ECLS Att D-10Sp1SpEdTchC-Lvl Papr_Redact

Early Childhood Longitudinal Study, Kindergarten Class of 2023-24 (ECLS-K:2024) Kindergarten and First-Grade Field Test Data Collection, National Sampling, and National Recruitment

ECLS Att D-10Sp1SpEdTchC-Lvl Papr_Redact

OMB: 1850-0750

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Early Childhood Longitudinal Study, Kindergarten Class of 2023-24

(ECLS-K:2024)


Kindergarten and First-Grade Field Test Data Collection, National Sampling, and National Recruitment




OMB# 1850-0750 v.24



Attachment D-10

Spring First-Grade Special Education Child-Level

Teacher Paper Survey

National Center for Education Statistics

U.S. Department of Education




August 2021

Note: Some items in these surveys are copyright protected and as such are redacted in public review copies.

Shape1 Special Education Teacher Survey (Child-Level)

2022











Shape4 Shape5 Shape6 Shape7










T











C


Shape3 S_ID T_ID C_ID






Completing this survey will help us learn more about children participating in special education and their experiences in

different schools and classrooms.

Link_ID


S





Thank you for your time!

To show our appreciation, we have included with your invitation a check that equals $20 for the teacher background survey plus $7 for every child for whom you’ve been asked to complete a survey.


Please return the survey to your school coordinator or an ECLS staff member. The survey should be sealed in the envelope we provided you. Do not mail this survey unless you are provided with an additional mailing envelope.


Photo is for illustrative purposes only. Any person depicted in the photo is a model.

The National Center for Education Statistics (NCES) is authorized to conduct the Early Childhood Longitudinal Study (ECLS) by the Education Sciences Reform Act of 2002 (ESRA 2002, 20 U.S.C. §9543). The data are being collected for NCES by Westat, a U.S.-based 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). 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 1850-0750 v.24. The time required to complete this information collection is estimated to average approximately 7 minutes per child-level survey including instructions 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 of these data, please write directly to: Early Childhood Longitudinal Study, National Center for Education Statistics, PCP, 550 12th St., SW, 4th floor, Washington, DC 20202.

OMB No. 1850-0750, v.24. Approval expires xx/xx/xxxx



SPB1-FT

Shape8 Shape9 Shape10 Shape11


Early Childhood Longitudinal Study Special Education Teacher Survey (Child Level)

Fall 2022 Form SPB1-FT




Dear Special Education Teacher or Related Service Provider,


Your school has agreed to participate in the Early Childhood Longitudinal Study (ECLS), a nationwide study of elementary-aged children, their schools, teachers, and parents. As part of the study, we are asking teachers and other service providers at your school to complete surveys. You have been asked to complete them because one or more of the children you serve are participants in this study. The teacher survey contains questions about you and your practices. There are also brief surveys for each of the sampled children that you teach or serve. These surveys contain questions about the children’s skills, abilities, and special education and related services.


The ECLS collects information from the special education teachers or related service providers of sampled children who have Individualized Education Programs (IEPs). We are gathering information from these children’s general education classroom teachers as well, if they have one. Our purpose is to investigate the relationship between the children’s academic progress and various school, classroom, teacher, and home characteristics.


Taking part in the study is voluntary. You may stop at any time or choose not to answer a question you do not want to answer. However, only you can provide this information.

Although we realize you are very busy, we urge you to complete this survey as completely and accurately as possible. You may find at least some of the information we are asking for in the child’s IEP.


THANK YOU VERY MUCH FOR YOUR HELP.



PLEASE READ CAREFULLY AND USE A BLACK OR BLUE BALL POINT PEN TO COMPLETE THIS SURVEY. DO NOT USE PENCIL OR FELT-TIP PEN.

Shape12


It is important that you mark an “X” in the box next to your answers and print clearly.


Shown below is the correct way to mark your answers, along with examples of incorrect ways.


Correct Mark:



Incorrect Marks:

Light and thin, outside the box, thick or scrawled.

Shape13
Shape14
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How to Change an Answer:

Completely black out the box of the incorrect answer and mark an “X” in the box next to the correct

answer.

