Appendix B Full Instrument

School Pulse Panel Preliminary Activities

Appendix B Full Instrument

OMB: 1850-0963

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School Pulse Panel



OMB# 1850-0963 v.4



Appendix B – Monthly Data Collection Instrument





National Center for Education Statistics (NCES)

U.S. Department of Education



August 2021













Appendix B – Items for September-November Collection



School Pulse Panel - September Instrument



Start of Block: Login


INTRO Welcome to the School Pulse Panel!





PRA

The National Center for Education Statistics (NCES), within the U.S. Department of Education, is authorized to conduct this survey by the Education Sciences Reform Act of 2002 (ESRA 2002, 20 U.S.C. §9543). 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 1850-0963. The time required to complete this information collection is estimated to average 2-3 hours per response, including the time to review instructions, search existing data resources, 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 collection, or comments or concerns about the contents or the status of your individual submission of this questionnaire, please e-mail: [email protected].





WARNING **U.S. Census Bureau Notice and Consent Warning**


End of Block: Login


Start of Block: Learning Environment


Q5 As of ${e://Field/filldate}, did your school offer full-time in-person learning for any students? 
  

Full-time in-person learning refers to students learning in the school building every day of the school week full-time. Include students who take remote classes while in the school building. 

  • Yes

  • No





Q6 As of ${e://Field/filldate}, was full-time in-person learning offered to all students or only some students?

  • All students

  • Some students





Q7 As of ${e://Field/filldate}, which students were offered full-time in-person learning? 
  

Select all that apply. 

  • Students in certain grades

  • Students with Individualized Education Plans (IEPs) - exclude students with 504 plans

  • Economically disadvantaged students

  • English Language Learner (ELL) or English as a Second Language (ESL) students

  • Students experiencing homelessness

  • Migrant students




Page Break




Q144 As of ${e://Field/filldate}, which grades were offered full-time in-person learning? 
  

Select all that apply. 

  • Preschool

  • Kindergarten

  • 1st grade

  • 2nd grade

  • 3rd grade

  • 4th grade

  • 5th grade

  • 6th grade

  • 7th grade

  • 8th grade

  • 9th grade

  • 10th grade

  • 11th grade

  • 12th grade




Page Break




Q8 As of ${e://Field/filldate}, did your school offer full-time remote learning for any students?



Remote learning refers to students using online and/or paper materials to learn only from home or a location other than the school building. Include students who come into the building only for state testing or who come in for services no more than one day a month.

  • Yes

  • No




Page Break




Q142 As of ${e://Field/filldate}, did your district offer a full-time remote academy or school? 

  • Yes

  • No

  • Don't know




Page Break




Q143 Are students who attend the district remote academy or school still enrolled at your school? 

  • Yes

  • No

  • Don't know





Q9 As of ${e://Field/filldate}, was remote learning offered to all students or only some students?

  • All students

  • Some students





Q10 As of ${e://Field/filldate}, which students were offered full-time remote learning? 


Select all that apply.

  • Students in certain grades

  • Students with medical conditions, or in families with a medical condition, that put them at high risk for COVID-19

  • Students with Individualized Education Plans (IEPs) - exclude students with 504 plans

  • Economically disadvantaged students

  • English Language Learner (ELL) or English as a Second Language (ESL) students

  • Students experiencing homelessness

  • Migrant students




Page Break




Q145 As of ${e://Field/filldate}, which grades were offered full-time remote learning? 


Select all that apply. 

  • Preschool

  • Kindergarten

  • 1st grade

  • 2nd grade

  • 3rd grade

  • 4th grade

  • 5th grade

  • 6th grade

  • 7th grade

  • 8th grade

  • 9th grade

  • 10th grade

  • 11th grade

  • 12th grade




Page Break




Q11 As of ${e://Field/filldate}, did your school offer a hybrid of remote and in-person learning for any students?



Hybrid remote and in-person learning refers to students who are in the school building for less than a full school day or full school week on a regular basis. These students come into school for some days or classes but also stay at home for some days or classes.

