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pdfAPPENDIX C: PISA INSTRUMENTS
1
PISA 2012 Student and School Questionnaires
The student and school questionnaires to be used in the PISA field test in 2011 will largely replicate
the questionnaires administered in 2003, the last time that mathematics was the major domain
assessed. The PISA 2012 student and school questionnaires are expected to be very much like the
2003 versions because mathematics was also the major domain in PISA 2003 and thus the content
questions focus on mathematics, as they will in PISA 2012. The 2003 questionnaires are included in
this appendix. The PISA Questionnaire Expert Group has identified items in the 2003 instruments
to retain and items to eliminate.
The following items have been proposed for deletion from the questionnaires.
Student questionnaire
Education career
Attitudes towards school
Strategies (memorization)
20, 21, 22, 37, 38, 39, 40, 42
24
32c, 32f, 32g, 32i, and 32m
Learning preferences (cooperative vs.
competitive)
Information communication technology
School questionnaire
35
Percent second-language learners
Grades covered
Teacher behaviors
Teacher participation
Student behaviors
17
5
28a, 28f, 28i, and 28k
38c, e, m
28b, 28d, 28g, 28h, 28j, 28l
44-50 (all of section H)
One purpose of the field trial is to try out alternative items formats to improve the quality and crossnational comparability of the data so items used in 2003 may be presented in different formats (e.g.,
variations of existing Likert response scales) or 2003 constructs may be measured using new item
formats (e.g., forced choice, situational judgment, vignettes) in order to find an optimal way of
gathering the information. At the time of this submission (May 2010) the proposed items are not
available from the international consortium. They will be submitted to OMB for review at a later
date, once they become available.
PISA 2012 may also include new measures to extend the measurement of constructs included in the
2003 instruments. Additional measures, as proposed by the Questionnaire Expert Group, to be developed and
included in the field trial questionnaires are shown below. At the time of this submission (May
2010) the proposed items are not yet available from the international consortium.
2
Construct (addressed in 2003
instrument)
Strategies and metacognition (student
questionnaire)
Beliefs about mathematics (student
questionnaire)
Motivation and intention (student
questionnaire)
Self-related beliefs and planned behavior
(student questionnaire)
Learning environment and opportunity-tolearn (OTL) (student questionnaire)
School and system level support for
teaching and learning of
mathematical literacy (school questionnaire)
Proposed measure to extend existing construct
•
•
•
•
•
•
•
•
•
Metacognitive knowledge with regard to
problem-solving
Epistemological beliefs about mathematics
Long-term intentions or “future orientations”
regarding mathematics
Attitudes, subjective norms, and perceived
behavioral control
Content coverage
Instructional quality: challenge and cognitive
activation
Mathematics course offerings
Qualification of mathematics teaching staff
Collaboration among mathematics teaching staff
3
United States of America
English
PISA 2003
SCHOOL QUESTIONNAIRE
OMB LABEL
Project Consortium:
Australian Council for Educational Research (ACER)
Netherlands National Institute for Educational Measurement (CITO group)
Educational Testing Service (ETS, USA)
National Institute for Educational Policy Research (NIER, Japan)
Westat (USA)
1
Page
4
This questionnaire asks for information about:
•
The characteristics of the school;
•
The student body;
•
Teachers in the school;
•
Some of the pedagogical practices of the school, sometimes with particular
regard to mathematics;
•
The school’s resources;
•
Some of the administrative structures within the school.
This information may, for example, help to establish the impact of resource
distribution on student achievements — both within and between countries. It may
also help to establish the impact of different teaching strategies and practices on
student achievement.
The questionnaire should be completed by the principal or designate.
It should take about 30 minutes to complete.
If you do not know an answer precisely, your best estimate will be adequate for the
purposes of the study.
Your answers will be kept confidential. They will be combined with
answers from other principals to calculate totals and averages in which
no one school can be identified.
Page 2
5
Q1
Which of the following best describes the community in
which your school is located?
(Please check only one box.)
Q2
A village, hamlet or rural area (fewer than 3,000 people) ......................
1
A small town (3,000 to about 15,000 people) ........................................
2
A town (15,000 to about 100,000 people) ..............................................
3
A city (100,000 to about 1,000,000 people) ...........................................
4
A large city with over 1,000,000 people .................................................
5
As of March 1, 2003, what was the total school
enrollment (number of students)?
(Please write a number in each row. Write 0 (zero) if there are
none.)
a) Number of boys: _____________________
b) Number of girls: ______________________
Page 3
6
Q3
Is your school a public or a private school?
(Please check only one box.)
A public school .......................................................................................
A private school ......................................................................................
Q4
1
2
About what percentage of your total funding for a typical
school year comes from the following sources?
(Please write a number in each row. Write 0 (zero) if no funding
comes from that source.)
%
a) Government (includes departments, local, regional, state
and national) .......................................................................... ___________
b) Student fees or school charges paid by parents (e.g. fees
paid for books, locker fees, field trips, etc.) .......................... ___________
c) Benefactors, donations, bequests, sponsorships, parent
fund raising ............................................................................ ___________
d) Other ...................................................................................... ___________
Total
100%
Page 4
7
Q5
Are the following grade levels found in your school?
(Please check one box on each row.)
Yes
No
a) Kindergarten ..............
1
2
b) Grade 1.......................
1
2
c) Grade 2.......................
1
2
d) Grade 3.......................
1
2
e) Grade 4.......................
1
2
f) Grade 5.......................
1
2
g) Grade 6.......................
1
2
h) Grade 7.......................
1
2
i) Grade 8.......................
1
2
j) Grade 9.......................
1
2
k) Grade 10.....................
