” and the “does not apply” response option were functionally the same thing. |
|
HC0TRIOPROGRM |
School offers TRiO programs |
R |
Per education expert’s recommendation, added “Upward Bound Math-Science” as a response option since there is both a classic and math-science Upward Bound program. Also added help text for Upward Bound and Upward Bound Math-Science to differentiate the two programs to respondents. |
* |
HC0INTROC1 |
Section C header |
R |
Revised question wording based on cognitive interview feedback.. |
|
HC0SCHLSUPPRT |
How school supports students |
R |
Revised question wording and response options based on cognitive interview feedback. |
|
HC0SUMMRENRCH |
School offers summer enrichment |
R |
Added an instruction to exclude AP and IB programs based on cognitive interview feedback. Revised the response options to differentiate between schools that offered the program on site and those offered the program at a different school; to make response options more mutually exclusive. |
|
HC0EXTRASSIST1 |
Steps for students who need extra assistance, part 1 |
|
No change |
|
HC0EXTRASSIST2 |
Steps for students who need extra assistance, part 2 |
|
No change |
|
HC0EXTRASSIST3 |
Steps for students who need extra assistance, part 3 |
|
No change |
|
HC0EXTRASSIST4 |
Steps for students who need extra assistance, part 4 |
|
No change |
|
HC0RCMNDASTNC |
Basis for recommendation for academic assistance |
R |
Removed the “please specify:” text box. |
|
HC0RECVRYPROG |
Credit recovery on-site or online |
|
No change |
|
HC0GED |
Formal GED program offered on-site or online |
|
No change |
* |
HC0STUSUPPORT |
Evaluation of support for students with different backgrounds |
R |
Form added to abbreviated survey. |
* |
HC0INTROC2 |
Section C header 2 |
R |
Removed wording that referenced dropout prevention programs since those questions are no longer included in the instrument. Revised wording based on cognitive interview feedback. Added help text for “academic early warning system.” |
|
HC0EARLYWARN |
Use of early warning indicator systems |
R |
Revised question and help text wording to include “dropout” as part of the definition because it was decided that the dropout prevention program specific question would be dropped for full scale. Wanted schools to be able to identify their dropout prevention programs as a form of early warning system if they identify it that way. |
* |
HC0PCTFLAGGED |
Percent of students flagged by early warning system |
R |
Revised help text wording to include “dropout” as part of the definition because it was decided that the dropout prevention program specific question would be dropped for full scale. Wanted schools to be able to identify their dropout prevention programs as a form of early warning system if they identify it that way. |
|
HC0TRGRINTRVN |
What triggers intervention for students flagged by early warning system |
R |
Revised help text wording to include “dropout” as part of the definition because it was decided that the dropout prevention program specific question would be dropped for full scale. Wanted schools to be able to identify their dropout prevention programs as a form of early warning system if they identify it that way. Added a new item, HC0TRGRMENT, “Mental health issue and/or diagnosis”, based on results from the field test. Removed the “please specify:” text box. |
|
HC0ACTION |
What action is taken if student is flagged by early warning system |
R |
Revised help text wording to include “dropout” as part of the definition because it was decided that the dropout prevention program specific question would be dropped for full scale. Wanted schools to be able to identify their dropout prevention programs as a form of early warning system if they identify it that way. Added a new item, HC0ACTEVSPED, “Evaluate the need for special education services”, based on results from the field test. Removed the “please specify:” text box. Form added to abbreviated survey. |
* |
HC0DROPOUT |
School has dropout prevention program |
D |
Cut these questions to reduce respondent burden. TRP suggested questions about dropout prevention programs seemed repetitious of the early warning system questions and there a small number of counselors who reported having these programs at their schools. |
|
HC0DRPOUTPRVN |
Why students are recommended for dropout prevention program |
D |
Cut these questions to reduce respondent burden. TRP suggested questions about dropout prevention programs seemed repetitious of the early warning system questions and there a small number of counselors who reported having these programs at their schools. |
|
HC0DROPOUTPRGM |
All at-risk students required to participate in dropout prevention program |
D |
Cut these questions to reduce respondent burden. TRP suggested questions about dropout prevention programs seemed repetitious of the early warning system questions and there a small number of counselors who reported having these programs at their schools. |
|
HC0DROPSERVC |
Service offered through dropout prevention program |
D |
Cut these questions to reduce respondent burden. TRP suggested questions about dropout prevention programs seemed repetitious of the early warning system questions and there a small number of counselors who reported having these programs at their schools. |
|
HC0INTROD1 |
Section D header 1 |
R |
Revised wording to include conditional wording since it will be included in the abbreviated version of survey. Revised wording based on cognitive interview feedback. |
* |
HC0INSTRUCDNA |
School services 12th grade |
A |
Form added based on NCES feedback. Takes the place of the checkbox that was on HC0INSTRCYRS. |
* |
HC0INSTRCYRS |
Carnegie unit required to graduate |
R |
Revised item wording to remove “Check here if this school does not include 12th grade.” |
|
HC0PROFTEST |
Minimum competency to graduate |
|
No change |
* |
HC0GRADRQMATH |
Math course graduation requirement |
|
No change |
* |
HC0MATHDFFCLT |
Difficulty of required math course |
R |
Revised question wording and response options based on cognitive interview feedback. |
|
HC0EDPLANREQ |
Students required to have a career or education plan |
R |
Form added to abbreviated survey. |
* |
HC0MAKEEDPLAN |
How career or education plans are created |
|
No change |
|
HC0PARENTSIGN |
Parents required to sign off on career or education plans |
|
No change |
|
HC0INTROD2 |
Section D header 2 |
R |
Revised the wording to alert the responded this is the last set of questions before the end of the survey. Revised wording based on cognitive interview feedback. |
|
HC0SATACTAST |
How school assists with SAT/ACT preparation |
|
No change |
|
HC0COLLEGEAST |
How school assists with applying for college |
|
No change |
|
HC0FINAIDAST |
How school assists with financial aid preparation |
|
No change |
|
HC0WORKAST |
How school assists with transition to work |
|
No change |
|
HC0EMPLINKAGE |
School has linkage with employers |
|
No change |
|
HC0INFOSOURCE |
Information sources to track what students do after high school |
|
No change |
|
HC0INCENTADDR |
Incentive address |
A |
Added this form since it was decided to provide counselors with an incentive for their time associated with completing their survey. |
* |
HC0PREEND |
Pre-end survey message |
|
No change |
* |
HC0END |
End of survey message |
R |
Added an additional reminder to close browser for security reasons. |
* |
HS&B:21 Full-Scale Counselor Questionnaire
KEY:
*
Forms in the Counselor Abbreviated Survey
HC0INFCNSENT1
*
Question Wording:
Recently,
we sent you materials about the U.S. Department of Education's
High School and Beyond Longitudinal Study of 2021 (HS&B:21).
HS&B:21
is a longitudinal study that will follow a group of 9th-grade
students through high school and into postsecondary education and the
labor force. In addition to exploring the transition from
high school, this study will focus on the relationship between
students' high school experiences and their education and career
choices.
[If sampled school is participating in student
component in school: Because [School's name] is participating in this
study, we'd like to survey you, too./else: no fill]
The survey contains questions about this school's programs and policies, in addition to questions about this school's counseling staff. The information you provide will help us understand how the school environment influences the decisions students make about their education and their future.
To review the letter that we mailed, click here.
To review the study brochure, click here.
Your participation in HS&B:21 is critical to its success. [If school allows full incentive: You will receive $[If school allows standard incentive, blank: 25/else: capped incentive] for completing the survey./else: no fill]
Please
click the “Next” button to continue.
HC0INFCNSENT2
*
Question Wording:
You are one of approximately 920 high school counselors who will be taking part in this study. Your responses may be used only for statistical purposes and may not be disclosed, or used, in identifiable form for any other purpose except as required by law (20 U.S.C. §9573 and 6 U.S.C. §151). The risk of participation in this study is minimal, given the strict confidentiality and security procedures in place as required by law.
You may decline to answer any question or stop the survey at any time. On average, the survey takes about [25/10] minutes to complete. You may begin the survey now and finish at another time, if necessary.
The National Center for Education Statistics (NCES) is authorized to conduct HS&B:21 by the Education Sciences Reform Act of 2002 (ESRA 2002, 20 U.S.C. §9543). The data are being collected for NCES by RTI International, a U.S.-based nonprofit research organization. If you have questions about the study, you may contact the study's Help Desk toll-free number at 855-500-1439, or you can email [Study e-mail address]. If you have questions about your rights as a study participant, you may contact RTI's Office of Research Protection at 919-316-3358 in Durham, NC (or toll-free at 866-214-2043) or email [email protected].
When you are ready to begin, please click "Next” to continue.
HC0NAVIGATE
*
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 or consult with your colleague to answer a question as accurately as possible, 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 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 and close your browser (not just the tab). 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 15 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 or the "Close” button in the lower right corner to close the box.