  • Yes

  • No





Q12 As of ${e://Field/filldate}, was a hybrid of remote and in-person learning offered to all students or only some students?

  • All students

  • Some students


Q13 As of ${e://Field/filldate}, which students were offered a hybrid of remote and in-person learning? 
  
Select all that apply. 

  • Students in certain grades

  • Students with medical conditions, or in families with a medical condition, that put them at high risk for COVID-19

  • Students with Individualized Education Plans (IEPs) - exclude students with 504 plans

  • Economically disadvantaged students

  • English Language Learner (ELL) or English as a Second Language (ESL) students

  • Students experiencing homelessness

  • Migrant students




Page Break



Q146 As of ${e://Field/filldate}, which grades were offered a hybrid of remote and in-person learning? 
  

Select all that apply. 

  • Preschool

  • Kindergarten

  • 1st grade

  • 2nd grade

  • 3rd grade

  • 4th grade

  • 5th grade

  • 6th grade

  • 7th grade

  • 8th grade

  • 9th grade

  • 10th grade

  • 11th grade

  • 12th grade




Page Break




Q150 Some schools offer instruction in which students learn in-person in the school building while the instructor teaches from another location and not in the same classroom as the students. As of ${e://Field/filldate}, did your school offer this type of learning because of the COVID-19 pandemic? 
  

Exclude remote or distance learning courses that were offered before the COVID-19 pandemic. 

  • Yes

  • No




Page Break



Q14 How many days a week does your school offer in-person instruction for hybrid students?

________________________________________________________________




Page Break



Q151 You indicated that your school offers in-person instruction 5 days a week for hybrid students. Is this because the school is open every day, but students have different schedules which allow them to attend school in-person on alternate days or weeks? 

  • Yes

  • No


End of Block: Learning Environment


Start of Block: Enrollment


Q15
Enrollment data may be more easily accessible for staff in your district or local education agency office. We encourage you to work with other school staff or district central office to assist with the administrative data part of this survey.  The survey can be shared with district or other school staff using this unique survey link: ${e://Field/Q_URL}
Or you can print the page using your web browser’s print screen options so you can share a copy of this page with others.
  As of ${e://Field/filldate}, please enter your total student enrollment count by ethnicity and race. 
  

Please enter the number of students in each cell. 


Hispanic, of any race

White, not Hispanic

Black or African American, not Hispanic

Asian, not Hispanic

American Indian or Alaskan Native, not Hispanic

Native Hawaiian or Pacific Islander, not Hispanic

Two or more races, not Hispanic

Race/Ethnicity information not available

Total Enrollment Count













Page Break



Q16
Enrollment data may be more easily accessible for staff in your district or local education agency office. We encourage you to work with other school staff or district central office to assist with the administrative data part of this survey. The survey can be shared with district or other school staff using this unique survey link: ${e://Field/Q_URL}
Or you can print the page using your web browser’s print screen options so you can share a copy of this page with others.
 
As of ${e://Field/filldate}, what is the enrollment by learning environment for students in your school? 
  
Please enter the number of students in each cell. 

Full-time in-person learning

Full-time remote learning

Hybrid of remote and in-person learning

Hispanic, of any race




White, not Hispanic




Black or African American, not Hispanic




Asian, not Hispanic




American Indian or Alaskan Native, not Hispanic




Native Hawaiian or Pacific Islander, not Hispanic




Two or more races, not Hispanic




Race/Ethnicity information not available




All students








Page Break



Q90
Enrollment data may be more easily accessible for staff in your district or local education agency office. We encourage you to work with other school staff or district central office to assist with the administrative data part of this survey. The survey can be shared with district or other school staff using this unique survey link: ${e://Field/Q_URL}

Or you can print the page using your web browser’s print screen options so you can share a copy of this page with others.


As of ${e://Field/filldate}, how many students with an Individualized Education Plan (IEP) were in each learning environment?
  

Do NOT include students who only have a 504 plan. 
  

Please enter the number of students in each cell. 


