National Adult Training and Education Survey (NATES) 2013 Pilot Test (resubmission to reflect changes)

NCES Cognitive, Pilot, and Field Test Studies System

NATES 2013 Pilot Test Screener Adults Children

National Adult Training and Education Survey (NATES) 2013 Pilot Test (resubmission to reflect changes)

OMB: 1850-0803

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Commonly Asked Questions

Q: How did you get my address?

A: Your address was randomly selected from among all of the home addresses in the nation. It was selected using scientific sampling methods to represent other households in the U.S.

Q: Why don’t you ask more questions about education in this questionnaire?

A: The purpose of this questionnaire is to find out if anyone in your household is eligible for the next stage of the survey. If so, we will send a second questionnaire that will ask about job training or educational experiences of a member of your household.

Q: If there are no children or anyone currently in school in my household, should I respond?

A: Yes, you should respond to this survey. Once you return the questionnaire, the study will be able to see if anyone in your household is eligible for the next and final survey. If no one is eligible, you will not receive another survey.

Q: Why should I take part in this study? Do I have to do this?

A: This survey is the only way that the Department of Education can learn about job training, children’s care, early learning activities, and schooling from your perspective. You represent thousands of other households like yours, and you cannot be replaced. Your answers and opinions are very important to the success of this study. You may choose not to answer any or all questions in this survey. In order for the survey to be representative it is important that you complete and return this questionnaire. Those who do not return the survey will not be represented in key statistics used by policymakers and researchers.

Q: How will the information I provide be used? Will my privacy be protected?

A: Your responses will be combined with those of others to produce statistical summaries and reports. Your individual data will not be reported. Your answers may be used only for statistical purposes and may not be disclosed, or used, in identifiable form for any other purpose except as required by law (Section 9573, 20 US Code).

Q: What should I do if there are more than 10 people in my household?

A: If there are more than 10 people in your household, please call 1-888-XXX-XXXX for instructions about how to complete the form.



Q: Should I include my son/daughter who is away at school? Should I include my mother who is visiting for the summer?

A: Include anyone who is temporarily away from home (for example, attending college or university) if they have no other permanent home. Do not include guests/visitors who have another permanent home.



Q: How much time will it take?

A: On average, it should take 5 minutes for you to respond, including the time for reviewing instructions and completing and reviewing the collection of information.

Q: Who is sponsoring the study? Is this study conducted by the Federal Government?

A: The National Center for Education Statistics, within the Department of Education, is authorized to conduct this study (Section 9543, 20 US Code). The U.S. Census Bureau is conducting this study on behalf of the U.S. Department of Education. This study has been approved by the Office of Management and Budget, the office that reviews all federally sponsored surveys. The approval number assigned to this study is XXXX-XXXX. You may send any comments about this survey, including its length, to the Federal Government. Write to: Andrew Zukerberg, National Center for Education Statistics, U.S. Department of Education, 1990 K Street NW, Room 9036, Washington, DC 20006-5650. You may send e-mail to XXX. If you have any questions about the study, contact XXX toll-free at 1-xxx-xxx-xxxx.



OMB No. XXXX-XXXX: Approval Expires XX/XX/XXXX

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UNITED STATES DEPARTMENT OF COMMERCE

Economics and Statistics Administration

U.S. Census Bureau [INSERT CENSUS LOGO HERE]





National Household Education Survey







































The National Center for Education Statistics is authorized to conduct this survey under Section 9543, 20 US Code. Your participation is voluntary. Your answers may be used only for statistical purposes and may not be disclosed, or used, in identifiable form for any other purpose except as required by law (Section 9573, 20 US Code). The information you provide will be combined with information from other participants to produce statistical summaries and reports.






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Start Here





You / Person 1

Person 2

Person 3

Person 4

Person 5

The Department of Education is studying the education and training experiences of adults and children. Each household is different, and we need your response so we can send you a survey that is right for your household.

Return this form even if there are only one or two people in the household.

This survey should be filled out by an adult household member living at this address.

Please use a blue or black pen if available.

1. How many people live in this household?

Include adults and children who are temporarily away from home (for example, living in college housing) if they have no other permanent home.

|__|__|

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Continue answering questions 2 through 6 for each person living in this household. Include all adults and children. Start with yourself.



2. What is his or her first name, initials, or nickname?

We ask for first names in case we need to ask additional questions about the educational experiences of people in your household.









First name/initials/nickname









First name/initials/nickname









First name/initials/nickname









First name/initials/nickname









First name/initials/nickname


3. How old is this person in years?

  • Mark for babies less than 1 year old

|__|__| age in years

  • Mark for babies less than 1 year old

|__|__| age in years

  • Mark for babies less than 1 year old

|__|__| age in years

  • Mark for babies less than 1 year old

|__|__| age in years

  • Mark for babies less than 1 year old

|__|__| age in years


4. What is this person’s sex?

  • Male

  • Female

  • Male

  • Female

  • Male

  • Female

  • Male

  • Female

  • Male

  • Female


5. Is this person currently in..

Mark [X] ONE only.