1
2
l) Grade 11.....................
1
2
m) Grade 12.....................
1
2
n) Grade 13.....................
1
2
o) Ungraded school ........
1
2
Page 5
8
Q6
About what percentage of students in your school
repeated a grade, at the middle/junior high school level
(grades 7-9) and the high school level (grades 10-12), last
academic year?
(Please write a number in each row. Write 0 (zero) if nobody
repeated a grade. Check the not applicable box if the grade level
does not appear in your school.)
%
Not applicable
The approximate percentage of students
repeating a grade at the middle or junior high
school level (grades 7-9) in this school last year
was: ........................................................................ ________
The approximate percentage of students
repeating a grade at the high school level (grades
10-12) in this school last year was: ........................ ________
Q7
997
997
As of March 1, 2003, what percentage of students at this
school were eligible for free or reduced price school
lunches through the National School Lunch Program?
(Please write a number in each row. Write 0 (zero) if there are
none.)
Percentage of students : ________________
Q8
How many instructional days are in the school year?
Number of instructional days : ________________________________
Page 6
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Q9
On the average, how many hours in total are there in the
school day? (include lunch breaks, study hall time, and after
school activities)
Number of total hours in a school days : _________________________
Q10
On the average, how many hours for instruction are there in
the school day? (exclude lunch breaks and after school
activities)
Number of total hours in a school day : __________________________
Page 7
10
Q11
Is your school’s capacity to provide instruction hindered
by a shortage or inadequacy of any of the following?
(Please check one box in each row.)
Not at
all
Very
little
1
2
3
4
b) Availability of qualified science teachers ....
1
2
3
4
c) Availability of qualified English teachers ...
1
2
3
4
Availability of qualified foreign language
teachers ........................................................
1
2
3
4
e) Availability of experienced teachers ...........
1
2
3
4
f) Availability of substitute/replacement
teachers ........................................................
1
2
3
4
g) Availability of instructional support
personnel (including technical or lab
support) ........................................................
1
2
3
4
h) Instructional materials (e.g. textbooks) .......
1
2
3
4
i) Budget for supplies (e.g. paper, pencils) .....
1
2
3
4
j) School buildings and grounds ......................
1
2
3
4
k) Heating/cooling and lighting systems ..........
1
2
3
4
l) Instructional space (e.g. classrooms) ...........
1
2
3
4
m) Special equipment for disabled students ......
1
2
3
4
n) Computers for instruction ............................
1
2
3
4
o) Computer software for instruction ...............
1
2
3
4
a) Availability of qualified mathematics
teachers ........................................................
d)
To some
extent
A lot
Page 8
11
Not at
all
Very
little
p) Calculators for instruction ...........................
1
2
3
4
q) Library materials ..........................................
1
2
3
4
r) Audio-visual resources ................................
1
2
3
4
1
2
3
4
s) Science laboratory equipment and
materials .......................................................
Q12
To some
extent
A lot
In your school, about how many computers are:
(Please write a number in each row. Write 0 (zero) if there are none.)
Number
a) in the school altogether? ............................................................. _________
b) available to 15-year-old students? .............................................. _________
c) available only to teachers? .......................................................... _________
d) available only to administrative staff? ........................................ _________
e) connected to the Internet/World Wide Web? ............................. _________
f) connected to a local area network (LAN)? ................................. _________
Page 9
12
Q13
How much consideration is given to the following factors
when students are admitted to your school?
(Please check one box in each row.)
Prerequisite
High
priority
Considered
Not
considered
a) Residence in a particular area ...
1
2
3
4
b) Student’s academic record
(including placement tests) .......
1
2
3
4
1
2
3
4
d) Parents’ endorsement of the
instructional or religious
philosophy of the school ...........
1
2
3
4
e) Student need or desire for a
special program .........................
1
2
3
4
f) Attendance of other family
members at the school
(past or present) ........................
1
2
3
4
c) Recommendation of feeder
schools ......................................
Page 10
13
Q14 Think about the students in your school. How much do you
agree with the following statements?
(Please check one box in each row.)
Strongly
agree
Agree
Disagree
Strongly
disagree
a) Students enjoy being in school. .....................
1
2
3
4
b) Students work with enthusiasm. ....................
1
2
3
4
1
2
3
4
1
2
3
4
1
2
3
4
1
2
3
4
1
2
3
4
c) Students take pride in this school. ..................
d) Students value academic achievement. ..........
e) Students are cooperative and respectful. ........
f) Students value the education they
can receive in this school. ..............................
g) Students do their best to learn
as much as possible. .......................................
Q15
Generally, in your school, how often are 15-year-old
students assessed using:
(Please check only one box in each row.)
Never
1–2
times a
year
3–5
times a
year
Monthly
More
than
once a
month
a) Standardized tests? ...........................
1
2
3
4
5
b) Teacher-developed tests? .................
1
2
3
4
5
c) Teachers’ evaluations of students? ..
1
2
3
4
5
d) Student portfolios? ...........................
1
2
3
4
5
1
2
3
4
5
e) Student assignments/
projects/homework? .........................
Page 11
14
Q16
In your school, are assessments of 15-year-old students
used for any of the following purposes?
(Please check only one box in each row.)
Yes
Q17
No
a) To inform parents about their child’s progress. ..........................
1
2
b) To make decisions about students’ retention or promotion. .......
1
2
c) To group students for instructional purposes. .............................
1
2
d) To compare the school to national, state or district
performance. ...............................................................................
1
2
e) To monitor the school’s progress from year to year. ..................
1
2
f) To make judgements about teachers’ effectiveness. ...................
1
2
g) To identify aspects of instruction or the curriculum
that could be improved. ..............................................................
