Workforce
(Classroom Staff) Questionnaire
OMB
Review Draft Updated June 2024
Reviewer
Notes
Clarification regarding respondent response options:
Please note that while only some items may list a “DK/REF” (Don’t Know/Refused) option, respondents answering the survey in any mode always have the option to decline to answer any item. Any respondent declining to provide a response to an item is directed to the next survey item.
2024 National Survey of Early Care and Education
Workforce (Classroom Staff) Questionnaire
Questionnaire Key i
Workforce (Classroom Staff) Questionnaire ………………………… INTRO-1
Section A. Qualifications and Experience A-1
Section B. Employment Schedule and Compensation B-1
Section C. Activities in the Classroom C-1
Section CL. About People in the Classroom CL-1
Section D. Staff Attitudes and Orientation to Caregiving D-1
Section F. Consent to Access Administrative Records F-1
Simple skip patterns are identified with an arrow immediately following a response option, as in the example below:
A8A.
Is your program for profit, not for profit, or is it run by a government agency?
1. for profit SKIP TO A9
2. not for profit
3. run by a government agency
4. OTHER, SPECIFY: ______________
More complex skip patterns are identified with a bordered box, as in the example below. Skip Logic Boxes are titled in bold and numbered using the following naming convention: [Section]_S_[Sequential count].
Skip Logic Box A_S_1:
IF
A8A = 1 OR 2 (“FOR PROFIT” OR “NOT FOR PROFIT”),
ASK A9
ELSE, SKIP TO A11.
A loop is a series of questions that are asked iteratively about one or more entities, for example, a series of personal characteristics asked about each child in the household. The loop’s questions appear once in the questionnaire, with skip instructions that indicate when the series starts and ends and for which entities the loop is asked. Sometimes one loop is nested within another.
Loop patterns are identified with a broken-line bordered box, as in the example below. All loops are bookended with a boxes designated as ‘Start of…’ and ‘End of…’ Loop. Loop boxes are titled in italics and numbered using the following naming convention: [Section]_L_[Sequential count].
Start of B_L_1 Loop (*BL1):
REPEAT B1_5 – B1_5H FOR EACH AGE GROUP = 1 (HAVE A RATE IN B1_3A)
All questionnaire items within a loop are identified with a truncated loop title, preceded by a ‘*’ and formatted in italics with blue font. A single questionnaire item may be included in none, one, or multiple loops and will be identified accordingly in the questionnaire with zero, one, or multiple loop titles.
B1_5C.
*BL1
How
many hours per week does that cover?
Numeric open-ended responses throughout the questionnaire, such as number of years or weeks, have a pre-assigned lower and upper limit in the computerized questionnaire to minimize error. These ranges are shown directly beneath such open-ended responses, as in the example below. Ranges are prefixed with “RANGE:” in all caps and formatted with purple font.
B5d.
How many of the children in your program have variation in the number of paid hours of care each week?
Number of children
RANGE: 0-999
Some questions have customized text that is programmatically filled during computerized administration. A descriptor of the customized text is indicated, and users can tell that customized rather than generic text was visible during the interview because the text is bracketed and in CAPS. Programmatic fills within the questionnaire are contained within brackets […], as in the example below. The fill text within the brackets provides a brief description of what the fill is.
A2G9a. *AL1 *AL2
In the past 12 months, has he/she contributed $500 or more for [CHILD NAME]’s basic needs, for example, food, clothing, or medical expenses?
Yes
No
DK/REF
Workforce (Classroom Staff) Questionnaire
QUEXLANG
PLEASE SELECT THE LANGUAGE IN WHICH YOU WOULD LIKE TO CONDUCT THE INTERVIEW
ENGLISH
SPANISH
CONSENT (Self Administered)
Thank you for taking part in this study, which is about the experiences of people who work in early care and education programs for children under age 13. It is funded by the Administration for Children and Families, of the U.S. Department of Health and Human Services, and conducted by NORC at the University of Chicago. An administrator or other leader at your facility has already contributed valuable information to this study. In order better understand the experiences of classroom staff, you were randomly selected to participate in this study as well. Your participation in this study will help the government better support the people who care for our nation’s children.
This interview takes about 20 minutes, and your participation is voluntary. You may choose not to answer any questions you don’t wish to answer, or end the interview at any time. All personnel associated with the study must sign a legal document in which they pledge to protect the privacy of the information collected in this interview. We use computing systems, staff training, and strict data access requirements to protect your identity and keep your responses private. To better protect your privacy, this interview does not contain questions that require you to disclose any sensitive, private information about yourself. This study also has a Federal Certificate of Confidentiality from the government which protects researchers and other staff from being forced to release information that could be used to identify participants in court proceedings.
Data collected for this study will be used for statistical purposes only, so that no individuals or organizations can be identified directly or indirectly in research findings. Identifiers such as your name, your organization’s name or addresses will be considered private and can only be accessed for the study’s research purposes by authorized personnel associated with the study. Access to identifying information is granted to authorized personnel only on a need-to-know basis.
An
agency may not conduct or sponsor, and a person is not required to
respond to, a collection of information unless it displays a
currently valid OMB control number. The OMB number for this
information collection is 0970-0391
and the expiration
date is 06/30/2026.
Please
send comments regarding the time required for this survey or any
other aspect of this information collection to: NORC at the
University of Chicago, 55 E Monroe St, Ste 3000, Chicago, IL, 60603,
Attention:
A. Rupa Datta.
You can click on the 'PREVIOUS' button to go back and change your answers if needed. Clicking 'STOP' will save your responses and allow you to return to the last question you answered the next time you access the questionnaire.
CONSENT (Interviewer Administered)
This study is about the experiences of people who work in early care and education programs for children under age 13. It is funded by the Administration for Children and Families, of the U.S. Department of Health and Human Services, and conducted by NORC at the University of Chicago. Your participation in this study will help the government better support the people who care for our nation’s children.
This interview takes about 20 minutes, and your participation is voluntary. You may choose not to answer any questions you don’t wish to answer, or end the interview at any time. All personnel associated with the study must sign a legal document in which they pledge to protect the privacy of the information collected in this interview. We use computing systems, staff training, and strict data access requirements to protect your identity and keep your responses private. To better protect your privacy, this interview does not contain questions that require you to disclose any sensitive, private information about yourself. This study also has a Federal Certificate of Confidentiality from the government which protects researchers and other staff from being forced to release information that could be used to identify participants in court proceedings. You should understand, however, that we would take necessary action to prevent serious harm to children or others, including reporting to authorities.
Data collected for this study will be used for statistical purposes only, so that no individuals or organizations can be identified directly or indirectly in research findings. Identifiers such as your name, your organization’s name or addresses will be considered private and can only be accessed for the study’s research purposes by authorized personnel associated with the study. Access to identifying information is granted to authorized personnel only on a need-to-know basis.
Parts of this interview may be recorded for quality control purposes. This will not compromise the strict privacy of your responses. These recordings will be shared only with authorized personnel associated with the study. Recordings will be maintained until we finalize our notes. May I continue with the recording?
