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OMB No. XXXX-XXXX
ul
Approval Expires XX/XX/XXXX
Training
and
Education
Survey
AAdult
Survey about
Students’ and
Families’
Experience with Their
Schools
Part of the
National
Household
Education
The2015
National
Household
Education
Survey Survey
Thank you for helping us with this
survey. Based on the information we
received from your household in your
last survey, we’re asking you to
complete this final step.
Sponsored by
U.S. Department of Education
National Center for Education Statistics
Ad
t
Instructions
In response to the survey you answered earlier, we recorded that the child/youth listed below
attends school. If this information is not correct, please call us toll-free at 1-888-840-8353 to let
us know.
These questions should be filled in by a parent or guardian who knows about:
Please answer all the survey questions thinking about this child or youth.
To answer a question, simply mark X the box that best represents your answer.
Please use a black or blue pen, if available, to complete the survey.
Please return the completed survey using the postage-paid envelope provided.
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. You do not have to provide the information
requested. However, the information you provide will help the Department of Education’s ongoing efforts to
learn more about the educational experiences of children and families. There are no penalties should you
choose not to participate in this study. 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 U.S.C., §
9573). Your responses will be combined with those from other participants to produce summary statistics
and reports.
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 20 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, Room 9016, Washington, DC 20006. Do not return the completed form to this address.
2
4. Is this school a charter school?
Child’s Schooling
No
► Thank you for your help with the previous
survey your household completed.
Yes
5. Did you move to your current neighborhood so
that this child could attend his/her school?
► Answer all the survey questions thinking
about the child listed below:
No
Yes
1. What is this child’s current grade or year of
school?
6. Does your public school district let you choose
which public school you want this child to attend?
This may include applying to a magnet program in a
public school, transferring to another public school
within the district, or transferring to a public school
outside of the district.
If this child is not assigned a specific grade, mark or
write the grade he/she would be in at a school with
regular grades.
Child has not yet started kindergarten
No
Please STOP now and call 1-888-8408353 so we can verify that you received
the correct survey.
Yes
Don’t know
Full-day kindergarten
Partial-day kindergarten
7. Did you consider other schools for this child?
No
grade (1 through 12)
GO TO question 9
Yes
2. What type of school does this child attend?
8. In deciding between schools, did you seek
information on the performance of the schools
you were considering, like test scores, dropout
rates, and so on?
Private, Catholic
Private, religious but not
Catholic
GO TO
question
5
Private, not religious
No
Public school
Yes
9. Is the school this child attends your first choice,
that is, the school you wanted most for him/her to
attend?
3. Is it his/her regularly-assigned school?
No
No
Yes
Yes
10. Since the beginning of this school year, has this
child been in the same school?
No
Yes
3
11. In which month did this child start at
current school?
15. Since the beginning of this school year, how
many times have any of this child’s teachers or
school staff contacted your household about…
his/her
month (1 through 12)
Write ‘0’ if none.
12. How much do you agree or disagree with the
following statement:
Number
a. Behavior problems this child
is having in school………………
“This child enjoys school.”
Strongly agree
b. Problems this child is having
with school work…………………
Agree
Disagree
c. Very good behavior………………
Strongly disagree
d. Very good school work………………
13. Please tell us about this child’s grades during this
school year. Overall, across all subjects, what
grades does this child get?
16. Since the beginning of this school year, how
many days has this child been absent from
school?
Mostly A’s
days
Mostly B’s
Mostly C’s
17. Since starting kindergarten, has this child
repeated any grades?
Mostly D’s and lower
This child’s school does not give these grades
No
GO TO question 19
Yes
14. Is he/she currently enrolled in any high school
Advanced Placement (AP) classes?
18. What grade or grades did he/she repeat?
Advanced Placement is a program that offers collegelevel courses to high school students, with the option
for students to take AP exams to earn college credit.
Mark
all that apply.
Elementary through Middle school
Kindergarten
No
First grade
Yes
Second grade
Third grade
Does not apply
Fourth grade
Fifth grade
Sixth grade
Seventh grade
Eighth grade
High school
Ninth grade - freshman
Tenth grade - sophomore
Eleventh grade - junior
Twelfth grade - senior
4
19. Has this child ever had the following
experiences?
22. Some students take school-related courses
for credit over the Internet. Is this child receiving
any instruction this way?
ONE box for each item below.
Mark
a.
An out-of-school suspension ........
b.
