National Assessment of Education Progress (NAEP) Main 2015 Wave 2

National Assessment of Education Progress (NAEP) 2014-2016 System Clearance

NAEP Main 2015 Wave 2 Student Surveys Gr4,8,12

National Assessment of Education Progress (NAEP) Main 2015 Wave 2

OMB: 1850-0790

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NATIONAL ASSESSMENT OF
EDUCATIONAL PROGRESS
Wave 2 Submittal for 2015
VOLUME II
SURVEY QUESTIONS
Part 1a
Student Grade 4

Part 1a contains Student Grade 4:
Core Questions
Science Questions
KaSA Core Questions (adapted for Puerto Rico)
NIES Questions

The amount of time estimated to complete these forms:
Core - 5 minutes
Subject-specific – 10 minutes
NIES – 15 minutes

Part 1a - Page 1 of 26

STUDENT QUESTIONNAIRES
OMB Information on Student Questionnaire Cover Page
Paperwork Burden Statement
According to the Paperwork Reduction Act of 1995, no persons are required to
respond to a collection of information unless it displays a valid OMB control
number. The valid OMB control number for this voluntary information collection
is 1850–0790. The time required to complete this information collection is
estimated to average xx1 minutes, 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, suggestions for improving this collection, or any comments or
concerns regarding the status of your individual submission of this form, please
write to: National Assessment of Educational Progress, National Center for
Education Statistics, 1990 K Street, NW, Washington, DC 20006.
A project of the National Center for Education Statistics (NCES), Institute of
Education Sciences, U.S. Department of Education.
The information you provide will be used for statistical purposes only. In
accordance with the Confidential Information Protection provisions of Title V,
Subtitle A, Public Law 107-347 and other applicable Federal laws, your responses
will be kept confidential and will not be disclosed in identifiable form to anyone
other than employees or agents. By law, every NCES employee as well as every
agent, such as contractors and NAEP coordinators, has taken an oath and is
subject to a jail term of up to 5 years, a fine of up to $250,000, or both if he or she
willfully discloses ANY identifiable information about you.
OMB No. 1850-0790 APPROVAL EXPIRES 03/31/2016

1

Note: 75 minutes is total for assessment (cognitive and survey), for Wave 2 paper & pencil administrations (Science);
90 minutes for TBA, Science HOTS and ICT administrations; and 95 minutes for the Mathematics KaSA, Puerto Rico version.
Applicable survey question time is listed on part covers.

Part 1a - Page 2 of 26

Student Grade 4 Core

Student Grade 4 Core Questions
The amount of time estimated to complete this form is 5 minutes.

Part 1a - Page 3 of 26

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SECTION

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Section

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In this section, please tell us about yourself and your family. Please answer questions about
your home based on where you live most of the time during the school year. The section has
11 questions. Mark your answers in your booklet. Fill in only one oval for each question
except where instructed otherwise.
VB331330

1. Are you Hispanic or Latino? Fill in one
or more ovals.

VB331331

2. Which of the following best describes
you? Fill in one or more ovals.

A No, I am not Hispanic or Latino.

A White

B Yes, I am Mexican, Mexican

B Black or African American

American, or Chicano.

C Yes, I am Puerto Rican or Puerto
Rican American.

D Yes, I am Cuban or Cuban
American.

C Asian
D American Indian or Alaska Native
E Native Hawaiian or other Pacific
Islander

E Yes, I am from some other

Hispanic or Latino background.

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Part 1a - Page 4 of 26

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VB331335

3. About how many books are there in
your home?

A Few (0–10)
B Enough to fill one shelf (11–25)
C Enough to fill one bookcase (26–100)
D Enough to fill several bookcases
(more than 100)

TB001101
TB001101

6. About how many pages a day do you
6. About how many pages a day do you
have to read in school and for
have to read in school and for
homework?
homework?

|

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4

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A 5 or fewer
5 or fewer

B 6–10
6–10

C 11–15
11–15

D 16–20
16–20

E More than 20
VB331336

4. Is there a computer at home that
you use?

More than 20

VB331339
VB331339

7. How often do you talk about things you
7. How often do you talk about things you
have studied in school with someone in
have studied in school with someone in
your family?
your family?

A Yes
B No

A Never or hardly ever
Never or hardly ever

VF098664

5. Do you have the following in your
home? Fill in ovals for all that apply.

B Once every few weeks
Once every few weeks

C About once a week
About once a week

A Access to the Internet

D Two or three times a week

B Clothes dryer just for your family

E Every day

Two or three times a week
Every day

C Dishwasher
D More than one bathroom
E Your own bedroom

VB331447
VB331447

8. How many days were you absent from
8. How many days were you absent from
school in the last month?
school in the last month?

A None
None

B 1 or 2 days
1 or 2 days

C 3 or 4 days
3 or 4 days

D 5 to 10 days
5 to 10 days

E More than 10 days
More than 10 days

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Part 1a - Page 5 of 26

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2
1

VB331451
VB331451

P
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2
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9. How often do people in your home talk
9. How often do people in your home talk
to each other in a language other than
to each other in a language other than
English?
English?

VE102537

11. Write the ZIP code of your home address
in the boxes.

A
A Never
Never
B
in a while
B Once
Once in a while
C
half of the time
C About
About half of the time
D
or most of the time
D All
All or most of the time
VF095730
VF095730

10. Do the following people live in your
10. Do the following people live in your
home? Fill in ovals for all that apply.
home? Fill in ovals for all that apply.

A Mother
A
Mother
B Stepmother
B
Stepmother
C Foster mother or other female legal
C
Foster mother or other female legal
guardian
guardian

D Father
D
Father
E Stepfather
E
Stepfather
F Foster father or other male legal
F
Foster father or other male legal
guardian
guardian

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Part 1a - Page 6 of 26

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Student Grade 4 Science

Student Grade 4 Science Questions
The amount of time estimated to complete this form is 10 minutes.

Part 1a - Page 7 of 26

SECTION

4

Section

4

This section has 32 questions. Mark your answers in your booklet. Fill in only one oval
for each question.
VC315287

VH157868

1. In this school year, how often have you
done activities or projects in science?

3. In this school year, have you done
activities or projects to learn about
electricity (for example, circuits,
batteries, and light bulbs)?

A Never or hardly ever
B Once every few weeks

A Yes

C About once a week

B No

D Two or three times a week
VH157871

E Every day or almost every day

4. In this school year, have you done
activities or projects to learn about
chemicals (for example, mixing sugar
or salt in water)?

VH157864

2. In this school year, have you done
activities or projects to learn about
living things (for example, plants,
animals, bacteria)?

A Yes
B No

A Yes
B No

L1SB1

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Part 1a - Page 8 of 26

Section

4
VH157875

VC315239

5. In this school year, have you done
activities or projects to learn about
rocks or minerals (for example, looking
at different rocks)?

8. In this school year, how often have you
read a book or magazine about science?

A Never or hardly ever

A Yes

B Once every few weeks

B No

C About once a week
D Two or three times a week
VH157879

6. In this school year, how often have
you done science activities using
scientific tools (for example, telescopes,
microscopes, thermometers, or
weighing scales)?

E Every day or almost every day
VC519400

9. In this school year, how often have you
read about science on the computer?

A Never or hardly ever
A Never or hardly ever
B Once every few weeks
B Once every few weeks
C About once a week
C About once a week
D Two or three times a week
D Two or three times a week
E Every day or almost every day
E Every day or almost every day
VC315232

7. In this school year, how often have you
read a science textbook?

VC315248

10. In this school year, how often have you
watched a movie, video, or DVD about
science?

A Never or hardly ever
B Once every few weeks

A Never or hardly ever

C About once a week

B Once every few weeks

D Two or three times a week

C About once a week

E Every day or almost every day

D Two or three times a week
E Every day or almost every day

L1SB1

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Part 1a - Page 9 of 26

4

Section

VC315249

VC315256

11. In this school year, how often have you
discussed news stories about science?

14. In this school year, how often have you
taken a science test or quiz?

A Never or hardly ever

A Never or hardly ever

B Once every few weeks

B Once every few weeks

C About once a week

C About once a week

D Two or three times a week

D Two or three times a week

E Every day or almost every day

E Every day or almost every day

VC315270

VC315288

12. In this school year, how often have
you worked with other students on a
science activity or project?

15. In this school year, how often have
you talked about measurements or
results from your science activities or
projects?