Full-time in-person learning

Full-time remote learning

Hybrid of remote and in-person learning

Students with an IEP who spend 80% or more of their time in a general education classroom




Students with an IEP who spend between 40-79% of their time in a general education classroom




Students with an IEP who spend less than 40% of their time in a general education classroom








Page Break




Q91 Are students who are enrolled in full-time remote learning required to come into the school for testing if it is suspected they may need an Individualized Education Plan (IEP)?

  • Yes

  • No

  • Don't know




Page Break


Q18
Enrollment data may be more easily accessible for staff in your district or local education agency office. We encourage you to work with other school staff or district central office to assist with the administrative data part of this survey. The survey can be shared with district or other school staff using this unique survey link: ${e://Field/Q_URL}

Or you can print the page using your web browser’s print screen options so you can share a copy of this page with others.

  


For the below questions, if a student is in two or more of these groups, please include them in both responses. For example, if a student is high risk for COVID-19 and is also economically disadvantaged, include them in both responses. 





Q17 As of ${e://Field/filldate}, what is the enrollment count by learning environment for students with medical conditions that put them at high risk for COVID-19? 
  

Please enter the number of students in each cell. 


Full-time in-person learning

Full-time remote learning

Hybrid of remote and in-person learning

Number of students with medical conditions, or in families with a medical condition, that put them at high risk for COVID-19









Q20 As of ${e://Field/filldate}, what is the enrollment count by learning environment for economically disadvantaged students?. 
  

Economically disadvantaged students are typically those who are eligible for free or reduced price lunch. 
  

Please enter the number of students in each cell. 


Full-time in-person learning

Full-time remote learning

Hybrid of remote and in-person learning

Number of economically disadvantaged students









Q21 As of ${e://Field/filldate}, what is the enrollment count by learning environment for English Language Learner (ELL) or English as a Second Language (ESL) students? 
  

Please enter the number of students in each cell. 


Full-time in-person learning

Full-time remote learning

Hybrid of remote and in-person learning

Number of students who are ELL or ESL









Q23 As of ${e://Field/filldate}, what is the enrollment count by learning environment for students experiencing homelessness? 
  

Please enter the number of students in each cell. 


Full-time in-person learning

Full-time remote learning

Hybrid of remote and in-person learning

Number of students experiencing homelessness









Q22 As of ${e://Field/filldate}, what is the enrollment count by learning environment for migrant students?. 
  

Migrant students are students who move from school to school because they are children of migrant agricultural workers, including migratory dairy workers and migratory fishers. 
  

Please enter the number of students in each cell. 


Full-time in-person learning

Full-time remote learning

Hybrid of remote and in-person learning

Number of Migrant students






End of Block: Enrollment


Start of Block: Attendance


Q24
As of ${e://Field/filldate}, what is the average daily attendance percentage for each ethnicity and race?
 

Attendance data may be more easily accessible for staff in your district or local education agency office. We encourage you to work with other school staff or district central office to assist with the administrative data part of this survey.


Hispanic, of any race

White, not Hispanic

Black or African American, not Hispanic

Asian, not Hispanic

American Indian or Alaskan Native, not Hispanic

Native Hawaiian or Pacific Islander, not Hispanic

Two or more races, not Hispanic

Race/Ethnicity information not available

Average Daily Attendance Percentage














Q155
As of ${e://Field/filldate}, what is the average daily attendance percentage for each learning environment?



Please define attendance based on how the school defines attendance for that learning environment. 


Average Daily Attendance Percentage

Full-time in-person learning


Full-time remote learning


Hybrid of remote and in-person learning




End of Block: Attendance


Start of Block: COVID-19 Mitigation


Q25 As of ${e://Field/filldate}, is there a formal system in place for the following?





Q26 A STAFF MEMBER to report if they have been clinically diagnosed with COVID-19?

  • Yes

  • No

  • Don't know





Q27 A STAFF MEMBER to report if they have symptoms of COVID-19?

  • Yes

  • No

  • Don't know





Q28 A STAFF MEMBER to report if they have a student with symptoms of COVID-19?

