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pdfThe National Center for Education Statistics (NCES), within the U.S. Department of Education, is
authorized to conduct this study by the Education Sciences Reform Act of 2002 (ESRA 2002; 20 USC §
9543). The U.S. Census Bureau is administering this survey on behalf of NCES.
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National Household Education Survey
Start Here
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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.
Continue answering
questions 2 through 6 for
each person living in this
household. Include all
adults and children. Start
with yourself.
Person 2
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▼
2. What is his or
her first name,
initials, or
nickname?
First names will
First name/initials/nickname
be used only to
ask you questions
about the education
of a specific person.
3. What is this
person’s
month and
year of birth?
First name/initials/nickname
/
month
4. What is this
person’s sex?
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.
You / Person 1
5. Is this person
currently in . . .
Mark [X] ONE only.
6. What is this
person’s
current grade
or equivalent?
/
year
month
Male
Male
Female
Female
Homeschool instead of
attending a public or
private school for some
Homeschool instead of
attending a public or
private school for some
or all classes,
or all classes,
Public or private
school, or preschool,
Public or private
school, or preschool,
College, university or
vocational school, or
College, university or
vocational school, or
Not in school?
Not in school?
GO TO person 2.
GO TO person 3.
Preschool
Preschool
Kindergarten
Kindergarten
write grade
1 through 12
NHES-1A
2
year
write grade
1 through 12
College, university or
vocational school
College, university or
vocational school
None of these
None of these
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Conducted for:
U.S. Department of Education
National Center for Education Statistics
Person 3
Person 4
Person 5
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▼
First name/initials/nickname
First name/initials/nickname
First name/initials/nickname
/
month
/
year
month
year
month
year
Male
Male
Male
Female
Female
Female
Homeschool instead of
attending a public or
private school for some
or all classes,
Homeschool instead of
attending a public or
private school for some
or all classes,
Homeschool instead of
attending a public or
private school for some
Public or private
school, or preschool,
Public or private
school, or preschool,
Public or private
school, or preschool,
College, university or
vocational school, or
College, university or
vocational school, or
College, university or
vocational school, or
Not in school?
Not in school?
Not in school?
GO TO person 4.
GO TO person 5.
GO TO page 4.
Preschool
Preschool
Preschool
Kindergarten
Kindergarten
Kindergarten
write grade
1 through 12
▼
/
write grade
1 through 12
or all classes,
write grade
1 through 12
College, university or
vocational school
College, university or
vocational school
College, university or
vocational school
None of these
None of these
None of these
If there are more than 5 people in your household, continue on the next page. Otherwise, stop here and
return this form in the postage-paid envelope provided.
NHES-1A
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24015042
National Household Education Survey
Continue
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.
Person 6
Person 7
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▼
2. What is his or
her first name,
initials, or
nickname?
First names will
First name/initials/nickname
be used only to
ask you questions
about the education
of a specific person.
3. What is this
person’s
month and
year of birth?
First name/initials/nickname
/
month
4. What is this
person’s sex?
5. Is this person
currently in . . .
Mark [X] ONE only.
Homeschool means
being taught at home
instead of at a public or
private school for some
or all classes.
6. What is this
person’s
current grade
or equivalent?
/
year
month
Male
Male
Female
Female
Homeschool instead of
attending a public or
private school for some
or all classes,
Homeschool instead of
attending a public or
private school for some
or all classes,
Public or private
school, or preschool,
Public or private
school, or preschool,
College, university or
vocational school, or
College, university or
vocational school, or
Not in school?
Not in school?
GO TO person 7.
GO TO person 8.
Preschool
Preschool
Kindergarten
Kindergarten
write grade
1 through 12
NHES-1A
4
year
write grade
1 through 12
College, university or
vocational school
College, university or
vocational school
None of these
None of these
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24015059
Conducted for:
U.S. Department of Education
National Center for Education Statistics
Person 8
Person 9
Person 10
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▼
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First name/initials/nickname
First name/initials/nickname
First name/initials/nickname
/
month
/
year
month
year
month
year
Male
Male
Male
Female
Female
Female
Homeschool instead of
attending a public or
private school for some
or all classes,
Homeschool instead of
attending a public or
private school for some
or all classes,
Homeschool instead of
attending a public or
private school for some
or all classes,
Public or private
school, or preschool,
Public or private
school, or preschool,
Public or private
school, or preschool,
College, university or
vocational school, or
College, university or
vocational school, or
College, university or
vocational school, or
Not in school?
Not in school?
Not in school?
GO TO person 9.
GO TO person 10.
Return survey.
Preschool
Preschool
Preschool
Kindergarten
Kindergarten
Kindergarten
write grade
1 through 12
▼ ▼
/
write grade
1 through 12
write grade
1 through 12
College, university or
vocational school
College, university or
vocational school
College, university or
vocational school
None of these
None of these
None of these
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:
U.S. Census Bureau
ATTN: DCB 60-A
1201 E. 10th Street
Jeffersonville, IN 47132-0001
Toll-free number for questions: 1-888-840-8353
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Thank you.
Please return this questionnaire in the postage-paid envelope provided.
If you have lost the envelope, mail the completed questionnaire to:
U.S. Census Bureau
ATTN: DCB 60-A
1201 E. 10th Street
Jeffersonville, IN 47132-0001
NHES-1A
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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 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 children’s early care and
education, students’ schooling, and adult training and education, 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 (20 USC § 9573).
Q: How much time will it take?
A: On average, it should take 8 minutes or less 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 (NCES), within the U.S. Department of Education, is authorized to
conduct this study by the Education Sciences Reform Act of 2002 (ESRA 2002; 20 USC § 9543). The U.S. Census
Bureau is administering this survey on behalf of NCES. This study has been approved by the Office of Management
and Budget (OMB), the office that reviews all federally sponsored surveys. According to the Paperwork Reduction
Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB
control number. The valid OMB control number for this voluntary survey is 1850–0803. The time required to
complete this survey is estimated to average 8 minutes per response, including the time to review instructions,
gather the data needed, and complete and review the survey. If you have any comments concerning the accuracy
of the time estimate, suggestions for improving this survey, or any comments or concerns regarding the status of
your individual submission of this survey, please write to: National Household Education Survey, National Center
for Education Statistics, 1990 K Street, NW, Washington, DC 20006-5650.
| File Type | application/pdf |
| File Modified | 2014-12-16 |
| File Created | 2014-08-13 |