R CONSENTS TO PARTICIPATE IN THE SURVEY................................. 1
R CONSENTS TO PARTICIPATE IN THE SURVEY BUT DOES NOT WANT TO BE RECORDED........................... 2
This questionnaire asks about your work at [PROGRAM].
The first questions are about your experiences providing early or school-age care and education and your training to do this work.
A1.
How long have you worked in your program?
_______ Years _______ Months
IF A1 < 6 MONTHS AND INTERVIEW DATE ON OR AFTER JULY 22, 2024, ASK A1_TEMP
A1_TEMP. Were you hired at this program as temporary summer staff for summer 2024?
1 Yes
2 No
A2.
How many years of paid experience do you have working with children other than your own, who are under age 13? Please include any paid experience in a home or center-based setting, including relatives, or paid experience you may have from another country.
_______ Years _______ Months
A2a.
Since you turned 18, have you done paid work with children under age 13:
A2a_a. in a home-based setting?
A2a_b. in a different center-based setting than your current one?
YES
NO
DK/REF
Skip Logic Box A_S_1:
IF A2a_a = 2 OR DK/REF AND A2a_b=2 OR DK/REF, THEN SKIP TO A3
Please think about your most recent prior job in early care and education working with children under age 13. What type of setting did you most recently work in?
I worked in a center-based or school-based setting.
I worked in a home-based setting.
I did not have a prior job working in early care and education.
A3.
What
is the highest grade or level of schooling that you have ever
completed?
(INTERVIEWER: READ IF NECESSARY)
8TH GRADE OR LESS
9TH-12TH GRADE NO DIPLOMA
GED OR HIGH SCHOOL EQUIVALENCY
HIGH SCHOOL GRADUATE
SOME COLLEGE CREDIT BUT NO DEGREE
ASSOCIATE DEGREE (AA, AS)
BACHELOR’S DEGREE (BA, BS, AB)
GRADUATE OR PROFESSIONAL DEGREE
IF A3 = 3 - 8 ASK A12 ELSE, SKIP TO A_S_2
A12.
Are you currently enrolled in a degree program at a college or university?
YES
NO
Skip
Logic Box A_S_2:
IF A3 = 5 - 8 OR IF A12 =1 ASK A5_M
ELSE,
SKIP TO A6A_M
What was your major for the highest degree you have or have studied for?
ELEMENTARY EDUCATION
SPECIAL EDUCATION
CHILD DEVELOPMENT, PSYCHOLOGY, OR FAMILY STUDIES
EARLY CHILDHOOD EDUCATION OR EARLY OR SCHOOL-AGE CARE
OTHER
IF A5_M = 5 ASK A5_other_M ELSE, SKIP TO A22
A5_other_M.
What was your major for the highest degree you have or have studied for?
_________________
A22.
Do you currently have student loan debt or owe any money used to pay for your own education? Please include any loans on which you are a co-signer that were used to pay for your education beyond high school (including student loans, home equity loans, or credit cards paid off over time).
YES
NO SKIP TO A6A_M
DK/REF SKIP TO A6A_M
A23.
Thinking specifically about the money that you owe for your own education, please tell us the total amount that you currently owe on these loans. Your best guess is fine.
Less than $10,000
$10,000 - $19,999
$20,000 - $29,999
$30,000 - $49,999
$50,000 or above
A6A_M.
Do you have a Child Development Associate (CDA) certificate?
YES
NO
A6B_M.
Do you have a state certification or endorsement for early care and education?
YES
NO
A7.
In the past 12 months, have you done any of the following to improve your skills or gain new skills in working with children?
A7a. Participated in any workshops, for example, those offered by professional associations, resource and referral networks, etc.?
YES
NO
A7b. Participated in coaching, mentoring or ongoing consultation with a specialist?
YES
NO
A7e. Enrolled in a course at a community college or four-year college or university relevant to your work with children under age 13?
YES
NO
IF ANY ITEM FROM A7A TO A7E = 1, ASK A24 ELSE, SKIP TO A25
A24.
Were these activities on-line or in-person?
All on-line
All in-person
A mix of on-line and in-person
A25.
In the past 12 months, have you participated in a health or safety training? Please include any health and safety training, including on-line or in-person trainings.
Were your health and safety trainings…?
All on-line
All in-person
A mix of on-line and in-person
A17.
Have you received any training in the past 12 months on strategies for working with children and families of different races, ethnicities or cultures?
YES
NO
A27.
In the last 12 months, have you had any difficulties trying to get training or education to advance your career in early care and education?
A28.
How much do you agree with the following statements about your ability to participate in professional development and training to advance your career in early care and education (Strongly agree, agree, disagree, strongly disagree):
A28a. There are affordable professional development and training options for me to choose from.
A28b. There are professional development and training opportunities held at times and at in-person or on-line locations that are convenient for me.
STRONGLY AGREE
AGREE
DISAGREE
STRONGLY DISAGREE
A8b.
During the past 12 months, did you receive any of the following types of assistance with the costs of improving your skills, either from your employer or from a local or state agency, college or university?
A8b_1. Assistance with direct costs such as tuition or registration fees
YES
NO
A8b_3.
Release time to participate in the activity
YES
NO
A18.
In the past 12 months, did a supervisor or advisor help you develop or update a plan for your professional development?
YES
NO
A20.
Have you ever taken a college or university course, participated in training, or received a credential where you had to demonstrate skills related to working with children and were observed?
YES
NO
A29
Did you spend time in the last week meeting with other teachers, aides, or assistants to reflect on classroom practice?
YES
NO SKIP TO A10
DK/REF SKIP TO A10
A30.
When did your meetings with other teachers, aides, or assistants mostly take place?
During paid work hours while caring for children
During paid work hours when not caring for children
On my own unpaid personal time (for example, at home in the evening or before or after my paid work day)
A10.
Are you a member of a union (such as Service Employees International Union, American Federation of Teachers, American Federation of State, County and Municipal Employees (AFSCME) or the Teamsters)?
YES
NO
A11.
Which one of the following best describes the main reason that you work with young children?
It is my career or profession
It is a step towards a related career
It is my personal calling
It is a job with a paycheck
It is work I can do while my own children are young
It is a way to help children
It is a way to help parents
None of these reasons apply
How much do you agree or disagree with the statement: Thinking ahead to three years from now, I am very likely to be working in early care and education.
Strongly agree
Agree
Disagree
Strongly disagree
Section B. Employment Schedule and Compensation
These next questions are about your work hours and compensation.
B1.
Approximately how many hours per week do you usually work at this program?
Number of hours
B1a.
How many different classrooms or groups do you work with during a usual week?
Number of classrooms or groups
Range: 0-999
Skip Logic Box B_S_1:
IF INTERVIEW DATE ON OR AFTER JULY 22, 2024, THEN ASK B1B
B1B. Are your weekly hours worked different in the summer from the regular school year?
1 Yes
2 No
B1C. Do you work with different children in the summer from the regular school year?
1 Yes
B11.
How many months out of the last twelve have you worked at this or another early care and education program?
Number of months
B4_M.
How much are you paid before taxes and deductions? Is it per….
