Teacher Check-in Survey

Generic Clearance for the Collection of Qualitative Feedback on Agency Service Delivery

Teacher Check-In Winter 2021

Teacher Check-in Survey

OMB: 1405-0193

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1/6/2021

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Teacher EV Check-In Winter 2021
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Teacher EV Check-In Winter 2021

iQ Score: Fair

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Default Question Block

Q1
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We are emailing you from the Exchange Teacher Team at the Department of State, Bureau of Educational and
Cultural Affairs (ECA). We invite to take part in a survey to let us know about your experiences Exchange
Teacher program thus far. The results of the survey will be used solely to determine areas for improvement
and growth of the program.
Your participation in the survey is completely voluntary and will take approximately 20-25 minutes. If you
choose to participate, you can stop the survey at any time or refuse to answer any questions.
Your responses will be confidential and anonymous for the purposes of reporting.  The only instances
when your name may be used are for the purpose of follow-up on specific problems identified in this survey.  If
you would like our help with a problem, please provide your contact information when prompted at
the end of the survey.  Note that we will also ask whether you know of any other teachers experiencing
problems.  If you supply the names of other teachers, your name will not be linked to these referrals.
If you agree to these conditions, please click "Yes" below to begin the survey.  We appreciate your help and
hope that you have a great rest of your program! 
Yes - enter the survey
No - exit the survey

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Q3
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Q6
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Condition: No - exit the survey Is Selected. Skip To: End of Survey.

Please select your country of citizenship.
AFGHANISTAN

Please select the state where you work.
ALABAMA

What type of school is it? (check all that apply)
Private
Immersion
Public
Magnet/Charter
Montessori
Boarding

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Q7
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Q8
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Please select your U.S. Sponsor.
Alliance Abroad Group, LP

What organization recruited you in your home country?

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Q9
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Did you work with any third party or other organization, such as a U.S. placement agency, in
addition to your foreign agency and sponsor in order to participate in this program?
Yes (write-in)

No
Unsure

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Q10

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How much did you have to pay in order to participate in the program? (Please include all onetime and annual fees in US dollars.)
Foreign agency (one-time)

Foreign agency (annual per year)

Sponsor (one-time)

Sponsor (annual per year)

U.S. third party (one-time)

U.S. third party (annual per year)

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Q11

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On a scale from 1-5, how would you rate your program overall so far? (1 – not good at all; 5 –
excellent)
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5

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If On a scale from 1-5, how would you rate your program overall so far? (1 – not good at
all; 5 – ex... 1 Is Selected
Or On a scale from 1-5, how would you rate your program overall so far? (1 – not good at
all; 5 – ex... 2 Is Selected

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Why are you dissatisfied? (Check all that apply)

Q12
Problems with transportation

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Problems with housing
Program too expensive
Issues with third party (in home country)
Limited interactions with Americans
Not learning American educational practices
Not improving English ability
Difficulty completing coursework or examinations to obtain licenses or credentials for the
program
Other

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What subject(s) do you teach?

Q13
Math

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Science
English
Art
History
Foreign Language
Special Education
Other

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Q14

What grade level(s) do you teach?
Pre-Kindergarten

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Since starting your program, have you been teaching in-person, online, or hybrid?

Q15

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In-person

Online

Hybrid

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Q16

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On a scale from 1-5, how would you rate your teaching position so far? (1 – not good at all; 5 –
excellent)
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2
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4
5

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If On a scale from 1-5, how would you rate your teaching position so far? (1 – not good at
all; 5 –... 1 Is Selected
Or On a scale from 1-5, how would you rate your teaching position so far? (1 – not good
at all; 5 –... 2 Is Selected

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Why are you dissatisfied with your teaching position?

Q17
Problems with students

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Class size too large
Lack of support from school
Health insurance problems
Lack of professional development opportunities
Hours different than expected
Pay different than expected
No pay received
Position different than expected
Duties different than expected
Conflicts with colleagues
Not enough COVID-19 personal protection equipment/supplies issued
Unsafe working conditions
Discrimination by management
Problem getting a social security card
Other

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Do your current duties match your contract? 