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.
If
you have any questions about this study, you may contact the Help
Desk at 855-500-1439, or you can email [Study e-mail address].
Help
Desk hours are:
Monday - Friday: 8:00 a.m. - 6:00 p.m. Eastern
time zone
If you have questions about your rights as a
study participant, please contact RTI's Office of Research Protection
at 866-214-2043.
HC0INTROA
*
Question Wording:
First, we have some
questions about staffing and common practices in the high school
counseling department at [School's name]. Unless otherwise noted,
please answer all questions based on the 2021-2022 school year.
Help
Text:
High school counseling department: The counseling department that services students receiving secondary education services in grades 9-12, as well as students higher than grade 12 (e.g., high school students who are enrolled in programs where they can earn college credit in an extended high school environment, or Career and Technical Education (CTE) students in a high school program that continues beyond grade 12).
HC0ENROLLPRAC
Question Wording:
Which of the following describe the practices for enrollment of high school students at [School's name]?
(Select
one for each row.)
Item Name: HC0ENROLLALL
Item
Wording: All students in a particular geographic area (or
district) enroll in this school.
Item Name:
HC0ENROLLTRNS
Item Wording: Students in a particular
geographic area (or district) are generally enrolled in this school
but transfers are allowed.
Item Name:
HC0ENROLLRACE
Item Wording: Students are enrolled from
particular areas to achieve desired racial or ethnic composition in
the school.
Item Name: HC0ENROLLSES
Item
Wording:
Students are enrolled from particular areas to achieve desired socio-economic status composition in the school.
Item
Name: HC0ENROLLTEST
Item Wording: Students are
enrolled in this school based on an entrance test or other
achievement criteria.
Item Name: HC0ENROLLLOT
Item Wording: Students are enrolled in this school based
on a lottery system.
Item Name: HC0ENROLLOTHR
Item Wording: Other
1=Yes
0=No
Help
Text:
High school students: All students receiving secondary education services in grades 9-12, as well as students higher than grade 12 (e.g., high school students who are enrolled in programs where they can earn college credit in an extended high school environment, or Career and Technical Education (CTE) students in a high school program that continues beyond grade 12).
HC0NUMCOUN
*
Question Wording:
Including yourself,
how many full-time and part-time counselors work with high school
students at this school?
(If
this school shares a counselor with another school, please count that
counselor as part-time. If this school does not have full-time
counselors or does not have part-time counselors, please enter '0' in
the appropriate box. Please use whole numbers.)
Item
Name: HC0NUMCOUNFT
Item Wording: ____ full-time
counselor(s)
Item Name: HC0NUMCOUNPT
Item
Wording: ____ part-time counselor(s)
Help
Text:
High school students: All students receiving secondary education services in grades 9-12, as well as students higher than grade 12 (e.g., high school students who are enrolled in programs where they can earn college credit in an extended high school environment, or Career and Technical Education (CTE) students in a high school program that continues beyond grade 12).
HC0NUMCERTCOU1
Question Wording:
Of the [[HC0NUMCOUNFT] full-time and [HC0NUMCOUNPT] part-time/[HC0NUMCOUNFT] full-time/[HC0NUMCOUNPT] part-time/full-time and part-time] counselor(s) assigned to high school students, how many are certified as high school counselor(s)?
(If this school does not have any certified full-time counselors or certified part-time counselors, please enter '0' in the appropriate box. Please use whole numbers.)
Item
Name: HC0CERTCOUNFT
Item Wording: ____ certified
full-time high school counselor(s)
Item Name:
HC0CERTCOUNPT
Item Wording: ____ certified
part-time high school counselor(s)
Help Text:
High school students: All students receiving secondary education services in grades 9-12, as well as students higher than grade 12 (e.g., high school students who are enrolled in programs where they can earn college credit in an extended high school environment, or Career and Technical Education (CTE) students in a high school program that continues beyond grade 12).
High school counselors: The counseling staff that services students receiving secondary education services in grades 9-12, as well as students higher than grade 12 (e.g., high school students who are enrolled in programs where they can earn college credit in an extended high school environment, or Career and Technical Education (CTE) students in a high school program that continues beyond grade 12).
HC0NUMCERTCOU2
Question Wording:
[Is the [HC0NUMCOUNFT] full-time counselor assigned to high school students certified?/Is the [HC0NUMCOUNPT] part-time counselor assigned to high school students certified?]
Item
Name: HC0NUMCERTCOU2
1=Yes
0=No
Help
Text:
High school students: All students receiving secondary education services in grades 9-12, as well as students higher than grade 12 (e.g., high school students who are enrolled in programs where they can earn college credit in an extended high school environment, or Career and Technical Education (CTE) students in a high school program that continues beyond grade 12).
High school counselors: The counseling staff that services students receiving secondary education services in grades 9-12, as well as students higher than grade 12 (e.g., high school students who are enrolled in programs where they can earn college credit in an extended high school environment, or Career and Technical Education (CTE) students in a high school program that continues beyond grade 12).
HC0CASELOADFT
Question Wording:
On average, what is the
caseload for a full-time counselor working with high school students
at this school?
(Please enter whole numbers only. Do not enter
decimals.)
Item Name: HC0CASELOADFT
Item
Wording: ____ student(s) per full-time counselor
Help
Text:
High school students: All students receiving secondary
education services in grades 9-12, as well as students higher than
grade 12 (e.g., high school students who are enrolled in programs
where they can earn college credit in an extended high school
environment, or Career and Technical Education (CTE) students in a
high school program that continues beyond grade 12).
HC0CASELOADPT
Question Wording:
On average, what is the
caseload for a part-time counselor working with high school students
at this school?
(Please enter whole numbers only. Do not enter
decimals.)
Item Name: HC0CASELOADPT
Item
Wording: ____ student(s) per part-time counselor
Help
Text:
High school students: All students receiving secondary
education services in grades 9-12, as well as students higher than
grade 12 (e.g., high school students who are enrolled in programs
where they can earn college credit in an extended high school
environment, or Career and Technical Education (CTE) students in a
high school program that continues beyond grade 12).
HC0ASSIGNED
*
Question Wording:
Which of the
following describes how counselors are assigned to high school
students at this school?
(Check all that apply.)
Item
Name: HC0ASSGNALL
Item Wording: Counselors are
assigned to all high school students at this school.
Item
Name: HC0ASSGNGRDE
Item Wording: Counselors are
assigned to a specific grade level such as a 9th-grade counselor.
Item Name: HC0ASSGNCLSS
Item Wording:
Counselors are assigned to an incoming class of 9th-graders and
remain with them throughout their high school years such as a
counselor for the class of 2025.
Item Name:
HC0ASSGNALPH
Item Wording: Counselors are assigned to a
group of students whose last names fall within a segment of the
alphabet such as all students with last names from "A to D."
Item Name: HC0ASSGNCOMM
Item Wording:
Counselors are assigned to small learning communities such as
schools-within-a-school, pods, and houses.
Item
Name: HC0ASSGNOTH
Item Wording: Counselors are
assigned to high school students in another way.
Help
Text:
High school students: All students receiving secondary education services in grades 9-12, as well as students higher than grade 12 (e.g., high school students who are enrolled in programs where they can earn college credit in an extended high school environment, or Career and Technical Education (CTE) students in a high school program that continues beyond grade 12).
Schools-within-a-school: Schools that have been divided into subunits of a larger school. This approach establishes within the school a smaller educational unit with a separate educational program and its own staff, students, and budget.
HC0SAMECNSLR
Question Wording:
Do high school students
at this school typically keep the same counselor throughout their
high school years?
Item Name: HC0SAMECNSLR
1=Yes
0=No
Help
Text:
High school students: All students receiving secondary education services in grades 9-12, as well as students higher than grade 12 (e.g., high school students who are enrolled in programs where they can earn college credit in an extended high school environment, or Career and Technical Education (CTE) students in a high school program that continues beyond grade 12).
HC0PRIRESPONS
Question Wording:
Does this school have
one or more counselors whose primary responsibility is assisting high
school students with...
(Select one for each row.)
Item
Name: HC0PRICOURSES
Item Wording: Selecting courses
and programs?
Item Name: HC0PRICOLSEL
Item
Wording: College selection?
Item Name:
HC0PRICOLAPP
Item Wording: College application?
Item
Name: HC0PRIWORKPRP
Item Wording: Preparation for
the workforce?
Item Name: HC0PRIWORKPLC
Item
Wording: Placement into the workforce?
1=Yes
0=No
Help
Text:
High school students: All students receiving secondary education services in grades 9-12, as well as students higher than grade 12 (e.g., high school students who are enrolled in programs where they can earn college credit in an extended high school environment, or Career and Technical Education (CTE) students in a high school program that continues beyond grade 12).
HC0EMPHGOALS
*
Question Wording:
Which one of the
following goals does the high school counseling program at this
school emphasize the most? Would you say...