Shape17
Shape18
Shape16
Shape19



Answers should be printed clearly and should not touch or cross any of the box lines. Do not cross zeroes or sevens. That is, do not write a zero with a line through it like this – 0, and do not write a seven with a line through it like this 7.

Write one number per box like this:

1


2


3


4


5


6


7


8


9


0




Write words like this:


1.





2.





3a.

Is this child currently receiving gifted/talented services through an IEP, or has the child received such services during this school year? MARK ONE RESPONSE.

Shape23 Shape24 Yes No

Is this child currently receiving special education services through an IEP due to a disability or has the child received such services during this school year? MARK ONE RESPONSE.

Shape25 Yes

Shape26 Shape27 Shape28 No


In what capacity or capacities do you currently teach or provide services to this child? MARK ALL THAT APPLY.

Shape29 Shape30 Shape31 Provide instruction directly to this child Provide related services directly to this child

Provide consultation services directly to this child

Shape32 Shape33 Shape34 Provide indirect consultation services (for example, consultation to this child's teacher) Provide case management

Other (Please specify):


Shape35

Shape36 None of the above


3b.

In what capacity or capacities have you taught or provided services to this child using virtual or distance learning in the current school year? Please note, virtual or distance learning means teachers or service providers and students do not meet in a classroom but use the internet, e-mail, mail, etc. to have class. MARK ALL THAT APPLY.

Shape37 Shape38 Shape39 Provided virtual instruction directly to this child Provided virtual related services directly to this child

Provided virtual consultation services directly to this child

Shape40 Provided virtual indirect consultation services (for example, consultation to this child's teacher, preparation of accessible materials)

Shape43 Shape41 Shape42 Provided virtual case management Other (Please specify):

Shape44 Shape45 Shape46

Shape47 None of the above




  1. When was this child first determined eligible for special education or related services? MARK ONE RESPONSE.

Shape48 Before kindergarten

Shape49 Shape50 Shape51 During transitional kindergarten During kindergarten

Shape52 Shape53 During transitional first grade During first grade

Shape54 During second grade Don't know


  1. Is this the first school year that this child has been receiving special education services? MARK ONE RESPONSE.

Shape55 Shape56 Shape57 Yes

Shape58 No


Shape59 Shape60 Shape61 Don't know


  1. When did this child first start receiving special education or related services? MARK ONE RESPONSE.

Shape67 Before kindergarten

Shape68 Shape69 Shape70 During transitional kindergarten During kindergarten

During transitional first grade


Shape71 Shape72 Shape73 Shape74 Shape75 Shape76 Shape77 During first grade During second grade Don't know


  1. To what extent were you involved in planning the transition from last year's special education program to this year's special education program for this child? MARK ONE RESPONSE.

Shape78 Shape79 Shape80 Not at all Somewhat Extensively

  1. To what extent did you communicate with the person(s) who provided special education services to this child last school year? MARK ONE RESPONSE.

Shape81 Shape82 Shape83 Shape84 Not at all Somewhat Extensively

I provided special education to this child last year.


  1. Have you reviewed this child's records related to special education services provided before this school year? MARK ONE RESPONSE.

Shape85 Yes

Shape86 No, I don't have access to the records.


Shape87 No, I have access to the records but have not reviewed them.


Shape88 No, I provided special education or early intervention to this child last year.


  1. What is this child's primary disability as identified on the child's IEP? PLEASE MARK THE CATEGORY BELOW INTO WHICH THE CHILD'S PRIMARY DISABILITY FITS BEST. MARK ONLY ONE.

Shape89 Shape90 Shape91 Shape92 Shape93 Shape94 Speech or language impairments Specific learning disabilities Emotional disturbance Intellectual disability Developmental delay

Shape95 Shape96 Shape97 Visual impairments (including blindness) Hearing impairments (including deafness) Orthopedic impairments

Shape98 Shape99 Other health impairments Autism

Shape100 Shape101 Traumatic brain injury Deaf-blindness

Multiple disabilities (children included in this category should be those who have more than one primary disability which do not include deaf-blindness or developmental delay)

Shape102 No classification is given

Shape103 No other disabilities


Shape104 Shape105 Shape106 Shape107 Shape108 Shape109 Speech or language impairments Specific learning disabilities Emotional disturbance Intellectual disability Developmental delay

Shape110 Shape111 Shape112 Visual impairments (including blindness) Hearing impairments (including deafness) Orthopedic impairments

Shape113 Shape114 Other health impairments Autism

Traumatic brain injury

Shape115 Deaf-blindness


Shape116 Multiple disabilities (children included in this category should be those who have more than one primary disability which do not include deaf-blindness or development delay)

Shape117 No classification given


12. During this school year, has this child received any special education or related services because of attention deficit disorder (ADD) or attention deficit/hyperactivity disorder (ADHD)?