A Never or hardly ever
A Never or hardly ever
B Once every few weeks
B Once every few weeks
C About once a week
C About once a week
D Two or three times a week
D Two or three times a week
E Every day or almost every day
E Every day or almost every day
VC315259

13. In this school year, how often have
you presented what you learned about
science to your class?

VF633162

16. In this school year, how often have you
been asked to write about your science
activities or projects (such as reports,
science journals, or lab write-ups)?

A Never or hardly ever
B Once every few weeks

A Never or hardly ever

C About once a week

B Once every few weeks

D Two or three times a week

C About once a week

E Every day or almost every day

D Two or three times a week
E Every day or almost every day

L1SB1

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Part 1a - Page 10 of 26

Section

4
VH142438

VC546463

17. In this school year, how often have
you been asked to write long answers
(several sentences or paragraphs) to
questions on tests or assignments for
science?

20. In this school year, how often have you
used computers for science?

A Never or hardly ever
B Once every few weeks

A Never or hardly ever
C About once a week
B Once every few weeks
D Two or three times a week
C About once a week
E Every day or almost every day
D Two or three times a week
E Every day or almost every day

VC315410

21. How often do you do science activities
that are not for schoolwork?
VC546453

18. In this school year, how often have you
talked with your teacher about how
you are doing in science?

A Never or hardly ever
B Sometimes

A Never or hardly ever

C Often

B Once every few weeks

D Always or almost always

C About once a week
VC315291

22. How often do you feel you can
understand what the teacher talks
about in science class?

D Two or three times a week
E Every day or almost every day

A Never or hardly ever
VH157884

19. In this school year, how often have
you used your school library or media
center resources for science (such as
books, magazines, computers, and
audio-video materials)?

B Sometimes
C Often
D Always or almost always

A Never or hardly ever
B Once every few weeks
C About once a week
D Two or three times a week
E Every day or almost every day

L1SB1

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Part 1a - Page 11 of 26

Section

VC315292

4
VF640468

23. How often do you feel you can do a
good job on your science tests?

27. In this school year, have you
participated in a science club, a science
fair, or a science competition?

A Never or hardly ever
A Yes
B Sometimes
B No
C Often
D Always or almost always

VF633304

28. In this school year, have you visited
a museum, zoo, or aquarium to learn
about science on a school trip?

VC315294

24. How often do you feel you can do a
good job on your science assignments?

A Yes

A Never or hardly ever

B No

B Sometimes
VF633276

29. In this school year, have you visited
a museum, zoo, or aquarium to learn
about science that was not on a school
trip?

C Often
D Always or almost always

A Yes

VC315299

25. How much do you like studying
science?

B No

A Very little
VB595182

30. How hard was this test compared to
most other tests you have taken this
year in school?

B Some
C Quite a bit

A Easier than other tests

D Very much

B About as hard as other tests
VC315302

26. How often do you feel science is one of
your favorite subjects?

C Harder than other tests
D Much harder than other tests

A Never or hardly ever
B Sometimes
C Often
D Always or almost always

L1SB1

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Part 1a - Page 12 of 26

Section

4
VC034559

31. How hard did you try on this test
compared to how hard you tried on
most other tests you have taken this
year in school?

A Not as hard as on other tests
B About as hard as on other tests
C Harder than on other tests
D Much harder than on other tests
VB595184

32. How important was it to you to do
well on this test?

A Not very important
B Somewhat important
C Important
D Very important

L1SB1

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Part 1a - Page 13 of 26

Student Grade 4 KaSA Core
(adapted for Puerto Rico)

Student Grade 4 KaSA Core Questions
The amount of time estimated to complete this form is 5 minutes.

Part 1a - Page 14 of 26

Grade 4 Student Core
for Puerto Rico Translation

In this section, please tell us about yourself and your family. Please answer questions about
your home based on where you live most of the time during the school year. The section has
11 questions. Mark your answers in your booklet. Fill in only one oval for each question
except where instructed otherwise.

VB331330

1. Are you Hispanic or Latino? Fill in one or more ovals.
A No, I am not Hispanic or Latino.
B Yes, I am Mexican, Mexican American, or Chicano.
C Yes, I am Puerto Rican or Puerto Rican American.
D Yes, I am Cuban or Cuban American.
E Yes, I am from some other Hispanic or Latino background.

VB331331

2. Which of the following best describes you? Fill in one or more ovals.
A White
B Black or African American
C Asian
D American Indian or Alaska Native
E Native Hawaiian or other Pacific Islander

VB331335

3. About how many books are there in your home?
A Few (0–10)
B Enough to fill one shelf (11–25)
C Enough to fill one bookcase (26–100)
D Enough to fill several bookcases (more than 100)

J1D1-S

1

Part 1a - Page 15 of 26

VB331336

4. Is there a computer at home that you use?
A Yes
B No

VF098664

5. Do you have the following in your home? Fill in ovals for all that apply.
A Access to the Internet
B Clothes dryer just for your family
C Dishwasher
D More than one bathroom
E Your own bedroom

TB001101

6. About how many pages a day do you have to read in school and for homework?
A 5 or fewer
B 6–10
C 11–15
D 16–20
E More than 20

VB331339

7. How often do you talk about things you have studied in school with someone in
your family?
A Never or hardly ever
B Once every few weeks
C About once a week
D Two or three times a week
E Every day

J1D1-S

2

Part 1a - Page 16 of 26

VB331447

8. How many days were you absent from school in the last month?
A None
B 1 or 2 days
C 3 or 4 days
D 5 to 10 days
E More than 10 days

VC037530

9. How often do people in your home talk to each other in a language other than
Spanish?
A Never
B Once in a while
C About half of the time
D All or most of the time

VF095730

10. Do the following people live in your home? Fill in ovals for all that apply.
A Mother
B Stepmother
C Foster mother or other female legal guardian
D Father
E Stepfather
F Foster father or other male legal guardian

J1D1-S

3

Part 1a - Page 17 of 26

VE102537

11. Write the ZIP code of your home address in the boxes.

J1D1-S

4

Part 1a - Page 18 of 26

Student Grade 4 NIES

Student Grade 4 NIES Questions
The amount of time estimated to complete this form is 15 minutes.

Part 1a - Page 19 of 26

SECTION

1

1

Section

National Indian Education Study
Grade 4 Student Questionnaire
Some of the questions are about your American Indian or Alaska Native background.
When you answer these questions, think about the American Indian tribe or Alaska Native
group to which you and your family belong. You may call your tribe or group a nation, a
village, a band, or a community.
If you are connected to more than one American Indian tribe or Alaska Native group,
answer for the one you know best.

VC759180

1. How much do you know about your
American Indian tribe or Alaska Native
group? For example, you may know
about the history, traditions, or arts
and crafts of your tribe or group.

A Nothing
B A little
C Some
D A lot
VH039733

2. Who taught you most of what you know about American Indian or Alaska Native
history?

A No one has taught me about American Indian or Alaska Native history.
B Family members
C Friends
D Teachers
E Tribal representatives or elders
F Some else (please specify):

L1AIB

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Part 1a - Page 20 of 26

Section

1
VH039760

3. Who taught you most of what you know about American Indian or Alaska Native
traditions (ways of life, customs)?

A No one has taught me about American Indian or Alaska Native traditions.
B Family members
C Friends
D Teachers
E Tribal representatives or elders
F Some else (please specify):
VH040030

4. Who taught you most of what you know about American Indian or Alaska Native arts
and crafts?

A No one has taught me about American Indian or Alaska Native arts and crafts.
B Family members
C Friends
D Teachers
E Tribal representatives or elders
F Some else (please specify):
VC759183

VC759193

5. How often do you go to American
Indian or Alaska Native ceremonies
and gatherings?

6. How often do members of your family
talk to each other in your American
Indian or Alaska Native language?

A Never

A Never or hardly ever

B Every few years

B Once or twice a month

C At least once a year

C Once or twice a week

D Several times a year

D Every day or almost every day

L1AIB

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Part 1a - Page 21 of 26

1

Section

VC759195

VH040050

7. How often do people in your school
talk to each other in your American
Indian or Alaska Native language?

9. How do you rate yourself in speaking
an American Indian or Alaska Native
language?

A Never or hardly ever

A I cannot speak an American Indian
or Alaska Native language.