  • Yes

  • No

  • Don't know





Q29 A  STAFF MEMBER to report if they have been exposed to someone with COVID-19?

  • Yes

  • No

  • Don't know





Q30 A PARENT OR GUARDIAN to report if their child has been diagnosed with COVID-19?

  • Yes

  • No

  • Don't know





Q31 A PARENT OR GUARDIAN to report if their child has symptoms of COVID-19?

  • Yes

  • No

  • Don't know





Q32 A PARENT OR GUARDIAN to report if their child has been exposed to someone with COVID-19 outside of school?

  • Yes

  • No

  • Don't know





Q33 To notify PARENTS OR GUARDIANS when their child may have been exposed to COVID-19 at school?

  • Yes

  • No

  • Don't know





Q35 How soon after the school knows of the exposure does a communication go out to parents?

  • Same day

  • Next day

  • Within a week

  • Within a month

  • More than a month





Q34 To notify STAFF when they may have been exposed to COVID-19 at school?

  • Yes

  • No

  • Don't know





Q36 How soon after the school knows of the exposure does a communication go out to staff?

  • Same day

  • Next day

  • Within a week

  • Within a month

  • More than a month




Page Break




Q37 Is there a designated staff member(s) assigned to contact trace students who have tested positive for COVID-19?

  • Yes

  • No





Q38 Does your district or school have any kind of publicly available tracker noting all cases in a given school or district to date? 
  

Do not include state-level case trackers. 

  • Yes

  • No




Page Break




Q115 As of ${e://Field/filldate}, has your school requested or required any students to stay home from school after possible COVID-19 exposure? 
  

Please include situations where students or staff are sent home due to exposure to or illness with COVID-19. 

  • Yes

  • No

  • Don't know





Q116 Were any of these students asked to stay home because they were exposed to COVID-19 outside of school?

  • Yes

  • No

  • Don't know





Q117 As of ${e://Field/filldate}, is remote learning available for students who are asked to stay home from school?

  • Yes

  • No

  • Don't know





Q39 As of ${e://Field/filldate}, does your school have a quarantine policy for staff and students who may have been exposed to COVID-19?

  • Yes

  • No





Q40 Which of the following are included in your school’s quarantine policy? 
  

Please select all that apply. 

  • A definition of what counts as a potential exposure to COVID-19

  • Requirements about who must be contacted in the event of a potential exposure to COVID-19

  • Requirements about the length of time that exposed students or staff must remain out of the school building

  • Requirements for COVID-19 testing of potentially exposed students and staff

  • Requirements about when an entire classroom or school must quarantine

  • Any exceptions in the policy for vaccinated individuals

  • Other requirements, please specify: ________________________________________________

  • Unsure what is included in policy





Q41 Does this policy apply to any potential exposure to COVID-19, or only to exposures that occur within the school setting?

  • Any potential exposure

  • Only exposures that occur within the school setting

  • Don’t know




Page Break




Q42
The next questions are about whether your school does screening or testing for COVID-19. Testing includes PCR (Polymerase Chain Reaction) and rapid COVID-19 testing. Do not include antibody testing.
Screening includes asking about COVID-19 symptoms and/or checking temperatures.





DATE  As of ${e://Field/filldate}:





Q47 Does your school require daily COVID-19 symptom screening with STAFF? 



Screening includes asking about COVID-19 symptoms and/or checking temperatures. 

  • Yes

  • No

  • Don't know





Q46 Does your school require daily COVID-19 symptom screening with STUDENTS? 



Screening includes asking about COVID-19 symptoms and/or checking temperatures. 

  • Yes

  • No

  • Don't know





Q141 Does your school conduct COVID-19 testing for STAFF when they have symptoms or possible COVID-19 exposure?
  

Testing includes PCR (Polymerase Chain Reaction) and rapid COVID-19 testing. Do not include antibody testing. 

  • Yes

  • No

  • Don't know





Q43 Does your school conduct COVID-19 testing for STUDENTS when they have symptoms or possible COVID-19 exposure?
  