1
2
h) To compare the school with other schools. ................................
1
2
About how many 15-year-old students in your school
have a first language that is not English?
(Please check only one box.)
a) 40% or more ................................................
1
b) 20% or more but less than 40% ...................
2
c) 10% or more but less than 20% ...................
3
d) Less than 10% ..............................................
4
Page 12
15
Q18
Schools with students whose first language is not English
sometimes offer specific language options to these students.
Does your school offer any of the following options to
15-year-old students whose first language is not
English?
(Please check one box in each row.)
No, not for
any
languages
Yes for one
language
Yes for 2 or
more
languages
Not
applicable
a) Instruction in their
native language is
offered as a separate
subject specifically
for these students
(e.g. Spanish
language/literature for
native Spanish
speakers). ....................
1
2
3
4
b) Instruction in their
native language is
offered as a separate
subject for students
who wish to learn the
language (e.g.
Spanish
language/literature for
students who want to
learn or improve
Spanish). .....................
1
2
3
4
c) Instruction in other
parts of the
curriculum is offered
in their language (e.g.
mathematics course
taught in Spanish). ......
1
2
3
4
Page 13
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Q19
Schools sometimes organize instruction differently for
students with different abilities and interests in mathematics.
Which of the following options describe what your
school does for 15-year-old students in mathematics?
(Please check one box in each row.)
For all
classes
Q20
For some
classes
For no
classes
a) Mathematics classes study similar content,
but at different levels of difficulty. ..............
1
2
3
b) Different classes study different content or
sets of mathematics topics that have
different levels of difficulty. ........................
1
2
3
c) Students are grouped by ability within
their mathematics classes. ............................
1
2
3
d) Students are not grouped by ability in
mathematics. .................................................
1
2
3
In your school, do any of the following activities to
promote engagement with mathematics occur?
(Please check one box in each row)
Yes
No
a) Enrichment mathematics .............................
1
2
b) Remedial mathematics .................................
1
2
c) Mathematics competitions ...........................
1
2
d) Mathematics clubs .......................................
1
2
1
2
e) Computer clubs (specifically related to
mathematics) ................................................
Page 14
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Q21
How many of the following are on the staff of your
school?
Include both full-time and part-time teachers. A full-time teacher is employed at least
90% of the time as a teacher for the full school year. All other teachers should be
considered part-time.
(Please write a number in each space provided. Write 0 (zero) if
there is none.)
Full
time
Part
Time
a) Teachers in TOTAL ............................................................. ____
____
b) Teachers with a regular or standard state certificate or
advanced professional certificate.......................................... ____
____
c) Teachers with a probationary certificate (the initial
certificate issued after satisfying all requirements except
the completion of a probationary period.) ........................... ____
____
d) Teachers with provisional or other type of certification
given to persons who are still participating in what the
state calls an “alternative certification program.”................. ____
____
e) Teachers with a temporary certificate (requires some
additional college coursework and/or student teaching
before regular certification can be obtained.). ...................... ____
____
f) Teachers with an emergency certificate or waiver (issued
to persons with insufficient teacher preparation who must
complete a regular certification program in order to
continue teaching.) ............................................................... ____
____
Page 15
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Q22
How many of the following are on the MATHEMATICS
staff of your school?
Include both full-time and part-time teachers. A full-time teacher is employed at least
90% of the time as a teacher for the full school year. All other teachers should be
considered part-time.
Please count only those teachers who have taught or will teach mathematics during
the current school year.
(Please write a number in each space provided. Write 0 (zero) if
there are none.)
Full
time
Q23
Part
Time
a) Teachers of mathematics in TOTAL ................................... ____
____
b) Teachers of mathematics with a bachelor's or master's
degree with a major in mathematics, mathematics
education, statistics, physics, or engineering ....................... ____
____
c) Teachers of mathematics with a bachelor's or master's
degree but not a major in mathematics, mathematics
education, statistics, physics, or engineering........................ ____
____
d) Teachers of mathematics with a bachelor's or master's
degree in education .............................................................. ____
____
e) Teachers of mathematics with an associate’s degree but
not a bachelor’s or master’s degree ..................................... ____
____
During the last year, have any of the following been used
to monitor the practice of mathematics teachers at your
school?
(Please check one box in each row.)
Yes
a) Tests or assessments of student
achievement .................................................
b) Teacher peer review (of lesson plans,
assessment instruments, lessons) .................
c) Principal or senior staff observations of
lessons ..........................................................
d) Observation of classes by inspectors or
other persons external to the school .............
No
1
2
1
2
1
2
1
2
Page 16
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Q24
How much do you agree with these statements about
innovation in your school?
(Please check one box in each row.)
Strongly
agree
Q25
Agree
Strongly
Disagree disagree
a) Mathematics teachers are interested in
trying new methods and teaching
practices. ......................................................
1
2
3
4
b) There is a preference among mathematics
teachers to stay with well-known methods
and practices. ...............................................
1
2
3
4
c) There are frequent disagreements between
‘innovative’ and ‘traditional’ mathematics
teachers. .......................................................
1
2
3
4
How much do you agree with these statements about
teachers’ expectations in your school?
(Please check one box in each row.)
Strongly
agree
Agree
Strongly
Disagree disagree
a) There is consensus among mathematics
teachers that academic achievement must
be kept as high as possible. ..........................
1
2
3
4
b) There is consensus among mathematics
teachers that it is best to adapt academic
standards to the students’ level and needs. ..
1
2
3
4
c) There are frequent disagreements between
mathematics teachers who consider each
other to be ‘too demanding’ or ‘too lax’. .....
1
2
3
4
Page 17
20
Q26
How much do you agree with these statements about
teaching goals in your school?