Q25
Yes

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No

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Q29

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On a scale from 1-5, how safe do you feel at your host school? (1 – not safe at all; 5 – very
safe)
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5

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If On a scale from 1-5, how safe do you feel at your host school? (1 – not safe at all; 5 –
very saf... 1 Is Selected
Or On a scale from 1-5, how safe do you feel at your host school? (1 – not safe at all; 5 –
very saf... 2 Is Selected

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Why do you not feel safe at your host school? 

Q30
Threats from students

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I don't understand English
Unable to practice social distancing
Not enough personal protection equipment provided
Not enough lights on streets between school and housing
Not enough sidewalks on streets between school and housing
Lack of transportation
Criminal activity at my school
Criminal activity near my school
Criminal activity at my housing location
Criminal activity near my housing location
Discrimination by manager/supervisor
Discrimination by co-worker
Discrimination by landlord
Other

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Q34

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What safety measures does your school use in case of exposure or diagnosis of COVID19? (check all that apply) 
Social distancing
Personal protective equipment
Mandatory online instruction
Mandatory COVID-19 test
Quarantine
Administrative leave
No safety measures in place
Other

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Q32

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Do you feel that you are treated the same as the American teachers at your school, in terms of
pay, benefits, duties, professional development opportunities, etc.? 
Yes
No

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Q35

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What kind of cultural activities have you done for your classroom, school, or community while
you’ve been here?
Teach native language to students
Share cultural customs with class
Make traditional food for school
Share holidays with class and school
Do pen-pal or video-sharing programs with class in home country
Other

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Does anything prevent you from interacting with Americans?

Q36
Yes

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No

Display This Question:
If Does anything prevent you from interacting with Americans? Yes Is Selected

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Please select all that apply:

Q38
Social distancing requirements

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I just want to work
I have no time because of work schedule
I don’t feel comfortable interacting with Americans
Americans don't often talk to me
I only live with other international teachers and staff
I only work with other international teachers and staff
Other

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If an issue were to arise during your program, who would you contact for assistance/support?

Q18
Sponsor

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School Official
Third Party (Other Agency)
Other (write-in)

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Q19

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Do you know how to contact your U.S. Sponsor if you experience problems while in the United
States?
Yes
No

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Q20

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On a scale from 1-5, how satisfied are you with your program sponsor? (1 – not good at all; 5 –
 very satisfied)
1
2
3
4
5

Display This Question:

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If On a scale from 1-5, how satisfied are you with your program sponsor? (1 – not good at
all; 5 – v... 1 Is Selected
Or On a scale from 1-5, how satisfied are you with your program sponsor? (1 – not good
at all; 5 – v... 2 Is Selected

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Why are you dissatisfied?

Q21
Didn't provide enough information prior to my arrival in the United States

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Didn’t respond to questions
Didn’t help with job problems
Didn’t help with housing problems
Didn’t help with transportation problems
Didn’t help with medical and health insurance questions
Other

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Does your sponsor ever reach out to you to check-in?

Q22
Yes

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No

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If Does your sponsor ever reach out to you to check-in? Yes Is Selected
How often?

Q23
Daily

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Weekly
Monthly
Once every few months

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Is your sponsor responsive to your questions and complaints?

Q24
Yes

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No

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Q39

Do you have any other concerns about your program that you would like to share? If so, please
describe.

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Q40

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Would you like the Department of State to follow up on any concern(s) you have identified?  If
so, please enter your name and email address below.  (You do not have to give your name.)

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Name

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Email Address

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Q41

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Do you have any concerns about the experiences of another exchange teacher?  If so, please
provide the individual's name, email address, and a brief description of the issue.  The
Department of State will follow up without linking your name to the referral.  (You do not have
to give a name here.)
Name of Other Teacher

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Email Address

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Description of issue

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Q42

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Would you be willing to participate in a longer questionnaire or [virtual focus group, video
interview, etc.] and share more in-depth information regarding your experience later this school
year?  If so, please enter your name and email address below.  (You do not have to volunteer.)
Name

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Email Address

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Q43

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Thank you for taking our survey. Your response is very important to us. 
 
Teacher Exchange Program 
Emergency Hotline: 24/7 toll-free telephone number: 1-866-283-9090
Email/General Inquires: [email protected]
Regulations: J-1 Visa Program 
Website: http://bridgeusa.state.gov 

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