B Once or twice a month
B I can speak a few words or phrases.
C Once or twice a week
C I can speak well.
D Every day or almost every day
VH040067

10. How do you rate yourself in reading
an American Indian or Alaska Native
language?

VH153907

8. How often do you attend classes in
school that are taught in an American
Indian or Alaska Native language?

A I cannot read in an American
A My school does not offer classes

Indian or Alaska Native language.

that are taught in an American
Indian or Alaska Native language.

B I can read a few words or phrases.

B Never or hardly ever

C I can read well.

C Once or twice a month
D Once or twice a week
E Every day or almost every day
VH040082

11. Who taught you most of what you know about an American Indian or Alaska Native
language?

A No one has taught me about an American Indian or Alaska Native language.
B Family members
C Friends
D Teachers
E Tribal representatives or elders
F Some else (please specify):

L1AIB

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Part 1a - Page 22 of 26

Section

1
VH158483

VH153945

15. In school, do you have access to a
library, media center, or resource
center with books, videos, or other
materials (including Internet resources)
about American Indian or Alaska
Native people?

12. During 4th grade, have you attended
school field trips to museums,
traditional villages, or other places to
learn about American Indian or Alaska
Native people?

A Yes
A Yes
B No
B No
VH153935

13. During 4th grade, have you used books,
videos, or other materials (including
Internet resources) about American
Indian or Alaska Native people in
school?

VH040212

16. When my teacher talks about
American Indian or Alaska Native
history or culture, I try to read more
about it.

A Yes, once or twice

A This is not like me.

B Yes, three or more times

B This is a little like me.

C No

C This is a lot like me.
VH153940

VC759280

14. During 4th grade, have you used books,
videos, or other materials (including
Internet resources) about American
Indian or Alaska Native people outside
of school?

17. I enjoy reading about American Indian
or Alaska Native people.

A This is not like me.
B This is a little like me.

A Yes, once or twice
C This is a lot like me.
B Yes, three or more times
C No

VC759283

18. I enjoy reading about people who have
different traditions and cultures (ways
of life, customs) than I have.

A This is not like me.
B This is a little like me.
C This is a lot like me.

L1AIB

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Part 1a - Page 23 of 26

1

Section

VH040240

VH040391

19. I put a lot of effort into my schoolwork.

23. If I put in enough effort, I will succeed
in school.

A This is not like me.
A Strongly disagree
B This is a little like me.
B Disagree
C This is a lot like me.
C Agree
D Strongly agree

VH040276

20. I want to be one of the best students in
my class.
VH040394

24. Trying hard in school will help me live
a good life when I grow up.

A This is not like me.
B This is a little like me.

A Strongly disagree
C This is a lot like me.
B Disagree
C Agree

VH040379

21. I enjoy being challenged in my classes.

D Strongly agree
A This is not like me.
B This is a little like me.

VC759288

25. How often does a parent or someone
else from your family help you with
your schoolwork? For example, they
might help you to study for a test, help
you with a school project, or go over
your homework with you.

C This is a lot like me.
VH040382

22. I feel that I belong at school.

A This is not like me.

A Never or hardly ever

B This is a little like me.

B Once or twice a month

C This is a lot like me.

C Once or twice a week
D Every day or almost every day

L1AIB

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Part 1a - Page 24 of 26

Section

1
VC759289

VH040389

26. How often does a teacher or another
adult from your school help you with
your schoolwork? For example, they
might help you to study for a test, help
you with a school project, or go over
your homework with you.

28. How often do you help other
students from your school with their
schoolwork? For example, you might
help other students to study for a test,
help them with a school project, or go
over their homework with them.

A Never or hardly ever

A Never or hardly ever

B Once or twice a month

B Once or twice a month

C Once or twice a week

C Once or twice a week

D Every day or almost every day

D Every day or almost every day

VC759290

VC759293

27. How often does another student
from your school help you with your
schoolwork? For example, they might
help you to study for a test, help you
with a school project, or go over your
homework with you.

29. How much do you like school?

A Not at all
B A little
C Somewhat

A Never or hardly ever
D Very much
B Once or twice a month
C Once or twice a week

VC759294

30. Do you know the name of the
American Indian tribe or Alaska Native
group you belong to or are enrolled in?

D Every day or almost every day

A Yes
B No
C I’m not sure.
VC759295

31. If you know the name of the American Indian tribe or Alaska Native group that you
belong to or are enrolled in, or if you think you know it, please print it on the line below.
Do not worry about spelling. If you belong to more than one American Indian tribe or
Alaska Native group, write the names of as many as you know.

L1AIB

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Part 1a - Page 25 of 26

Section

1
VC759297

32. What else would you like to say about yourself, your school, or about American Indian or
Alaska Native people? Use these lines to write your ideas.

THANK YOU FOR YOUR HELP. YOUR IDEAS ARE IMPORTANT.

L1AIB

Page 9

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Part 1a - Page 26 of 26

NATIONAL ASSESSMENT OF
EDUCATIONAL PROGRESS
Wave 2 Submittal for 2015
VOLUME II
SURVEY QUESTIONS
Part 1b
Student Grade 8

Part 1b contains Student Grade 8:
Core Questions
Science Questions
KaSA (Puerto Rico) Core Questions
NIES Questions

The amount of time estimated to complete these forms:
Core - 5 minutes
Subject-specific – 10 minutes
NIES – 15 minutes

Part 1b -Page 1 of 32

STUDENT QUESTIONNAIRES
OMB Information on Student Questionnaire Cover Page
Paperwork Burden Statement
According to the Paperwork Reduction Act of 1995, no persons are required to
respond to a collection of information unless it displays a valid OMB control
number. The valid OMB control number for this voluntary information collection
is 1850–0790. The time required to complete this information collection is
estimated to average xx1 minutes, 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, suggestions for improving this collection, or any comments or
concerns regarding the status of your individual submission of this form, please
write to: National Assessment of Educational Progress, National Center for
Education Statistics, 1990 K Street, NW, Washington, DC 20006.
A project of the National Center for Education Statistics (NCES), Institute of
Education Sciences, U.S. Department of Education.
The information you provide will be used for statistical purposes only. In
accordance with the Confidential Information Protection provisions of Title V,
Subtitle A, Public Law 107-347 and other applicable Federal laws, your responses
will be kept confidential and will not be disclosed in identifiable form to anyone
other than employees or agents. By law, every NCES employee as well as every
agent, such as contractors and NAEP coordinators, has taken an oath and is
subject to a jail term of up to 5 years, a fine of up to $250,000, or both if he or she
willfully discloses ANY identifiable information about you.
OMB No. 1850-0790 APPROVAL EXPIRES 03/31/2016

1

Note: 75 minutes is total for assessment (cognitive and survey), for Wave 2 paper & pencil administrations
(Science); 90 minutes for TBA, Science HOTS and ICT administrations; and 95 minutes for the Mathematics
KaSA, Puerto Rico version. Applicable survey question time is listed on part covers.

Part 1b -Page 2 of 32

Student Grade 8 Core

Student Grade 8 Core Questions
The amount of time estimated to complete this form is 5 minutes.

Part 1b -Page 3 of 32

P
7

SECTION

4
2
1
P
7

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|
|
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4
2
1

3

Section

3

In this section, please tell us about yourself and your family. Please answer questions about
your home based on where you live most of the time during the school year. The section has
13 questions. Mark your answers in your booklet. Fill in only one oval for each question
except where instructed otherwise.
VB331330

1. Are you Hispanic or Latino? Fill in one
or more ovals.

VB331331

2. Which of the following best describes
you? Fill in one or more ovals.

A No, I am not Hispanic or Latino.