Item
Name: HC0EMPHGOALS
1=helping students plan and
prepare for their work roles after high school?
2=helping
students with personal growth and development?
3=helping
students plan and prepare for postsecondary schooling?
4=helping
students improve their achievement in high school?
Help
Text:
High school counseling program: The counseling program that services students receiving secondary education services in grades 9-12, as well as students higher than grade 12 (e.g., high school students who are enrolled in programs where they can earn college credit in an extended high school environment, or Career and Technical Education (CTE) students in a high school program that continues beyond grade 12).
HC0STAFFSRVCS1
Question Wording:
The following
questions are about the high school counseling staff at this school
as a whole.
During the last school year (2020-2021), how often did this school's counseling staff deliver the following services to high school students?
(Select
one for each row.)
Item Name: HC0STAFFSCHDL
Item
Wording: Choice and scheduling of high school courses
Item
Name: HC0STAFFCLGRD
Item Wording: Assisting students
with college readiness, selection, and applications
Item
Name: HC0STAFFFAFSA
Item Wording:
FAFSA completion
Item
Name: HC0STAFFPERS
Item Wording: Personal
development
1=Never
2=Rarely
3=Sometimes
4=Often
5=Very often
99=Don't
know
Help
Text:
High school counseling staff: The counseling staff that services students receiving secondary education services in grades 9-12, as well as students higher than grade 12 (e.g., high school students who are enrolled in programs where they can earn college credit in an extended high school environment, or Career and Technical Education (CTE) students in a high school program that continues beyond grade 12).
High school students: All students receiving secondary education services in grades 9-12, as well as students higher than grade 12 (e.g., high school students who are enrolled in programs where they can earn college credit in an extended high school environment, or Career and Technical Education (CTE) students in a high school program that continues beyond grade 12).
High school courses: Courses taught at the secondary school level (i.e., grades 9-12).
FAFSA (Free Application for Federal Student Aid): The FAFSA is the application students fill out in order to determine their financial aid eligibility.
HC0STAFFSRVCS2
Question Wording:
(Continued) The
following questions are about the high school counseling staff at
this school as a whole.
During the last school year (2020-2021), how often did this school's counseling staff deliver the following services to high school students?
(Select
one for each row.)
Item Name: HC0STAFFSOC
Item
Wording: Social development
Item Name:
HC0STAFFACAD
Item Wording: Academic development
Item
Name: HC0STAFFTEST
Item Wording: College entrance
exams (for example, SAT or ACT)
Item Name:
HC0STAFFOCC
Item Wording: Occupational choice and career
planning
1=Never
2=Rarely
3=Sometimes
4=Often
5=Very often
99=Don't
know
Help
Text:
High school counseling staff: The counseling staff that services students receiving secondary education services in grades 9-12, as well as students higher than grade 12 (e.g., high school students who are enrolled in programs where they can earn college credit in an extended high school environment, or Career and Technical Education (CTE) students in a high school program that continues beyond grade 12).
High school students: All students receiving secondary education services in grades 9-12, as well as students higher than grade 12 (e.g., high school students who are enrolled in programs where they can earn college credit in an extended high school environment, or Career and Technical Education (CTE) students in a high school program that continues beyond grade 12).
HC0STAFFSRVCS3
Question Wording:
(Continued) The
following questions are about the high school counseling staff at
this school as a whole.
During the last school year (2020-2021), how often did this school's counseling staff deliver the following services to high school students?
(Select
one for each row.)
Item Name: HC0STAFFJOBPL
Item
Wording: Job placement and employability skill development
Item
Name: HC0STAFFATTND
Item Wording: Students'
attendance, discipline, and other school problems
Item
Name: HC0STAFFNCNSL
Item Wording: Non-counseling
activities such as hall or lunch duty, substitute teaching, or bus
duty
1=Never
2=Rarely
3=Sometimes
4=Often
5=Very often
99=Don't
know
Help
Text:
High school counseling staff: The counseling staff that services students receiving secondary education services in grades 9-12, as well as students higher than grade 12 (e.g., high school students who are enrolled in programs where they can earn college credit in an extended high school environment, or Career and Technical Education (CTE) students in a high school program that continues beyond grade 12).
High school students: All students receiving secondary education services in grades 9-12, as well as students higher than grade 12 (e.g., high school students who are enrolled in programs where they can earn college credit in an extended high school environment, or Career and Technical Education (CTE) students in a high school program that continues beyond grade 12).
HC0COUNTOPIC1
Question Wording:
The following
questions are about the high school counseling staff at this school
as a whole.
During the last school year (2020-2021), how often did this school's counseling staff generally counsel high school students on the following topics?
(Select
one for each row.)
Item Name: HC0TOPICANXTY
Item
Wording: Anxiety or depression
Item Name:
HC0TOPICDRUG
Item Wording: Drug use
Item
Name: HC0TOPICBULLY
Item Wording: Bullying
Item
Name: HC0TOPICFAMLY
Item Wording: Family
relationships
1=Never
2=Rarely
3=Sometimes
4=Often
5=Very often
99=Don't
know
Help
Text:
High school counseling staff: The counseling staff that services students receiving secondary education services in grades 9-12, as well as students higher than grade 12 (e.g., high school students who are enrolled in programs where they can earn college credit in an extended high school environment, or Career and Technical Education (CTE) students in a high school program that continues beyond grade 12).
High school students: All students receiving secondary education services in grades 9-12, as well as students higher than grade 12 (e.g., high school students who are enrolled in programs where they can earn college credit in an extended high school environment, or Career and Technical Education (CTE) students in a high school program that continues beyond grade 12).
HC0COUNTOPIC2
Question Wording:
(Continued) The
following questions are about the high school counseling staff at
this school as a whole.
During the last school year (2020-2021), how often did this school's counseling staff generally counsel high school students on the following topics?
(Select
one for each row.)
Item Name: HC0TOPICPEER
Item
Wording: Peer relationships
Item Name:
HC0TOPICROM
Item Wording: Romantic relationships
Item
Name: HC0TOPICSEXB
Item Wording: Sexual behavior
Item Name: HC0TOPICSEXID
Item Wording:
Gender identity
1=Never
2=Rarely
3=Sometimes
4=Often
5=Very often
99=Don't
know
Help
Text:
High school counseling staff: The counseling staff that services students receiving secondary education services in grades 9-12, as well as students higher than grade 12 (e.g., high school students who are enrolled in programs where they can earn college credit in an extended high school environment, or Career and Technical Education (CTE) students in a high school program that continues beyond grade 12).
High school students: All students receiving secondary education services in grades 9-12, as well as students higher than grade 12 (e.g., high school students who are enrolled in programs where they can earn college credit in an extended high school environment, or Career and Technical Education (CTE) students in a high school program that continues beyond grade 12).
Gender identity: One's inner sense of one's own gender, which may or may not match the sex assigned at birth. Different people choose to express their gender identity differently. For some, gender may be expressed through, for example, dress, grooming, mannerisms, speech patterns, and social interactions. Gender expression usually ranges between masculine and feminine, and some transgender people express their gender consistent with how they identify internally, rather than in accordance with the sex they were assigned at birth.
HC0COUNTOPIC3
Question Wording:
(Continued) The
following questions are about the high school counseling staff at
this school as a whole.
During the last school year (2020-2021), how often did this school's counseling staff generally counsel high school students on the following topics?
(Select
one for each row.)
Item Name: HC0TOPICSEXO
Item
Wording: Sexual orientation
Item Name:
HC0TOPICRACE
Item Wording: Racial identity/ethnicity
Item Name: HC0TOPICCRITC
Item Wording:
Critical incident issues (Any traumatic, disruptive, or stressful situation affecting one or more students or the school as a whole)
1=Never
2=Rarely
3=Sometimes
4=Often
5=Very often
99=Don't
know
Help
Text:
High school counseling staff: The counseling staff that services students receiving secondary education services in grades 9-12, as well as students higher than grade 12 (e.g., high school students who are enrolled in programs where they can earn college credit in an extended high school environment, or Career and Technical Education (CTE) students in a high school program that continues beyond grade 12).
High school students: All students receiving secondary education services in grades 9-12, as well as students higher than grade 12 (e.g., high school students who are enrolled in programs where they can earn college credit in an extended high school environment, or Career and Technical Education (CTE) students in a high school program that continues beyond grade 12).
Sexual orientation: One's emotional or physical attraction to the same and/or opposite sex.
Racial identity/ethnicity: Any topic related to this issue, including but not limited to, examining one's racial identity/ethnicity and/or experiencing school conflicts associated with racial identity/ethnicity.
Critical incident issues: Any traumatic, disruptive, or stressful situation affecting one or more students or the school as a whole. These situations create a significant risk of serious harm to the physical or mental health, safety, or well being of student(s) and/or the school as a whole.
HC0TRANSASST
*
Question Wording:
How do counselors
at this school assist incoming students in the transition from
8th grade to 9th grade?
