Program
ID#__________ Classroom ID#__________ Caregiver
ID#___________
Do
not write in box. For study use only.
According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. The valid OMB control number for this information collection is xxxx-xxxx. The time required to complete this information collection is estimated to average 30 minutes 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(s) or suggestions for improving this form, please write to: U.S. Department of Education, Washington, D.C. 20202-4651. If you have comments or concerns regarding the status of your individual submission of this form, write directly to: Rafael Valdivieso, U.S. Department of Education, 555 New Jersey Avenue, NW, Room 506E, Washington, D.C. 20208.
Responses to this data collection will be used only for statistical purposes. The reports prepared for this study will summarize findings across the sample and will not associate responses with a specific program or individual. We will not provide information that identifies you or your program to anyone outside the study team, except as required by law.
Your cooperation in completing this survey is needed to make the results of this study comprehensive, reliable, and timely.
4. Center Caregiver/Teacher Questionnaire
Classroom level information
1. What is the total number of children enrolled in your classroom at one time? _____ children
2. How many staff are in your classroom at one time? _______ staff
Please include only staff that work directly with the children (e.g., volunteers, aides, assistants, caregivers)
3. What is your job title?
Lead Teacher
Assistant Teacher
Primary Caregiver
Assistant Caregiver
Aide
Other (please specify) __________________
4. How many years have you worked in the child care field? __________ years
5. How long have you worked at this center? __________ years
If you have worked at the center for less than 1 year please enter “1” above.
6. In a typical week, how many days do you provide care at this center? __________ days
7. In a typical day, how many hours do you provide care at this center? __________ hours
8. Are you specifically assigned to a classroom or do you typically move between classrooms?
Mark one response.
Assigned to one classroom
Move between classrooms
Other (please specify)_____________________
9. Are you a primary caregiver/teacher for some of the children in your class?
By primary caregiver/teacher, we mean that you and other caregivers/teachers in your classroom know who has primary responsibility for each child, so that each child’s needs are usually met by the same caregiver (for example, feeding, diapering/toileting, and comforting when upset). It does not necessarily mean that you do not help out with the care of other children in your classroom when needed.
No Go to question 10
Yes
9a. If yes, for how many children are you a primary caregiver/teacher? _____ children
10. What is your birth date? MONTH __ __
DAY __ __
YEAR __ __ __ __
11. Are you of Hispanic or Latino origin?
Yes
No
12. Please select one or more of the following categories to best describe your race.
Mark all that apply.
American Indian or Alaska Native
Black or African American
Asian
Native Hawaiian or other Pacific Islander
White
13. What is your primary language?
English
Spanish
Other (Please specify) __________________
14. What language do you speak most when caring for the children at this center?
English
Spanish
Other (please specify) __________________
15. Are you paid for your work at this center?
No Go to question 16
Yes
15a. If you are paid, how much are you paid? $ __________
15b. Is that per . . . Hour
Week
Month
Year
Other (please specify) ______________________
16. Do you receive any of the following benefits from your work at this center?
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No |
Yes |
a. Paid vacation days ………………………………………………………………. |
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b. Paid sick days ……………………………………………………………………... |
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c. Paid days to attend professional meetings ……………………………… |
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d. Reduced or no tuition for your own children to receive child care |
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e. Health insurance for yourself ………………………………………………… |
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f. Health insurance for your family ……………………………………………. |
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g. Retirement benefits …………………………………………………………….. |
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17. What is the highest level of school you have completed? Mark one response.
Less than high school diploma/ no GED
A high school diploma or GED
Some college, but no degree
An associate’s of arts (A.A.) degree
A bachelor’s degree (B.A. or B.S.)
Graduate or professional school but no degree
Master’s degree (M.A. or M.S. etc)
Doctorate degree (PhD or EDD)
Professional degree after bachelor’s degree (MD, DDS, JD, etc.)
18. Do you have any degree in early childhood education or a related field other than a Child Development Associate (CDA) credential?
Related fields include nursing, psychology, elementary education, social work, speech pathology, or special education.
No
Yes Go to question 20
19. Do you have any coursework leading to a degree in early childhood education or a related field?
No
Yes
Not Applicable, have degree in early childhood education or a related field
20. Have you received any early childhood education or care training in the last 12 months? By training, we mean courses, workshops, seminars, or in-service training.
