PIRLS Student Questionnaire

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PIRLS 2011
Student
Questionnaire
Grade 4

© IEA, 2011

Directions
In this booklet, you will fi nd questions about you and what you think. For each
question, you should choose the answer you think is best.
Let us take a few minutes to practice the kinds of questions you will answer in this
booklet.
Example 1 is one kind of question you will fi nd in this booklet.

Example 1
Do you go to school?

Fill in one oval only.

Yes -- 1

No -- 2

Example 2 is another kind of question you will fi nd in this booklet.

Example 2
How often do you do these things?

Fill in one oval for each line.
Every day
or almost
every day

1
2

Once or
twice a
week

Once or
twice a
month

Never or
almost
never

a) I talk with my friends ------------------ 1

2

3

4

b) I play sports ------------------------------- 1

2

3

4

c) I ride a skateboard ---------------------- 1

2

3

4

Grade 4 Student Questionnaire

Example 3 is another kind of question you will fi nd in this booklet.

Example 3
What do you think? Tell how much you agree with these
statements.

Fill in one oval for each line.
Agree
a lot

Agree
a little

Disagree
a little

Disagree
a lot

a) Watching movies is fun --------------- 1

2

3

4

b) I like eating ice cream ----------------- 1

2

3

4

c) I do not like waking up early -------- 1

2

3

4

d) I enjoy doing chores -------------------- 1

2

3

4

• Read each question carefully, and pick the answer you think is best.
• Fill in the oval next to or under your answer.
• If you decide to change your answer, completely erase your fi rst choice. Then,
fi ll in the oval next to or under your new answer.

• Ask for help if you do not understand something or are not sure how to
answer.

Grade 4 Student Questionnaire

2
3

About you
1
A. Are you a girl or a boy?

Fill in one oval only.

Girl -- 1

Boy -- 2

B. Are you Hispanic or Latino?

Fill in one oval only.

Yes, I am Hispanic or Latino -- 1
No, I am not Hispanic or Latino -- 2

C. Which of the following best describes you?

Fill in one or more ovals.

White -- 1

Black or African American -- 1

Asian -- 1

American Indian or Alaska Native -- 1

Native Hawaiian or other
Pacifi c Islander -- 1

3
2

Grade 4 Student Questionnaire

2
When were you born?
Fill in the ovals next to the month and year you were born.

a) Month

b) Year

January -- 0

1998 -- 1

February -- 0

1999 -- 2

March -- 0

2000 -- 3

April -- 0

2001 -- 4

May -- 0

2002 -- 5

June -- 0

2003 -- 6

July -- 0

2004 -- 7

August -- 0

Other -- 8

September -- 0

October -- 0

November -- 0

December -- 0

Grade 4 Student Questionnaire

4
3

3
A. How often do you speak English at home?

Fill in one oval only.

Always --------------------------------------- 1 If Always, please go to question 4

Almost always ---------------------------- 2

Sometimes---------------------------------- 3

Never ---------------------------------------- 4

If Almost always, Sometimes, Never, please go to question 3B

B. What language do you speak at home (other than English)?
Fill in one oval only.

5
4

Spanish ------------------------------------- 1

Other -------------------------------------- 2 Please specify ________________

Grade 4 Student Questionnaire

4
A. Was your mother (or stepmother or female legal
guardian) born in the United States? (“United States”
includes the 50 states, its territories, the District of
Columbia, and U.S. military bases abroad.)

Fill in one oval only.

Yes -- 1

No -- 2

B. Was your father (or stepfather or male legal guardian)
born in the United States?

Fill in one oval only.

Yes -- 1

No -- 2

C. Were you born in the United States?

Fill in one oval only.

Yes -- 1

No -- 2

Grade 4 Student Questionnaire

6
5

5
About how many books are there in your home? (Do not
count magazines, newspapers, or your school books.)

Fill in one oval only.

