Do not write your name on this survey, or on the answer form.
NES Pilot Student Survey (Post-Pilot)
Part 1: Participant Identification
School Name: ___________________________
Circle Grade Level:
6 7 8 9 10 11 12
What is your gender? Check one.
___ Male
___ Female
What is your Ethnicity? Check one.
___ Hispanic or Latino
___ Not Hispanic or Latino
What is your Race? Check one or more.
___ American Indian or Alaskan Native
___ Native Hawaiian or other Pacific Islander
___ Asian
___ White
___ Black or African American
Part 2: Student experience, attitudes and expectations
Please indicate how much you agree with the following statements
Q1: I am interested in NASA.
___ Strongly Disagree
___ Disagree
___ Neutral
___ Agree
___ Strongly Agree
Q2: I am interested in Science.
___ Strongly Disagree
___ Disagree
___ Neutral
___ Agree
___ Strongly Agree
Q3: I am interested in Technology.
___ Strongly Disagree
___ Disagree
___ Neutral
___ Agree
___ Strongly Agree
Q4: I am interested in Engineering.
___ Strongly Disagree
___ Disagree
___ Neutral
___ Agree
___ Strongly Agree
Q5: I am interested in Mathematics.
___ Strongly Disagree
___ Disagree
___ Neutral
___ Agree
___ Strongly Agree
Q6: I know a lot about NASA.
___ Strongly Disagree
___ Disagree
___ Neutral
___ Agree
___ Strongly Agree
Q7: I am good at Science.
___ Strongly Disagree
___ Disagree
___ Neutral
___ Agree
___ Strongly Agree
Q8: I am good at Technology.
___ Strongly Disagree
___ Disagree
___ Neutral
___ Agree
___ Strongly Agree
Q9: I am good at Engineering.
___ Strongly Disagree
___ Disagree
___ Neutral
___ Agree
___ Strongly Agree
Q10: I am good at Mathematics.
___ Strongly Disagree
___ Disagree
___ Neutral
___ Agree
___ Strongly Agree
Q11: I am interested in careers at NASA.
___ Strongly Disagree
___ Disagree
___ Neutral
___ Agree
___ Strongly Agree
Q12: I am interested in careers in Science.
___ Strongly Disagree
___ Disagree
___ Neutral
___ Agree
___ Strongly Agree
Q13: I am interested in careers in Technology.
___ Strongly Disagree
___ Disagree
___ Neutral
___ Agree
___ Strongly Agree
Q14: I am interested in careers in Engineering.
___ Strongly Disagree
___ Disagree
___ Neutral
___ Agree
___ Strongly Agree
Q15: I am interested in careers in Mathematics.
___ Strongly Disagree
___ Disagree
___ Neutral
___ Agree
___ Strongly Agree
Q16: Which NASA activity would be interesting to you? Check all that apply
___ High school internship/work at a NASA Center
___ Additional NASA classroom activities
___ College internship/work at a NASA Center
___ College research experience
___ Visit from a NASA educator, scientist, or engineer
___ Visit from a NASA astronaut
___ Seminar/lecture by a NASA or aerospace professional
___ Participate in a launch event
___ Video downlink from International Space Station of Space Shuttle
___ Radio call to an astronaut
___ Library lesson about NASA
___ NASA TV-based activity
___ NASA computer-based activity
___ Visit to a museum, science center or planetarium
___ Competition
___ Career fair
___ After school or club activity
___ Webcast
___ Videoconference
___ Other
___ I am not interested in future NASA experiences
Q17: This experience inspired me to learn more about science, technology, engineering
or mathematics.
___ Strongly Disagree
___ Disagree
___ Neutral
___ Agree
___ Strongly Agree
File Type | application/msword |
Author | Benjamin Jones |
Last Modified By | byoder |
File Modified | 2010-03-25 |
File Created | 2009-12-21 |