A White

B Yes, I am Mexican, Mexican

B Black or African American

American, or Chicano.

C Yes, I am Puerto Rican or Puerto
Rican American.

D Yes, I am Cuban or Cuban
American.

C Asian
D American Indian or Alaska Native
E Native Hawaiian or other Pacific
Islander

E Yes, I am from some other

Hispanic or Latino background.

P
7
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7

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Part 1b -Page 4 of 32

C

2

C

P

Section

3

7
4

|
|
VB331335

3. About how many books are there in
your home?

A Few (0–10)
B Enough to fill one shelf (11–25)
C Enough to fill one bookcase (26–100)
D Enough to fill several bookcases
(more than 100)

1
P

TB001101
TB001101

6. About how many pages a day do you
6. About how many pages a day do you
have to read in school and for
have to read in school and for
homework?
homework?

2

|

7
4
2

|

1

A 5 or fewer
5 or fewer

B 6–10
6–10

C 11–15
11–15

D 16–20
16–20

E More than 20
VB331336

4. Is there a computer at home that
you use?

More than 20

VB331339
VB331339

7. How often do you talk about things you
7. How often do you talk about things you
have studied in school with someone in
have studied in school with someone in
your family?
your family?

A Yes
B No

A Never or hardly ever
Never or hardly ever

VF098664

5. Do you have the following in your
home? Fill in ovals for all that apply.

B Once every few weeks
Once every few weeks

C About once a week
About once a week

A Access to the Internet

D Two or three times a week

B Clothes dryer just for your family

E Every day

Two or three times a week
Every day

C Dishwasher
D More than one bathroom
E Your own bedroom

VB331447
VB331447

8. How many days were you absent from
8. How many days were you absent from
school in the last month?
school in the last month?

A None
None

B 1 or 2 days
1 or 2 days

C 3 or 4 days
3 or 4 days

D 5 to 10 days
5 to 10 days

E More than 10 days
More than 10 days

P
7
4

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2
1
P

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J2D1

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Part 1b -Page 5 of 32

7
4
2

|
|

1

P
7

Section

4
2
1

|
|

P
7

|

VB330870
VB330870

9. How far in school did your mother go?
9. How far in school did your mother go?

4
2

A
did not finish high school.
A She
She did not finish high school.

|

1

B
graduated from high school.
B She
She graduated from high school.
C
had some education after high
C She
She had some education after high
school.
school.

3

VF095730

12. Do the following people live in your
home? Fill in ovals for all that apply.

A Mother
B Stepmother
C Foster mother or other female legal
guardian

D
graduated from college.
D She
She graduated from college.

D Father

E
know.
E II don’t
don’t know.

E Stepfather
VB330871
VB330871

10. How far in school did your father go?
10. How far in school did your father go?

F Foster father or other male legal
guardian

A
did not finish high school.
A He
He did not finish high school.
B
graduated from high school.
B He
He graduated from high school.
C
had some education after high
C He
He had some education after high

VE102537

13. Write the ZIP code of your home address
in the boxes.

school.
school.

D
graduated from college.
D He
He graduated from college.
E
know.
E II don’t
don’t know.
VB331451
VB331451

11. How often do people in your home talk
11. How often do people in your home talk
to each other in a language other than
to each other in a language other than
English?
English?

A
A Never
Never
B
in a while
B Once
Once in a while
C
half of the time
C About
About half of the time
D
or most of the time
D All
All or most of the time

P
7
4
2
1

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2

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J2D1

|

39

1

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Part 1b -Page 6 of 32

C

7

Student Grade 8 Science

Student Grade 8 Science Questions
The amount of time estimated to complete this form is 10 minutes.

Part 1b -Page 7 of 32

SECTION

4

Section

4

This section has 19 questions. Mark your answers in your booklet. Fill in only one oval
for each question except where instructed otherwise.
VC304978

1. In your science class this year, which of the following topics have been covered? Fill in
one oval on each line.
Yes

No

a. Life science (for example, biology, the human
body, or ecology)

A

B

VC304982

b. Physical science (for example, energy, physics, or
chemistry)

A

B

VC304983

c. Earth and space science (for example, geology or
astronomy)

A

B

VC304984

d. Engineering and technology (for example,
designing solutions to problems)

A

B

VC304985

VF633079

2. In your science class this year, how often have you done hands-on activities or projects
with any of the following? Fill in one oval on each line.
Never

Rarely

Sometimes

Often

a. Living things (for example,
plants, animals, bacteria)

A

B

C

D

VF633080

b. Electricity (for example, circuits,
batteries, and light bulbs)

A

B

C

D

VF633083

c. Chemicals (for example, mixing
or dissolving sugar or salt in
water)

A

B

C

D

VF633082

d. Rocks or minerals (for example,
identifying types)

A

B

C

D

VF633087

e. Simple machines (for example,
pulleys and levers)

A

B

C

D

VF633086

f. Magnifying glass or microscope
(for looking at small things)

A

B

C

D

VF633084

g. Thermometer or barometer
(for making measurements)

A

B

C

D

VF633085

L2SB1

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Part 1b -Page 8 of 32

Section

4
VC305292

3. In your science class this year, how often do you do each of the following? Fill in one oval
on each line.

About
once a
week

Two or
three
times a
week

Every
day or
almost
every
day

B

C

D

E

VC546510

A

B

C

D

E

VF633095

c. Use the Internet to learn
about science topics

A

B

C

D

E

VF633097

d. Watch a movie, video, or
DVD about science topics

A

B

C

D

E

VF633099

Never
or hardly
ever

Once
every
few
weeks

a. Read a science textbook,
in class or at home

A

b. Read a book or magazine
about science topics

VC304769

4. In your science class this year, how often do you do each of the following? Fill in one oval
on each line.

About
once a
week

Two or
three
times a
week

Every
day or
almost
every
day

B

C

D

E

VC304771

A

B

C

D

E

VC304772

c. Present what you learned
about science to your class

A

B

C

D

E

VC304778

d. Take a science test or quiz

A

B

C

D

E

VC720564

Never
or hardly
ever

Once
every
few
weeks

a. Discuss events in the
news that are related to
what you are learning in
science class

A

b. Work with other students
on a science project or
activity

L2SB1

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Part 1b -Page 9 of 32

Section

4
VC720622

5. In your science class this year, how often do you do each of the following? Fill in one oval
on each line.

About
once a
week

Two or
three
times a
week

Every
day or
almost
every
day

B

C

D

E

VC720623

A

B

C

D

E

VC720634

c. Talk about measurements
you took for your science
project or activity

A

B

C

D

E

VC720635

d. Talk about the results of
your science project or
activity

A

B

C

D

E

VC720636

e. Watch your teacher do
a science experiment or
activity

A

B

C

D

E

VC720638

f. Make graphs or charts of
the results from your
science project or activity

A

B

C

D

E

VC720639

g. Write about your science
activities or projects
(such as reports, science
journals, or lab write-ups)

A

B

C

D

E

VF633111

Never
or hardly
ever

Once
every
few
weeks

a. Identify questions that
can be addressed through
science experiments

A

b. Design a science
experiment

L2SB1

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Part 1b -Page 10 of 32

Section

4
VH142438

VH157884

6. In this school year, how often have
you been asked to write long answers
(several sentences or paragraphs) to
questions on tests or assignments for
science?

8. In this school year, how often have
you used your school library or media
center resources for science (such as
books, magazines, computers, and
audio-video materials)?