Testing includes PCR (Polymerase Chain Reaction) and rapid COVID-19 testing. Do not include antibody testing. 

  • Yes

  • No

  • Don't know





Q44 Does your school conduct COVID-19 testing with STAFF even if they have no symptoms or known exposure?



Testing includes PCR (Polymerase Chain Reaction) and rapid COVID-19 testing. Do not include antibody testing.   

  • Yes

  • No

  • Don't know





Q45 Does your school conduct COVID-19 testing with STUDENTS even if they have no symptoms or known exposure



Testing includes PCR (Polymerase Chain Reaction) and rapid COVID-19 testing. Do not include antibody testing.  

  • Yes

  • No

  • Don't know




Page Break




DATE  As of ${e://Field/filldate}:





Q48 Does your school require that any STAFF wear a mask inside the school?

  • Yes

  • No

  • Don't know





Q49 Are STAFF who are vaccinated against COVID-19 required to wear a mask?

  • Yes

  • No

  • Don't know





Q50 Does your school require proof of vaccination against COVID-19 to exempt STAFF from wearing a mask?

  • Yes

  • No

  • Don't know





Q51 Does your school require that any PARENTS OR GUARDIANS wear a mask inside the school?

  • Yes

  • No

  • Don't know

  • Not applicable - Parents or guardians are not allowed inside the school building at this time





Q52 Are PARENTS OR GUARDIANS who are vaccinated against COVID-19 required to wear a mask?

  • Yes

  • No

  • Don't know





Q53 Does your school require proof of vaccination against COVID-19 to exempt PARENTS OR GUARDIANS from wearing a mask?

  • Yes

  • No

  • Don't know





Q54 Does your school require that any STUDENTS wear a mask inside the school building?

  • Yes

  • No

  • Don't know





Q55 Are STUDENTS who are vaccinated against COVID-19 required to wear a mask?

  • Yes

  • No

  • Don't know

  • Not applicable - There are no students eligible for the COVID-19 vaccine in this school





Q56 Does your school require proof of vaccination against COVID-19 to exempt STUDENTS from wearing a mask?

  • Yes

  • No

  • Don't know

  • Not applicable - There are no students eligible for the COVID-19 vaccine in this school





Q57 Does your school require that all students who are not yet eligible for a vaccine wear a mask inside the building?

  • Yes

  • No

  • Don't know

  • Not applicable - There are no students eligible for the COVID-19 vaccine in this school




Page Break




DATE As of ${e://Field/filldate}:





Q58 Has your school done any of the following to decrease the spread of COVID-19? 
  

Please select all that apply. 

  • Spaced desks and seating at least 3 feet apart

  • Faced student desks and seating in the same direction

  • Decreased class size

  • Placed physical guides (e.g., tape, marks) and signs for distancing to account for movement of staff and students in the hallways or classrooms

  • Encouraged social distancing during recess or physical education

  • Installed physical barriers (i.e., plastic or other dividers) between students and staff

  • Installed physical barriers (i.e., plastic or other dividers) between students

  • Increased ventilation by opening windows and doors, using fans, and/or making improvements or upgrades to the school’s ventilation system

  • Increased how often surfaces are cleaned

  • Added additional handwashing stations or hand sanitizer stations

  • None of the above





WARNING You selected “none of the above” and one or more other options. Please check your answer.













Q59 Has your school modified any of the following for food service? 
  

Please select all that apply. 

  • Closed the cafeteria

  • Changed lunch schedule to decrease the number of students in the cafeteria

  • Offered only grab and go food items

  • Blocked off seats in the cafeteria to increase distance between students

  • Installed plastic or other dividers in the cafeteria

  • Moved eating to classrooms for some or all students

  • Moved eating outside for some or all students

  • None of the above





WARNING You selected “none of the above” and one or more other options. Please check your answer.





Q60 During the ${e://Field/CurrentAcademicYear} school year, has your school done any of the following to help students handle the COVID-19 pandemic? 
  

Please select all that apply. 