(Please check one box in each row.)
Strongly
agree
Agree
Strongly
Disagree disagree
a) There is consensus among mathematics
teachers that the social and emotional
development of the student is as important
as their acquisition of mathematical skills
and knowledge in mathematics classes. .......
1
2
3
4
b) There is consensus among mathematics
teachers that the development of
mathematical skills and knowledge in
students is the most important objective in
mathematics classes. ....................................
1
2
3
4
c) There are frequent disagreements between
mathematics teachers who consider each
other as ‘too focused on skill acquisition’
or ‘too focused on the affective
development’ of the student. ........................
1
2
3
4
Q27 Think about the teachers in your school. How much do you
agree with the following statements?
(Please check one box in each row.)
Strongly
agree
Agree
Disagree
Strongly
disagree
a) The morale of teachers in this school is
high. ...............................................................
1
2
3
4
b) Teachers work with enthusiasm. ....................
1
2
3
4
1
2
3
4
1
2
3
4
c) Teachers take pride in this school. .................
d) Teachers value academic achievement. .........
Page 18
21
Q28 In your school, to what extent is the learning of students
hindered by:
(Please check one box in each row.)
Not at
all
Very
little
a) teachers’ low expectations of students? ..............................
1
2
3
4
b) student absenteeism? ...........................................................
1
2
3
4
c) poor student-teacher relations? ...........................................
d) disruption of classes by students? .......................................
e) teachers not meeting individual students’ needs? ...............
To some
extent
A
lot
1
2
3
4
1
2
3
4
1
2
3
4
f) teacher absenteeism? ...........................................................
1
2
3
4
g) students skipping classes? ...................................................
1
2
3
4
h) students lacking respect for teachers? .................................
1
2
3
4
i) staff resisting change? .........................................................
1
2
3
4
j) student use of alcohol or illegal drugs? ...............................
1
2
3
4
k) teachers being too strict with students? ..............................
1
2
3
4
l) students intimidating or bullying other students? ...............
1
2
3
4
1
2
3
4
m) students not being encouraged to achieve their full
potential? .............................................................................
Page 19
22
Q29 In your school, who has the main responsibility for:
(Please check as many boxes as appropriate in each row.)
Not a main Appointed or
responsibility
elected
of the school school board
a) hiring teachers? ...........
b) firing teachers? ...........
Principal
Department
Head
Teacher(s)
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
1
c) establishing teachers’
starting salaries? .........
d) determining teachers’
salary increases? .........
e) formulating the
school budget? ............
f) deciding on budget
allocations within
the school? ..................
g) establishing student
disciplinary policies? ..
h) establishing student
assessment policies? ...
i) approving students
for admittance
to the school? ..............
j) choosing which
textbooks are used? ....
k) determining course
content? ......................
l) deciding which
courses are offered? ....
Page 20
23
Q30
In your school, which of the following bodies exert a direct
influence on decision making about staffing, budgeting,
instructional content and assessment practices?
(Please check as many boxes as apply.)
Area of influence:
Staffing
Budgeting
Instructional
content
Assessment
practices
a) Local, state or national
education authorities (e.g.
Department of Education).......
1
1
1
1
b) Appointed or elected school
board. ......................................
1
1
1
1
c) Employers ..............................
1
1
1
1
d) Parent groups .........................
1
1
1
1
e) Teacher groups
(e.g. Staff Association,
curriculum committees,
union) .....................................
1
1
1
1
f) Student groups
(e.g. Student Association,
youth organization) ................
1
1
1
1
g) External examination
boards .....................................
1
1
1
1
Thank you for completing this questionnaire.
Page 21
24
OECD Program for
International Student Assessment 2003
PISA 2003
STUDENT QUESTIONNAIRE
STOP
PLEASE DO NOT TURN THE PAGE
UNTIL INSTRUCTED TO DO SO.
Booklet 1
Page 51
25
In this booklet you will find questions about:
•
You and your family (Sections A and B).
•
Your education (Section C).
•
Your school (Section D).
•
Learning mathematics (Section E).
•
Your mathematics classes (Section F).
•
Your experience at school (Section G).
•
Information communication technology (Section H).
Please read each question carefully and answer as accurately as you
can. In the test you usually circled your answers. For this
questionnaire, you will normally answer by checking a box. For a
few questions you will need to write a short answer.
If you make a mistake when checking a box, cross out your error
and mark the correct box. If you make an error when writing an
answer, simply cross it out and write the correct answer next to it.
In this questionnaire, there are no ‘right’ or ‘wrong’ answers.
Your answers should be the ones that are ‘right’ for you.
You may ask for help if you do not understand something or are not
sure how to answer a question.
Your answers will be combined with others to make totals and
averages in which no individual can be identified. All your
answers will be kept confidential.
Student Questionnaire
Page 52
26
SECTION A: ABOUT YOU
Q1
What grade are you in?
________
grade
Q2
On what date were you born?
(Please write the day, month and year you were born.)
_________ _____
Month
Q3a
Day
Year
Are you female or male?
Female
1
Q3b
198 ___
Male
2
Which best describes you?
(Please check one box only.)
a) I am Hispanic or Latino..................................
1
b) I am not Hispanic or Latino ...........................
2
Student Questionnaire
Page 53
27
Q3c
Which of these categories best indicate your race?
(Check all that apply.)
a) White .............................................................
1
b) Black or African American............................
1
c) Asian ..............................................................
1
d) American Indian or Alaska Native ................
e) Native Hawaiian or other Pacific Islander.....
Student Questionnaire
1
1
Page 54
28
SECTION B: YOU AND YOUR FAMILY
In this section you will be asked some questions about your family and
your home.
