NASA K-12 Student Outcome Assessment Survey_SurveyMonkey

Generic Clearance for the NASA Office of STEM Engagement Performance Measurement and Evaluation (Testing)

NASA K-12 Student Outcome Assessment Survey_SurveyMonkey

OMB: 2700-0159

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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


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

Yes No

I am not sure


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

Yes No

I am not sure


  1. 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.


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

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


  1. My teachers think I am good at STEM.

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


  1. My friends think I am good at STEM.

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


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

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


  1. I see myself as a STEM person.

Disagree a lot Disagree a little Agree a little

Agree a lot

  1. 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.


  1. I get excited about doing STEM projects.

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


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

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


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

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


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

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


  1. 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.


  1. I like learning about STEM.

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


  1. 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


  1. I talk with friends or family about STEM.

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


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

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


  1. I like to solve STEM problems.

Disagree a lot Disagree a little Agree a little

Agree a lot

  1. I think of STEM things to try out.

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


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


Some examples of STEM activities are:


Shape13 Shape14 Coding/programming Robotics

Shape15 Shape16 Science clubs or competitions Math clubs or competitions

Shape17 Shape18 Nature walks, gardening, or planting seeds Reading about science/technology

Shape19 Building or taking things apart

Shape20 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.


  1. I can come up with new STEM ideas.

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


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

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


  1. 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


  1. 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


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

Disagree a lot Disagree a little Agree a little

Agree a lot

  1. 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


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

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


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


Examples of adults in your life:


Shape27 Shape28 Shape29 Parents and guardians Family members Family friends

Shape30 Shape31 Club leaders Coaches.




Yes No

Not sure


  1. Shape32
    What made you first become interested in STEM?


  1. Shape33
    Please describe what you learned about NASA in school this year.


  1. Shape34
    What kind of job do you see yourself doing in the future?


  1. Shape35
    Please describe what you learned about NASA outside of school this year.



Current Grade Level


  1. What is your current grade level?



Demographics


  1. What is your gender?

Male Female

Do not wish to provide


  1. What is your ethnicity?

Hispanic or Latino

Not Hispanic or Latino Do not wish to provide


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


Shape40 Shape41 Shape42 American Indian or Alaska Native Asian

Black or African American


Native Hawaiian or other Pacific Islander White

Shape43 Shape44 Shape45 Do not wish to provide

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