(Check all that apply.)
Item
Name: HC0TRANSNO
Item Wording: Students do not
experience a transition – 8th-grade and 9th-grade students
attend this school
Item Name: HC0TRANS8CNSL
Item
Wording: 9th-grade counselors meet with 8th-grade counselors or
staff
Item Name: HC0TRANS8STUD
Item
Wording: 9th-grade counselors meet with individual 8th-grade
students and assist them with selecting 9th-grade courses while they
are still in middle school
Item Name:
HC0TRANS8PRES
Item Wording: 9th-grade counselors present
information to 8th-grade students about high school courses and
registration
Item Name: HC0TRANS8PAR
Item
Wording: 9th-grade counselors present information to 8th-grade
students’ parents or guardians about 9th-grade courses and
registration
Item Name: HC0TRANSPLACE
Item
Wording: 9th-grade counselors place 8th-grade students into
9th-grade courses based on school or district placement policies
Item Name: HC0TRANSOTHER
Item Wording:
Counselors assist in some other way
Item Name:
HC0TRANSDNAST
Item Wording: Counselors do not assist
students in the transition from 8th-grade to 9th-grade
Help
Text:
Transition: When students change schools as a result
of successfully completing 8th grade and beginning 9th grade.
High school courses: Courses taught at the secondary school level (i.e., grades 9-12).
HC0SCHLASSIST
*
Question Wording:
[Other than the help provided by counselors, in/In] what other ways does this school assist students in the transition from 8th grade to 9th grade?
(Check
all that apply.)
Item Name: HC0SCHL9STDNT
Item
Wording: 9th-grade students present information to 8th-grade
students
Item Name: HC0SCHL9STAFF
Item
Wording: 9th-grade staff present information to 8th-grade
students
Item Name: HC0SCHLSOCIAL
Item
Wording: Before the school year starts, 8th-grade students are
invited to a social event organized by the 9th-grade staff
Item
Name: HC0SCHLCLASS
Item Wording: 8th-grade students
attend regular classes in the 9th grade
Item Name:
HC0SCHLADMIN
Item Wording: 8th-grade and 9th-grade
administrators meet together on articulation and programs
Item
Name: HC0SCHLTEACHR
Item Wording: 8th-grade and
9th-grade teachers meet together on courses and requirements
Item
Name: HC0SCHLBUDDY
Item Wording: Buddy or big
brother or big sister programs pair new students with older ones at
entry
Item Name: HC0SCHLCMMNTY
Item
Wording:
9th-graders are placed in small learning communities or 9th Grade Academies
Item
Name: HC0SCHLSUMMR
Item Wording: Parents or
guardians and/or students visit the 9th grade during the summer
before students enter 9th grade
Item Name:
HC0SCHLORNTN
Item Wording: Parents or guardians visit
9th grade for orientation in the fall after children have entered
Item Name: HC0SCHLPARINF
Item Wording:
This school provides information to parents or students on the
courses students need to take starting in 9th grade to meet college
entrance requirements
Item Name:
HC0SCHLOTHER
Item Wording: This school assists in some
other way
Item Name: HC0SCHLNOAST
Item
Wording: No [other assistance/assistance] is offered to students
transitioning from 8th grade to 9th grade
Help
Text:
Transition: When students change schools as a result of successfully completing 8th grade and beginning 9th grade.
9th Grade Academies: Self-contained learning communities for 9th-graders that operate as schools-within-a-school. With their own administrators, space, faculty, and teachers, 9th Grade Academies are often designed to offer more personalized environments for 9th-graders as they transition into high school.
HC0INTROB1
*
Question Wording:
Next we have some
questions about the courses and academic programs [School's name]
offers to high school students. Unless otherwise noted,
please answer all questions based on the 2021-2022 school
year.
Help Text:
High school students: All students receiving secondary education services in grades 9-12, as well as students higher than grade 12 (e.g., high school students who are enrolled in programs where they can earn college credit in an extended high school environment, or Career and Technical Education (CTE) students in a high school program that continues beyond grade 12).
HC0HSPLACEMNT1
*
Question Wording:
How important is each factor in the assignment and/or selection of high school courses for 9th-grade students at [School's name]?
(Select
one for each row.)
Item Name: HC0HSCNSLREC8
Item
Wording: 8th-grade counselor recommendation
Item
Name: HC0HSCNSLREC9
Item Wording: 9th-grade
counselor recommendation
Item Name: HC0HSTCHREC8
Item Wording: 8th-grade teacher recommendation
Item
Name: HC0HSCRSTKN8
Item Wording: Courses taken in
8th grade
1=Not at all important
2=Somewhat important
3=Important
4=Very important
98=Not applicable
Help
Text:
High school courses: Courses taught at the secondary school level (i.e., grades 9-12).
HC0HSPLACEMNT2
*
Question Wording:
(Continued) How important is each factor in the assignment and/or selection of high school courses for 9th-grade students at [School's name]?
(Select
one for each row.)
Item Name: HC0HSCRSACHV8
Item
Wording: Achievement in 8th-grade courses
Item
Name: HC0HSEOYEXM
Item Wording: Results of district
or state end-of-year or end-of-course exams
Item Name:
HC0HSPLCTEST
Item Wording: Results of placement tests
Item Name: HC0HSSTNDTEST
Item Wording:
Results of standardized tests
1=Not at all important
2=Somewhat important
3=Important
4=Very important
98=Not applicable
Help
Text:
High school courses: Courses taught at the secondary
school level (i.e., grades 9-12).
HC0HSPLACEMNT3
*
Question Wording:
(Continued) How important is each factor in the assignment and/or selection of high school courses for 9th-grade students at [School's name]?
(Select
one for each row.)
Item Name: HC0HSEDUPLAN
Item
Wording: Student career or education plan
Item
Name: HC0HSSTUDSEL
Item Wording: Student selection
Item Name: HC0HSPARNTSEL
Item Wording:
Parent or guardian selection
1=Not at all important
2=Somewhat important
3=Important
4=Very important
98=Not applicable
Help
Text:
High school courses: Courses taught at the secondary
school level (i.e., grades 9-12).
HC0SAMEMATH
*
Question Wording:
Are all 9th-grade
students at this school placed in the same mathematics course while
in the 9th grade?
If
all 9th-grade students are placed in the same math course (such as
Algebra I or Geometry), but with different teachers or different
class periods, please answer "Yes."
Item
Name: HC0SAMEMATH
1=Yes
0=No
HC0APCOURSE
*
Question Wording:
Are Advanced
Placement (AP) courses offered to high school students at this
school?
Item Name: HC0APCOURSE
1=Yes
0=No
Help
Text:
High school students: All students receiving secondary
education services in grades 9-12, as well as students higher than
grade 12 (e.g., high school students who are enrolled in programs
where they can earn college credit in an extended high school
environment, or Career and Technical Education (CTE) students in a
high school program that continues beyond grade 12).
HC0APPOLICY
Question Wording:
What enrollment
requirements, if any, are there for high school students interested
in taking Advanced Placement (AP) courses at [School's name]?
(Check all that apply.)
Item Name: HC0APNONE
Item Wording: There are no enrollment requirements for
high school students to take AP courses at this school.
Item
Name: HC0APGPA
Item Wording: Students must achieve
or maintain a pre-determined grade point average (GPA)
Item
Name: HC0APPLCETST
Item Wording: Students must
achieve a minimum score on an assessment or a placement test
Item
Name: HC0APPRERQ
Item Wording: Students must
complete pre-requisite course(s) prior to enrolling
Item
Name: HC0APRECSTAF
Item Wording: Students must be
recommended by a member of this school's staff
Item
Name: HC0APOTH1
Item Wording: Other
Item
Name: HC0APOTH1_other
Item Wording: Please specify:
Help Text:
High school students: All students
receiving secondary education services in grades 9-12, as well as
students higher than grade 12 (e.g., high school students who are
enrolled in programs where they can earn college credit in an
extended high school environment, or Career and Technical Education
(CTE) students in a high school program that continues beyond grade
12).
HC0NUMBERAP
Question Wording:
During the 2021-2022
school year, how many different AP courses are offered to high
school students at this school across all subjects?
(Please
count multiple sections of the same course as one course.)
Item
Name: HC0NUMBERAP
Item Wording: ____ different
AP courses offered
Help Text:
High school students: All students receiving secondary education services in grades 9-12, as well as students higher than grade 12 (e.g., high school students who are enrolled in programs where they can earn college credit in an extended high school environment, or Career and Technical Education (CTE) students in a high school program that continues beyond grade 12).
HC0IBPROGRAM
*
Question Wording:
Does this school
offer an International Baccalaureate (IB) program to high school
students?
Item Name: HC0IBPROGRAM
1=Yes
0=No
Help
Text:
High school students: All students receiving secondary education services in grades 9-12, as well as students higher than grade 12 (e.g., high school students who are enrolled in programs where they can earn college credit in an extended high school environment, or Career and Technical Education (CTE) students in a high school program that continues beyond grade 12).