An in-school suspension not
counting detentions ......................
c.
Been expelled from school ...........
No
Yes
▼
▼
No
Yes
23. Is that instruction provided by any of the
following places?
Mark
20. How far do you expect this child to go in his/her
education?
Mark
GO TO question 26
all that apply.
Your local public school
Your state
A charter school
Another public school
ONE only.
A private school
Complete less than a high school diploma
A college, community college, or university
Graduate from high school
A website
Attend a vocational or technical school after
Someplace else—Specify:
high school
Attend two or more years of college
Earn a bachelor’s degree
Earn a graduate degree or professional degree
24. Is there a charge or fee for that instruction?
beyond a bachelor's
No
Yes
21. How would you describe his/her work at
school?
Mark
ONE only.
25. What is the main reason this child took schoolrelated courses over the internet?
Excellent
Mark
Above average
ONE only
Extra-credit
Average
Tutoring
Below average
Improve basic reading, writing, math, or science
Failing
skills
School did not offer the class or subject
To earn college credit
Due to an illness or health condition
Other—Specify:
5
26. Some parents decide to educate their children at
home rather than send them to a public or
private school. Is this child being schooled at
home instead of at school for at least some
classes or subjects?
No
There are many different reasons that parents
29.
choose to homeschool their children. Did your
family choose to homeschool this child because:
Mark
ONE box for each item below.
a.
You are concerned about the school
environment, such as safety, drugs,
or negative peer pressure?…………
b.
You are dissatisfied with the
academic instruction at other
schools?…………………………
GO TO question 32
No
Yes
▼
▼
Yes
27. Which of the following statements best
describes your homeschooling arrangement for
this child?
This child is homeschooled for
all classes or subject areas
This child is homeschooled for
some classes and subject
areas and also attends a public
or private school
GO TO
question
28
You prefer to teach this child at home
so that you can provide religious
instruction?..........................................
c.
You prefer to teach this child at home
so that you can provide moral
instruction?..........................................
d.
This child has a physical or mental
health problem that has lasted six
months or more?.................................
e.
This child is not homeschooled. This child
attends a public or private school for all classes
or subject areas
This child has a temporary illness that
prevents him/her from going to
school? ……………………………………………..
f.
GO TO question 32
28. How many hours each week does this child
usually go to a public or private school for
instruction? Do not include time spent in
extracurricular activities.
Hours
This child has other special needs
that you feel the school can’t or won’t
meet?..................................................
g.
You are interested in a nontraditional
approach to children’s education?......
h.
i.
j.
You prefer the flexibility
homeschooling provides to this child
during frequent moves? ……
You have another reason for
homeschooling your child?—Specify:
30. Of the reasons your family chose to homeschool
this child, which one would you say is the most
important to you?
Write the letter from question 29 for the most important
reason you chose to homeschool your child.
Letter from question 29
6
Child’s Health
31. Thinking about all years this child has been
homeschooled, which of the following subject
areas has this child been taught during his or
her home instruction?
Mark
32. In general, how would you describe this child’s
health?
Excellent
all that apply.
Art
Very good
Music
Good
Fair
Arithmetic
Poor
Basic algebra (Algebra I)
Advanced algebra (Algebra II)
33. Has a health or education professional told you
that this child has any of the following
conditions?
Geometry
Calculus
Probability
Mark
ONE box for each item below.
Scientific inquiry or experiments
Earth sciences or geology
No
Yes
▼
▼
a.
A specific learning disability…………..
b.
An intellectual disability (mental retar‐
da on)……………………………
c.
A speech or language impairment……
d.
A serious emo onal disturbance…………
e.
Deafness or another hearing
impairment……………………………………
f.
Blindness or another visual impair‐
ment not corrected with glasses
g.
An orthopedic impairment……………..
h.
Autism …………………………………..
i.
Pervasive Developmental Disorder (PDD)
…………………………………...
Biology
Chemistry or physics
Geography
Basic reading/ reading skills
Spelling
English or literature
Computer science (e.g., computer
programming)
Social science, history, social studies
Foreign language
A en on Deficit Disorder, ADD or
ADHD……………………………………
j.
k.
A developmental delay……………
l.
Trauma c brain injury…………………………
m.
Another health impairment las ng 6
months or more………………………
7
34. Did you mark yes to any condition in question
33?
No
GO TO question 38
Yes
35. Is this child receiving services for his/her
condition?