(INTERVIEWER: PROBE FOR BEST ESTIMATE IF NEEDED)
$ per
2. Day
3. Week
8. Every 2 weeks
4. Month
5. Year
6. Other
IF
B4_M (amount) => $50 and B4_M (rate) = 1, THEN SKIP TO B4a
ELSE
IF, B4_M (amount) => $100 and B4_M (rate) = 2, THEN SKIP TO
B4a
ELSE IF, B4_M (amount) => $700 and B4_M (rate) = 3, THEN
SKIP TO B4a
ELSE IF, B4_M (amount) => $1400 and B4_M (rate) =
8, THEN SKIP TO B4a
ELSE IF, B4_M (amount) => $2800 and B4_M
(rate) = 4, THEN SKIP TO B4a
ELSE IF, B4_M (rate) = 4, ASK
B4_M_OS ELSE, SKIP TO B12
B4_M_OS.
Please specify other
_________________
SKIP TO B12
B4a.
Are you sure $[B4_M AMOUNT] per [B4_M UNIT] is correct?
B12.
In addition to the regular payments you earn from this center, have you received any other payments for early care and education workers in the past 12 months? This could include a bonus, special service pay, an award for good performance, incentives for participating in trainings, or other money outside of your regular pay.
Yes
No SKIP TO B5
DK/REF SKIP TO B5
B13.
Approximately how much in total did you receive in the last 12 months in payments for early care and education workers other than your regular pay?
$ __________
B5.
In this job, do you work mostly with children who have mental, physical or other disabilities or delays?
YES
NO
B6.
What is your title at this program?
1. Director and Teacher
2. Program Coordinator
3. Lead Teacher or Lead Instructor
4. Teacher or Instructor
5. Assistant Teacher or Instructor
6. Aide
7. Something else (please specify: )
8. Don’t know/Refused/No answer
IF B6 = 7 ASK B6_OS ELSE, SKIP TO B14
B6_OS.
Please specify other:
_________________
B14.
Have you previously had a different role or title at your current program?
B15.
Which of the following best describes your most recent previous role at your current program?
Director
Program Coordinator or other Administrator
Lead Teacher or Lead Instructor, or Lead Caregiver
Teacher or Instructor
Assistant Teacher or Instructor or Caregiver
Aide
B7_M.
What kind of health insurance or health care coverage do you have for yourself? [(SELECT ALL THAT APPLY)/(INTERVIEWER: CODE ALL MENTIONS, USE CATEGORIES TO PROBE AS NEEDED)]
PRIVATE HEALTH INSURANCE PLAN FROM YOUR EMPLOYER OR WORKPLACE
PRIVATE HEALTH INSURANCE PLAN THROUGH YOUR SPOUSE OR PARTNER’S EMPLOYMENT
PRIVATE HEALTH INSURANCE PLAN PURCHASED DIRECTLY
PRIVATE HEALTH INSURANCE PLAN THROUGH A STATE OR LOCAL GOVERNMENT, A HEALTH INSURANCE EXCHANGE, OR COMMUNITY PROGRAM
PRIVATE HEALTH INSURANCE PLAN THROUGH PARENTS
MEDICAID
MEDICARE
MILITARY HEALTH CARE/VA OR CHAMPUS/TRICARE/CHAMP-VA
NO COVERAGE OF ANY TYPE
OTHER (SPECIFY)
-1 DK/REF/No Answer
IF B7_M = 9 ASK B7_other ELSE, SKIP TO B16
B7_Other.
Please specify the kind of health insurance or health care
coverage you have for yourself.
_________________
B16.
How many days per year do you accrue in paid time off for sick or vacation time?
B17.
Does your employer offer pay raises for obtaining a new credential or degree in early care and education?
B9.
In the past 3 months, have you done anything to look for a new
job or an additional job?
YES
NO Skip to B10
DK/REF SKIP TO B10
B9a_M. What is the main reason you have looked for work?
(INTERVIEWER: USE CATEGORIES TO PROBE AS NECESSARY)
(IF SELF-ADMINISTERED: CODES ARE NOT SHOWN, ONLY VERBATIMS ARE RECORDED)
TO FIND A SECOND JOB
TO FIND A JOB THAT PAYS MORE
WORRIED THAT THIS JOB MAY END
HOPE TO REDUCE COMMUTE OR IMPROVE SCHEDULE
TO FIND IMPROVED WORK CONDITIONS IN PROGRAM
WANT TO LEAVE THIS FIELD
TO SEE WHAT ELSE IS AVAILABLE
TO FIND SUMMER EMPLOYMENT
TO FIND A JOB FOR PROFESSIONAL GROWTH AND/OR ADVANCEMENT WITHIN FIELD OF CHILD CARE
TO FIND A JOB THAT IS A BETTER FIT WITH TRAINING/EXPERIENCE
OTHER
- 1 DK/REF
IF B9A = 9 ASK B9_reason_other ELSE, SKIP TO B10
B9_reason_other
What is the main reason you have looked for work?
________________________________________
B10.
What is your
home ZIP code?
[5-digit only]
Section C. Activities in the Classroom
These next questions are about your activities in the classroom.
C1_1_M.
This section is about the [CLASSROOM NAME] classroom for children aged [xx] to [yy] where you were working during the week of [DATE] at [PROGRAM]. Are you familiar with the children and practices in that classroom?
YES SKIP TO C1A
NO
DK/REF SKIP TO C1A
C1_2_M.
Please answer the classroom questions in this questionnaire
about the classroom where you spend the most time. What age children
does that classroom mostly serve?
Infant and Toddler (birth to age 3)
Pre-school (age 3 years to kindergarten)
Other (specify: )
Don’t know/Refused/No answer
C1A.
Do you use a curriculum or prepared set of learning and play
activities?
YES
NO SKIP TO C3
DK/REF SKIP TO C3
C1B_M.
What is the name of the curriculum or approach used?
[To search, please begin typing the name of your curriculum. If you cannot find it, finish typing out the full name and click ''Next''.]