No Go to question 25
Yes
21. Where was this/these training(s)? Mark all that apply.
Conference
Workshop
Child Development Associate training
Other in-service training
College course
Adult education course
Correspondence course
Other (please specify) _____________________________
Not Applicable, did not receive training in the last 12 months
22. What was the topic of this/these training(s)? Mark all that apply.
Child development: cognitive/intellectual/language development
Child development: social/emotional development
Child development: physical growth and motor skills
Curriculum planning
Working with parents
Child abuse prevention
Health and safety
Physical care of children
Discipline practices
Other (please specify) ____________________________
Not applicable, did not receive training in the last 12 months
23. Was any of this training specific to the care of infants (under 24 months)?
No
Yes
Not Applicable, did not receive training in the last 12 months
24. In the last 12 months, did you receive . . .
Less than 15 hours of training
15 hours or more of training
Not Applicable, did not receive training in the last 12 months
25. Do you have a Child Development Associate (CDA) credential?
No
Yes
Currently working on a CDA
26. Do you have any other state awarded certificates or credentials pertaining to early childhood education or care, or a related field such as nursing, social work, psychology or special education?
No Go to question 28
Yes
27. Which certificates or credentials pertaining to early childhood education or care, or a related field, do you have? Mark all that apply.
A state certificate in early childhood education
A state certificate in elementary education
A state certificate in secondary education
A state certificate in special education
Another state education certificate
A license as a registered nurse (RN)
A license as a licensed practical nurse (LPN)
A certification or license as a social worker
A certificate or license as a psychologist
A certificate of clinical competence/speech pathologist (CCC/SP)
Children’s Center Permit (California)
Other license, certificate or credential (please specify)______________________
Not Applicable, do not have any other certificates, licenses, or credentials
28. Are you currently a member of a national, state, or local professional association for early childhood education?
Some examples are: National Association for the Education of Young Children (NAEYC), National Head Start Association (NHSA), National Association for Family Child Care (NAFCC), National Education Association (NEA).
No
Yes
29. Below are some statements other people have made about rearing and educating children. For each one, please circle the number that best indicates how you feel in general about raising children.
1—Strongly disagree
2—Mildly disagree
3—Not sure
4—Mildly agree
5—Strongly agree
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30. When you think about your experiences caring for children, how much, if at all, are the following items a concern for you?
Please think about how it is right now providing care for children. For each item, please circle the number that corresponds with the response that is closest to how you feel about the item. If an item does not apply to you please circle NA.
1—Not at all
2—Rarely
3—Sometimes
4—All of the time
NA—Not applicable
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Not at all |
Rarely |
Sometimes |
All of the time |
Not Applicable |
a. Continually cleaning up children’s messes ………………………………………… |
1 |
2 |
3 |
4 |
NA |
b. Being with young children all of the time …………………………………………….. |
1 |
2 |
3 |
4 |
NA |
c. A child crying or whining a lot ………… |
1 |
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4 |
NA |
d. Caring for children takes too much out of you …………………………………….. |
1 |
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NA |
e. Having to do tasks you don’t feel should be your responsibility ………….. |
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NA |
f. Having to juggle conflicting tasks or duties …………………………………………… |
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NA |
g. Lack of appreciation from the child’s/children’s parents ………………… |
1 |
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NA |
h. The money you make ……………………. |
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NA |
i. Being exposed to illness or injury ……. |
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NA |
j. Having little chance for career advancement ……………………………….. |
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NA |
k. Lack of support from agencies or other professionals ……………………….. |
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NA |
l. Society’s lack of recognition for your work ……………………………………………. |
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NA |
m. Limited opportunity for professional development ………………………………… |
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NA |
31. When you think about taking care of children, how much, if at all, are the following items a rewarding part of being a caregiver, for you?
Please think about how it is right now providing care for children. For each item, please circle the number that corresponds with the response that is closest to how you feel about the item. If an item does not apply to you please circle NA.
1—Not at all
2—Rarely
3—Sometimes
4—All of the time
NA—Not applicable
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Not at all |
Rarely |
Sometimes |
All of the time |
Not Applicable |
a. Seeing children’s excitement over new things ……………………………………………… |
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NA |
b. The happiness and smiles on young children’s faces ………………………………… |
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NA |
c. The affection the children show you …… |
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NA |
d. Seeing the world through children’s eyes |
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NA |
e. Being needed by the child/children …….. |
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4 |
NA |
f. The challenge of caring for young children …………………………………………… |
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4 |
NA |
g. Being able to set your own work schedule …………………………………………. |
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NA |
h. Being able to work as part of a team or group ………………………………………………. |
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NA |
i. Your supervisor paying attention to what you have to say ………………………… |
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NA |
j. Being able to make decisions on your own ………………………………………………… |
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NA |
k. Having friendly co-workers ………………… |
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l. Having hours that fit your needs ………… |
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m. Being able to watch your own children while earning money ………………………… |
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n. The work fitting your skills ………………… |
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NA |
Page
File Type | application/msword |
File Title | Caregiver/Teacher Baseline Questionnaire |
Author | Emily |
Last Modified By | Kevin Huang |
File Modified | 2007-07-17 |
File Created | 2007-07-17 |