  • Hired new staff to focus on student social/emotional/mental wellbeing

  • Encouraged existing staff to address student social/emotional/mental wellbeing

  • Added student classes on social/emotional/mental wellbeing

  • Created or expanded a program for students’ social/emotional/mental wellbeing

  • Offered guest speakers for students on social/emotional/mental wellbeing

  • Offered professional development to train teachers on helping students with their social/emotional/mental wellbeing

  • Held assemblies for students on social/emotional/mental wellbeing

  • Created community events and partnerships for students on social/emotional/mental wellbeing

  • Took other actions to improve student social/emotional/mental wellbeing

  • None of the above





WARNING You selected “none of the above” and one or more other options. Please check your answer.




Page Break




DATE As of ${e://Field/filldate}





Q61 Does your school or district require staff to be vaccinated unless they have a medical waiver?

  • Yes

  • No

  • Don't know





Q62 To the best of your knowledge, what percentage of your school staff has received a COVID-19 vaccination?

  • 0-25%

  • 26-50%

  • 51-75%

  • 76-100%

  • Don't know





Q63 Has your school offered, or is your school planning to offer, onsite COVID-19 vaccination or a mobile vaccination unit for staff or students who are eligible?

  • Yes

  • We are considering it but have not decided

  • No

  • Don't know





Q64 Were eligible students required to be vaccinated against COVID-19 in order to attend school in person?

  • Yes

  • No

  • Don't know




Page Break




Q66 For the ${e://Field/CurrentAcademicYear} school year, does your school have a formal plan in place to prepare for and respond to a pandemic (including the COVID-19 pandemic)? 



Exclude plans that address only community or school-based outbreaks such as seasonal flu or chicken pox.

  • Yes

  • No

  • Don't know





Q67 BEFORE the COVID-19 pandemic began in the 2019-20 school year, did your school have a formal plan in place to prepare for and respond to multi-country or worldwide pandemic diseases such as SARS or H1N1? 



Exclude plans that addressed only community or school-based outbreaks such as seasonal flu or chicken pox.

  • Yes

  • No

  • Don't know


End of Block: COVID-19 Mitigation


Start of Block: Extracurricular Activities


Q68 As of ${e://Field/filldate}, is your school offering any of the following activities? 
  

Please select all that apply. 

  • Athletic teams at school

  • Performing arts (for example, Band, Choir, Orchestra, or Drama)

  • Spirit groups (for example, Cheerleading, Dance Team, or Pep Club)

  • Academic clubs (for example, Debate Team, Honor Society, Spanish Club, Math Club, or Computer Club)

  • Class council or student government

  • Volunteer or community service clubs sponsored by the school (for example, Peer Mediators, Environmental Club, Key Club, Interact, or Recycling Club)

  • Other school clubs or school activities, please specify: ________________________________________________

  • None of the above





WARNING You selected “none of the above” and one or more other options. Please check your answer.




Page Break




Q69 As of ${e://Field/filldate}, have any activities been modified because of the COVID-19 pandemic? 
  

This could include socially distancing, using other cleaning or safety protocols, or adding an online option for remote-learning students. 

  • Yes

  • No

  • Don't know




Page Break




Q70 As of ${e://Field/filldate}, how has this activity been modified because of the COVID-19 pandemic? 
  

Please select all that apply. 


No changes

Socially distanced/no contact

Additional cleaning of surfaces and equipment

Masks Required

Online option for distance/ remote learning students

Testing or vaccination required for participation

Other changes

Athletic teams at school

Performing arts (for example, Band, Choir, Orchestra, or Drama)

Spirit groups (for example, Cheerleading, Dance Team, or Pep Club)

Academic clubs (for example, Debate Team, Honor Society, Spanish Club, Math Club, or Computer Club)

Class council or student government

Volunteer or community service clubs sponsored by the school (for example, Peer Mediators, Environmental Club, Key Club, Interact, or Recycling Club)

${Q68/ChoiceTextEntryValue/9}



End of Block: Extracurricular Activities


Start of Block: Pandemic-Related Learning Needs


Q71 As of ${e://Field/filldate}, have your teachers conducted any diagnostic assessments with students?