0. A curriculum we developed ourselves
[drop down of common curricula]
121. None
Curriculum List
Infants and Toddlers
1 - Creative Curriculum |
15 - Knowledge Universe Early Foundations |
29 - The Project Approach |
2 - Funshine Express |
16 - Learn Every Day |
30 - Reggio Emilia |
3 - High Reach |
17 - Learn from the Start |
31 - The Program for Infant and Toddler Care (PITC) |
4 - High Scope Infant-Toddler Curriculum |
18 - Learning Experience Academic Program (LEAP) |
32 - 1-2-3 Learn Curriculum |
5 - Mother Goose Time: Experience Baby |
19 - O2B Kids |
33 - Carol's Affordable Curriculum |
6 - Little Goose without full Mother Goose Time curriculum system |
20 - World at their Fingertips |
34 - Early Learning Success |
7 - Little Goose with full Mother Goose Time curriculum system |
21 - Montessori |
35 - Gee Whiz Education |
8 - Baby Doll Circle Time |
22 - Active Learning Series |
36 - HELP at Home |
9 - Beyond Cribs & Rattles |
23 - Foundations for Success |
37 - Learn from the Start (Curriculum of the Learning Care Group preschool programs) |
10 - Edu 1st VESS Curriculum |
24 - Innovations: Infant/Toddler Development |
38 - Learn As We Grow (Curriculum of the La Petite programs) |
11 - FLEX Goddard Pre-K |
25 - Wee Learn |
39 - World at their Fingertips (Curriculum in Bright Horizons programs) |
12 - Frog Street Toddler |
26 - Bank Street Developmental Interaction Approach |
40 - Alpha Skills |
13 - Kiddie Academy Life Essentials |
27 - The Ounce Scale |
41 - Pinnacle Early Childhood |
14 - Kids R Kids |
28 - Waldorf |
42 – WINGS |
Preschool
43 - We Can Voyager |
68 - Knowledge Universe Early Foundations |
93 - Waldorf |
44 - Creative Curriculum for Preschoolers |
69 - Learn Every Day |
94 - The Project Approach |
45 - High Scope Preschool Curriculum |
70 - Learn Every Day & Nemours BrightStart! Superset |
95 - Reggio Emilia |
46 - Montessori |
71 - Learning Experience Academic Program (LEAP) |
96 - Everyday Math |
47 - Investigator Club |
72 - Let's Begin with the Letter People |
97 - Project Early Kindergarten |
48 - DLM Early Childhood Express (McGraw-Hill) |
73 - LifeSmart |
98 - Scholastic Early Childhood Program |
49 - Opening the World of Learning (OWL) |
74 - Literacy Express |
99 - 1-2-3 Learn Curriculum |
50 - Houghton Mifflin Pre-K |
75 - Little Treasures |
100 - Carol's Affordable Curriculum |
51 - Core Knowledge Sequence |
76 - O2B Kids |
101 - Early Learning Success |
52 - Funshine Express |
77 - Splash into Pre-K |
102 - Gee Whiz Education |
53 - High Reach |
78 - Starfall Pre-K Curriculum |
103 - Houghton Mifflin Pre-K |
54 - Mother Goose Time |
79 - Tools of the Mind |
104 - Learn Every Day: The Preschool Curriculum |
55 - Scholastic: Big Day for Pre-K |
80 - We Can |
105 - Journey (Curriculum in Learning Care Group preschool programs) |
56 - DIG: Develop, Inspire, Grow |
81 - Wee Learn |
106 - Learn As We Grow (Curriculum in La Petite programs) |
57 - Beyond Centers & Circle Time |
82 - World at their Fingertips |
107 - World at their Fingertips (Curriculum in Bright Horizons programs) |
58 - Early Literacy and Learning Model Plus (ELLM) or ELLM Plus |
83 - Active Learning Series |
108 - Connect4Learning |
59 - Edu 1st VESS Curriculum |
84 - All About Preschoolers |
109 - ExCell (Exceptional Coaching for Early Language and Literacy) |
60 - Empowered Child |
85 - Innovations |
110 - Building Blocks (Clements, early math) |
61 - FLEX Goddard Pre-K |
86 - Links to Literacy |
111 - Big Math for Little Kids (Ginsburg, early math) |
62 - Frog Street Pre-K |
87 - Promoting Preschool Friendships |
112 - The Incredible Years (Webster-Stratton) |
63 - Frog Street Summer |
88 - Saxon |
113 - Head Start REDI (Research-based, Developmentally Informed; Penn State) |
64 - Galileo |
89 - Bank Street Developmental Interaction Approach |
114 - EPIC (Evidence-based Program for Integrated Curricula, John Fantuzzo) |
65 - Get Set for School |
90 - Little Treasures (MacMillan/McGraw Hill) |
115 - Abeka |
66 - Kiddie Academy Life Essentials |
91 - Curiosity Corner (Success for All) |
116 - Alpha Skills |
67 - Kids R Kids |
92 - Teaching Strategies |
117 - Pinnacle Early Childhood |
|
|
118 - WINGS |
C5.
Have you received 4 or more hours of training on how to
use this curriculum?
YES
NO
C3.
Do you plan or help plan the daily activities of the children
in this classroom or group?
YES
NO SKIP TO C4_M
DK/REF SKIP TO C4_M
C3a_M.
When do you plan daily activities?
While caring for children
Time while at work, but not caring for children
I don’t make specific plans
C4_M. In this classroom, on most days, how much time do children spend doing something with a screen, such as watching TV or a movie, or working or playing a game on a computer or tablet?
1 ½ hours or more
30 minutes to 1 ½ hours
Less than 30 minutes
Children do not use screens while in this classroom
C6.
Please describe a typical day in your classroom. Not including lunch or nap breaks, how much time is spent in the following kinds of activities throughout the day? [INTERVIEWER: How about (READ ITEM)? Would you say the children spend no time, half an hour or less, about one hour, about two hours, or three hours or more in (READ ITEM AGAIN)?]
|
1. No time |
2. 30 min or less |
3. About one hour |
4. About two hours |
5. Three hours or more |
6. Don’t know/ Refused |
A. Learning activities with the whole group |
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B. Learning activities done with small group (with 2 or more children) |
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C. Learning activities one-on-one (with individual children) |
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D. Activities selected/initiated by the child (e.g., time for children to explore freely) |
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E. Routine care (such as diapering, feeding, and bathroom needs) |
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F. Vigorous physical activity either indoors or outdoors |
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G. Singing/rhyming |
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H. Book reading or sharing |
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Section CL. About People in the Classroom
CL1.
Please think about the teachers, assistant teachers and aides who usually work in this classroom. How many people are there, including yourself?
Range 1 - 99
CL12.
Including yourself, are any of these [CL1] people Hispanic or Latino?
YES
NO
CL13.
As far as you know, are any of the people who are not Hispanic or Latino:
CL13a. Black or African American
YES
NO
CL13b. White
YES
NO
YES
NO
CL13d. Mixed race, another race, or you are not certain
YES
NO
CL5.
How many children are enrolled in this classroom?
Number of children: Range 1-999
CL14.
Are any of these [CL5] children Hispanic or Latino?
YES
NO
CL15.
As far as you know, are any of the children who are not Hispanic or Latino:
CL15a. Black or African American
1. YES
2.
NO
CL15b. White
1. YES
2.
NO
CL15c. Asian
CL15d. Mixed race, another race, or you are not certain
1.
YES
2. NO
CL9.
How many of the children in your classroom speak a language other than English at home?
Number of children
Range: 0 – [Value reported in CL5]
-1. DK/REF
IF CL9 = DK/REF ASK CL10
IF CL9 >= 1 SKIP TO CL16
CL10.
About what percent of the children in your classroom speak a language other than English at home?
Percent of children
IF CL9 = (0 OR DK/REF) AND CL10 = (0 OR DK/REF), THEN SKIP TO CL11
CL16.
For children in your classroom who speak a language other than English at home, is there an adult assigned to the classroom to provide care and instruction using children’s home language, not including language lessons.
Yes, there is an adult assigned to the class that is here all of the time
Yes, there is an adult assigned to the class that is here some of the time
No
CL11.
How many of the children in this classroom have a parent who needs the help of an interpreter or a child to speak with their child’s teacher?
Number of children:
Range: 0 – [Value reported in CL5]
I don’t know the exact number but at least one child
CL8a.
