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 Elementary 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 Elementary School Survey This is the NASA K-12 STEM Engagement program survey. We want to learn about what you do in school and if you are learning about NASA. Thank you for filling out 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 on the circle next to it to select it.

  1. I have learned about NASA in school this year.

Yes No

I am not sure.


  1. I have learned about NASA but it was not at school.



Yes No

I am not sure.


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

  1. My parents think I am good at STEM.

No

Maybe Yes


  1. My teachers think I am good at STEM.

No

Maybe Yes


  1. My friends think I am good at STEM.

No

Maybe Yes


  1. I want to work in a STEM job when I grow up.

No

Maybe Yes


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

No

Maybe Yes


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

  1. I am good at STEM.

No

Maybe Yes


  1. I get excited about doing STEM projects.

No

Maybe Yes


  1. I am confident about trying out new STEM ideas.

No

Maybe Yes


  1. I understand how people use STEM in their jobs.

No

Maybe Yes


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

No

Maybe Yes


  1. I get good grades on STEM projects in school.

No

Maybe Yes


  1. I understand things we discuss about STEM in school.

No

Maybe Yes

  1. I am good at the STEM projects we do in school.

No

Maybe Yes


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

  1. I like learning about STEM.

No

Maybe Yes


  1. I like to figure out how things work.

No

Maybe Yes


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

No

Maybe Yes


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

No

Maybe Yes


  1. I like the challenge of doing STEM projects.

No

Maybe Yes


  1. I want to learn as much as I can about STEM.

No

Maybe Yes


  1. I talk with friends or family about STEM a lot.

No

Maybe Yes

  1. I like to solve STEM problems.

No

Maybe Yes


  1. I have been in a STEM camp, club, or competition.

No

Maybe Yes


  1. I think of STEM things to try out a lot.

No

Maybe Yes


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

  1. I can come up with new STEM ideas.

No

Maybe Yes


  1. I can solve STEM problems.

No

Maybe Yes


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

No

Maybe Yes


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

No

Maybe Yes


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

No

Maybe Yes


  1. I can finish a project by its due date.

No

Maybe Yes


  1. When a project does not work out, I can think of other ways to do it.

No

Maybe Yes

  1. I can be the leader of a team working on a project.

No

Maybe Yes


Answer the questions below.


  1. Shape19
    What made you become interested in STEM?


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

No

Not Sure Yes


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

No

Not Sure Yes


  1. Shape20
    What kind of job do you see yourself doing in the future?

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