MARK ONE RESPONSE.

Shape118 Shape119 Yes No

Academics

Shape125 Shape126 Shape127 Shape128 Reading Mathematics Language Arts Science

Social

Shape129 Social skills

Shape130 General appropriateness of behavior


Life Skills


Shape131 Adaptive behavior or self-help skills


Speech and Language

Shape137 Shape138 Shape139 Shape140 Shape141 Auditory processing Listening comprehension Oral expression Voice/speech articulation Language pragmatics


Physical/Mobility


Shape142 Shape143 Shape144 Fine motor skills Gross motor skills

Orientation and mobility


Other/None

Shape145 Other (Please specify):


Shape146

Shape147 None of the above


  1. During this school year, which of the following related services have been provided through the school to this child? MARK ALL THAT APPLY.

Shape148 Shape149 Shape150 Shape151 Shape152 Shape153 Shape154 Audiology Counseling services Occupational therapy Physical therapy Psychological services Health services

Shape155 Shape156 Social work services Special transportation

Shape161 Shape157 Shape158 Shape159 Shape160 Speech or language therapy Orientation services Mobility services Rehabilitation services Other (Please specify):


Shape162 No related services were provided.


  1. During this school year, has this child received any of the following? MARK ALL THAT APPLY.

Shape168 Adaptive physical education


Shape169 Assistance from classroom aides (for example, teacher aide, behavioral assistant, special education aide)

Shape170 Shape171 Shape172 Interpreter for the deaf or hard of hearing (oral or sign) Teacher used Braille to provide instruction

Child was taught how to use Braille


Shape173 Shape174 Shape175 Shape176 Teacher used American Sign Language to provide instruction Child was taught how to use American Sign Language Teacher used Manual English to provide instruction

Shape177 Shape178 Shape179 Child was taught how to use Manual English Teacher used Cued Speech to provide instruction Child was taught how to use Cued Speech

Mental health services, personal/group counseling, therapy, or psychiatric care provided to the child

Shape180 Tutoring/remediation from special education teacher

Shape181 Shape182 Training, counseling, and other support/services provided to child's family None of the above

  1. During this school year, has this child's primary placement been a general education classroom?

MARK ONE RESPONSE.

Shape183 Shape184 Yes No


  1. During this school year, approximately how many hours per week of direct special education and related services (that is, service provided directly to the child from a teacher or another adult) has this child received? WRITE NUMBER IN BOX. PLEASE ROUND TO THE NEAREST HOUR.


Shape190 Hours per week


  1. Of the hours of direct special education and related services reported above, approximately how many of those hours per week were the instruction/services provided outside of a general education classroom but within the school setting? WRITE NUMBER IN BOX. PLEASE ROUND TO THE NEAREST HOUR.


Shape191 Hours per week


PLEASE NOTE THE FOLLOWING DEFINITION THAT IS RELEVANT TO QUESTION 19 BELOW:

Co-teaching is when a general education teacher and a special education service provider share the teaching responsibility, with the special education service provider providing specialized differentiated lessons for students with special needs. The two teachers participate in lesson or activity planning together and work together in the same classroom to instruct both students with and without disabilities




  1. During this school year, what teaching practices and methods have you and/or other special education service providers used with this child? MARK ALL THAT APPLY.

Shape192 Shape193 Shape194 Shape195 One­on­one instruction Small­group instruction Large­group instruction

Shape196 Shape197 Shape198 Co-teaching Cooperative learning Peer tutoring

Shape199 Shape200 Computer-based instruction Direct instruction

Shape201 Shape202 Shape203 Cognitive strategies Self-management Behavior management

Shape204 Instruction received through a sign interpreter None of the above


20a.