As far as you know, how many children in this classroom sometimes don’t have enough food to eat at home because there is not enough money to buy it?
I don’t know the exact number but at least one child
Range: 0 – [Value reported in CL5]
Section D. Staff Attitudes and Orientation to Caregiving
D16.
Please rate the degree to which you agree or disagree with the following statement:
I integrate the cultural values and lifestyles of people of various races and ethnicities into my teaching and caregiving.
In the past six months how often have you met with or talked to parents about:
D17a. Their child’s learning or progress towards developmental milestones?
D17b. Problems their child is having in the program?
Never
Rarely
Sometimes
Very Often
D18.
In the last 12 months, how often have you and your supervisor discussed how you can improve your skills working with children? Would you say…
Once a year
Several times a year
Once a month
A few times a month
Once a week or more
Never
D19.
How much do you agree or disagree: My supervisor knows my teaching well.
Strongly agree
Agree
Disagree
Strongly disagree
D8.
Do you receive a formal review and feedback on your performance at least once a year?
YES
NO
How much do you agree or disagree with the following statements about working in this program?
D9D. I am treated with respect on a day-to-day basis. (Would you say you strongly agree, agree, neither agree or disagree, disagree or strongly disagree with this statement?)
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
D9C. I have help dealing with difficult children or parents. (Would you say you strongly agree, agree, neither agree or disagree, disagree or strongly disagree with this statement?)
Strongly agree
Agree
Neither agree nor disagree
Disagree
Strongly disagree
D20.
1. Yes
2. No
D20b. Space for relaxation (away from children)
1. Yes
2. No
D20c. Daily designated breaks (including meal breaks and other rest breaks)
1. Yes
2. No
D21.
We are interested in the way other people have treated you or your beliefs about how other people have treated you in your job.
Can you tell me: In the past year, were you ever treated unfairly in your job?
D22.
What do you think was the main reason for this experience? (PLEASE SELECT ONE)
YOUR ANCESTRY, NATIONAL ORIGINS OR ETHNICITY
YOUR GENDER
YOUR RACE
YOUR AGE
YOUR RELIGION, RELIGIOUS BELIEFS OR PRACTICES
YOUR HEIGHT OR WEIGHT
YOUR SEXUAL ORIENTATION OR GENDER IDENTITY
D23.
Some early care and education programs are subject to policies that require their staff to get background checks.
Does your program cover the entire cost for staff to get required background checks?
1. YES
2. NO
D24_Intro.
Rate the following statements about being well-informed and giving input at your work on a scale of 1-4, with 1 indicating “strongly agree” and 4 indicating “strongly disagree”.
D11.
Below is a list of some of the ways you may have felt or behaved.
Please indicate how often you have felt this way during the past week by checking the appropriate box for each question.
D25. How often in the last year have you experienced the following?
D25a. I feel burned out from my work.
Never
A few times a year or less
Once a month or less
A few times a month
Once a week
A few times a week
Every day
D25b. I have become more callous toward people since I took this job.
Never
A few times a year or less
Once a month or less
A few times a month
Once a week
A few times a week
Every day
ELSE, GO TO D14
HELP_SCREEN.
INTERVIEWER:
SHARE WITH RESPONDENT AS APPROPRIATE,
“If you or someone
you know are experiencing an emotional crisis, please call 211 or
visit 211.org.”
The following questions are about your beliefs about education and caregiving.
D14. A child hits another child. The most effective response is to:
Separate the children by moving the child who was hit into another center.
Remind the child that hands are not for hitting, then help re-engage him in an activity.
Ignore the behavior.
Tell the child’s parents about the misbehavior.
D15. A child is trying to put together a puzzle that is too difficult for her. The best thing to do is:
Sit with her and give her hints that help her complete the puzzle.
Provide her a puzzle that is easier for her to complete.
Encourage her to keep trying it on her own.
D26.
Thinking about the families you serve, for how many children do you know what their families do to encourage their children’s learning?
1. None
2. Some
3. Most
Section E. Demographics
We finish the interview with some questions about your personal characteristics.
E2.
In what year were you born?
Range = 1916 - 2022
E3_M.
E4_M.
What is your race? (SELECT ONE OR MORE)
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
E5.
Do you speak any languages other than English?
YES
NO SKIP TO E19
DK/REF SKIP TO E19
E6.
About what percent of the time that you are working with children do you speak English?
% of time speaking English
E19. What language(s) do you speak with children or parents as part of your job at this center?
(Open – Ended)
CODE |
DESCRIPTION |
CODE |
DESCRIPTION |
0 |
No other language provided |
44 |
Creole |
1 |
Arabic |
45 |
Dutch |
2 |
Armenian |
46 |
Ethiopian |
3 |
Chinese |
47 |
Fijian |
4 |
English |
48 |
African dialects |
5 |
French (including Patois, Cajun) |
49 |
Igbo |
6 |
French creole |
50 |
Ilocano |
7 |
German |
51 |
Indian dialects |
8 |
Greek |
52 |
Indonesian |
9 |
Guajarati |
53 |
Moratai |
10 |
Hebrew |
54 |
Jamaican/Haitian Creole |
11 |
Hindi |
55 |
Kannada |
12 |
Hungarian |
56 |
Karen |
13 |
Italian |
57 |
Kurdish |
14 |
Japanese |
58 |
Lakota |
15 |
Korean |
59 |
Latvian |
16 |
Laotian |
60 |
Mixteco |
17 |
Miao, Hmong |
61 |
Nepali |
18 |
Mon-Khmer, Cambodian |
62 |
Mongolian |
19 |
Navajo |
63 |
Norwegian |
20 |
Persian |
64 |
Oromo |
21 |
Polish |
65 |
Pashto |
22 |
Portuguese or Portuguese Creole |
66 |
Punjabi |
23 |
Russian |
67 |
Romanian |
24 |
Serbo-Croatian |
68 |
Samoan |
25 |
Spanish or Spanish Creole |
69 |
Somali |
26 |
Tagalog |
70 |
Swahili |
27 |
Thai |
71 |
Tamil |
28 |
Urdu |
72 |
Telugu |
29 |
Vietnamese |
73 |
Tigrinya |
30 |
Yiddish |
74 |
Turkish |
31 |
Other |
75 |
Twi |
32 |
DK/REF |
76 |
Ukrainian |
33 |
American Sign Language |
77 |
Visyan/Cebuano/Bisaya |
34 |
Amharic |
78 |
Yoruba |
35 |
Albanian |
79 |
Malayalam |
36 |
Bengali |
80 |
Pennsylvanian Dutch |
37 |
Bulgarian |
81 |
Tongan |
38 |
Burmese |
82 |
Nahuatl |
39 |
Cape Verdean |
83 |
Hawaiian |
40 |
Chamorro |
84 |
Mandinka |
41 |
Chuukese |
85 |
Finnish |
42 |
Creole |
86 |
Pidgin |
43 |
Czech |
87 |
Sesotho |
E9.
In what country were you born?
