NASA K-12 Student Outcome Surveys (NASA Elementary School Survey, NASA Middle School Survey, and NASA High School Survey)

Generic Clearance for the NASA Office of STEM Engagement Performance Measurement and Evaluation (Testing)

NASA Middle School Survey

NASA K-12 Student Outcome Surveys (NASA Elementary School Survey, NASA Middle School Survey, and NASA High School Survey)

OMB: 2700-0159

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NASA Middle School Survey This is the NASA K-12 STEM Engagement program survey. We are hoping to learn more about your experiences in NASA programs or with learning about NASA through your teacher or other STEM program. Thank you for taking the time to complete the survey for us!


Privacy Act Notification:

The information you provide via this form is protected from unauthorized disclosure in accordance with the Privacy Act of 1974. It will be used by NASA for the specific purpose of implementing and evaluating STEM engagement investments. Collection of the information is authorized by the National Aeronautics and Space Act of 1958 § 403(a)(b), 42 U.S.C. § 2473 (c)(1). Provision of the requested information is strictly voluntary. NASA may disclose information to NASA administrators and managers, Office of Management and Budget officials, and members of Congress for the purposes of accountability and tracking of program and project efficiency and effectiveness. Any information released (such as statistical summaries) will be in a form that does not personally identify you.


Elaboration and conditions of information disclosure may be found under “Routine Uses” of the full System of Records Notice at https://www.govinfo.gov/content/pkg/PAI-2013-NASA/xml/PAI-2013- NASA.xml#10euda and in Appendix B at https://www.govinfo.gov/content/pkg/PAI- 2013-NASA/xml/PAI-2013-NASA.xml#appb.


Paperwork Reduction Act Statement:

This information collection meets the requirements of 44 U.S.C. §3507, as amended by section 2 of the Paperwork Reduction Act of 1995. You do not need to answer these questions unless we display a valid Office of Management and Budget (OMB) control number. The OMB control number for this collection is 2700-0159 and expires 09/30/2024.


For each of the sentences below, choose an answer and click the circle next to it to select it.

  1. I have participated in a NASA program in school.



Yes No

I am not sure.


  1. I have participated in a NASA program outside of school.



Yes No

I am not sure.

  1. My teacher taught me about NASA this school year.

Yes No

I am not sure.


STEM Identity For each of the sentences below, choose an answer and click the circle next to it to select it.

  1. My parents think I do well in STEM.

No

Not really

Not sure how I feel Most of the time Yes


  1. My teachers think I do well in STEM.

No

Not really

Not sure how I feel Most of the time Yes


  1. My friends think I do well in STEM.

No

Not really

Not sure how I feel Most of the time Yes


  1. I see myself working in a STEM job someday.

No

Not really

Not sure how I feel Probably

Yes


  1. I think I will do well in high school STEM classes.

No

Not really

Not sure how I feel Probably

Yes



STEM Self-Efficacy For each of the sentences below, choose an answer and click the circle next to it to select it.

  1. I am good at STEM.

No

Not really

Not sure how I feel Most of the time Yes


  1. I get excited about doing STEM projects.

No

Not really

Not sure how I feel Most of the time Yes


  1. I am confident about trying out new ideas on my own in STEM.

No

Not really

Not sure how I feel Most of the time Yes


  1. I understand how STEM is used in jobs.

No

Not really

Not sure how I feel Most of the time Yes


  1. Other students ask me for help with STEM activities.

No

Not often

Not sure how I feel Most of the time

Yes

  1. I receive good grades on STEM activities in school.

No

Not often

Not sure how I feel Most of the time Yes


  1. I understand STEM concepts we discuss in school.

No

Not much

Not sure how I feel Most of the time Yes


  1. I do well in school STEM activities.

No

Not often

Not sure how I feel Most of the time

Yes


STEM Interest For each of the sentences below, choose an answer and click the circle next to it to select it.

  1. I enjoy learning about STEM.

No

Not really

Not sure how I feel Most of the time Yes


  1. I enjoy figuring out how things work.

No

Not really

Not sure how I feel Most of the time Yes


  1. I like to read about STEM when I am not in school.

No

Not often

Not sure how I feel Most of the time Yes


  1. I like to watch videos about STEM when I am not in school.

No

Not often

Not sure how I feel Most of the time Yes


  1. I enjoy the challenge of doing STEM activities.

No

Not really

Not sure how I feel Most of the time

Yes

  1. I want to increase my STEM knowledge as much as possible.

No

Not really

Not sure how I feel Most of the time Yes


  1. I discuss STEM with friends and/or family.

No

Not often

Not sure how I feel Most of the time Yes


  1. I enjoy solving STEM problems.

No

Not really

Not sure how I feel Most of the time Yes


  1. I have done a STEM camp, club, or competition.

No Yes


  1. I think of STEM activities to try out.

No

Not often

Not sure how I feel Sometimes

Yes


21st Century Skills For each of the sentences below, choose an answer and click the circle next to it to select it.

  1. I can think of creative STEM ideas.

No

Not often

Not sure how I feel


Most of the time Yes



  1. I am able to solve STEM problems.

No

Not often

Not sure how I feel Most of the time Yes


  1. I am able to talk about my STEM ideas.

No

Not really

Not sure how I feel Most of the time Yes


  1. I can use the internet to get the information I need for a STEM project.

No

Not often

Not sure how I feel Most of the time Yes


  1. I am a good team member when I work on STEM activities in a group.

No

Not really

Not sure how I feel Most of the time

Yes

  1. I am able to complete a STEM project or task by its due date.

No

Not often

Not sure how I feel Most of the time Yes


  1. When a STEM project or task does not go as planned, I can think of other ways to accomplish it.

No

Not often

Not sure how I feel Most of the time Yes


  1. I am able to be the leader of a team working on a STEM activity.

No

Not really

Not sure how I feel Most of the time

Yes


Answer the questions below.


  1. Do you see yourself having a job in STEM in the future?

No

Not Sure Yes


  1. Shape23
    What made you first become interested in STEM?


  1. Shape24
    What kind of job do you see yourself doing in the future?


  1. Do you think of yourself as being good at doing STEM projects?

No

Not Sure Yes


Please answer the questions below if you have learned about NASA this year.


  1. Shape27
    Please describe what you learned about NASA in school this year.


  1. Shape28
    Please describe what you learned about NASA outside of school this year.

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