Some of the following questions are about your mother and father or
those person(s) who are like a mother or father to you — for example,
guardians, step-parents, foster parents, etc.
If you share your time with more than one set of parents or guardians,
please answer the following questions for those parents/guardians you
spend the most time with.
Q4
Who usually lives at home with you?
(Please check as many boxes as apply.)
a) Mother ........................................................................
b) Other female guardian (e.g., stepmother or foster
mother) .......................................................................
c) Father ..........................................................................
d) Other male guardian (e.g., stepfather or foster
father) .........................................................................
e) Others (e.g. brother, sister, cousin, grandparents) ......
Student Questionnaire
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1
1
1
1
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Q5
What is your mother currently doing?
(Please check only one box.)
Q6
a) Working full-time for pay ............................
1
b) Working part-time for pay ............................
2
c) Not working, but looking for a job ...............
3
d) Other (e.g. home duties, retired) ...................
4
What is your father currently doing?
(Please check only one box.)
a) Working full-time for pay ............................
1
b) Working part-time for pay ............................
2
c) Not working, but looking for a job ...............
3
d) Other (e.g. home duties, retired) ...................
4
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30
Q7
What is your mother’s main job? (e.g., school teacher,
nurse, sales manager)
(If she is not working now, please tell us her last main job.)
Please write in the job title. _________________________________
Q8
What does your mother do in her main job? (e.g.,
teaches high school students, cares for patients,
manages a sales team)
Please use a sentence to describe the kind of work she does or did in
that job.
________________________________________________________
Q9
What is your father’s main job? (e.g., school teacher,
carpenter, sales manager)
(If he is not working now, please tell us his last main job.)
Please write in the job title. _________________________________
Q10
What does your father do in his main job? (e.g., teaches
high school students, builds houses, manages a sales
team)
Please use a sentence to describe the kind of work he does or did in
that job.
________________________________________________________
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Q11
Which of the following did your mother complete at
school?
(Please check as many boxes as apply.)
Q12
a) High school diploma......................................
1
b) High school equivalency or GED .................
1
c) Middle or junior high school ........................
1
d) Elementary school .......................................
1
e) None of the above .........................................
1
Does your mother have any of the following
qualifications?
(Please check as many boxes as apply.)
Yes
a) Bachelor’s, master’s, doctorate or
professional degree such as law or
medicine .......................................................
b) Associate’s degree ........................................
c) Vocational or technical certificate/diploma
after high school ...........................................
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1
1
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Q13
Which of the following did your father complete at
school?
(Please check as many boxes as apply.)
Q14
a) High school diploma .....................................
1
b) High school equivalency or GED .................
1
c) Middle or junior high school ........................
1
d) Elementary school
1
e) None of the above .........................................
1
Does your father have any of the following
qualifications?
(Please check as many boxes as apply.)
Yes
a) Bachelor’s, master’s, doctorate or
professional degree such as law or
medicine ........................................................
b) Associate’s degree .........................................
c) Vocational or technical certificate/diploma
after high school ............................................
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1
1
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Q15a In what country were you and your parents born?
(Please check one answer per column.)
You
Mother
Father
United States* .........................
01
01
01
Other country ..........................
02
02
02
Q15b If you were NOT born in the United States*, how old were
you when you arrived in the United States*?
(If you were less than 12 months old, please write zero (0).)
_________ Years
*NOTE: ‘United States’ includes the 50 states and U.S. military bases abroad.
Q16
What language do you speak at home most of the time?
(Please check only one box.)
English...........................................................
01
Spanish .........................................................
02
Other language .............................................
03
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Q17
Which of the following do you have in your home?
(Please check as many boxes as apply.)
Yes
a) A desk to study at .........................................
1
b) A room of your own .....................................
1
c) A quiet place to study ...................................
1
d) A computer you can use for school work .....
1
e) Educational software ....................................
1
f) A link to the Internet .....................................
1
g) Your own calculator .....................................
1
h) Classic literature (e.g., Shakespeare, Jane
Austen, Mark Twain) ...................................
1
i) Books of poetry ............................................
1
j) Works of art (e.g., paintings) ........................
1
k) Books to help with your school work ...........
1
l) A dictionary ..................................................
1
m) A dishwasher ................................................
1
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Q18
How many of these do you have at your home?
(Please check only one box in each row.)
None
a)
Cellular phone .......................................
b)
Television ..............................................
c)
Computer ...............................................
d)
Car .........................................................
e)
Bathroom ...............................................
Q19
Three
or more
One
Two
1
2
3
4
1
2
3
4
1
2
3
4
1
2
3
4
1
2
3
4
How many books are there in your home?
There are usually about 40 books per yard of shelving. Do not
include magazines, newspapers, or your schoolbooks.
(Please check only one box.)
0-10 books .............................................
1
11-25 books ...........................................
2
26-100 books .........................................
3
101-200 books .......................................
4
201-500 books .......................................
5
More than 500 books .............................
6
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SECTION C: YOUR EDUCATION
Q20
Did you attend kindergarten?
Q21
No ....................................................
1
Yes, for one year or less ..................
2
Yes, for more than one year ............
3
How old were you when you started elementary school?
Years
Q22
Have you ever repeated a grade?
(Please check only one box on each row.)
No, never
a) In elementary school .........
b)
In middle or junior high
school.................................
c) In high school ...................
Yes, once
Yes, twice or
more
1
2
3
1
2
3
1
2
3
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Q23
Which of the following do you expect to complete?
(Please check as many as apply.)
a) Middle or junior high school ........................
1
b) High school....................................................