[DROP DOWN]
Order |
Label |
Order |
Label |
Order |
Label |
0 |
DROP DOWN |
101 |
Guernsey |
202 |
San Marino |
1 |
United States |
102 |
Guinea |
203 |
Sao Tome and Principe |
2 |
DK/REF |
103 |
Guinea-Bissau |
204 |
Saudi Arabia |
3 |
Afghanistan |
104 |
Guyana |
205 |
Senegal |
4 |
Akrotiri |
105 |
Haiti |
206 |
Serbia and Montenegro |
5 |
Albania |
106 |
Heard Island and McDonald Islands |
207 |
Seychelles |
6 |
Algeria |
107 |
Holy See (Vatican City) |
208 |
Sierra Leone |
7 |
American Samoa |
108 |
Honduras |
209 |
Singapore |
8 |
Andorra |
109 |
Hong Kong |
210 |
Slovakia |
9 |
Angola |
110 |
Hungary |
211 |
Slovenia |
10 |
Anguilla |
111 |
Iceland |
212 |
Solomon Islands |
11 |
Antarctica |
112 |
India |
213 |
Somalia |
12 |
Antigua and Barbuda |
113 |
Indonesia |
214 |
South Africa |
13 |
Argentina |
114 |
Iran |
215 |
South Georgia and the South Sandwich Islands |
14 |
Armenia |
115 |
Iraq |
216 |
Spain |
15 |
Aruba |
116 |
Ireland |
217 |
Spratly Islands |
16 |
Ashmore and Cartier Islands |
117 |
Isle of Man |
218 |
Sri Lanka |
17 |
Australia |
118 |
Israel |
219 |
Sudan |
18 |
Austria |
119 |
Italy |
220 |
Suriname |
19 |
Azerbaijan |
120 |
Jamaica |
221 |
Svalbard |
20 |
Bahamas |
121 |
Jan Mayen |
222 |
Swaziland |
21 |
Bahrain |
122 |
Japan |
223 |
Sweden |
22 |
Bangladesh |
123 |
Jersey |
224 |
Switzerland |
23 |
Barbados |
124 |
Jordan |
225 |
Syria |
24 |
Bassas da India |
125 |
Juan de Nova Island |
226 |
Taiwan |
25 |
Belarus |
126 |
Kazakhstan |
227 |
Tajikistan |
26 |
Belgium |
127 |
Kenya |
228 |
Tanzania |
27 |
Belize |
128 |
Kiribati |
229 |
Thailand |
28 |
Benin |
129 |
North Korea |
230 |
Timor-Leste |
29 |
Bermuda |
130 |
South Korea |
231 |
Togo |
30 |
Bhutan |
131 |
Kuwait |
232 |
Tokelau |
31 |
Bolivia |
132 |
Kyrgyzstan |
233 |
Tonga |
32 |
Bosnia and Herzegovina |
133 |
Laos |
234 |
Trinidad and Tobago |
33 |
Botswana |
134 |
Latvia |
235 |
Tromelin Island |
34 |
Bouvet Island |
135 |
Lebanon |
236 |
Tunisia |
35 |
Brazil |
136 |
Lesotho |
237 |
Turkey |
36 |
British Indian Ocean Territory |
137 |
Liberia |
238 |
Turkmenistan |
37 |
British Virgin Islands |
138 |
Libya |
239 |
Turks and Caicos Islands |
38 |
Brunei |
139 |
Liechtenstein |
240 |
Tuvalu |
39 |
Bulgaria |
140 |
Lithuania |
241 |
Uganda |
40 |
Burkina Faso |
141 |
Luxembourg |
242 |
Ukraine |
41 |
Burma |
142 |
Macau |
243 |
United Arab Emirates |
42 |
Burundi |
143 |
Macedonia |
244 |
United Kingdom |
43 |
Cambodia |
144 |
Madagascar |
245 |
Uruguay |
44 |
Cameroon |
145 |
Malawi |
246 |
Uzbekistan |
45 |
Canada |
146 |
Malaysia |
247 |
Vanuatu |
46 |
Cape Verde |
147 |
Maldives |
248 |
Venezuela |
47 |
Cayman Islands |
148 |
Mali |
249 |
Vietnam |
48 |
Central African Republic |
149 |
Malta |
250 |
Virgin Islands |
49 |
Chad |
150 |
Marshall Islands |
251 |
Wake Island |
50 |
Chile |
151 |
Martinique |
252 |
Wallis and Futuna |
51 |
China |
152 |
Mauritania |
253 |
West Bank |
52 |
Christmas Island |
153 |
Mauritius |
254 |
Western Sahara |
53 |
Clipperton Island |
154 |
Mayotte |
255 |
Yemen |
54 |
Cocos (Keeling) Islands |
155 |
Mexico |
256 |
Zambia |
55 |
Colombia |
156 |
Micronesia, Federated States of |
257 |
Zimbabwe |
56 |
Comoros |
157 |
Moldova |
258 |
None of these |
57 |
Congo |
158 |
Monaco |
|
|
58 |
Cook Islands |
159 |
Mongolia |
|
|
59 |
Coral Sea Islands |
160 |
Montserrat |
|
|
60 |
Costa Rica |
161 |
Morocco |
|
|
61 |
Cote d'Ivoire |
162 |
Mozambique |
|
|
62 |
Croatia |
163 |
Namibia |
|
|
63 |
Cuba |
164 |
Nauru |
|
|
64 |
Cyprus |
165 |
Navassa Island |
|
|
65 |
Czech Republic |
166 |
Nepal |
|
|
66 |
Denmark |
167 |
Netherlands |
|
|
67 |
Dhekelia |
168 |
Netherlands Antilles |
|
|
68 |
Djibouti |
169 |
New Caledonia |
|
|
69 |
Dominica |
170 |
New Zealand |
|
|
70 |
Dominican Republic |
171 |
Nicaragua |
|
|
71 |
Ecuador |
172 |
Niger |
|
|
72 |
Egypt |
173 |
Nigeria |
|
|
73 |
El Salvador |
174 |
Niue |
|
|
74 |
Equatorial Guinea |
175 |
Norfolk Island |
|
|
75 |
Eritrea |
176 |
Northern Mariana Islands |
|
|
76 |
Estonia |
177 |
Norway |
|
|
77 |
Ethiopia |
178 |
Oman |
|
|
78 |
Europa Island |
179 |
Pakistan |
|
|
79 |
Falkland Islands (Islas Malvinas) |
180 |
Palau |
|
|
80 |
Faroe Islands |
181 |
Panama |
|
|
81 |
Fiji |
182 |
Papua New Guinea |
|
|
82 |
Finland |
183 |
Paracel Islands |
|
|
83 |
France |
184 |
Paraguay |
|
|
84 |
French Guiana |
185 |
Peru |
|
|
85 |
French Polynesia |
186 |
Philippines |
|
|
86 |
French Southern and Antarctic Lands |
187 |
Pitcairn Islands |
|
|
87 |
Gabon |
188 |
Poland |
|
|
88 |
Gambia |
189 |
Portugal |
|
|
89 |
Gaza Strip |
190 |
Puerto Rico |
|
|
90 |
Georgia |
191 |
Qatar |
|
|
91 |
Germany |
192 |
Reunion |
|
|
92 |
Ghana |
193 |
Romania |
|
|
93 |
Gibraltar |
194 |
Russia |
|
|
94 |
Glorioso Islands |
195 |
Rwanda |
|
|
95 |
Greece |
196 |
Saint Helena |
|
|
96 |
Greenland |
197 |
Saint Kitts and Nevis |
|
|
97 |
Grenada |
198 |
Saint Lucia |
|
|
98 |
Guadeloupe |
199 |
Saint Pierre and Miquelon |
|
|
99 |
Guam |
200 |
Saint Vincent and the Grenadines |
|
|
100 |
Guatemala |
201 |
Samoa |
|
|
IF E9 ≠ UNITED STATES ASK E10
ELSE, SKIP TO E21
E10.