A Never or hardly ever

A Never or hardly ever

B Once every few weeks

B Once every few weeks

C About once a week

C About once a week

D Two or three times a week

D Two or three times a week

E Every day or almost every day

E Every day or almost every day

VC546453

VC546463

7. In this school year, how often have you
talked with your teacher about how
you are doing in science?

9. In this school year, how often have you
used computers for science?

A Never or hardly ever
A Never or hardly ever
B Once every few weeks
B Once every few weeks
C About once a week
C About once a week
D Two or three times a week
D Two or three times a week
E Every day or almost every day
E Every day or almost every day

L2SB1

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Part 1b -Page 11 of 32

Section

VC315291

4
VC315294

10. How often do you feel you can
understand what the teacher talks
about in science class?

12. How often do you feel you can do a
good job on your science assignments?

A Never or hardly ever
A Never or hardly ever
B Sometimes
B Sometimes
C Often
C Often
D Always or almost always
D Always or almost always
VC315292

11. How often do you feel you can do a
good job on your science tests?

A Never or hardly ever
B Sometimes
C Often
D Always or almost always

L2SB1

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Part 1b -Page 12 of 32

Section

4
VC305330

13. Please indicate how much you DISAGREE or AGREE with the following statements
about science. Fill in one oval on each line.
Strongly
disagree

Disagree

Agree

Strongly
agree

a. I do science-related activities that
are not for schoolwork.

A

B

C

D

VC305348

b. I like science.

A

B

C

D

VC305350

c. Science is one of my favorite subjects.

A

B

C

D

VC305351

d. I take science only because I have to.

A

B

C

D

VC305352

e. I need to do well in science to get
the job I want.

A

B

C

D

VH142495

f. I would like a job that involves
using science.

A

B

C

D

VH142499

VF633128

14. In this school year, have you participated in any of the following activities? Fill in one
oval on each line.
Yes

No

a. Science fair

A

B

b. Science club

A

B

c. Science competition

A

B

VF633304

VF633132

VF633134

VF633135

VF633276

15. In this school year, have you visited
a museum, zoo, or aquarium to learn
about science on a school trip?

16. In this school year, have you visited
a museum, zoo, or aquarium to learn
about science that was not on a school
trip?

A Yes
A Yes
B No
B No

L2SB1

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Part 1b -Page 13 of 32

Section

VB595182

4
VB595184

17. How hard was this test compared to
most other tests you have taken this
year in school?

19. How important was it to you to do
well on this test?

A Not very important
A Easier than other tests
B Somewhat important
B About as hard as other tests
C Important
C Harder than other tests
D Very important
D Much harder than other tests
VC034559

18. How hard did you try on this test
compared to how hard you tried on
most other tests you have taken this
year in school?

A Not as hard as on other tests
B About as hard as on other tests
C Harder than on other tests
D Much harder than on other tests

L2SB1

Page 7

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Part 1b -Page 14 of 32

Student Grade 8 KaSA Core
(adapted for Puerto Rico)

Student Grade 8 KaSA Core Questions
The amount of time estimated to complete this form is 5 minutes.

Part 1b -Page 15 of 32

Grade 8 Student Core
for Puerto Rico Translation

In this section, please tell us about yourself and your family. Please answer questions about
your home based on where you live most of the time during the school year. The section has
13 questions. Mark your answers in your booklet. Fill in only one oval for each question
except where instructed otherwise.

VB331330

1. Are you Hispanic or Latino? Fill in one or more ovals.
A No, I am not Hispanic or Latino.
B Yes, I am Mexican, Mexican American, or Chicano.
C Yes, I am Puerto Rican or Puerto Rican American.
D Yes, I am Cuban or Cuban American.
E Yes, I am from some other Hispanic or Latino background.

VB331331

2. Which of the following best describes you? Fill in one or more ovals.
A White
B Black or African American
C Asian
D American Indian or Alaska Native
E Native Hawaiian or other Pacific Islander

VB331335

3. About how many books are there in your home?
A Few (0–10)
B Enough to fill one shelf (11–25)
C Enough to fill one bookcase (26–100)
D Enough to fill several bookcases (more than 100)

Part 1b -Page 16 of 32

VB331336

4. Is there a computer at home that you use?
A Yes
B No

VF098664

5. Do you have the following in your home? Fill in ovals for all that apply.
A Access to the Internet
B Clothes dryer just for your family
C Dishwasher
D More than one bathroom
E Your own bedroom

TB001101

6. About how many pages a day do you have to read in school and for homework?
A 5 or fewer
B 6–10
C 11–15
D 16–20
E More than 20

VB331339

7. How often do you talk about things you have studied in school with someone in
your family?
A Never or hardly ever
B Once every few weeks
C About once a week
D Two or three times a week
E Every day

Part 1b -Page 17 of 32

VB331447

8. How many days were you absent from school in the last month?
A None
B 1 or 2 days
C 3 or 4 days
D 5 to 10 days
E More than 10 days

VB330870

9. How far in school did your mother go?
A She did not finish high school.
B She graduated from high school.
C She had some education after high school.
D She graduated from college.
E I don’t know.

VB330871

10. How far in school did your father go?
A He did not finish high school.
B He graduated from high school.
C He had some education after high school.
D He graduated from college.
E I don’t know.

VC037530

11. How often do people in your home talk to each other in a language other than
Spanish?
A Never
B Once in a while
C About half of the time
D All or most of the time
Part 1b -Page 18 of 32

VF095730

12. Do the following people live in your home? Fill in ovals for all that apply.
A Mother
B Stepmother
C Foster mother or other female legal guardian
D Father
E Stepfather
F Foster father or other male legal guardian

VE102537

13. Write the ZIP code of your home address in the boxes.

Part 1b -Page 19 of 32

Student Grade 8 NIES

Student Grade 8 NIES Questions
The amount of time estimated to complete this form is 15 minutes.

Part 1b -Page 20 of 32

SECTION

1

1

Section

National Indian Education Study
Grade 8 Student Questionnaire
Some of the questions are about your American Indian or Alaska Native background.
When you answer these questions, think about the American Indian tribe or Alaska Native
group to which you and your family belong. You may call your tribe or group a nation, a
village, a band, or a community.
If you are connected to more than one American Indian tribe or Alaska Native group,
answer for the one you know best.
VC996578

1. How much do you know about each of the following? Fill in one oval on each line.
Nothing

A little

Some

A lot

a. Your American Indian or Alaska
Native history

A

B

C

D

VC996581

b. Your American Indian or Alaska
Native traditions and culture (way of
life, customs)

A

B

C

D

VC996582

A

B

C

D

c. Issues today that are important to
American Indian or Alaska Native
people

VC996583

VH039733

2. Who taught you most of what you know about American Indian or Alaska Native
history?

A No one has taught me about American Indian or Alaska Native history.
B Family members
C Friends
D Teachers
E Tribal representatives or elders
F Someone else (please specify):

L2AIB

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Part 1b -Page 21 of 32

Section

1
VH039760

3. Who taught you most of what you know about American Indian or Alaska Native
traditions (ways of life, customs)?

A No one has taught me about American Indian or Alaska Native traditions.
B Family members
C Friends
D Teachers
E Tribal representatives or elders
F Someone else (please specify):
VH039931

4. Who taught you most of what you know about issues today that are important to
American Indian or Alaska Native people?

A No one has taught me about issues today that are important to American Indian or
Alaska Native people.

B Family members
C Friends
D Teachers
E Tribal representatives or elders
F Someone else (please specify):

L2AIB

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Part 1b -Page 22 of 32

1

Section

VC996584

5. How often have you participated in each of the following? Fill in one oval on each line.

Never

Every
few
years

At least
once
a year

Several
times a
year

a. Ceremonies and gatherings for
people from your American Indian
tribe or Alaska Native group

A

B

C

D

VC996586

b. Ceremonies and gatherings that
bring people together from many
different American Indian tribes or
Alaska Native groups

A

B

C

D

VC996587

c. Other American Indian or Alaska
Native activities

A

B

C

D

VC996589

VC759193

6. How often do members of your family talk to each other in your American Indian or
Alaska Native language?

A Never or hardly ever
B Once or twice a month
C Once or twice a week
D Every day or almost every day
VC759195

7. How often do people in your school talk to each other in your American Indian or Alaska
Native language?

A Never or hardly ever
B Once or twice a month
C Once or twice a week
D Every day or almost every day

L2AIB

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Part 1b -Page 23 of 32

Section

1
VH153907

8. How often do you attend classes in school that are taught in an American Indian or
Alaska Native language?

A My school does not offer classes that are taught in an American Indian or Alaska
Native language.

