NASA K-12 Student Outcome Surveys (NASA Elementary School Survey, NASA Middle School Survey, and NASA High School Survey)

Introduction This is the NASA K-12 STEM Engagement program evaluation survey. We are hoping to learn more about your experiences in NASA programs or with learning about NASA through your teacher or other STEM program. Thank you for taking the time to complete the survey for us!

Privacy Act Notification:

The information you provide via this form is protected from unauthorized disclosure in accordance with the Privacy Act of 1974. It will be used by NASA for the specific purpose of managing registrants, selecting applicants, implementing and evaluating STEM engagement investments. Collection of the information is authorized by the National Aeronautics and Space Act of 1958 § 403(a)(b), 42 U.S.C. § 2473 (c)(1). Provision of the requested information is strictly voluntary; however, failure to provide the information may result in NASA's inability to provide you with the information or STEM services you desire. NASA may disclose information to NASA administrators and managers, Office of Management and Budget officials, and members of Congress for the purposes of accountability and tracking of program and project efficiency and effectiveness. Elaboration and conditions of information disclosure may be found under “Routine Uses” of the full System of Records Notice at https://www.govinfo.gov/content/pkg/PAI-2013-NASA/xml/PAI-2013-NASA.xml#10euda and in Appendix B at https://www.govinfo.gov/content/pkg/PAI-2013-NASA/xml/PAI-2013-NASA.xml#appb.

Paperwork Reduction Act Statement:

This information collection meets the requirements of 44 U.S.C. §3507, as amended by section 2 of the Paperwork Reduction Act of 1995. You do not need to answer these questions unless we display a valid Office of Management and Budget (OMB) control number. The OMB control number for this collection is 2700-0159 and expires 09/30/2024.

BACKGROUND

STEM stands for Science, Technology, Engineering, and Math

For each of the statements below, choose an answer by clicking the circle next to it.

1. I have participated in a NASA program in school.

Yes No

I am not sure

2. I have participated in a NASA program outside of school.

Yes No

I am not sure

3. My teacher taught me about NASA this school year.

Yes No

I am not sure

4. I feel like I fit in with the NASA program.

Disagree a lot Disagree a little Agree a little

Agree a lot

STEM Identity

For each of the statements below, choose an answer by clicking the circle next to it.

5. My parents or guardians think I am good at STEM.

Disagree a lot Disagree a little Agree a little Agree a lot

6. My teachers think I am good at STEM.

Disagree a lot Disagree a little Agree a little Agree a lot

7. My friends think I am good at STEM.

Disagree a lot Disagree a little Agree a little Agree a lot

8. I want to work in a STEM job when I grow up.

Disagree a lot Disagree a little Agree a little Agree a lot

9. I see myself as a STEM person.

Disagree a lot Disagree a little Agree a little

Agree a lot

10. I think I will do well in middle school and high school STEM classes.

Disagree a lot Disagree a little Agree a little

Agree a lot

STEM Self-Efficacy

For each of the statements below, choose an answer by clicking the circle next to it.

11. I get excited about doing STEM projects.

Disagree a lot Disagree a little Agree a little Agree a lot

12. I am confident about trying out new STEM ideas.

Disagree a lot Disagree a little Agree a little Agree a lot

13. I understand how people use STEM in their jobs.

Disagree a lot Disagree a little Agree a little Agree a lot

14. Other students ask me for help with STEM projects.

Disagree a lot Disagree a little Agree a little Agree a lot

15. I understand things we discuss about STEM in school.

Disagree a lot Disagree a little Agree a little

Agree a lot

STEM Interest

For each of the statements below, choose an answer by clicking the circle next to it.

16. I like learning about STEM.

Disagree a lot Disagree a little Agree a little Agree a lot

17. I like to watch videos about STEM when I am not in school.

Disagree a lot Disagree a little Agree a little Agree a lot

18. I talk with friends or family about STEM.

Disagree a lot Disagree a little Agree a little Agree a lot

19. I want to learn as much as I can about STEM.

Disagree a lot Disagree a little Agree a little Agree a lot

20. I like to solve STEM problems.

Disagree a lot Disagree a little Agree a little

Agree a lot

21. I think of STEM things to try out.

Disagree a lot Disagree a little Agree a little Agree a lot

22. How often do you do STEM activities in your free time outside of your science class?

Some examples of STEM activities are:

Coding/programming Robotics

Science clubs or competitions Math clubs or competitions

Nature walks, gardening, or planting seeds Reading about science/technology

Building or taking things apart

Visiting a science center, zoo, or museum

daily weekly

monthly

rarely (less than monthly) never

21st Century Skills

For each of the statements below, choose an answer by clicking the circle next to it.

23. I can come up with new STEM ideas.

Disagree a lot Disagree a little Agree a little Agree a lot

24. I am able to talk about my STEM ideas.

Disagree a lot Disagree a little Agree a little Agree a lot

25. I can use the internet to get the information I need for a STEM project.

Disagree a lot Disagree a little Agree a little Agree a lot

26. I am a good team member when I work in a group on a STEM project.

Disagree a lot Disagree a little Agree a little Agree a lot

27. I can finish a project by its due date.

Disagree a lot Disagree a little Agree a little

Agree a lot

28. When a project does not work out, I can think of other ways to do it.

Disagree a lot Disagree a little Agree a little Agree a lot

29. I can be the leader of a team working on a project.

Disagree a lot Disagree a little Agree a little Agree a lot

30. Does an adult in your life have a STEM job?

Examples of adults in your life:

Parents and guardians Family members Family friends

Club leaders Coaches.

Yes No

Not sure

31. 
    What made you first become interested in STEM?

32. 
    Please describe what you learned about NASA in school this year.

33. 
    What kind of job do you see yourself doing in the future?

34. 
    Please describe what you learned about NASA outside of school this year.

Current Grade Level

35. What is your current grade level?

Demographics

36. What is your gender?

Male Female

Do not wish to provide

37. What is your ethnicity?

Hispanic or Latino

Not Hispanic or Latino Do not wish to provide

38. What is your race? Mark all that apply.

American Indian or Alaska Native Asian

Black or African American

Native Hawaiian or other Pacific Islander White

Do not wish to provide