HC0HILEVELIB
Question Wording:
During the
2021-2022 school year, how many different Higher
Level IB courses are offered to high school students at this
school across all subjects?
(Please
count multiple sections of the same course as one course. Do not
count Standard Level IB courses.)
Item Name:
HC0HILEVELIB
Item Wording: ____ different Higher
Level IB courses offered
Help Text:
High school students: All students receiving secondary education services in grades 9-12, as well as students higher than grade 12 (e.g., high school students who are enrolled in programs where they can earn college credit in an extended high school environment, or Career and Technical Education (CTE) students in a high school program that continues beyond grade 12).
HC0DUALENROLL
*
Question Wording:
Does this school offer a dual enrollment program to high school students?
A dual enrollment program is an organized system with special guidelines that allows high school students to take college level courses, which may be taught on the campus of a postsecondary institution, through distance education, or on this school's campus. Please do not include Advanced Placement (AP) or International Baccalaureate (IB) programs as dual enrollment programs.
Item
Name: HC0DUALENROLL
1=Yes
0=No
Help
Text:
High
school students: All students receiving secondary education services
in grades 9-12, as well as students higher than grade 12 (e.g., high
school students who are enrolled in programs where they can earn
college credit in an extended high school environment, or Career and
Technical Education (CTE) students in a high school program that
continues beyond grade 12).
HC0TYPDUALENR
Question Wording:
What type of dual enrollment program does this school offer to high school students?
(Select
one for each row.)
Item Name: HC0TYPCLGCRED
Item
Wording: Students can earn college credits for college academic
courses while enrolled in this school.
Item Name:
HC0TYPTECHCRD
Item Wording: Students can earn credits
for college career and technical courses while enrolled in this
school.
Item Name: HC0TYPPARTAPP
Item
Wording:
Students have the opportunity to attend an "early college” high school (either on-site at their current school or on a partner college campus).
Item
Name: HC0TYPPARTACC
Item Wording: Students are
automatically accepted into a partner college upon high school
graduation.
Item Name: HC0TYPOTHER
Item
Wording: Other dual enrollment program
Item Name:
HC0TYPOTHER_other
Item Wording: Please specify:
Help
Text:
Dual enrollment program: A dual enrollment program is an organized system with special guidelines that allows high school students to take college level courses, which may be taught on the campus of a postsecondary institution, through distance education, or on this school's campus. Please do not include Advanced Placement (AP) or International Baccalaureate (IB) programs as dual enrollment programs.
High school students: All students receiving secondary education services in grades 9-12, as well as students higher than grade 12 (e.g., high school students who are enrolled in programs where they can earn college credit in an extended high school environment, or Career and Technical Education (CTE) students in a high school program that continues beyond grade 12).
Early college high school: Early college high schools are formal partnerships that allow students to simultaneously complete requirements for a high school diploma, while earning an associate's degree or up to 2 years of college credit to be applied toward a bachelor's degree by taking a combination of high school and college classes during grades 9-12. Early college high schools can be located either on the campus of a secondary or a post-secondary educational institution (e.g., community college campus).
HC0OFFRBLEND
*
Question Wording:
Does this school
offer the following types of courses to high school students?
(Check
all that apply.)
Item Name: HC0OFFRONLINE
Item
Wording:
Online only
Item
Name: HC0OFFRBLNLRN
Item Wording:
Blended learning (i.e., some combination of in-person and online instruction)
Item
Name: HC0OFFRNONE
Item Wording:
None of the above
Help
Text:
High
school students: All students receiving secondary education services
in grades 9-12, as well as students higher than grade 12 (e.g., high
school students who are enrolled in programs where they can earn
college credit in an extended high school environment, or Career and
Technical Education (CTE) students in a high school program that
continues beyond grade 12).
HC0DISTLEARN
*
Question Wording:
Does this school
offer courses for credit to high school students via 'distance
learning,' which the school would not be able to offer otherwise
(e.g., an AP course or advanced math course that the school does not
offer, but another school does)?
Item Name:
HC0DISTLEARN
1=Yes
0=No
Help
Text:
High school students: All students receiving secondary education services in grades 9-12, as well as students higher than grade 12 (e.g., high school students who are enrolled in programs where they can earn college credit in an extended high school environment, or Career and Technical Education (CTE) students in a high school program that continues beyond grade 12).
HC0CTEOFFRED
*
Question Wording:
Is career and
technical education (CTE) offered in this district on-site or
off-site, such as at a community college or career and technical
education (CTE) center?
Item Name:
HC0CTEOFFRED
1=On-site only
2=Off-site
only
3=On-site and off-site
4=Neither on-site nor
off-site
HC0PATHWAYS
*
Question Wording:
Are Career Clusters,
Pathways, or Programs of Study (POS) offered to high school students
at this school?
Item Name: HC0PATHWAYS
1=Yes
0=No
Help
Text:
High school students: All students receiving secondary education services in grades 9-12, as well as students higher than grade 12 (e.g., high school students who are enrolled in programs where they can earn college credit in an extended high school environment, or Career and Technical Education (CTE) students in a high school program that continues beyond grade 12).
HC0INDICLASS
Question Wording:
Can high school
students who are not enrolled in Career Clusters, Pathways, or
Programs of Study (POS) take individual courses in these programs?
Item Name: HC0INDICLASS
1=Yes
0=No
Help
Text:
High school students: All students receiving secondary education services in grades 9-12, as well as students higher than grade 12 (e.g., high school students who are enrolled in programs where they can earn college credit in an extended high school environment, or Career and Technical Education (CTE) students in a high school program that continues beyond grade 12).
HC0WRKBASED
Question Wording:
For each work-based
learning experience program or service, indicate whether or not it is
offered to high school students at this school.
(Select
one for each row.)
Item Name: HC0WRKCOOPEDU
Item
Wording: Cooperative education (work experience that is part of a
vocational class and for which you earn class credit)
Item
Name: HC0WRKINTERN
Item Wording: Internship (work
experience arranged by this school, but not necessarily part
of a vocational class)
Item Name: HC0WRKSHADOW
Item Wording: Job shadowing or work-site visits
(school-arranged visits to work places to observe one worker
or many workers)
Item Name: HC0WRKMENTOR
Item
Wording: Mentoring (a school-arranged match with an adult
in students' career area for advice and support)
Item
Name: HC0WRKCOMMSRV
Item Wording: Community service
(volunteer work arranged by this school to support your local
community)
Item Name: HC0WRKSCHBASE
Item
Wording: School-based enterprise (working in a business run by
students or teachers from this school)
1=Yes
0=No
Help
Text:
High school students: All students receiving secondary education services in grades 9-12, as well as students higher than grade 12 (e.g., high school students who are enrolled in programs where they can earn college credit in an extended high school environment, or Career and Technical Education (CTE) students in a high school program that continues beyond grade 12).
HC0TRIOPROGRM
*
Question Wording:
Does this school
offer any of the following programs to high school students?
(Select
one for each row.)
Item Name: HC0TRIOTALENT
Item
Wording: Talent Search
Item Name: HC0TRIOGEAR
Item Wording: Gear Up
Item Name:
HC0TRIOAVID
Item Wording: AVID
Item Name:
HC0TRIOUPWARD
Item Wording: Upward Bound
Item
Name: HC0TRIOUPMS
Item Wording: Upward Bound
Math-Science
Item
Name: HC0TRIOMESA
Item Wording: MESA
1=Yes
0=No
Help
Text:
High school students: All students receiving secondary education services in grades 9-12, as well as students higher than grade 12 (e.g., high school students who are enrolled in programs where they can earn college credit in an extended high school environment, or Career and Technical Education (CTE) students in a high school program that continues beyond grade 12).
Upward Bound: The Upward Bound program is a federal TRIO program aimed to help qualified high school students successfully complete secondary education and to enroll in and graduate from a program of postsecondary education.
Upward Bound Math-Science: Like the Upward Bound program, the Upward Bound Math-Science program is a federal TRIO program aimed to help qualified high school students successfully complete secondary education and to enroll in and graduate from a program of postsecondary education. The Upward Bound Math-Science program has the additional goal of helping students recognize and develop their potential to excel in math and science, as well as encouraging them to pursue both postsecondary degrees and, ultimately, careers in math and science.
HC0INTROC1
Question Wording:
Next we have some
questions about other ways [School's name] supports high school
students. Unless otherwise noted, please answer all questions
based on the 2021-2022 school year.
Help
Text:
High school students: All students receiving secondary education services in grades 9-12, as well as students higher than grade 12 (e.g., high school students who are enrolled in programs where they can earn college credit in an extended high school environment, or Career and Technical Education (CTE) students in a high school program that continues beyond grade 12).
HC0SCHLSUPPRT
Question Wording:
Does [School's name] offer any of the following supports to high school students?