B Never or hardly ever
C Once or twice a month
D Once or twice a week
E Every day or almost every day
VH040050

9. How do you rate yourself in speaking an American Indian or Alaska Native language?

A I cannot speak an American Indian or Alaska Native language.
B I can speak a few words or phrases.
C I can speak well.
VH040067

10. How do you rate yourself in reading an American Indian or Alaska Native language?

A I cannot read in an American Indian or Alaska Native language.
B I can read a few words or phrases.
C I can read well.

L2AIB

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Part 1b -Page 24 of 32

1

Section

VH040082

11. Who taught you most of what you know about an American Indian or Alaska Native
language?

A No one has taught me about an American Indian or Alaska Native language.
B Family members
C Friends
D Teachers
E Tribal representatives or elders
F Someone else (please specify):
VC996590

12. During 8th grade, how often have any of your teachers talked to your class about the
history, traditions, and cultures (ways of life, customs) of American Indian or Alaska
Native people?

A Never or hardly ever
B Once or twice a month
C Once or twice a week
D Every day or almost every day

L2AIB

Page 7

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Part 1b -Page 25 of 32

Section

1
VH158490

13. During 8th grade, have you attended any of the following activities organized by your
school? Fill in one oval on each line.
Yes

No

a. Presentations by American Indian or Alaska
Native people about their traditions and cultures
(ways of life, customs)

A

B

VH158491

b. American Indian or Alaska Native art and craft
demonstrations

A

B

VH158492

c. Traditional American Indian or Alaska Native
music and/or dance performances

A

B

VH158493

d. Field trips to museums, traditional villages, or
other places to learn about American Indian or
Alaska Native people

A

B

VH158494

VH040140

14. During 8th grade, have you participated in any of the following activities organized by
your school? Fill in one oval on each line.
Yes

No

a. Sports team

A

B

VH040143

b. Music club, orchestra, or band

A

B

VH040147

c. Cultural dances or other American Indian or
Alaska Native activities (for example, drum
groups)

A

B

VH040150

d. Academic club (for example, math club)

A

B

VH040152

L2AIB

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Part 1b -Page 26 of 32

Section

1
VH159106

15. During 8th grade, have you used books, videos, or other materials (including Internet
resources) about American Indian or Alaska Native people in school?

A Yes, once or twice
B Yes, three or more times
C No
VH159110

16. During 8th grade, have you used books, videos, or other materials (including Internet
resources) about American Indian or Alaska Native people outside of school?

A Yes, once or twice
B Yes, three or more times
C No
VH153945

17. In school, do you have access to a library, media center, or resource center with books,
videos, or other materials (including Internet resources) about American Indian or Alaska
Native people?

A Yes
B No
VC996624

18. Here are some sentences about reading. Fill in one oval on each line to show whether the
sentence describes a person like you.
This is
not like
me.

This is a
little like
me.

This is a
lot like
me.

a. When my teacher talks about American Indian
or Alaska Native history or culture, I try to read
more about it.

A

B

C

VH043704

b. I enjoy reading about American Indian or Alaska
Native people.

A

B

C

VC996627

c. I enjoy reading about people who have different
traditions and cultures (ways of life, customs)
than I have.

A

B

C

VC996628

L2AIB

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Part 1b -Page 27 of 32

Section

1
VH040130

19. Here are some sentences about your school. Fill in one oval on each line to show whether
the sentence describes a person like you.
This is
not like
me.

This is a
little like
me.

This is a
lot like
me.

a. I put a lot of effort into my schoolwork.

A

B

C

VH040131

b. I want to be one of the best students in my
class.

A

B

C

VH040134

c. I enjoy being challenged in my classes.

A

B

C

VH040137

d. I feel that I belong at school.

A

B

C

VH040138

VH040157

20. How much do you agree with each of the following statements? Fill in one oval on each
line.
Strongly
disagree

Disagree

Agree

Strongly
agree

a. If I put in enough effort, I will
succeed in school.

A

B

C

D

VH040158

b. If I put in enough effort in school, I
will get into college.

A

B

C

D

VH040160

c. If I put in enough effort in school, I
will get a good job.

A

B

C

D

VH040161

VC759293

21. How much do you like school?

A Not at all
B A little
C Somewhat
D Very much

L2AIB

Page 10

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Part 1b -Page 28 of 32

Section

1

VC996661

22. How much are the things you are learning in school preparing you for the life you want
to lead?

A Not at all
B A little
C A fair amount
D Very much
VC996641

23. During 8th grade, how often have you talked with any of your teachers outside of regular
class periods? For example, to get extra help with your assignments, to talk about issues
that matter to you, or just to visit.

A Never or hardly ever
B Once or twice a month
C Once or twice a week
D Every day or almost every day
VH040389

24. How often do you help other students from your school with their schoolwork? For
example, you might help other students to study for a test, help them with a school
project, or go over their homework with them.

A Never or hardly ever
B Once or twice a month
C Once or twice a week
D Every day or almost every day

L2AIB

Page 11

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Part 1b -Page 29 of 32

Section

1
VC996635

25. How often do any of the following people help you with your schoolwork? For example,
they might help you to study for a test, help you with a school project, or go over your
homework with you. Fill in one oval on each line.
Never or
hardly
ever

Once or
twice a
month

Once or
twice a
week

Every day
or almost
every day

a. A parent or someone else from my
family

A

B

C

D

VC996636

b. A teacher or another adult from my
school

A

B

C

D

VC996637

c. Another student

A

B

C

D

VC996639

d. A tribal representative or elder

A

B

C

D

VH018268

VC996644

26. During 8th grade, how many times have you talked to each of the following people
about the classes you should take in high school or about what you want to do after high
school? Fill in one oval on each line.

Never

One time

Two or
three
times

a. A family member

A

B

C

D

VC996645

b. A teacher

A

B

C

D

VC996646

c. A school counselor

A

B

C

D

VC996647

d. Another student

A

B

C

D

VC996648

e. A tribal representative or elder

A

B

C

D

VH026209

f. Someone else who lives in my
community or is a friend of
my family

A

B

C

D

VH026211

L2AIB

Page 12

Four or
more times

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Part 1b -Page 30 of 32

Section

1
VC996650

27. Which of the following would you plan to do in your first year after high school? Fill in as
many ovals as apply.
a. Go to college full time

A

VC996651

b. Go to college part time

B

VC996652

c. Go to another school (for example, career training, technical,
or trade/vocational) full time

C

VC996653

d. Go to another school (for example, career training, technical,
or trade/vocational) part time

D

VC996654

e. Join the military

E

VC996655

f. Work full time

F

VC996656

g. Work part time

G

VC996657

h. Travel

H

VC996658

i. Care for family

I

VC996659

j. I don’t know.

J

VC996660

VH040216

28. To what extent is each of the following a problem in your school? Fill in one oval on each
line.
Not at
all

Small
extent

Moderate
extent

Large
extent

a. Student tardiness

A

B

C

D

VH040217

b. Student health problems

A

B

C

D

VH040219

c. Student misbehavior in class

A

B

C

D

VH040221

d. Physical conflicts among students

A

B

C

D

VH040223

e. Bullying

A

B

C

D

VH040226

f. Low student motivation

A

B

C

D

VH040227

L2AIB

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Part 1b -Page 31 of 32

Section

1
VC759294

29. Do you know the name of the American Indian tribe or Alaska Native group you belong
to or are enrolled in?

A Yes
B No
C I’m not sure.
VC759295

30. If you know the name of the American Indian tribe or Alaska Native group that you
belong to or are enrolled in, or if you think you know it, please print it on the line below.
Do not worry about spelling. If you belong to more than one American Indian tribe or
Alaska Native group, write the names of as many as you know.

VC759297

31. What else would you like to say about yourself, your school, or about American Indian or
Alaska Native people? Use these lines to write your ideas.

THANK YOU FOR YOUR HELP. YOUR IDEAS ARE IMPORTANT.