1
c) Vocational or technical certificate after
high school (such as cosmetology or auto
mechanics) ....................................................
Q24
1
d) Associate’s degree .........................................
1
e) Bachelor’s degree or higher...........................
1
Thinking about what you have learned in school: To what
extent do you agree with the following statements?
(Please check only one box on each row.)
Strongly
agree
Agree
Strongly
Disagree disagree
a) School has done little to prepare me for
adult life when I leave school. .....................
1
2
3
4
b) School has been a waste of time. .................
1
2
3
4
c) School has helped give me confidence to
make decisions. ............................................
1
2
3
4
d) School has taught me things which could
be useful in a job. .........................................
1
2
3
4
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SECTION D: YOUR SCHOOL
Q25
Thinking about the teachers at your school: To what extent
do you agree with the following statements?
(Please check only one box in each row.)
Strongly
agree
a) Students get along well with most
teachers. ........................................................
Strongly
Disagree disagree
1
2
3
4
1
2
3
4
c) Most of my teachers really listen to what I
have to say. ...................................................
1
2
3
4
d) If I need extra help, I will receive it from
my teachers. ..................................................
1
2
3
4
e) Most of my teachers treat me fairly. .............
1
2
3
4
b) Most teachers are interested in students’
well-being. ....................................................
Q26
Agree
In the last two full weeks you were in school, how many
times did you arrive late for school?
(Please check only one box)
None .............................................................
1
One or two times ..........................................
2
Three or four times .......................................
3
Five or more times ........................................
4
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The following question asks about the time you spend studying and doing
different kinds of homework outside of your regular classes. This should
include all of your studying and homework.
Q27
On average, how many hours do you spend each week
on the following?
When answering include time on the weekend too.
a) Homework or other study assigned by your
_____ hours per week
teachers ........................................................................
b) Remedial classes at school ......................................... _____ hours per week
c) Enrichment classes at school ...................................... _____ hours per week
d) Working with a tutor ................................................. _____ hours per week
e) Attending out-of-school classes ................................. _____ hours per week
f) Other study ................................................................. _____ hours per week
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SECTION E: LEARNING MATHEMATICS
Q28
Thinking about your views on mathematics: To what extent
do you agree with the following statements?
(Please check only one box in each row.)
Strongly
agree
Agree
Strongly
Disagree disagree
a) I enjoy reading about mathematics. .............
1
2
3
4
b) Making an effort in mathematics is worth
it because it will help me in the work that
I want to do later on. ....................................
1
2
3
4
c) I look forward to my mathematics lessons.
......................................................................
1
2
3
4
d) I do mathematics because I enjoy it. ............
1
2
3
4
e) Learning mathematics is worthwhile for
me because it will improve my career
prospects. .....................................................
1
2
3
4
f) I am interested in the things I learn in
mathematics. ................................................
1
2
3
4
g) Mathematics is an important subject for
me because I need it for what I want to
study later on. ..............................................
1
2
3
4
h) I will learn many things in mathematics
that will help me get a job. ..........................
1
2
3
4
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Q29
How confident do you feel about having to do the following
mathematics tasks?
(Please check only one box in each row.)
Very
Not very Not at all
confident Confident confident confident
a) Using a train timetable to work out how
long it would take to get from one place
to another. ...................................................
1
2
3
4
b) Calculating how much cheaper a TV
would be after a 30% discount. ..................
1
2
3
4
c) Calculating how many square feet of tile
you need to cover a floor. ...........................
1
2
3
4
d) Understanding graphs presented in
newspapers. .................................................
1
2
3
4
e) Solving an equation like
3x+5= 17. ....................................................
1
2
3
4
f) Finding the actual distance between two
places on a map with a 1:100 scale. ............
1
2
3
4
g) Solving an equation like
2(x+3)=(x + 3)(x - 3). .................................
1
2
3
4
h) Calculating the gas mileage of a car. ..........
1
2
3
4
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Q30
Thinking about studying mathematics: To what extent do
you agree with the following statements?
(Please check only one box in each row.)
Strongly
agree
Agree
Strongly
Disagree disagree
a) I often worry that it will be difficult for
me in mathematics classes. ..........................
1
2
3
4
b) I am just not good at mathematics. ..............
1
2
3
4
c) I get very tense when I have to do
mathematics homework. ..............................
1
2
3
4
d) I get good grades in mathematics. ...............
1
2
3
4
e) I get very nervous doing mathematics
problems. .....................................................
1
2
3
4
f) I learn mathematics quickly. ........................
1
2
3
4
g) I have always believed that mathematics
is one of my best subjects. ...........................
1
2
3
4
h) I feel helpless when doing a mathematics
problem. .......................................................
1
2
3
4
i) In my mathematics class, I understand
even the most difficult work. .......................
1
2
3
4
j) I worry that I will get poor grades in
mathematics. ................................................
1
2
3
4
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The following question asks about the time you spend studying and doing
mathematics homework outside of your regular Mathematics classes.
Q31
On average, how much time do you spend each week on
the following?
When answering include time at the weekend too.
a) Homework or other study assigned by your
mathematics teacher ................................................... _____ hours per week
b) Remedial classes in mathematics at school ................ _____ hours per week
c) Enrichment classes in mathematics at school ............. _____ hours per week
d) Working with a mathematics tutor ............................. _____ hours per week
e) Attending out-of-school mathematics classes ............ _____ hours per week
f) Other mathematics activities (e.g. mathematics
competitions, mathematics club) ................................ _____ hours per week
Student Questionnaire
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Q32
There are different ways of studying mathematics. To what
extent do you agree with the following statements?
(Please check only one box in each row.)