(Select
one for each row. If this school ever offers the following supports,
even if it is to a subset of high school students, then please select
'Yes'.)
Item Name: HC0SCHLTECH
Item
Wording: Technology and software used with high school students
to support curriculum
Item Name:
HC0SCHLODYSSY
Item Wording: Enrichment experiences such
as Odyssey of the Mind, Science Olympiad, Academic Decathlon, math or
science clubs, or math or science teams
Item Name:
HC0SCHLSCHOLR
Item Wording: Scholarships for students to
attend special events, programs, or classes
Item Name:
HC0SCHLINCENT
Item Wording:
Special incentives or rewards tied to academic performance
Item
Name: HC0SCHLMENTOR
Item Wording: A school-arranged
match with an adult mentor
Item Name: HC0SCHLHONOR
Item Wording: Special recognitions such as Honor Roll,
Honor Society, or department awards
1=Yes
0=No
Help
Text:
High school students: All students receiving secondary education services in grades 9-12, as well as students higher than grade 12 (e.g., high school students who are enrolled in programs where they can earn college credit in an extended high school environment, or Career and Technical Education (CTE) students in a high school program that continues beyond grade 12).
HC0SUMMRENRCH
Question Wording:
Does this school
offer...
Please
do not include Advanced Placement (AP) or International Baccalaureate
(IB) programs in your answer.
(Select one for each row.)
Item Name: HC0SUMMRPRGSS
Item Wording:
Summer school enrichment courses that allow high school students to
progress academically?
Item Name: HC0SUMMRSTRGL
Item Wording: Summer school remediation courses that
support high school students who are struggling academically or do
not have enough credits to graduate?
1=Yes, at this school
2=Yes,
at a different school
0=No
Help
Text:
High school students: All students receiving secondary education services in grades 9-12, as well as students higher than grade 12 (e.g., high school students who are enrolled in programs where they can earn college credit in an extended high school environment, or Career and Technical Education (CTE) students in a high school program that continues beyond grade 12).
HC0EXTRASSIST1
Question Wording:
Which of the following
steps does this school take for high school students who need
extra assistance?
(Select one for each row.)
Item
Name: HC0EXTRINSCHL
Item Wording: Tutoring during
the regular school day by an adult
Item Name:
HC0EXTRAFTSCH
Item Wording: Before- or after-school
tutoring by an adult
Item Name: HC0EXTRPEER
Item
Wording: Peer tutoring
Item Name: HC0EXTRCLSRM
Item Wording: School staff work with classroom teachers
to provide extra assistance to the student
1=Yes
0=No
Help
Text:
High school students: All students receiving secondary education services in grades 9-12, as well as students higher than grade 12 (e.g., high school students who are enrolled in programs where they can earn college credit in an extended high school environment, or Career and Technical Education (CTE) students in a high school program that continues beyond grade 12).
HC0EXTRASSIST2
Question Wording:
(Continued) Which of
the following steps does this school take for high school
students who need extra assistance?
(Select one for each
row.)
Item Name: HC0EXTRHWAST
Item
Wording: Homework assistance program
Item Name:
HC0EXTRINCENT
Item Wording: Special incentives or
rewards tied to academic performance
Item Name:
HC0EXTRMENTOR
Item Wording: A school-arranged match with
an adult mentor
Item Name: HC0EXTRHSBEP
Item
Wording: Positive behavior interventions and supports such as
HS-BEP (high school behavior education program)
1=Yes
0=No
Help
Text:
High school students: All students receiving secondary
education services in grades 9-12, as well as students higher than
grade 12 (e.g., high school students who are enrolled in programs
where they can earn college credit in an extended high school
environment, or Career and Technical Education (CTE) students in a
high school program that continues beyond grade 12).
HC0EXTRASSIST3
Question Wording:
(Continued) Which
of the following steps does this school take for high school
students who need extra assistance?
(Select one for each
row.)
Item Name: HC0EXTROUTSCH
Item
Wording: Additional support outside the regular school day such
as special programs, weekend programs, or summer school programs
Item Name: HC0EXTRPRIRHS
Item Wording:
Summer program prior to entry into high school that provides
supplemental instruction in reading and math
Item
Name: HC0EXTROVRAGE
Item Wording:
Small learning communities or Achievement Academies for over-aged students who have not met high school entry criteria
Item
Name: HC0EXTR9ACDMY
Item Wording: Small 9th-grade
learning communities or academies separate from the rest of the
school
1=Yes
0=No
Help
Text:
High school students: All students receiving secondary education services in grades 9-12, as well as students higher than grade 12 (e.g., high school students who are enrolled in programs where they can earn college credit in an extended high school environment, or Career and Technical Education (CTE) students in a high school program that continues beyond grade 12).
Achievement Academies: Programs that serve struggling students who are significantly below grade level in core subject areas. The academies provide intensive academic and social supports to help students get promoted to the next grade and to prevent them from dropping out.
HC0EXTRASSIST4
Question Wording:
(Continued) Which of
the following steps does this school take for high school
students who need extra assistance?
(Select one for each
row.)
Item Name: HC0EXTRDOUBLE
Item
Wording: Catch-up courses or "double-dosing” of
classes
Item Name: HC0EXTRSTDYCL
Item
Wording: 9th-grade seminar or class (es) in study skills
Item
Name: HC0EXTRTCHRPD
Item Wording: Specific
professional development, coaches, or technical assistance for
teachers working with struggling 9th-graders
Item
Name: HC0EXTRCRECOV
Item Wording: Credit recovery
program targeted at standards in which students were deficient.
Programs may be offered by computer software, online instruction
(such as a virtual school), or teacher-guided instruction
1=Yes
0=No
Help
Text:
High school students: All students receiving secondary
education services in grades 9-12, as well as students higher than
grade 12 (e.g., high school students who are enrolled in programs
where they can earn college credit in an extended high school
environment, or Career and Technical Education (CTE) students in a
high school program that continues beyond grade 12).
HC0RCMNDASTNC
Question Wording:
On what basis are high
school students who need extra assistance recommended to
receive assistance?
(Check all that apply.)
Item
Name: HC0RCMNDABSNT
Item Wording: Absentee record
Item Name: HC0RCMNDGRADE
Item Wording:
Having poor or failing grades
Item Name:
HC0RCMNDCREDS
Item Wording: Being behind on credits
Item Name: HC0RCMNDDISCP
Item Wording:
Having disciplinary problems
Item Name:
HC0RCMNDTCHR
Item Wording: Teacher’s referral
Item Name: HC0RCMNDCNSLR
Item Wording:
Counselor’s referral
Item Name: HC0RCMNDPAR
Item Wording: Parent request
Item Name:
HC0RCMNDSTDNT
Item Wording: Student request
Item
Name: HC0RCMNDOTHER
Item Wording: Another way
Help
Text:
High school students: All students receiving secondary education services in grades 9-12, as well as students higher than grade 12 (e.g., high school students who are enrolled in programs where they can earn college credit in an extended high school environment, or Career and Technical Education (CTE) students in a high school program that continues beyond grade 12).
HC0RECVRYPROG
Question Wording:
Is the credit recovery
program for high school students offered...
(Check all that
apply.)
Item Name: HC0RECVRYONST
Item
Wording: on-site, such as teacher-guided instruction or program
software in a classroom?
Item Name: HC0RECVRYONLN
Item Wording: online, such as a state virtual school?
Help Text:
High school students: All students receiving secondary education services in grades 9-12, as well as students higher than grade 12 (e.g., high school students who are enrolled in programs where they can earn college credit in an extended high school environment, or Career and Technical Education (CTE) students in a high school program that continues beyond grade 12).
HC0GED
*
Question Wording:
Does this school have
a formal program on-site that prepares high school students for
the General Education Development (GED) test?
Item
Name: HC0GED
1=Yes
0=No
Help
Text:
High school students: All students receiving secondary education services in grades 9-12, as well as students higher than grade 12 (e.g., high school students who are enrolled in programs where they can earn college credit in an extended high school environment, or Career and Technical Education (CTE) students in a high school program that continues beyond grade 12).
HC0STUSUPPORT
*
Question Wording:
To what extent do you
agree or disagree that this school makes sure that the students from
the following groups get the support they need to achieve success
equal to other students?
(Select one for each row.)
Item
Name: HC0STULOWINCM
Item Wording: Low-income
students
Item Name: HC0STUELL
Item
Wording:
English Language Learners (ELLs)
Item
Name: HC0STUSPECED
Item Wording: Students with
special needs
1=Strongly agree
2=Agree
3=Disagree
4=Strongly disagree
Help
Text:
English Language Learners (ELLs): Students whose
native language is one other than English and whose skills in
listening, speaking, reading, or writing English are such that they
have difficulty understanding school instruction in English.
HC0INTROC2
Question Wording:
Next we have some
questions about the use of academic early warning systems at
[School's name]. Unless otherwise noted, please answer all questions
based on the 2021-2022 school year.