  • Yes

  • No

  • Don't know





Q72 Which students have participated in these diagnostic assessments?

  • All or most students

  • Some students





Q73 What groups of students have participated in these diagnostic assessments? 
  

Please select all that apply. 

  • Newly enrolled students

  • Students with Individualized Education Plans (IEPs)- Exclude students with 504 plans

  • Students who may need IEPs but do not currently have them

  • Students who are English Language Learners (ELL) or in English as a Second Language (ESL)

  • Economically disadvantaged students (such as those who qualify for free or reduced-price lunch)

  • Students in certain grades

  • Other students, please specify: ________________________________________________





Q147 What grades of students have participated in these diagnostic assessments? 
  

Please select all that apply. 

  • Preschool

  • Kindergarten

  • 1st grade

  • 2nd grade

  • 3rd grade

  • 4th grade

  • 5th grade

  • 6th grade

  • 7th grade

  • 8th grade

  • 9th grade

  • 10th grade

  • 11th grade

  • 12th grade




Page Break




Q74 Will the results of the diagnostic assessments at the beginning of the ${e://Field/CurrentAcademicYear} school year be used to address pandemic-related learning needs? 

  • Yes

  • No

  • Don't know




Page Break




Q75 Over the summer of 2021, did your school do any of the following because of the COVID-19 pandemic? 
  

Please select all that apply. 

  • Create or expand an existing summer school

  • Create or expand an existing summer camp program

  • Offer virtual educational resources for students to help with pandemic-related learning needs

  • Other summer enrichment activities, please specify: ________________________________________________

  • Did not make any adjustments; offered same summer enrichment offered previously

  • Did not make any adjustments; did not offer summer enrichment





Q76 During the ${e://Field/CurrentAcademicYear} school year, will the school day be extended for any or all students because of the COVID-19 pandemic? 

  • Yes

  • No





Q77 During the ${e://Field/CurrentAcademicYear} school year, will the number of school days be increased for any or all students because of the COVID-19 pandemic? 

  • Yes

  • No





Q78 During the ${e://Field/CurrentAcademicYear} school year, will additional before-school or after-school programs be offered because of the COVID-19 pandemic?

  • Yes

  • No





Q79 During the ${e://Field/CurrentAcademicYear} school year, will additional virtual educational resources be available for students who need it because of the COVID-19 pandemic? 

  • Yes

  • No





Q80
Were the above additional services or programs offered to all/most students or only some students during the ${e://Field/CurrentAcademicYear} school year?

  • All or most students

  • Some students





Q148
What groups of students will be offered any of the above additional services or programs during the ${e://Field/CurrentAcademicYear} school year? 
  

Please select all that apply. 

  • Students who had pandemic-related learning needs

  • Newly enrolled students

  • Students with Individualized Education Plans (IEPs)- Exclude students with 504 plans

  • Students who may need IEPs but do not currently have them

  • Students who are English Language Learners (ELL) or in English as a Second Language (ESL)

  • Economically disadvantaged students (such as those who qualify for free or reduced-price lunch)

  • Students in certain grades

  • Other students, please specify: ________________________________________________





Q149
What groups of students will be offered any of the above additional services or programs during the ${e://Field/CurrentAcademicYear} school year? 
  

Please select all that apply. 

  • Preschool

  • Kindergarten

  • 1st grade

  • 2nd grade

  • 3rd grade

  • 4th grade

  • 5th grade

  • 6th grade

  • 7th grade

  • 8th grade

  • 9th grade

  • 10th grade

  • 11th grade

  • 12th grade




Page Break




Q81 As of ${e://Field/filldate},, are any changes to the typical administration of federally mandated student assessments (i.e., standardized tests) expected at your school?

  • Yes

  • No





Q82 As of ${e://Field/filldate}, What changes are expected to the typical administration of federally mandated student assessments (i.e., standardized tests) at your school? 
  