None or very few (0–10 books) -- 1

This shows 10 books

Enough to fi ll one shelf (11–25 books) -- 2

This shows 25 books

Enough to fi ll one bookcase
(26–100 books) -- 3

This shows 100 books

Enough to fi ll two bookcases
(101–200 books) -- 4

This shows 200 books

nough to fi ll three or more bookcases
E

(more than 200) -- 5

7
6

Grade 4 Student Questionnaire

This shows more than 200 books

6
Do you have any of these things at your home?

Fill in one oval for each line.
Yes

No

a) Computer ---------------------------------- 1

2

b) Study desk/table for your use ------- 1

2

c) Books of your very own (do not
count your school books) -------------- 1

2

d) Your own room --------------------------- 1

2

e) Internet connection --------------------- 1

2

f) Encyclopedia (a book or CD) --------- 1

2

g) PlayStation®, Game Cube®, XBox®,
or other TV/Video game system ----- 1

2

h) VCR, DVD or Blu-ray player -------- 1

2

Grade 4 Student Questionnaire

8
7

 7
How often do you use a computer in each of these
places?
Fill in one oval for each line.

Every day
or almost
every day

Once or
twice a
week

Once or
twice a
month

Never or
almost
never

a) At home ------------------------------------- 1

2

3

4

b) At school ------------------------------------ 1

2

3

4

c) Some other place-------------------------- 1

2

3

4

8
How often do the following things happen at home?
Fill in one oval for each line.

Every day
or almost
every day

9

Once or
twice a
week

Once or
twice a
month

Never or
almost
never

a) My parents ask me what I am
learning in school------------------------- 1

2

3

4

b) I talk about my schoolwork with
my parents---------------------------------- 1

2

3

4

c) My parents make sure that I set
aside time for my homework---------- 1

2

3

4

d) My parents check if I do my
homework----------------------------------- 1

2

3

4

Grade 4 Student Questionnaire

9
The following questions ask about activities you do
outside of school.
Fill in one oval for each line.

Yes

No

a) Do you play on a sports team
outside of school?-------------------------- 1

2

b) Do you often play a musical
instrument outside of school?---------

1

2

c) Are you studying something in a
class outside of school?------------------

1

2

d) Do you belong to a club outside of
school (like Girl Scouts, 4-H, or
Boys and Girls Club)?-------------------

1

2

10
How many days were you absent from school in the last
month?
Fill in one oval only.

None--- 1

1 or 2 days--- 2

3 or 4 days--- 3

5 to 10 days--- 4
More than 10 days--- 5

Grade 4 Student Questionnaire

10

Your School
11
What do you think about your school? Tell how much
you agree with these statements.
Fill in one oval for each line.

Agree
a lot

Agree
a little

Disagree
a little

Disagree
a lot

a) I like being in school--------------------- 1

2

3

4

b) I feel safe when I am at school-------- 1

2

3

4

c) I feel like I belong at this school------ 1

2

3

4

12
During this year, how often have any of the following
things happened to you at school?
Fill in one oval for each line.

At least
once a
week

11

Once or
twice a
month

A few
times a
year

Never

a) I was made fun of or called names--- 1

2

3

4

b) I was left out of games or activities
by other students------------------------- 1

2

3

4

c) Someone spread lies about me-------- 1

2

3

4

d) Something was stolen from me------- 1

2

3

4

e) I was hit or hurt by other student(s)
(e.g., shoving, hitting, kicking)-------- 1

2

3

4

f) I was made to do things I didn’t
want to do by other students---------- 1

2

3

4

Grade 4 Student Questionnaire

Reading outside of school
13
How much time do you spend reading outside of school
on a normal school day?

Fill in one oval only.

Less than 30 minutes -- 1

30 minutes up to 1 hour -- 2

From 1 hour up to 2 hours -- 3

2 hours or more -- 4

14
How often do you do these things outside of school?

Fill in one oval for each line.
Every day
or almost
every day

Once or
twice a
week

Once or
twice a
month

Never or
almost
never

a) I read for fun ----------------------------- 1

2

3

4

b) I read things that I
choose myself ----------------------------- 1

2

3

4

c) I read to fi nd out about things I
want to learn ----------------------------- 1

2

3

4

Grade 4 Student Questionnaire

12
1

15
How often do you read these things outside of school
(in print or online)?

Fill in one oval for each line.
Every day
or almost
every day

13
2

Once or
twice a
week

Once or
twice a
month

Never or
almost
never

a) I read stories or novels ---------------- 1

2

3

4

b) I read books that explain things
(e.g., you might read about
your favorite athlete, about animals
you like, or a place you visited) ------ 1

2

3

4

c) I read magazines ------------------------ 1

2

3

4

d) I read comic books ---------------------- 1

2

3

4

Grade
Grade44Student
StudentQuestionnaire
Questionnaire

Using the library
16
How often do you borrow books from your school or
local library?

