TIMSS Student Questionnaire - Grade 4

Do Not Turn Page Until Instructed To Do So.

TIMSS 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 -- a

1998 -- 1

February -- b

1999 -- 2

March -- c

2000 -- 3

April -- d

2001 -- 4

May -- e

2002 -- 5

June -- f

2003 -- 6

July -- g

2004 -- 7

August -- h

Other -- 8

September -- i

October -- j

November -- k

December -- l

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

Mathematics in school
13
How much do you agree with these statements about
learning mathematics?

Fill in one oval for each line.
Agree
a lot

Agree
a little

Disagree
a little

Disagree
a lot

a) I enjoy learning mathematics ------- 1

2

3

4

b) I wish I did not have to study
mathematics ------------------------------ 1

2

3

4

c) Mathematics is boring ----------------- 1

2

3

4

d) I learn many interesting
things in mathematics ----------------- 1

2

3

4

e) I like mathematics ---------------------- 1

2

3

4

f) It is important to do well
in mathematics -------------------------- 1

2

3

4

Grade 4 Student Questionnaire

12
1

14
How much do you agree with these statements about
your mathematics lessons?

Fill in one oval for each line.
Agree
a lot

13
2

Agree
a little

Disagree
a little

Disagree
a lot

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

2

3

4

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

2

3

4

c) My teacher is easy to understand -- 1

2

3

4

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

2

3

4

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

2

3

4

Grade 4 Student Questionnaire

15
How much do you agree with these statements about
mathematics?

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 mathematics --- 1

2

3

4

b) Mathematics is harder for me
than for many of my classmates ---- 1

2

3

4

c) I am just not good at mathematics - 1

2

3

4

d) I learn things quickly
in mathematics -------------------------- 1

2

3

4

e) I am good at working out diffi cult
mathematics problems ---------------- 1

2

3

4

f) My teacher tells me I am good
at mathematics -------------------------- 1

2

3

4

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

2

3

4

Grade 4 Student Questionnaire

14
3

Science in school
16
How much do you agree with these statements about
learning science?

Fill in one oval for each line.
Agree
a lot

15
4

Agree
a little

Disagree
a little

Disagree
a lot

a) I enjoy learning science --------------- 1

2

3

4

b) I wish I did not have to
study science ------------------------------ 1

2

3

4

c) I read about science in my
spare time --------------------------------- 1

2

3

4

d) Science is boring ------------------------- 1

2

3

4

e) I learn many interesting
things in science ------------------------- 1

2

3

4

f) I like science ------------------------------ 1

2

3

4

g) It is important to do well
in science ---------------------------------- 1

2

3

4

Grade 4 Student Questionnaire

17
How much do you agree with these statements about
your science lessons?

Fill in one oval for each line.
Agree
a lot

Agree
a little

Disagree
a little

Disagree
a lot

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

2

3

4

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

2

3

4

c) My teacher is easy to understand -- 1

2

3

4

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

2

3

4

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

2

3

4

Grade 4 Student Questionnaire

16
5

18
How much do you agree with these statements about
science?

Fill in one oval for each line.
Agree
a lot

17
6

Agree
a little

Disagree
a little

Disagree
a lot

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

2

3

4

b) Science is harder for me
than for many of my classmates ---- 1

2

3

4

c) I am just not good at science --------- 1

2

3

4

d) I learn things quickly
in science ---------------------------------- 1

2

3

4

e) My teacher tells me I am good
at science ---------------------------------- 1

2

3

4

f) Science is harder for me
than any other subject ----------------- 1

2

3

4

Grade
Grade 44 Student
Student Questionnaire
Questionnaire

Thank You!
Thank you for filling out the questionnaire!

timssandpirls.bc.edu

TIMSS 2011
Student
Questionnaire
Grade 4

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