Strongly
agree
Agree
Strongly
Disagree disagree
a) When I study for a mathematics test, I try
to figure out the most important parts to
learn. ............................................................
1
2
3
4
b) When I am solving mathematics
problems, I often think of new ways to get
the answer. ...................................................
1
2
3
4
c) When I study mathematics, I make myself
check to see if I remember the work I
have already done. .......................................
1
2
3
4
d) When I study mathematics, I try to figure
out which concepts I still have not
understood properly. ....................................
1
2
3
4
e) I think about how the mathematics I have
learned can be used in everyday life. ...........
1
2
3
4
f) I go over some problems in mathematics
so often that I feel as if I could solve them
in my sleep. ..................................................
1
2
3
4
g) When I study for mathematics, I learn as
much as I can by heart. ................................
1
2
3
4
h) I try to understand new concepts in
mathematics by relating them to things I
already know. ...............................................
1
2
3
4
i) In order to remember the method for
solving a mathematics problem, I go
through examples again and again. ..............
1
2
3
4
j) When I cannot understand something in
mathematics, I always search for more
information to clarify the problem. ..............
1
2
3
4
k) When I am solving a mathematics
problem, I often think about how the
solution might be applied to other
interesting questions. ...................................
1
2
3
4
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Strongly
agree
Agree
Strongly
Disagree disagree
l) When I study mathematics, I start by
figuring out exactly what I need to learn. ....
1
2
3
4
m) To learn mathematics, I try to remember
every step in a procedure. ............................
1
2
3
4
n) When learning mathematics, I try to relate
the work to things I have learned in other
subjects. .......................................................
1
2
3
4
Student Questionnaire
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SECTION F:
YOUR MATHEMATICS CLASSES
The following question is about your mathematics classes: The class
period is the length of time each lesson runs for on a normal day. Some
classes may run for ‘double periods’, but the class period refers to the
basic unit of time used to break up your day at school.
Q33a How many minutes, on average, are there in a class
period?
Minutes in a class period:
_________
minutes
Q33b In the last full week you were in school, how many class
periods did you spend in mathematics?
Number of mathematics class periods:
_________
class periods
Q33c In the last full week you were in school, how many class
periods did you have in total?
Number of ALL class periods (including
your mathematics classes):
Q34
_________
class periods
On average, about how many students are in your
mathematics class?
________ students
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Q35
Thinking about your mathematics classes: To what extent
do you agree with the following statements?
(Please check only one box in each row.)
Strongly
agree
Agree
Strongly
Disagree disagree
a) I would like to be the best in my class in
mathematics. ................................................
1
2
3
4
b) In mathematics I enjoy working with
other students in groups. ..............................
1
2
3
4
c) I try very hard in mathematics because I
want to do better on the exams than the
others. ..........................................................
1
2
3
4
d) When we work on a project in
mathematics, I think that it is a good idea
to combine the ideas of all the students in
a group. ........................................................
1
2
3
4
e) I make a real effort in mathematics
because I want to be one of the best. ...........
1
2
3
4
f) I do my best work in mathematics when I
work with other students. .............................
1
2
3
4
g) In mathematics I always try to do better
than the other students in my class. .............
1
2
3
4
h) In mathematics, I enjoy helping others to
work well in a group. ...................................
1
2
3
4
i) In mathematics I learn most when I work
with other students in my class. ...................
1
2
3
4
j) I do my best work in mathematics when I
try to do better than others. ..........................
1
2
3
4
Student Questionnaire
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Q36
How often do these things happen in your mathematics
classes?
(Please check only one box in each row.)
Every
lesson
Most
Some
lessons lessons
Never
or
hardly
ever
a) The teacher shows an interest in every
student’s learning. .........................................
1
2
3
4
b) Students don’t listen to what the teacher
says. ..............................................................
1
2
3
4
1
2
3
4
d) Students work from books and other
printed material. ............................................
1
2
3
4
e) The teacher helps students with their
learning. ........................................................
1
2
3
4
f) There is noise and disorder. ..........................
1
2
3
4
g) The teacher continues teaching until the
students understand. .....................................
1
2
3
4
h) The teacher has to wait a long time for
students to quiet down. .................................
1
2
3
4
i) Students cannot work well. ...........................
1
2
3
4
j) The teacher gives students an opportunity
to express opinions. ......................................
1
2
3
4
k) Students don’t start working for a long
time after the class begins. ............................
1
2
3
4
c) The teacher gives extra help when students
need it. . .........................................................
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SECTION G: YOUR EXPERIENCE AT SCHOOL
Q37
Did you ever miss two or more consecutive months of
elementary school?
(Please check only one box.)
Q38
No, never ..........................
1
Yes, once ..........................
2
Yes, twice or more ............
3
Did you ever miss two or more consecutive months of
middle or junior high school?
(Please check only one box.)
Q39
No, never ..........................
1
Yes, once ..........................
2
Yes, twice or more ............
3
Did you change schools when you were attending
elementary school?
(Please check only one box.)
No, I attended all of elementary school at the same
school. ..................................................................................
1
Yes, I changed schools once. ...............................................
2
Yes, I changed schools twice or more. ................................
3
Student Questionnaire
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50
Q40
Did you change schools when you were attending middle
or junior high school?
(Please check only one box.)
No, I attended all of middle/junior high school at the
same school. ........................................................................
Q41
1
Yes, I changed schools once. ...............................................
2
Yes, I changed schools twice or more. ................................
3
What type of mathematics class are you taking?
(Please check only one box.)
Pre-algebra or general
mathematics ......................
Q42
1
Algebra I ............................
2
Geometry............................
3
Algebra II ...........................
4
Precalculus or calculus.......
5
Other .................................
