NAEP 2008 - Wave 3

Student with
Disabilities (SD)
Questionnaire
(For 2008 Arts)
Cover to come from Pearson

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General Directions for Completing this Questionnaire
The student named on the front cover of this questionnaire has been selected to
participate in the National Assessment of Educational Progress (NAEP) and has been
identified as a student with disabilities (SD). NAEP’s definition of SD includes only:
• students with an Individualized Educational Program (IEP), for reasons other than being
gifted or talented; or
• students with 504 Plans.
The decision tree below illustrates the steps in determining how best to include this
student in NAEP. By answering the questions in this questionnaire, you will provide the
information needed to make this determination.

sd decision tree
How does this student participate in regular classroom assessments or receive
instruction in the classroom?

A
Takes regular
classroom
assessments
or receives
instruction
with no
accommodation

B
Takes regular
classroom
assessments
or receives
instruction with
accommodations

C
Takes alternate or
modified regular
classroom
assessments or
receives alternate
or modified
instruction

Assess the
student on
NAEP with no
accommodations

Determine whether
the accommodations
that this student
needs are allowed on
NAEP

Determine if
this student can
be included in
NAEP

Please answer the questions on pages 5–8 about this student and return the completed
questionnaire to the person in your school who is coordinating NAEP activities.

Thank you very much for your help!

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VC324407

1. Why is this student classified as SD? (Fill in one oval.)

A This student has a disability and has an IEP. (Continue)
B This student has a Section 504 Plan. (Continue)
C This student has a disability, but the student’s IEP or 504 Plan is in process and/or
the student’s status is unclear. (Continue)

D This student does not have an IEP or 504 plan, but requires an accommodations to be
tested. (Continue)

E This student has an IEP because he/she is classified as gifted and talented. (Do not
complete this questionnaire. Return it to the person coordinating NAEP at your
school.)

To answer Question 2, refer to how this student takes regular classroom assessments or how
this student receives instruction in the classroom.

VC329388

2. How does the student take regular classroom assessments or receive instruction in the
classroom? (Fill in one oval.)

A This student takes regular classroom assessments or receives instruction with no
accommodations. ➔ Skip to page 8 and answer questions 7–9.

B This student takes regular classroom assessments or receives instruction with
accommodations. ➔ Go to pages 6, 7, and 8 and answer questions 3–9.

C This student takes alternate or modified regular classroom assessments or receives
alternate or modified instruction. ➔ Skip to page 7 and answer question 6, then
complete page 8.

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VC329429

3. Which accommodations does this student receive on regular classroom assessments or
during instruction in the classroom?

Fill in the oval in Column A for each accommodation that this student receives on regular
classroom assessments or during instruction in the classroom.
column a

Accommodations
student receives for
regular classroom
assessments or
instruction.

This Student

column b

Are these accommodations
allowed on NAEP if received
for regular classroom
assessments or instruction?
Music

column c

If allowed on
NAEP, who provides
accommodation?

Visual Arts

Presentation Format
Has directions read aloud/repeated in English or receives Standard NAEP practice
assistance to understand directions

\
\
Has directions only signed
\
Has test items signed
\
Has occasional words or phrases read aloud
\
Has all or most of the test materials read aloud
\
Uses a Braille version of the test
\
Uses a large print version of the test
\
Uses magnifying equipment

NAEP provides

Y

Y

School provides

Y

Y

School provides

Y

Y

NAEP provides

Y

Y

NAEP provides

Y

Y

School provides

Y

Y

School provides

Y

Y

School provides

Response Format
Responds in sign language

Y

Y

School provides

Uses a Braille typewriter to respond

Y

Y

School provides

Y

Y

School provides

N

N

NA

Y

Y

School provides

\
\
Points to answers or responds orally to a scribe
\
Tape records answers
\
Uses a computer or typewriter to respond
\

Spell/grammar check not allowed

Uses a template to respond

Y
Y
\
Uses a large marking pen or special writing tool
Y
Y
\
Writes directly in the test booklet
Standard NAEP practice
\

School provides
School provides
NA

Setting Format
Takes the test in a small group (5 or fewer)

Y

Y

NAEP provides*

Takes the test one-on-one

Y

Y

NAEP provides*

Y

Y

School provides

Y

Y

School provides

Y

Y

School provides

Receives extended time

Y

Y

NAEP provides**

Is given breaks during the test

Y

Y

NAEP provides

N

N

NA

Uses a calculator, including talking or Braille calculator
N
N
for computation tasks

NA

\
\
Takes the test in a study carrel
\
Receives preferential seating, special lighting, or furniture
\
Must have test administered by familiar person
\
Timing Accommodations

\
\
\
Takes test session over several days
Other Accommodations

\
\
Uses an abacus, arithmetic tables, graph paper
\
Uses dictionary, thesaurus, or spelling/grammar-checking

N

N

NA

N

N

NA

software or devices
Receives other accommodations

\

NA = not applicable
*NAEP provides staff to conduct small group or one-on-one sessions after regular sessions.
**If regular test is untimed, student would require extended time on a timed assessment, such as NAEP.

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Answer Question 4 and, if necessary, Question 5 using the information in Columns A and B
on page 6.
VC329627

4. Are all of the accommodations this student receives on regular classroom assessments
or during classroom instruction as recorded in Column A allowed on NAEP (Column B)?
(Fill in one oval.)

A Yes. This student should be assessed with these accommodations, as allowed on
NAEP. ➔ Skip to page 8 and answer questions 7, 8, and 9.

B No. ➔ Answer question 5 below.

VC195258

5. Can this student be assessed with only the accommodations allowed on NAEP? (Fill in
one oval.)

A Yes. This student should be assessed with only the accommodations allowed on
NAEP. ➔ Skip to page 8 and answer questions 7, 8, and 9.

B No. This student should not be assessed on NAEP. ➔ Skip to page 8 and answer
questions 7, 8, and 9.

VC195269

6. Could the student participate in NAEP with any of the accommodations allowed on
NAEP as listed in Column B on page 6? (Fill in one oval.)

A Yes. List the accommodations allowed on NAEP and include the student in NAEP.
➔ Go to page 8 and answer questions 7, 8, and 9.

B No. This student should not be assessed on NAEP.
➔ Go to page 8 and answer questions 7, 8, and 9.

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VB338417

7. Which of the following describes this
student’s identified disability(ies)? (Fill
in all ovals that apply.)

A Specific learning disability
B Hearing impairment/deafness
C Visual impairment/blindness

VC188552

8. What is the degree of this student’s
disability(ies)?

A Profound/Severe
B Moderate
C Mild

D Speech or language impairment
E Mental retardation
VC330299

F Emotional disturbance
G Orthopedic impairment
H Traumatic brain injury
I Autism
J Developmental delay (age 9 or
younger)

K Other health impairment
L Other (specify)

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9. What grade level of instruction is this
student currently receiving in arts?

A At or above grade level
B One year below grade level
C Two or more years below grade
level

D I don’t know.