Help
Text:
Academic early warning system: A system that uses
student-level data to identify students who exhibit behavior or
academic performance issues that put them at risk of educational
failure (e.g., dropout).
HC0EARLYWARN
*
Question Wording:
These questions ask about academic early warning systems. For the purposes of this survey, an academic early warning system is a system that uses student-level data to identify students who exhibit behavior or academic performance issues that put them at risk of educational failure (e.g., dropout).
In
the 2021-2022 school year, does this school have an
academic early warning system for students in any of the
following grades?
(Check all that apply.)
Item
Name: HC0EWGRADEB9
Item Wording: Before 9th grade
Item Name: HC0EWGRADE9
Item Wording:
9th grade
Item Name: HC0EWGRADE10
Item
Wording: 10th grade
Item Name: HC0EWGRADE11
Item Wording: 11th grade
Item Name:
HC0EWGRADE12
Item Wording: 12th grade
Item
Name: HC0EWDNA
Item Wording: Does not apply; this
school does not have an academic early warning system for any
grades
Help Text:
Academic early warning
system: A system that uses student-level data to identify students
who exhibit behavior or academic performance issues that put them at
risk of educational failure (e.g., dropout).
HC0PCTFLAGGED
Question Wording:
On average,
approximately what percentage of high school students at this
school are flagged by the academic early warning system each
year?
Item
Name: HC0PCTFLAGGED
Item Wording: ____%
Help
Text:
High school students: All students receiving secondary education services in grades 9-12, as well as students higher than grade 12 (e.g., high school students who are enrolled in programs where they can earn college credit in an extended high school environment, or Career and Technical Education (CTE) students in a high school program that continues beyond grade 12).
Academic early warning system: A system that uses student-level data to identify students who exhibit behavior or academic performance issues that put them at risk of educational failure (e.g., dropout).
HC0TRGRINTRVN
Question Wording:
Which of the following data trigger an intervention for high school students in this school's academic early warning system?
(Check
all that apply.)
Item Name: HC0TRGRTEST
Item
Wording: State achievement test scores
Item Name:
HC0TRGRATTEND
Item Wording: Attendance
Item
Name: HC0TRGRGRADES
Item Wording: Course grades
Item Name: HC0TRGRSUSPN
Item Wording:
Discipline incidents including suspensions or expulsions
Item
Name: HC0TRGRCRIM
Item Wording: Involvement with
criminal justice system
Item Name: HC0TRGRSOC
Item Wording: Involvement with social services or foster
care
Item Name: HC0TRGRPRGNCY
Item
Wording: Pregnancy/teen parenthood
Item Name:
HC0TRGRSUB
Item Wording: Substance abuse
Item
Name: HC0TRGRHOMELS
Item Wording: Homelessness or
frequent address change
Item Name: HC0TRGRENGLSH
Item Wording:
English Language Learner (ELL) status
Item
Name: HC0TRGRMIGRNT
Item Wording:
Migrant status
Item
Name: HC0TRGROVRAGE
Item Wording: Students over-age
for their grade level
Item Name: HC0TRGRCREDIT
Item Wording: Students who are behind in accumulating
credits for their grade level
Item Name:
HC0TRGRMENT
Item Wording: Mental health issue and/or
diagnosis
Item Name: HC0TRGROTHER
Item
Wording: Other
Help Text:
High school students: All students receiving secondary education services in grades 9-12, as well as students higher than grade 12 (e.g., high school students who are enrolled in programs where they can earn college credit in an extended high school environment, or Career and Technical Education (CTE) students in a high school program that continues beyond grade 12).
Academic early warning system: A system that uses student-level data to identify students who exhibit behavior or academic performance issues that put them at risk of educational failure (e.g., dropout).
English Language Learner (ELL): A student whose native language is one other than English and whose skills in listening, speaking, reading, or writing English are such that he or she has difficulty understanding school instruction in English.
Migrant status: A student who is a migrant or seasonal farm worker, or is the child of such workers.
HC0ACTION
*
Question Wording:
What action is taken if a high school student is flagged by an academic early warning system?
(Check
all that apply.)
Item Name: HC0ACTSTAFF
Item
Wording: Meeting of teachers and administrators
Item
Name: HC0ACTPARENT
Item Wording: Meeting of parents
and school staff
Item Name: HC0ACTINTRVNT
Item
Wording: Develop an intervention plan
Item Name:
HC0ACTCASEMNG
Item Wording: Assign a case manager
Item
Name: HC0ACTMENTOR
Item Wording: Assign an adult
mentor
Item Name: HC0ACTSOCSRVC
Item
Wording: Arrange access to social services
Item
Name: HC0ACTCREDIT
Item Wording: Assign to credit
recovery courses
Item Name: HC0ACTDBLDOSE
Item
Wording: Assign to double dose or academic support courses
Item
Name: HC0ACTTUTOR
Item Wording: Assign to mandatory
tutoring
Item Name: HC0ACTSTUDENT
Item
Wording: Refer to student support team
Item Name:
HC0ACTDROPOUT
Item Wording: Assign to a dropout
prevention program
Item Name: HC0ACTEVSPED
Item
Wording: Evaluate the need for special education services
Item
Name: HC0ACTOTHER
Item Wording: Other
Help
Text:
High school student: A student receiving secondary education services in grades 9-12, as well as a student higher than grade 12 (e.g., high school student who is enrolled in programs where they can earn college credit in an extended high school environment, or Career and Technical Education (CTE) student in a high school program that continues beyond grade 12).
Academic early warning system: A system that uses student-level data to identify students who exhibit behavior or academic performance issues that put them at risk of educational failure (e.g., dropout).
HC0INTROD1
*
Question Wording:
[If respondent is
taking the full survey: Next we have some questions about the
graduation requirements at [School's name] and the way(s) in which
this school assists high school students as they prepare for
postsecondary education and/or to enter the workforce./else: Finally,
we have some questions about the graduation requirements at [School's
name].] Unless otherwise noted, please answer all questions
based on the 2021-2022 school year.
Help
Text:
High school students: All students receiving secondary education services in grades 9-12, as well as students higher than grade 12 (e.g., high school students who are enrolled in programs where they can earn college credit in an extended high school environment, or Career and Technical Education (CTE) students in a high school program that continues beyond grade 12).
HC0INSTRUCDNA
*
Question Wording:
Please indicate if
[School's name] serves 12th grade.
Item Name:
HC0INSTRUCDNA
1=Yes, this school serves 12th
grade.
0=No, this school does not serve 12th grade.
HC0INSTRCYRS
Question Wording:
How many Carnegie
units (sometimes referred to as 'credits') in each of the
following subjects are required by this school for high school
graduation?
The
Carnegie unit is a standard of measurement that represents one credit
for 120 hours of classroom time over the course of a year at the
secondary-school level, equivalent to the completion of a 1-year
academic course taken one period a day, 5 days a week.
(Select
one for each row.)
Item Name: HC0INSTRCENGL
Item
Wording: English/Language Arts
Item Name:
HC0INSTRCMATH
Item Wording: Mathematics
Item
Name: HC0INSTRCSCI
Item Wording: Science
Item
Name: HC0INSTRCSS
Item Wording: Social Studies
Item Name: HC0INSTRCCOMP
Item Wording:
Computer Education
Item Name: HC0INSTRCFLNG
Item
Wording: Foreign Language
Item Name:
HC0INSTRCARTS
Item Wording: Fine Arts
Item
Name: HC0INSTRCPE
Item Wording: Physical
Education/Health
0=No required amount
1=Less
than 1 Carnegie unit
2=At least 1 Carnegie unit but less than 2
Carnegie units
3=At least 2 Carnegie units but less than 3
Carnegie units
4=At least 3 Carnegie units but less than 4
Carnegie units
5=At least 4 Carnegie units
HC0PROFTEST
*
Question Wording:
Are high school students at this school required to pass a minimum competency or proficiency test in order to receive a high school diploma?
Item
Name: HC0PROFTEST
1=Yes
0=No
Help
Text:
High school students: All students receiving secondary education services in grades 9-12, as well as students higher than grade 12 (e.g., high school students who are enrolled in programs where they can earn college credit in an extended high school environment, or Career and Technical Education (CTE) students in a high school program that continues beyond grade 12).
High school diploma: A formal document certifying the successful completion of a secondary school program prescribed by the state education agency (SEA) or other appropriate body.
HC0GRADRQMATH
*
Question Wording:
Are students in the
current 9th-grade class at this school required to complete a
specific math course or courses for high school graduation?
Item
Name: HC0GRADRQMATH
1=Yes
0=No
HC0MATHDFFCLT
Question Wording:
How do the math
course(s) this school requires for high school graduation compare
with the requirements of the State Department of Education? Would you
say...
Item Name: HC0MATHDFFCLT
1=they are the same as the math
course or courses required by the State Department of Education?