During this school year, which of the following best describes the curriculum materials used with this child in the general education classroom? MARK ONE RESPONSE.

Shape205 Shape206 Shape207 General education curriculum materials were used without modification. General education curriculum materials were used with some modifications.

Shape208 Shape209 General education curriculum materials were used with substantial modifications. Specially-designed commercial materials were used.

Shape210 Shape211 Teacher-designed materials were used. Child not in this setting.

Don't know


20b.

During this school year, which of the following best describes the curriculum materials used with this child in the special education classroom or program? MARK ONE RESPONSE.

Shape212 Shape213 Shape214 General education curriculum materials were used without modification. General education curriculum materials were used with some modifications.

Shape215 Shape216 General education curriculum materials were used with substantial modifications. Specially-designed commercial materials were used.

Shape217 Shape218 Teacher-designed materials were used. Child not in this setting.

Don't know


21a.

Did this child use any assistive technologies this year? MARK ONE RESPONSE.

Shape219 Yes

Shape220 Shape221 Shape222 No


21b.

During this school year, which of the following assistive technologies and devices has this child used? MARK ALL THAT APPLY.

Mobility aids

Shape223 Shape224 Shape225 Shape226 Vans, vehicles Wheelchair Walker

White cane


Communication aids

Shape227 Shape228 Electronic with voice output (for example, Touch Talker) Electronic without voice output (for example, device with visual

display or printed speech output)

Shape229 Non-electronic (for example, manual printing board)

Hearing assistance

Shape230 Shape231 Shape232 Shape233 Hearing aids FM loops TTYs/TDDs

Shape234 Cochlear implants Real-time captioning

Visual aids

Shape235 Braille texts

Shape236 Shape237 Shape238 Electronic Braille devices Digital texts

Magnifying devices

Shape239 Close-captioned television (CCTV)

Learning aids (non-computer)

Shape240 Shape241 Shape242 Tape recorder Calculator

Electronic spelling devices


Computer hardware designed or adapted for children with disabilities (for example, alternate keyboards,

switch interface)


Shape243 Shape244 Used solely by individual child Shared with other children


Computer software designed for children with disabilities

Shape245 Shape246 Shape247 Reading Writing Mathematics


Other/None

Shape248 Other assistive technologies or devices (Please specify):


Shape249

Shape250 No assistive technologies or devices were used

  1. During this school year, does this child have a computer, laptop, or word processing device assigned to him or her for use full time? MARK ONE RESPONSE.

Shape251 Shape252 Yes No

  1. During this school year, on average, how often have you met with this child's general education teacher(s) to discuss the child's program or progress? MARK ONE RESPONSE.

Shape253 Shape254 Shape255 Not applicable because I am the child's general education teacher

Shape256 Shape257 Shape258 Not applicable to my work with this child

Shape259 Shape260 Shape261 Shape262 Every day or several times a week Once a week or several times a month Once a month

Shape263 Shape264 A few times over the school year Once during this school year

Shape265 Shape266 Never during this school year


  1. On average, how long were the meetings with the general education teacher(s) to discuss this child's program or progress? MARK ONE RESPONSE.

Shape267 1 to 15 minutes


Shape268 16 to 30 minutes


Shape269 31 to 45 minutes


Shape270 Shape271 46 to 60 minutes More than 60 minutes

  1. During this school year, approximately how often have you communicated with this child's parents about this child's program or progress (by phone, in person, or in writing, including e-mail)?

MARK ONE RESPONSE.

Shape272 Shape273 Shape274 Shape275 Every day or several times a week Once a week or several times a month Once a month

A few times over the school year

Shape276 Shape277 Once during this school year Never during this school year


Shape278 IF THIS BOX IS CHECKED, PLEASE SKIP THIS QUESTION AND GO TO Q27 ON PAGE 14


  1. Now we would like to ask you about your relationship with this child. Below is a series of statements about your relationship with him or her. For each statement, please mark the category that most applies to your relationship with this child. MARK ONE RESPONSE FOR EACH.