No
GO TO question 38
Yes
36. Are these services provided by any of the
following sources?
Mark
ONE box for each item below.
a.
Your local school district……………
b.
A state or local health or social
service agency………………………
No
Yes
▼
▼
c.
A doctor, clinic, or other health care
provider……………………………….
d.
A teacher or health provider from a
private school………………………
37. Are any of these services provided through an
Individualized Education Plan (IEP) or services
plan?
No
Yes
CONTINUE on the next page
8
44. Does this child live at this address and another
address (for example, because of a joint
custody arrangement)?
Child’s Background
38. In
what month and year was this child born?
Month
Do not include vacation properties.
No
/
GO TO question 46
Yes
year
39. Where was
this child born?
One of the 50 United States or the District of
Columbia
GO TO question 41
One of the U.S. territories (Puerto Rico, Guam,
American Samoa, U.S. Virgin Islands,
or Mariana
Islands)
Another
country
40. How old was this child when he/she first moved
to the 50 United States or the District of
Columbia?
Age
41. Is this child of Hispanic, Latino, or Spanish
origin?
No
Yes
42. What is this child’s race? You may mark one or
more races.
American
Indian or Alaska Native
Asian
Black
or African American
Hawaiian or other Pacific Islander
Native
White
43. What is this
child’s sex?
Male
Female
45. If yes, does this child...
spend most time at this address?
spend most time at another address?
spend equal time at both addresses?
46. What language does this child speak most at
home?
Mark
ONE only.
Child is not able to speak
English
GO TO
question
48
Spanish
A language other than English or Spanish
English and Spanish equally
English and another language equally
47. Is this child currently enrolled in English as a
second language, bilingual education, or an
English immersion program?
No
Yes
CONTINUE on the next page
9
Your Household
50. How are you related to this child?
Mark
48. How many of the following people live in
this household with this child? Do not include
this child in your answer.
ONE only.
Mother (birth, adoptive, step, or foster)
Father (birth, adoptive, step, or foster)
Example: Brother(s)
2
Write ‘0’ if none.
Aunt
Uncle
This child’s….
a.
Brother(s)………………
b.
Sister(s)…………………
c.
Parent(s)………………..
d.
Aunt(s)…………………..
e.
Uncle(s)…………………
f.
Grandmother(s)…………
g.
Grandfather(s)…………
h.
Cousin(s)………………
i.
Parent’s girlfriend/
boyfriend/ partner………
j.
Other relative(s)…………
k.
Other non-relative(s)……
Grandmother
Number
Grandfather
Parent’s girlfriend/ boyfriend/ partner
Other relationship – Specify:
51. Which language(s) are spoken at home by the
adults in this household?
Mark
all that apply.
English
Spanish or Spanish Creole
French (including Patois, Creole, Cajun)
Chinese
Other languages – Specify :
49. Enter the total number of people living in this
household with this child (This number should
be equal to the sum of a through k above).
Do not include this child in your answer.
people
10
52. In the past 12 months, did your family ever
receive benefits from any of the following
programs?
54. How many years have you lived at this address?
Write ‘0’ if less than 1 year.
Mark ONE box for each item below
years at this address
a.
b.
c.
d.
e.
f.
Yes
▼
Temporary
Assistance
for
Needy Families, or TANF...........
Your state welfare or family
assistance program....................
Women, Infants, and Children,
or WIC ........................................
Food Stamps ..............................
Medicaid .....................................
Child Health Insurance Program
(CHIP) ........................................
g.
No
▼
Section 8 housing assistance ....
55. Is this house…
Mark
ONE only.
Owned or being bought by someone in this
household,
Rented by someone in this household, or
Occupied by some other arrangement?
56. Do you have access to the internet at this
address?
No
Yes
57. Is there at least one telephone inside this home
that is currently working and not a cell phone?
No
Yes
53. Which category best fits the total income of all
persons in your household over the past 12
months?
58. Do you have a working cell phone?
No
Yes
Include your own income.
Include money from jobs or other earnings,
pensions, interest, rent, Social Security payments,
and so on.
$0 to $10,000
$10,001 to $20,000
$20,001 to $30,000
CONTINUE on the next page
$30,001 to $40,000
$40,001 to $50,000
$50,001 to $60,000
$60,001 to $75,000
$75,001 to $100,000
$100,001 to $150,000
$150,001 or more
11
Child’s Family
60. Is he or she currently attending or enrolled in a
school, college, university, or adult learning
center, or receiving vocational education or job
training?