2=they are more advanced than the math course or courses
required by the State Department of Education?
3=the
State Department of Education does not require specific math courses
for graduation?
99=Don't know
HC0EDPLANREQ
*
Question Wording:
Are high school
students at this school required to have a career or education
plan?
Item Name: HC0EDPLANREQ
1=Yes, a combined career and
education plan
2=Yes, a career plan only
3=Yes, an
education plan only
4=Neither a career plan nor an education
plan
Help
Text:
High school students: All students receiving secondary education services in grades 9-12, as well as students higher than grade 12 (e.g., high school students who are enrolled in programs where they can earn college credit in an extended high school environment, or Career and Technical Education (CTE) students in a high school program that continues beyond grade 12).
HC0MAKEEDPLAN
Question Wording:
Which of the following
best describes the [career and education/career/education] plans of
high school students at this school?
Item Name:
HC0MAKEEDPLAN
1=Students create personalized
plans.
2=Students choose one of several plans offered by the
school.
3=Students are assigned one of several plans offered by
the school.
4=Students are all assigned to a single plan
offered by the school.
Help
Text:
High school students: All students receiving secondary education services in grades 9-12, as well as students higher than grade 12 (e.g., high school students who are enrolled in programs where they can earn college credit in an extended high school environment, or Career and Technical Education (CTE) students in a high school program that continues beyond grade 12).
HC0PARENTSIGN
Question Wording:
Are parents or guardians of high school students required to sign off on [career and education/career/education] plans?
Item
Name: HC0PARENTSIGN
1=Yes
0=No
Help
Text:
High school students: All students receiving secondary education services in grades 9-12, as well as students higher than grade 12 (e.g., high school students who are enrolled in programs where they can earn college credit in an extended high school environment, or Career and Technical Education (CTE) students in a high school program that continues beyond grade 12).
HC0INTROD2
Question Wording:
Finally, we have some
questions about the way(s) in which [School's name] assists high
school students with postsecondary education and/or workforce entry
preparation. Unless otherwise noted, please answer all questions
based on the 2021-2022 school year.
Help Text:
High school students: All students receiving secondary education services in grades 9-12, as well as students higher than grade 12 (e.g., high school students who are enrolled in programs where they can earn college credit in an extended high school environment, or Career and Technical Education (CTE) students in a high school program that continues beyond grade 12).
HC0SATACTAST
Question Wording:
In which of the
following ways does this school assist high school students
with college entrance exams, such as the SAT and ACT?
(Select
one for each row.)
Item Name: HC0ASTFLYERS
Item
Wording: Providing access to information about when and where
exams are offered such as websites, flyers, or pamphlets
Item
Name: HC0ASTREGISTR
Item Wording: Providing
assistance with exam registration such as providing copies of
registration forms or assistance completing the exam registration
forms
Item Name: HC0ASTREGFEES
Item
Wording: Providing assistance with exam registration fees such as
providing information about fee waivers or paying exam registration
fees
Item Name: HC0ASTTSTPREP
Item
Wording: Providing assistance with exam preparation such as
offering test-preparation classes or providing study materials
1=Yes
0=No
Help
Text:
High school students: All students receiving secondary education services in grades 9-12, as well as students higher than grade 12 (e.g., high school students who are enrolled in programs where they can earn college credit in an extended high school environment, or Career and Technical Education (CTE) students in a high school program that continues beyond grade 12).
HC0COLLEGEAST
Question Wording:
In which of the
following ways does this school assist high school students with
identifying and applying to colleges, universities, or schools that
provide occupational training?
(Select one for each row.)
Item Name: HC0ASTCLGFAIR
Item Wording:
Holding or participating in college fairs
Item Name:
HC0ASTINFOSES
Item Wording: Holding information sessions
for students and parents
Item Name: HC0ASTCOMPLT
Item Wording: Assisting students with completing college
or university applications
Item Name: HC0ASTACCESS
Item Wording: Providing access to information about
colleges and universities
Item Name: HC0ASTINDNTFY
Item Wording: Helping students identify criteria for
selecting colleges to which to apply such as majors offered, cost, or
entry requirements
1=Yes
0=No
Help
Text:
High school students: All students receiving secondary education services in grades 9-12, as well as students higher than grade 12 (e.g., high school students who are enrolled in programs where they can earn college credit in an extended high school environment, or Career and Technical Education (CTE) students in a high school program that continues beyond grade 12).
HC0FINAIDAST
Question Wording:
In which of the
following ways does this school assist high school students
with college financial aid preparation?
(Select one for each
row.)
Item Name: HC0ASTFAFSAME
Item
Wording: Offering informational meetings about the FAFSA (Free
Application for Financial Student Aid) process
Item
Name: HC0ASTCOMPLET
Item Wording: Assisting students
and families with completing the FAFSA
Item Name:
HC0ASTPROVCOM
Item Wording: Providing computer access
for completing the FAFSA
Item Name: HC0ASTREMIND
Item Wording: Sending out reminders of FAFSA deadlines
Item Name: HC0ASTSCHOLSH
Item Wording:
Offering informational meetings on sources of financial aid such as
scholarships, loans, or grants
Item Name:
HC0ASTFINAID
Item Wording: Assisting with completing
financial aid applications other than the FAFSA such as scholarships,
loans, or grants
Item Name: HC0ASTCOUNSES
Item
Wording: Offering individual counseling sessions to help students
identify possible sources of financial aid
Item Name:
HC0ASTFINFLY
Item Wording: Making information about
financial aid available for students to explore on their own, such as
flyers and pamphlets
1=Yes
0=No
Help
Text:
High school students: All students receiving secondary education services in grades 9-12, as well as students higher than grade 12 (e.g., high school students who are enrolled in programs where they can earn college credit in an extended high school environment, or Career and Technical Education (CTE) students in a high school program that continues beyond grade 12).
FAFSA (Free Application for Federal Student Aid): The FAFSA is the application students fill out in order to determine their financial aid eligibility.
HC0WORKAST
Question Wording:
In which of the following ways does this school assist high school students with the transition from high school to work?
(Select
one for each row.)
Item Name: HC0ASTJOBFAIR
Item
Wording: Providing information about careers such as career
awareness activities, job fairs, career nights, or career members
Item Name: HC0ASTAPTITUD
Item Wording:
Providing information about career aptitude such as career interest
inventories, vocational aptitude tests, or skills assessments
Item
Name: HC0ASTINTERN
Item Wording: Providing work
experience opportunities such as internships, work study, job site
visits, job shadowing, or school-based enterprises
Item
Name: HC0ASTTRAIN
Item Wording: Providing training
in job seeking or interviewing skills
1=Yes
0=No
Help
Text:
High school students: All students receiving secondary education services in grades 9-12, as well as students higher than grade 12 (e.g., high school students who are enrolled in programs where they can earn college credit in an extended high school environment, or Career and Technical Education (CTE) students in a high school program that continues beyond grade 12).
HC0EMPLINKAGE
Question Wording:
Does this school have
formal or informal linkages with local employers to aid in students'
preparation for the transition from high school to work?
Item
Name: HC0EMPLINKAGE
1=Yes
0=No
HC0INFOSOURCE
Question Wording:
Does this school use
the following information sources to determine what students do after
high school?
(Select one for each row.)
Item
Name: HC0INFOALUMNI
Item Wording: Student or alumni
survey
Item Name: HC0INFODATABS
Item
Wording: A state or national database, such as the Statewide
Longitudinal Data System or National Student Clearinghouse
1=Yes
0=No
HC0INCENTADDR
*
Question Wording:
Thank you. To show our appreciation for completing the survey today, we would like to send you $[If school allows full incentive: 25/else: capped incentive].
Please provide the address to which you would like the $[If school allows full incentive: 25/else: capped incentive] mailed. (Please allow 4 weeks for delivery.)
If you do not want to receive this $[If school allows full incentive: 25/else: capped incentive], please check the box below, and then click "Next" to continue.
Item
Name: HC0INC_NoInc
Item Wording: I do not want to
receive any money for completing this survey.
Item
Name: HC0INCNAME
Item Wording: Name:
Item
Name: HC0INCADDR1
Item Wording: Street address:
Item
Name: HC0INCADDR2
Item
Wording:
Item
Name: HC0INCZIPCODE
Item Wording: ZIP Code:
Item Name: HC0INCCITY
Item Wording:
City:
Item Name: HC0INCSTATE
Item
Wording: State:
HC0PREEND
*
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.
HC0END
*
Question Wording:
These are all the questions we have for you. We appreciate you taking the time to complete the survey.
Thank you very much for participating in HS&B:21! Be sure to CLOSE ALL browser windows to keep your responses secure. For example, if you used Chrome or Safari to open the survey, make sure no Chrome or Safari windows are open after you end the survey. Not closing all browsers may allow someone else to see your responses.
Click "Finish" to complete and close the survey.
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Modified | 0000-00-00 |
File Created | 2021-01-13 |