Definitely

does not

apply

Not

Shape279 really

Neutral, not sure

Applies sometimes

Definitely

applies



Shape281 Shape282 Shape283 Shape284 Shape285 Shape286 Shape287 Shape288 Shape289 Shape290 Shape280
b. Xxxx xxxxx xxx X xxxxxx xxxx xx xx xxxxxxxxxx xxxx xxxx xxxxx.

d. Xxxx xxxxx xx xxxxxxxxxxxxx xxxx xxxxxxxx xxxxxxxxx xx xxxxx xxxx xx.

Shape291

Shape293 Shape294 Shape295 Shape296 Shape297 Shape298 Shape299 Shape300 Shape301 Shape302 Shape292
f. Xxxx X xxxxxx xxxx xxxxx, xx xx xxx xxxxx xxxx xxxxx.

h. Xxxx xxxxx xxxxxx xxxxxxx xxxxx xx xx.

Shape303

Shape305 Shape306 Shape307 Shape308 Shape309 Shape310 Shape311 Shape312 Shape313 Shape314 Shape304
j. Xxxx xxxxx xxxxxxx xxxxx xx xx xxxxxxxxx xxxxx xxxxx xxxxxxxxxxx.

l. Xxxx xxxx xxxxx xx xx x xxx xxxx, X xxxx xx'xx xx xxx x xxxx xxx xxxxxxxxx xxx.

Shape315

Shape317 Shape318 Shape319 Shape320 Shape321 Shape316
n. Xxxx xxxxx xx xxxxxx xx xxxxxxxxxxxx xxxx xx.


Source: Pianta, R. C., & Stuhlman, M. W. (2004). Teacher-child relationships and children's success in the first years of school. School Psychology Review, 33(3), 444-458. Used with permission.


  1. Now we would like to ask about this child's educational goals. During this school year, has this child received formal individual evaluations in any of the following areas for purposes of developing IEP goals? MARK ALL THAT APPLY.

Shape322 Shape323 Shape324 Shape325 Psychological Speech/language Vision

Shape326 Shape327 Shape328 Shape329 Hearing Learning style Motor skills Academics

Shape330
Other (Please specify):

No evaluations for developing IEP goals were conducted this year


  1. Shape331 To what extent is this child expected to achieve the same general education goals as other children at his or her grade level this school year? MARK ONE RESPONSE.

Shape332 This child is expected to attain grade level achievement for all of the academic content standards.

Shape333 This child is expected to attain grade level achievement for some of the academic content standards.

Shape334 This child is expected to attain grade level achievement for only a few of the academic content standards.

Shape335 Shape336 Shape337 This child is not expected to attain grade level achievement for any of the academic content standards. There are no academic content standards at this grade level.

Don't know


  1. What percentage of this child's current IEP goals have been met or nearly met at this point in the school year? MARK ONE RESPONSE.

Shape338 76 to 100 percent

Shape339 51 to 75 percent

Shape340 26 to 50 percent

Shape341 1 to 25 percent

Shape342 0 percent


  1. Which of the following best expresses the likelihood that this child will continue to receive some level of special education services (through an IEP) in the next school year? MARK ONE RESPONSE.

Shape343 Shape344 Shape345 Shape346 Shape347 Shape348 Definitely will continue in special education Very likely to continue in special education Likely to continue in special education Unlikely to continue in special education Very unlikely to continue in special education

Definitely will not continue in special education (will be dismissed from services)


  1. During this school year, to what extent has this child participated in any grade-level assessment administered as part of the school's testing program? MARK ONE RESPONSE.

Shape349 Shape350 Shape351 Child did not participate in the school's testing or assessment program. Child participated in alternate assessments and no regular assessments.

Shape352 Shape353 Child participated in some alternate assessments and some regular assessments. Child participated fully in the school's regular testing or assessment program.

Shape354 There is no testing or assessment program at this grade level. Don't know

  1. How far in school do you expect this child to go? MARK ONE RESPONSE.

Shape355 Shape356 Shape357 Receive less than a high school diploma Graduate from high school

Shape358 Shape359 Attend a vocational or technical school after high school Attend two or more years of college

Shape360 Shape361 Finish a four- or five-year college degree Earn a master's degree or equivalent

Finish a Ph.D., MD, or other advanced degree


  1. Date Survey Completed:

2

0

2

2



Shape362
Shape363

MONTH DAY YEAR










Thank you very much for answering these questions and for taking the time to participate in the Early Childhood Longitudinal Study.

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