L2AIB

Page 14

STOP
Part 1b -Page 32 of 32

NATIONAL ASSESSMENT OF
EDUCATIONAL PROGRESS
Wave 2 Submittal for 2015
VOLUME II
SURVEY QUESTIONS
Part 1c
Student Grade 12

Part 1c contains Student Grade 12:
Core Questions
Science Questions

The amount of time estimated to complete these forms:
Core - 5 minutes
Subject-specific – 10 minutes

Part 1c - Page 1 of 17

STUDENT QUESTIONNAIRES
OMB Information on Student Questionnaire Cover Page
Paperwork Burden Statement
According to the Paperwork Reduction Act of 1995, no persons are required to
respond to a collection of information unless it displays a valid OMB control
number. The valid OMB control number for this voluntary information collection
is 1850–0790. The time required to complete this information collection is
estimated to average xx1 minutes, 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, suggestions for improving this collection, or any comments or
concerns regarding the status of your individual submission of this form, please
write to: National Assessment of Educational Progress, National Center for
Education Statistics, 1990 K Street, NW, Washington, DC 20006.
A project of the National Center for Education Statistics (NCES), Institute of
Education Sciences, U.S. Department of Education.
The information you provide will be used for statistical purposes only. In
accordance with the Confidential Information Protection provisions of Title V,
Subtitle A, Public Law 107-347 and other applicable Federal laws, your responses
will be kept confidential and will not be disclosed in identifiable form to anyone
other than employees or agents. By law, every NCES employee as well as every
agent, such as contractors and NAEP coordinators, has taken an oath and is
subject to a jail term of up to 5 years, a fine of up to $250,000, or both if he or she
willfully discloses ANY identifiable information about you.
OMB No. 1850-0790 APPROVAL EXPIRES 03/31/2016

1

Note: 75 minutes is total for assessment (cognitive and survey), for Wave 2 paper & pencil administrations
(Science); 90 minutes for TBA, Science HOTS and ICT administrations. Applicable survey question time is listed
on part covers.

Part 1c - Page 2 of 17

Student Grade 12 Core

Student Grade 12 Core Questions
The amount of time estimated to complete this form is 5 minutes.

Part 1c - Page 3 of 17

P

|

7
4

SECTION

|

2

3

Section

3

1
P

|

7
4
2
1

|

In this section, please tell us about yourself and your family. Please answer questions about
your home based on where you live most of the time during the school year. The section has
15 questions. Mark your answers in your booklet. Fill in only one oval for each question
except where instructed otherwise.
VB331330

1. Are you Hispanic or Latino? Fill in one
or more ovals.

VB331331

2. Which of the following best describes
you? Fill in one or more ovals.

A No, I am not Hispanic or Latino.

A White

B Yes, I am Mexican, Mexican

B Black or African American

American, or Chicano.

C Yes, I am Puerto Rican or Puerto
Rican American.

D Yes, I am Cuban or Cuban
American.

C Asian
D American Indian or Alaska Native
E Native Hawaiian or other Pacific
Islander

E Yes, I am from some other

Hispanic or Latino background.

P

|

7
4

|

2
1
P

|

7
J3D1

2
1

|
|

41

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Part 1c - Page 4 of 17

C

4

C

|
Section

3

P
7

|

4
2
1

VB331335

3. About how many books are there in
your home?

A Few (0–10)
B Enough to fill one shelf (11–25)
C Enough to fill one bookcase (26–100)
D Enough to fill several bookcases
(more than 100)

TB001101
TB001101

6. About how many pages a day do you
6. About how many pages a day do you
have to read in school and for
have to read in school and for
homework?
homework?

|

P
7
4

|

2
1

A 5 or fewer
5 or fewer

B 6–10
6–10

C 11–15
11–15

D 16–20
16–20

E More than 20
VB331336

4. Is there a computer at home that
you use?

More than 20

VB331339
VB331339

7. How often do you talk about things you
7. How often do you talk about things you
have studied in school with someone in
have studied in school with someone in
your family?
your family?

A Yes
B No

A Never or hardly ever
Never or hardly ever

VF098664

5. Do you have the following in your
home? Fill in ovals for all that apply.

B Once every few weeks
Once every few weeks

C About once a week
About once a week

A Access to the Internet

D Two or three times a week

B Clothes dryer just for your family

E Every day

Two or three times a week
Every day

C Dishwasher
D More than one bathroom
E Your own bedroom

VB331447
VB331447

8. How many days were you absent from
8. How many days were you absent from
school in the last month?
school in the last month?

A None
None

B 1 or 2 days
1 or 2 days

C 3 or 4 days
3 or 4 days

D 5 to 10 days
5 to 10 days

E More than 10 days
More than 10 days

|

P
7

|

4
2
1

|

P
7

J3D1

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Part 1c - Page 5 of 17

4

|

2
1

|

P

|

7
4

Section

|

3

2
1

VB330870
VB330870

P

9. How far in school did your mother go?
9. How far in school did your mother go?

7
4
2
1

A
did not finish high school.
A She
She did not finish high school.
B
graduated from high school.
B She
She graduated from high school.
C
had some education after high
C She
She had some education after high

|
|

school.
school.

VF095730

12. Do the following people live in your
home? Fill in ovals for all that apply.

A Mother
B Stepmother
C Foster mother or other female legal
guardian

D
graduated from college.
D She
She graduated from college.
E
know.
E II don’t
don’t know.

D Father
E Stepfather
VB330871
VB330871

10. How far in school did your father go?
10. How far in school did your father go?

F Foster father or other male legal
guardian

A
did not finish high school.
A He
He did not finish high school.
B
graduated from high school.
B He
He graduated from high school.
C
had some education after high
C He
He had some education after high
school.
school.

D
graduated from college.
D He
He graduated from college.
E
know.
E II don’t
don’t know.
VB331451
VB331451

11. How often do people in your home talk
11. How often do people in your home talk
to each other in a language other than
to each other in a language other than
English?
English?

A Never
A
Never
B Once in a while
B
Once in a while
C About half of the time
C
About half of the time
D All or most of the time
D
All or most of the time

P

|

7
4

|

2
1
P
7
2
1

|
|
|

J3D1
J3D1
43

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Part 1c - Page 6 of 17

C

4

C

|
Section

3

P
7

|

4
2
1

VF291224

13. During this school year, which of the
following have you done? Fill in ovals
for all that apply.

A Taken the SAT or ACT College
Entrance Exams

HE002549

14. Which of the following best describes
your high school program?

|

P
7

|

4
2

A General

1

B Academic or college preparatory

B Submitted the Free Application for
Federal Student Aid (FAFSA)

C Applied to a 2-year college

C Vocational or technical
VE102537

D Been accepted to a 2-year college

15. Write the ZIP code of your home address
in the boxes.

E Applied to a 4-year college
F Been accepted to a 4-year college
G Applied to a certificate or diploma
program at a school that provides
occupational training (such as
electrician, beautician, mechanic,
computer programmer, etc.)

H Been accepted to a technical
training program

I Talked with a military recruiter
J Enlisted in the military
K Applied for a full-time job
L Been interviewed for a full-time job
M None of the above

|

P
7

|

4
2
1

|

P
7

J3D1

Page 4

STOP
Part 1c - Page 7 of 17

|

4
2
1

|

Student Grade 12 Science

Student Grade 12 Science Questions
The amount of time estimated to complete this form is 10 minutes.

Part 1c - Page 8 of 17

SECTION

4

Section

4

This section has 23 questions. Mark your answers in your booklet. Fill in only one oval
for each question except where instructed otherwise.
VC305768

	 1.	Which courses have you taken from eighth grade to the present?
If you have taken a course more than once, give the most recent year you took it. Fill in
one oval on each line. INCLUDE courses taken in summer school, but DO NOT INCLUDE
topics that were only taught as part of a longer course.
I am taking
or have
I took this taken this
course in
course in
Grade 12
Grade 11

Course	
not
taken

I took this
course in
Grade 8

I took this
course in
Grade 9

I took this
course in
Grade 10

a.	Earth and space
science

A

B

C

D

E

F

VC305813

b.	Life science (other
than biology)

A

B

C

D

E

F

VC305814

c.	Physical science
(other than
chemistry or
physics)

A

B

C

D

E

F

VC305815

d.	General science

A

B

C

D

E

F

e.	First-year biology

A

B

C

D

E

F

VC305819

f.	 Second-year
biology

A

B

C

D

E

F

VC305820

g.	First-year
chemistry

A

B

C

D

E

F

VC305821

h.	Second-year
chemistry

A

B

C

D

E

F

VC305822

i.	 First-year physics

A

B

C

D

E

F

VC305823

j.	 Second-year
physics

A

B

C

D

E

F

VC305825

k.	Engineering and
technology

A

B

C

D

E

F

VC305826

l.	 Other science
course

A

B

C

D

E

F

VC305829

L3SB1

VC305817

	

Page 1

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Part 1c - Page 9 of 17

Section

4
ID110276

	 2.	Are you currently enrolled in or have you taken International Baccalaureate® courses in
science?

A Yes
B No
VC304768

	 3.	Are you currently enrolled in or have you taken any online science courses for high
school or college credit?

A Yes
B No
ID110275

	 4.	Are you currently enrolled in or have you taken an Advanced Placement course in
science? Fill in ovals for all that apply.	