In what year did you move to the U.S. to stay?
Range: 1923 – 2024
E21.
You may select more than one answer. Are you:
1. Male
2. Female
3. Transgender, non-binary, or another gender
E22.
Which of the following best represents how you think of yourself?
1. Gay or lesbian
2. Straight, that is not gay or lesbian
3. Bisexual
5. I don’t know
E11.
What is your current marital status?
Never married, not living with a partner
Married or living with a partner
Separated
Divorced
Widowed
E20.
Overall, would you say your health is excellent, very good, fair, or poor?
Excellent
Very good
Fair
Poor
E14. Approximately what was your total household income in 2023, before taxes or deductions? Please include income from wages and salaries earned by you or other adults in your household. Also include government assistance, gifts, or other income you may have had.
$
-1. DK/REF
IF E14 = DK/REF ASK E15
E15.
It can be difficult to remember or report these numbers and an approximate range is fine. What was your total household income in 2023 before taxes or deductions…
Less than $15,000
$15,001 to $30,000
$30,001 to $45,000
$45,001 to $60,000
$60,001 or more
E17. Approximately how much of your household income in 2023 came from your work with children under age 13?
All
Almost all
More than half
About half
Less than half
Very little
None
E23.
Not including yourself, how many people in your household are in the following age categories:
Under age 6 __________
Ages 6 through 12 __________
Ages 13-17 __________
Age 18 or older __________
IF E23 UNDER AGE 6 OR AGES 6 THROUGH 12 > 0, THEN ASK E24
E24.
Do any government programs help you pay for child care for your children under 13? These government programs might include: a state child care subsidy program, the Head Start program, a local public school district, or your state’s public pre-kindergarten program.
Yes
No
E25.
Do you
or any member of this household receive benefits from the Food Stamp
Program or SNAP (the Supplemental Nutrition Assistance Program)? Do
not
include WIC, the School Lunch Program, or assistance from food banks.
Yes
NO
IF E23 Under age 6 > 0, ASK E26
ELSE SKIP TO E27
E26.
Do
you or any member of this household participate in the WIC program,
meaning the Women, Infants and Children supplemental nutrition
program?
E27.
Suppose that you have an emergency expense that costs $400. Could you pay for this expense right now using cash or money in a checking/savings account, or with a credit card that you could pay off at the next statement?
Yes
No
Skip Logic Box F_S_1:
IF CASE IS INTERVIEWER ADMINISTERED, THEN ASK F1_FI
ELSE, IF CASE IS SELF ADMINISTERED, THEN SKIP TO F1_SA
F1_FI.
We are asking your permission to search state or national employment records and other data sources that contain information about college attendance or professional development. We would give data administrators basic information that identifies you and request that information be sent to the Administration for Children and Families, of the U.S. Department of Health and Human Services or its contractors, for study purposes only. Do we have your permission to do so?
We are asking to link your responses to these data from other sources to better understand how much education and training helps individuals succeed in the field and some of the reasons why people leave the child care field and where they go.
IF NEEDED: State or local government program records can provide additional information about how often child care workers leave early care and education jobs and what kinds of jobs they move to. We would search for additional jobs that you have now or may have in the future.
IF NEEDED: Records on college attendance and participation in professional development and certification can tell us how much education and/or training help individuals succeed in child care and early education or in other kinds of jobs. We would search, for example, registries that track educational credentials, or databases that employers use to confirm college and university degrees held by job applicants to learn what kinds of certifications or degrees you have earned or professional development activities you have undertaken.
NORC requests your permission to search these data sources. We would not provide the state agency or data administrators with any of the answers you’ve provided today, other than your name and the name of your employer and enough information to find you in the records.
All information about you and your employer will be considered private and used for study purposes only. Your name, as well as the name of your employer, will not be used in reporting the study results. Only authorized personnel associated with this study will be granted access to this identifying information on a need-to-know basis. The information will be reported as statistics to the U.S. Department of Health and Human Services as part of the results of this study.
F3_FI. I need to collect some information from you in order to search for your information in the administrative records. Please confirm…
Full Name |
|
Telephone Number |
[PRIMARY PHONE] |
Telephone Type |
[LANDLINE/CELL] |
Date of Birth |
[DOB] |
Address |
[RESPONDENT ADDRESS 1] |
|
[RESPONDENT ADDRESS 2] |
City |
[CITY] |
State |
[STATE] |
ZIP |
We are asking your permission to search state or national employment records and other data sources that contain information about college attendance or professional development records. We would give data administrators basic information that identifies you and request that information be sent to the Administration for Children and Families, of the U.S. Department of Health and Human Services or its contractors, for study purposes only. Do we have your permission to do so?
We are asking to link your responses to these data from other sources to better understand how much education and training helps individuals succeed in the field and some of the reasons why people leave the child care field and where they go.
NORC requests your permission to search these data sources. We would not provide the state agency or data administrators with any of the answers you’ve provided today, other than your name and the name of your program and enough information to find you in the records.
All information about you and your employer will be considered private and used for study purposes only. Your name, as well as the name of your employer, will not be used in reporting the study results. Only authorized personnel associated with this study will be granted access to this identifying information on a need-to-know basis. The information will be reported as statistics to the U.S. Department of Health and Human Services as part of the results of this study.
[THIS SCREEN WILL OFFER THE OPTION TO GET ANSWERS TO ADDITIONAL QUESTIONS BY CLICKING A LINK “Questions? Please click here for additional information" . THE LINK WILL LEAD TO F2_FAQ_SA]
Why are you interested in accessing state or local government program records?
State or local government program records can provide additional information about how often child care workers leave early care and education jobs and what kinds of jobs they move to. We would search for additional jobs that you have now or may have in the future.
Why are you interested in accessing my college attendance or professional development records?
Records on college attendance and participation in professional development and certification can tell us how much education and/or training help individuals succeed in child care and early education or in other kinds of jobs. We would search, for example, registries that track educational credentials, or databases that employers use to confirm college and university degrees held by job applicants to learn what kinds of certifications or degrees you have earned or professional development activities you have undertaken.