Fill in one oval only.

At least once a week -- 1

Once or twice a month -- 2

A few times a year -- 3

Never or almost never -- 4

Grade 4 Student Questionnaire

14
3

Lessons about reading
17
Think about the reading you do for school. How much
do you agree with these statements about your reading
lessons?

Fill in one oval for each line.
Agree
a lot

15
4

Agree
a little

Disagree
a little

Disagree
a lot

a) I like what I read about
in school ------------------------------------ 1

2

3

4

b) My teacher gives me interesting
things to read ----------------------------- 1

2

3

4

c) I know what my teacher
expects me to do ------------------------- 1

2

3

4

d) I think of things not related to
the lesson ---------------------------------- 1

2

3

4

e) My teacher is easy to understand -- 1

2

3

4

f) I am interested in what my
teacher says ------------------------------- 1

2

3

4

g) My teacher gives me interesting
things to do -------------------------------- 1

2

3

4

Grade
Grade44Student
StudentQuestionnaire
Questionnaire

18
In school, how often do these things happen?

Fill in one oval for each line.
Every day
or almost
every day

Once or
twice a
week

Once or
twice a
month

Never or
almost
never

a) I read silently on my own ------------- 1

2

3

4

b) I read books that I choose myself -- 1

2

3

4

Grade 4 Student Questionnaire

16
5

What you think about reading
19
What do you think about reading? Tell how much you
agree with each of these statements.

Fill in one oval for each line.
Agree
a lot

17
6

Agree
a little

Disagree
a little

Disagree
a lot

a) I read only if I have to ----------------- 1

2

3

4

b) I like talking about what I read
with other people ------------------------ 1

2

3

4

c) I would be happy if someone gave
me a book as a present ---------------- 1

2

3

4

d) I think reading is boring -------------- 1

2

3

4

e) I would like to have more
time for reading -------------------------- 1

2

3

4

f) I enjoy reading --------------------------- 1

2

3

4

Grade
Grade44Student
StudentQuestionnaire
Questionnaire

20
How well do you read? Tell how much you agree with
each of these statements.

Fill in one oval for each line.
Agree
a lot

Agree
a little

Disagree
a little

Disagree
a lot

a) I usually do well in reading ---------- 1

2

3

4

b) Reading is easy for me ----------------- 1

2

3

4

c) Reading is harder for me than
for many of my classmates ----------- 1

2

3

4

d) If a book is interesting, I don’t
care how hard it is to read ------------ 1

2

3

4

e) I have trouble reading
stories with diffi cult words ----------- 1

2

3

4

f) My teacher tells me I am
a good reader ----------------------------- 1

2

3

4

g) Reading is harder for me than
any other subject ------------------------ 1

2

3

4

Grade 4 Student Questionnaire

18
7

Reasons for reading
21
Do you read for any of the following reasons? Tell how
much you agree with each of these statements.

Fill in one oval for each line.
Agree
a lot

19
8

Agree
a little

Disagree
a little

Disagree
a lot

a) I like to read things that
make me think --------------------------- 1

2

3

4

b) It is important to be a
good reader -------------------------------- 1

2

3

4

c) My parents like it when I read ------ 1

2

3

4

d) I learn a lot from reading ------------- 1

2

3

4

e) I need to read well for my future --- 1

2

3

4

f) I like it when a book helps
me imagine other worlds -------------- 1

2

3

4

Grade
Grade44Student
StudentQuestionnaire
Questionnaire

Thank You!
Thank you for filling out the questionnaire!

timssandpirls.bc.edu

PIRLS 2011
Student
Questionnaire
Grade 4

© IEA, 2011
International Association
for the Evaluation of
Educational Achievement