Please select all that apply. 

  • Assessments will be canceled

  • Assessments will be delayed

  • Social distancing or other safety measures will be implemented during testing

  • Local assessments will be substituted for federally mandated assessments

  • Fewer assessments will be administered to students

  • Assessments will be abbreviated (e.g., by testing students in fewer subject areas)

  • The requirement for 95 percent of students to take assessments will be waived

  • Students attending school 100% virtually will not be required to take assessments

  • Assessments will be administered virtually

  • Other, please specify: ________________________________________________





Q83 As of ${e://Field/filldate}, has there been any change to your school’s grading policies because of the COVID-19 pandemic?

  • Yes

  • No

  • Don't know





Q84 Was there any change to the process by which students were promoted to the next grade in your school during last school year (${e://Field/PreviousAcademicYear})) because of the COVID-19 pandemic?

  • Yes

  • No

  • Don't know


End of Block: Pandemic-Related Learning Needs


Start of Block: Internet and Device Access


DATE As of ${e://Field/filldate}





Q85 Are students who need internet access provided internet access at home?

  • Yes

  • No

  • Don't know





Q86 Are students who need internet access provided with internet or hot spot access at a location other than home?

  • Yes

  • No

  • Don't know





Q87 Has your school provided digital devices, such as laptops, tablets, or Chromebooks, to students who need it?

  • Yes

  • No

  • Don't know





Q88 Has your school provided IT or technical support for problems with students’ internet or computers? 



Include formal support or staff who are dedicated to help with IT. Do not include teachers who may help during lessons. 

  • Yes

  • No

  • Don't know





Q89 Has your school provided IT or technical support for problems with teacher and staff’s internet or computers? 



Include formal support or staff who are dedicated to help with IT, not teachers who may help during lessons. 

  • Yes

  • No

  • Don't know


End of Block: Internet and Device Access


Start of Block: School Staffing


Q111 How many full or part-time teacher vacancies did your school have before the ${e://Field/CurrentAcademicYear} school year? 
  

Please include vacancies caused by attrition and new positions that have been created.. 

________________________________________________________________





Q140 Why did you have teacher vacancies before the ${e://Field/CurrentAcademicYear} school year?

  • Teacher attrition due to resignation

  • Teacher attrition due to retirement

  • New teaching positions were created

  • Other reason, please specify: ________________________________________________

  • Don't know/Unsure





Q112
For this school year (${e://Field/CurrentAcademicYear}), how difficult or easy was it to fill staff vacancies in each of the following fields?
 
Please include full or part-time positions that were vacant for the ${e://Field/CurrentAcademicYear} school year that may or may not have been filled before the start of the school year.
Do NOT include vacancies for teachers who teach only prekindergarten or adult education.


This position is not offered in this school

No vacancies in this field this school year

Could not fill the vacancy

Very difficult

Somewhat difficult

Somewhat easy

Very easy

Mental health professionals (such as counselors, psychologists, or social workers)

Medical professionals (such as a school nurse or nurse’s aid)

Administrative staff

Technology specialists or library/media specialists

General elementary

Special Education

English as a Second Language or bilingual education

English or Language arts

Foreign languages

Social studies

Mathematics

Computer science

Physical sciences (e.g. chemistry, physics, earth sciences)

Music or art

Career or technical education

Physical education or health

Other, please specify:





Page Break




Q113 Compared to a typical school year before the COVID-19 pandemic, were there more, fewer, or about the same number of staff vacancies before the ${e://Field/CurrentAcademicYear} school year?

  • More vacancies than a typical school year

  • Fewer vacancies than a typical school year

  • About the same number of vacancies as a typical school year

  • Don't know/Unsure


End of Block: School Staffing


Start of Block: Submit questionnaire


SUBMIT Please click the "Submit" button below to record your response. 


End of Block: Submit questionnaire


Start of Block: Help


HELP FILL HELP TEXT HERE


End of Block: Help




File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
AuthorClarady, Carrie
File Modified0000-00-00
File Created2021-10-13

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