Please confirm or update the following information:
Full Name |
[RESPONDENT NAME] |
Telephone Number |
[PRIMARY PHONE] |
Telephone Type |
[LANDLINE/CELL] |
Date of Birth |
[DOB] |
Address |
[RESPONDENT ADDRESS 1] |
|
[RESPONDENT ADDRESS 2] |
City |
[CITY] |
State |
[STATE] |
ZIP |
ZIP |
Full Name |
[RESPONDENT NAME] |
Telephone Number |
[PRIMARY PHONE] |
Telephone Type |
[LANDLINE/CELL] |
Date of Birth |
[DOB] |
Address |
[RESPONDENT ADDRESS 1] |
|
[RESPONDENT ADDRESS 2] |
City |
[CITY] |
State |
[STATE] |
ZIP |
ZIP |
THANK YOU
Thank you for taking the time to complete this survey. If you have any additional comments or information about your answers I can record those now.
PROCEED TO INCENTIVE PAYMENT SCREEN AND CONTACT INFORMATION UPDATE.
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Gift Card: This reward will be
delivered via email only. Receive your reward by email within 3
business days. You will receive an email from surveyrewards@norc.org
with instructions on how to activate your reward. Click on the link
provided, enter in your name and address to register your card, and
it's ready to use. It's that simple. Amazon.com
Gift Cards never expire and can be redeemed towards millions of
items at www.amazon.com Restrictions apply, see amazon.com/gc-legal
Walmart
eGift Card: This reward will be
delivered via email only. Receive your reward by email within 3
business days. You will receive an email from surveyrewards@norc.org
with instructions on how to activate your reward. Click on the link
provided, enter in your name and address to register your card, and
it's ready to use. It's that simple. With
a Walmart eGift Card, you get low prices every day on thousands of
popular products in stores or online at Walmart.com. You'll find a
wide assortment of top electronics, toys, home essentials and more.
Plus, cards don't expire and you never pay any fees. The Virtual
Reward Center is not affiliated with Wal-Mart Stores, Inc., Wal-Mart
Stores Arkansas, LLC, Walmart.com or any of their affiliates.
Wal-Mart Stores, Inc., Wal-Mart Stores Arkansas, LLC, Walmart.com
and their affiliates do not endorse or sponsor The Virtual Reward
Center's services, products, or activities. See
www.walmart.com/giftcardtermsandconditions for complete gift card
terms and conditions
Lowes
eGift Card: This reward will be
delivered via email only. Receive your reward by email within 3
business days. You will receive an email from surveyrewards@norc.org
with instructions on how to activate your reward. Click on the link
provided, enter in your name and address to register your card, and
it's ready to use. It's that simple. This
Lowe's eGift Card can be redeemed at any Lowe's Home Improvement
Store or at www.lowes.com. Lowe's stores stock 40,000 products in 20
product categories ranging from appliances to tools, to paint,
lumber and nursery products. Lowe's has hundreds of thousands of
more products available by Special Order - offering everything
customers need to build, maintain, beautify and enjoy their homes.
Lowe's operates more than 1,766 stores.
This is not a
credit/debit card and has no implied warranties. This Gift Card is
not redeemable for cash unless required by law and cannot be used to
make payments on any charge account. Lowe's reserves the right to
deactivate or reject any Gift Card issued or procured, directly or
indirectly, in connection with fraudulent actions, unless prohibited
by law. Lost or stolen Gift Cards can only be replaced upon
presentation of original sales receipt for any remaining balance. It
will be void if altered or defaced. To check your Lowe's Gift Card
balance, visit Lowes.com/GiftCards, call 1-800-560-7172 or see the
Customer Service Desk in any Lowe's store. Lowe's, LOWE'S and the
Gable Mansard Design are registered trademarks of LF, LLC and the
GABLE MANSARD DESIGN are registered trademarks and service marks of
LF, LLC. Lowe's is not affiliated with Virtual Incentives.
1. Physical Gift Card SKIP TO WFX_INC_PHYS_CARD "Please only select this option if you are completing the survey in person."
2. Cash mailed to me SKIP TO WFX_INC_MAIL
3. Walmart e-gift card SKIP TO WFX_INC_EMAIL
4. Lowe’s e-gift card SKIP TO WFX_INC_EMAIL
5. Amazon e-gift card SKIP TO WFX_INC_EMAIL
6. [RESPONDENT DECLINES INCENTIVE/DECLINE THANK YOU GIFT] SKIP TO FUTURE CONTACT INFORMATION
Thank you. In just a few moments, I will provide your physical gift card incentive and have you sign a receipt.
INTERVIEWER: ENTER THE ID NUMBER OF THE GIFT CARD BEING GIVEN TO R HERE. ID NUMBER IS 12 DIGITS IN LENGTH ON THE BACK OF THE CARD.
INTERVIEWER: RE-ENTER THE ID NUMBER OF THE GIFT CARD.
__________________________
[IF NUMBERS DON’T MATCH] NUMBERS DO NOT MATCH. PLEASE RE-ENTER THE GIFT CARD SERIAL NUMBER.
SKIP TO FUTURE CONTACT INFORMATION
WFX_INC_EMAIL
[FOR SELF-ADMINISTERED, DISPLAY:] Please enter the email address that you would like the gift card sent to: (*Required)
[FOR INTERIVEWER ADMINISTERED, DISPLAY:] Could you please provide the email address that the gift card should be sent to.
Email address*:
Please confirm your email address*: _____________________
[IF EMAIL DOES NOT MATCH] Email addresses do not match. Please re-enter your email address.
SKIP TO FUTURE CONTACT INFORMATION
WFX_INC_MAIL
[FOR SELF-ADMINISTERED, DISPLAY:] Please enter the mailing address you would like the cash incentive mailed to: (*Required)
[FOR INTERVIEWER-ADMINISTERED, DISPLAY:] Could you please provide the mailing address that the cash incentive should be mailed to.
Full Name*: ____________________
Address 1*: ____________________
Address 2: ____________________
City*: ____________________
State*: ____________________
Future Contact Information
We may follow up with early care and education teachers and aides again in the future and would like for you to continue participating. If a future study is conducted, you can decide whether you wish to participate or not at that time. We may also contact you in the future if we need to clarify one of your interview responses.
[SELF-ADMINISTERED:] Please update your contact information below.
[INTERVIEWER ADMINISTERED:] I’d like to confirm that we have the best contact information for you on file.
[INFORMATION WILL BE PREFILLED FROM THE CASE MANAGEMENT SYSTEM]
Full Name |
[RESPONDENT NAME] |
Telephone Number |
[PRIMARY PHONE] |
Telephone Type |
[LANDLINE/CELL] |
[PRIMARY EMAIL] |
|
Secondary Email |
[SECONDARY EMAIL] |
Home Address |
[RESPONDENT ADDRESS 1] |
|
[RESPONDENT ADDRESS 2] |
City |
[CITY] |
State |
[STATE] |
ZIP |
ZIP |
[IF TELEPHONE IS CELL:] NORC at the University of Chicago or the U.S. Department of Health and Human Services may wish to text you about your participation in the National Survey of Early Care and Education (NSECE). We will only use your phone number to facilitate your cooperation with this study and will not share, sell, or otherwise use this number. Standard messaging and data rates may apply. You will be able to opt out of receiving text messages at any time. Do we have your permission to text you at the number provided?
CLOSING STATEMENT.
Thank you for completing the NSECE questionnaire for classroom staff. CLICK NEXT TO END THE SURVEY.
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
File Modified | 0000-00-00 |
File Created | 0000-00-00 |