A Yes, I am enrolled in or have taken Advanced Placement Biology.
B Yes, I am enrolled in or have taken Advanced Placement Environmental Science.
C Yes, I am enrolled in or have taken Advanced Placement Chemistry.
D Yes, I am enrolled in or have taken Advanced Placement Physics B or C.
E Yes, I am enrolled in or have taken Advanced Placement Computer Science A or AB.
F No, I have never taken an Advanced Placement science course.

L3SB1

Page 2

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Part 1c - Page 10 of 17

4

Section

VC305330

	 5.	Please indicate how much you DISAGREE or AGREE with the following statements
about science. Fill in one oval on each line.
Strongly
disagree

Disagree

Agree

Strongly
agree

a.	I do science-related activities that
are not for schoolwork.

A

B

C

D

b.	I like science.

A

B

C

D

c.	Science is one of my favorite subjects.

A

B

C

D

d.	I take science only because I have to.

A

B

C

D

e.	I need to do well in science to get the
job I want.

A

B

C

D

f.	 I would like a job that involves using
science.

A

B

C

D

VC305348

VC305350

VC305351

VC305352

VH142495

VH142499

VC720597

	 6.	Are you currently taking a science course?

A Yes ➔ Go to Question 7.
B No ➔ Skip to Question 18.

L3SB1

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Part 1c - Page 11 of 17

Section

4
VF633079

	 7.	In your science class this year, how often have you done hands-on activities or projects
with any of the following? Fill in one oval on each line.
Never

Rarely

Sometimes

Often

a.	Living things (for example,
plants, animals, bacteria)

A

B

C

D

b.	Electricity (for example, circuits,
batteries, and light bulbs)

A

B

C

D

c.	Chemicals (for example, mixing
or dissolving sugar or salt in
water)

A

B

C

D

d.	Rocks or minerals (for example,
identifying types)

A

B

C

D

e.	Simple machines (for example,
pulleys and levers)

A

B

C

D

f.	 Magnifying glass or microscope
(for looking at small things)

A

B

C

D

g.	Thermometer or barometer
(for making measurements)

A

B

C

D

VF633080

VF633083

VF633082

VF633087

VF633086

VF633084

VF633085

VC305292

	 8.	In your science class this year, how often do you do each of the following? Fill in one oval
on each line.

About	
once a
week

Two or
three	
times a
week

Every	
day or
almost
every	
day

B

C

D

E

VC546510

A

B

C

D

E

VF633095

c.	Use the Internet to learn
about science topics

A

B

C

D

E

VF633097

d.	Watch a movie, video, or
DVD about science topics

A

B

C

D

E

VF633099

Never	
or hardly
ever

Once	
every	
few	
weeks

a.	Read a science textbook,
in class or at home

A

b.	Read a book or magazine
about science topics

L3SB1

Page 4

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Part 1c - Page 12 of 17

Section

4
VC304769

	 9.	In your science class this year, how often do you do each of the following? Fill in one oval
on each line.
Never	
Once	
or hardly	 every few
ever
weeks

About	
once a
week

Two or Every day
three times or almost
a week
every day

a.	Discuss events in the
news that are related to
what you are learning in
science class

A

B

C

D

E

VC304771

b.	Work with other students
on a science project or
activity

A

B

C

D

E

VC304772

c.	Present what you learned
about science to your class

A

B

C

D

E

VC304778

d.	Take a science test or quiz

A

B

C

D

E

VC720564

L3SB1

Page 5

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Part 1c - Page 13 of 17

Section

4
VC720622

	10.	In your science class this year, how often do you do each of the following? Fill in one oval
on each line.

About	
once a
week

Two or
three	
times a
week

Every	
day or
almost
every	
day

B

C

D

E

VC720623

A

B

C

D

E

VC720634

c.	Talk about measurements
you took for your science
project or activity

A

B

C

D

E

VC720635

d.	Talk about the results of
your science project or
activity

A

B

C

D

E

VC720636

e.	Watch your teacher do
a science experiment or
activity

A

B

C

D

E

VC720638

f.	 Make graphs or charts
of the results from your
science project or activity

A

B

C

D

E

VC720639

g.	Write about your science
activities or projects
(such as reports, science
journals, or lab write-ups)

A

B

C

D

E

VF633111

Never	
or hardly
ever

Once	
every	
few	
weeks

a.	Identify questions that
can be addressed through
science experiments

A

b.	Design a science
experiment

L3SB1

Page 6

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Part 1c - Page 14 of 17

4

Section

VH142438

VH157884

	13.	In this school year, how often have
you used your school library or media
center resources for science (such as
books, magazines, computers, and
audio-video materials)?

	11.	In this school year, how often have
you been asked to write long answers
(several sentences or paragraphs) to
questions on tests or assignments for
science?

A Never or hardly ever

A Never or hardly ever

B Once every few weeks

B Once every few weeks

C About once a week

C About once a week

D Two or three times a week

D Two or three times a week

E Every day or almost every day

E Every day or almost every day

VC546453

VC546463

	12.	In this school year, how often have you
talked with your teacher about how
you are doing in science?

	14.	In this school year, how often have you
used computers for science?

A Never or hardly ever

A Never or hardly ever

B Once every few weeks

B Once every few weeks

C About once a week

C About once a week

D Two or three times a week

D Two or three times a week

E Every day or almost every day

E Every day or almost every day

L3SB1

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Part 1c - Page 15 of 17

Section

4
VC315291

VC315294

	15.	How often do you feel you can
understand what the teacher talks
about in science class?

	17.	How often do you feel you can do a
good job on your science assignments?

A Never or hardly ever

A Never or hardly ever

B Sometimes

B Sometimes

C Often

C Often

D Always or almost always

D Always or almost always
VC315292

	16.	How often do you feel you can do a
good job on your science tests?

A Never or hardly ever
B Sometimes
C Often
D Always or almost always
VF633128

	18.	In this school year, have you participated in any of the following activities? Fill in one
oval on each line.
Yes

No

a.	Science fair

A

B

b.	Science club

A

B

c.	Science competition

A

B

L3SB1

Page 8

VF633132

VF633134

VF633135

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Part 1c - Page 16 of 17

Section

VF633304

4
VC034559

	19.	In this school year, have you visited
a museum, zoo, or aquarium to learn
about science on a school trip?

	22.	How hard did you try on this test
compared to how hard you tried on
most other tests you have taken this
year in school?

A Yes

A Not as hard as on other tests

B No

B About as hard as on other tests
C Harder than on other tests

VF633276

	20.	In this school year, have you visited
a museum, zoo, or aquarium to learn
about science that was not on a school
trip?

D Much harder than on other tests
VB595184

	23.	How important was it to you to do
well on this test?

A Yes
B No

A Not very important
B Somewhat important

VB595182

	21.	How hard was this test compared to
most other tests you have taken this
year in school?

C Important
D Very important

A Easier than other tests
B About as hard as other tests
C Harder than other tests
D Much harder than other tests

L3SB1

Page 9

STOP
Part 1c - Page 17 of 17


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File TitleMicrosoft Word - Cover_Part 1a_StudentGrade4_6-8_.doc
AuthorJOConnell
File Modified2014-06-12
File Created2014-06-02

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