6
In your last school report, how did your grade in
mathematics compare with the passing grade?
(Please check only one box.)
At or above the passing grade ......................
1
Below the passing grade ...............................
2
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51
Q43
What kind of job do you expect to have when you are
about 30 years old?
Write the job title. ____________________________________
Student Questionnaire
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52
SECTION H: INFORMATION COMMUNICATION TECHNOLOGY
The following questions ask about computers: This does not include
calculators or game consoles like a Sony PlayStation™.
Q44
Is there a computer available for you to use at any of
these places?
(Please check one box on each row.)
Yes
Q45
No
a) At home ........................................................
1
2
b) At school .......................................................
1
2
c) At other places ..............................................
1
2
Have you ever used a computer?
Yes
No
1
2
If you use a computer in any setting, please continue.
If you do not, PLEASE STOP HERE.
Q46
How long have you been using computers?
(Please check only one box.)
Less than one year. .................
1
One to three years. ..................
2
Three to five years. .................
3
More than five years. ..............
4
Student Questionnaire
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53
Q47
How often do you use a computer at these places?
(Please check one box on each row.)
Almost
every
day
A few
times
each
week
Between
once a
week
and once
a month
Less
than
once a
month
Never
a) At home .........................................
1
2
3
4
5
b) At school ........................................
1
2
3
4
5
c) At other places ...............................
1
2
3
4
5
Student Questionnaire
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54
Q48
How often do you use:
(Please check one box on each row.)
Almost
every
day
A few
times
each
week
Between
once a
week
and once
a month
Less
than
once a
month
Never
a) the Internet to look up
information about people, things,
or ideas? .........................................
1
2
3
4
5
b) games on a computer? ...................
1
2
3
4
5
c) Word processing (e.g. Word ® or
WordPerfect®)? ............................
1
2
3
4
5
d) the Internet to collaborate with a
group or team? ...............................
1
2
3
4
5
e) spreadsheets (e.g. Lotus 1 2 3 ®
or Microsoft Excel®)? ...................
1
2
3
4
5
f) the Internet to download software
(including games)? ........................
1
2
3
4
5
g) drawing, painting or graphics
programs on a computer? ..............
1
2
3
4
5
h) educational software such as
Mathematics programs? .................
1
2
3
4
5
i) the computer to help you learn
school material? .............................
1
2
3
4
5
j) the Internet to download music? ....
1
2
3
4
5
k) the computer for programming? ....
1
2
3
4
5
l) a computer for electronic
communication (e.g. e-mail or
“chat rooms”)? ...............................
1
2
3
4
5
Student Questionnaire
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Q49
How well can you do each of these tasks on a computer?
(Please check one box on each row.)
I can do
this very
well by
myself.
I know
I can do what this
I don’t
this with means but
know
help from I cannot what this
someone.
do it.
means.
a) Start a computer game. ..........................
1
2
3
4
b) Use software to find and get rid of
computer viruses. ...................................
1
2
3
4
c) Open a file. ............................................
1
2
3
4
d) Create/edit a document. .........................
1
2
3
4
1
2
3
4
1
2
3
4
g) Copy a file from a floppy disk. ..............
1
2
3
4
h) Save a computer document or file. ........
1
2
3
4
i) Print a computer document or file. ........
1
2
3
4
j) Delete a computer document or file. .....
1
2
3
4
1
2
3
4
1
2
3
4
1
2
3
4
1
2
3
4
1
2
3
4
1
2
3
4
1
2
3
4
e) Scroll a document up and down a
screen. ....................................................
f) Use a database to produce a list of
addresses. ...............................................
k) Move files from one place to another
on a computer. .......................................
l) Get on to the Internet. ............................
m) Copy or download files from the
Internet. ..................................................
n) Attach a file to an e-mail message. ........
o) Create a computer program (e.g. in
Logo, Pascal, Basic). .............................
p) Use a spreadsheet to plot a graph. .........
q) Create a presentation (e.g. using
PowerPoint). ..........................................
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56
I can do
this very
well by
myself.
I know
I can do what this
I don’t
this with means but
know
help from I cannot what this
someone.
do it.
means.
r) Play computer games. ............................
1
2
3
4
s) Download music from the Internet. .......
1
2
3
4
1
2
3
4
u) Draw pictures using a mouse. ................
1
2
3
4
v) Write and send e-mails. .........................
1
2
3
4
w) Construct a web page. ............................
1
2
3
4
t) Create a multi-media presentation
(with sound, pictures, video). ...............
Q50
Thinking about your experience with computers: To what
extent do you agree with the following statements?
(Please check one box on each row.)
Strongly
agree
a) It is very important to me to work with a
computer. ......................................................
Agree
Strongly
Disagree disagree
1
2
3
4
b) I think playing or working with a
computer is really fun. ..................................
1
2
3
4
c) I use a computer because I am very
interested in computers. ................................
1
2
3
4
d) I lose track of time when I am working
with the computer. ........................................
1
2
3
4
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57
Q51
Who taught you most about how to use COMPUTERS?
(Please check only one box.)
Q52
My school. ....................................................
1
My friends. ...................................................
2
My family. ....................................................
3
I taught myself. .............................................
4
Others. ..........................................................
5
Who taught you most about how to use the INTERNET?
(Please check only one box.)
I don’t know how to use the Internet. ...........
1
My school. ....................................................
2
My friends. ...................................................
3
My family. ....................................................
4
I taught myself. .............................................
5
Others. ..........................................................
6
Thank you for completing this questionnaire.
Student Questionnaire
Page 84
| File Type | application/pdf |
| Author | Information Technology Group |
| File Modified | 2010-05-06 |
| File Created | 2010-05-06 |