  • Public or private school, or preschool,

  • Homeschool instead of school for some or all classes, or

  • College, university or vocational school

  • Not in school?

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GO TO person 2

  • Public or private school, or preschool,

  • Homeschool instead of school for some or all classes, or

  • College, university or vocational school

  • Not in school?

Shape5

GO TO person 3

  • Public or private school, or preschool,

  • Homeschool instead of school for some or all classes, or

  • College, university or vocational school

  • Not in school?

Shape6

GO TO person 4

  • Public or private school, or preschool,

  • Homeschool instead of school for some or all classes, or

  • College, university or vocational school

  • Not in school?

Shape7

GO TO person 5

  • Public or private school, or preschool,

  • Homeschool instead of school for some or all classes, or

  • College, university or vocational school

  • Not in school?

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GO TO page 2


6. What is this person’s current grade or equivalent?

  • Preschool

  • Kindergarten

write

|__|__| grade 1 through 12

  • College, university or vocational school

  • None of these

  • Preschool

  • Kindergarten

write

|__|__| grade 1 through 12

  • College, university or vocational school

  • None of these

  • Preschool

  • Kindergarten

write

|__|__| grade 1 through 12

  • College, university or vocational school

  • None of these

  • Preschool

  • Kindergarten

write

|__|__| grade 1 through 12

  • College, university or vocational school

  • None of these

  • Preschool

  • Kindergarten

write

|__|__| grade 1 through 12

  • College, university or vocational school

  • None of these


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If there are more than 5 people in your household, continue on page 2. Otherwise, stop here and return this form in the postage-paid envelope provided.









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Page 2





Person 6

Person 7

Person 8

Person 9

Person 10

If there are more than 5 people in your household, please continue answering for each person living in this household.

If you have finished answering about everyone in the household please return the survey in the postage-paid envelope provided.


2. What is his or her first name, initials, or nickname?









First name/initials/nickname









First name/initials/nickname









First name/initials/nickname









First name/initials/nickname









First name/initials/nickname


3. How old is this person in years?

  • Mark for babies less than 1 year old

|__|__| age in years

  • Mark for babies less than 1 year old

|__|__| age in years

  • Mark for babies less than 1 year old

|__|__| age in years

  • Mark for babies less than 1 year old

|__|__| age in years

  • Mark for babies less than 1 year old

|__|__| age in years


4. What is this person’s sex?

  • Male

  • Female

  • Male

  • Female

  • Male

  • Female

  • Male

  • Female

  • Male

  • Female


5. Is this person currently in..

Mark [X] ONE only.

  • Public or private school, or preschool,

  • Homeschool instead of school for some or all classes, or

  • College, university or vocational school

Shape12
  • Not in school?

GO TO person 7

  • Public or private school, or preschool,

  • Homeschool instead of school for some or all classes, or

  • College, university or vocational school

  • Not in school?

Shape13

GO TO person 8

  • Public or private school, or preschool,

  • Homeschool instead of school for some or all classes, or

  • College, university or vocational school

  • Not in school?

Shape14

GO TO person 9

  • Public or private school, or preschool,

  • Homeschool instead of school for some or all classes, or

  • College, university or vocational school

  • Not in school?

Shape15

GO TO person 10

  • Public or private school, or preschool,

  • Homeschool instead of school for some or all classes, or

  • College, university or vocational school

  • Not in school?

Shape16

Return survey


6. What is this person’s current grade or equivalent?

  • Preschool

  • Kindergarten

write

|__|__| grade 1 through 12

  • College, university or vocational school

  • None of these

  • Preschool

  • Kindergarten

write

|__|__| grade 1 through 12

  • College, university or vocational school

  • None of these

  • Preschool

  • Kindergarten

write

|__|__| grade 1 through 12

  • College, university or vocational school

  • None of these

  • Preschool

  • Kindergarten

write

|__|__| grade 1 through 12

  • College, university or vocational school

  • None of these

  • Preschool

  • Kindergarten

write

|__|__| grade 1 through 12

  • College, university or vocational school

  • None of these

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Please verify you have filled out a column for everyone in your household.












Thank you. Please return this form in the postage-paid envelope provided or mail it to:

National Household Education Survey


Toll-free number for questions: 1-XXX-XXX-XXXX


File Typeapplication/vnd.openxmlformats-officedocument.wordprocessingml.document
File TitleWESTAT.DOT
SubjectDefault Westat Styles
AuthorMamedova, Saida
File Modified0000-00-00
File Created2021-01-31

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