PARENT 1 LIVING IN HOUSEHOLD
Answer the following questions about yourself if you are
the child’s parent or guardian.
No
Yes
If you are not the child’s parent or guardian, answer the
following questions about one of this child’s parents or
guardians living in the household.
59. What is the highest grade or level of school that
this parent or guardian completed?
Mark
ONE only.
8th grade or less
High school, but no diploma
High school diploma or equivalent (GED)
Vocational diploma after high school
Some college, but no degree
Associate’s degree (AA, AS)
Bachelor’s degree (BA, BS)
Some graduate or professional education, but
no degree
Master’s degree (MA, MS)
Doctorate degree (PhD, EdD)
Professional degree beyond bachelor’s degree
(MD, DDS, JD, LLB)
12
Finding and Choosing Care
for Your Child
65. What was the primary reason for the difficulty
finding care?
Cost
61. Has this child ever attended a Head Start or Early
Head Start program?
Location
Quality
Head Start and Early Head Start are federally
sponsored preschool programs primarily for children
from low-income families.
Lack of open slots for new children
Needed a program for children with special
No
needs
Other reason: Specify
Yes
Don’t know
62. What is the main reason your household wanted a
care program for this child in the past year?
Mark
ONE only.
66. How important was each of these reasons when
you chose the child care arrangement or program
where this child spends the most time?
To provide care when a parent was at work or
school
To prepare child for school
a. The location of the arrangement?
To provide cultural or language learning
To make time for running errands or relaxing
Not at all important
Some other reason
A little important
Did not have care in the past year
Somewhat important
Very important
63. Do you feel there are good choices for child care
or early childhood programs where you live?
b. The cost of the arrangement?
No
Not at all important
Yes
A little important
Don’t know
Somewhat important
64. How much difficulty did you have finding the type
of child care or early childhood program you
wanted for this child?
Have not tried to find
Very important
c. The reliability of the arrangement?
GO TO End.
care
No difficulty
Not at all important
GO TO question 66.
A little important
A lot of difficulty
Somewhat important
Some difficulty
Very important
A little difficulty
Did not find the child care program you wanted
13
j.
d. The learning activities at the arrangement?
Not at all important
A little important
Somewhat important
Not at all important
Very important
A little important
Somewhat important
e. The child spending time with other kids his/her age?
Very important
Not at all important
k. The religious orientation of the program?
A little important
f.
Somewhat important
Not at all important
Very important
A little important
Somewhat important
The times during the day that this caregiver is able
to provide care?
Very important
Not at all important
l.
A little important
Your city or state’s Quality Rating and
Improvement System (QRIS).
A QRIS is a voluntary "star" rating system that informs
families about the quality of early learning programs
(including child care and preschools) in their
communities. Some areas do not have a QRIS.
Somewhat important
Very important
g.
Accreditation of the care provider (e.g. from the
National Association for the Education of Young
Children or the National Early Childhood Program
Accreditation)?
The number of other children in the child’s care
group?
Did not use a QRIS
Not at all important
Not at all important
A little important
A little important
Somewhat important
Somewhat important
Very important
Very important
67. Which of the following best describes this
program’s curriculum?
h. Ratings on a website?
Not at all important
Mark
A little important
only one box.
Montessori
Somewhat important
Special program emphasis- such as science or
math emphasis, performing arts, talented or
gifted preschool, foreign language immersion,
etc.
Very important
i. Recommendations from friends and family?
Not at all important
Special education- primarily serves students
with disabilities
A little important
The Creative Curriculum®
Somewhat important
None of the above
Very important
14
Does this child attend a district-assigned school or
a school that you chose?
District- assigned school
School of choice
District– assigned school is school of choice
15
Commonly Asked Questions
Q: How was my household chosen?
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 U.S. households. The sample was designed so that surveys of only a few thousand people will accurately describe the educational experiences of almost all Americans.
Q: Why should I participate? Do I have to do this?
A: Your answers are very important to the success of this study. You represent thousands of other adults like
yourself, and you cannot be replaced. This survey is voluntary. You may choose not to answer any or all
questions in this survey, but in order for the survey to be representative, it is important that you complete and
return it. Those who do not return the survey will not be represented in statistics used by policymakers and
researchers. There are no penalties should you choose not to participate in the study.
Q: Will the information I provide be kept confidential? Will my privacy be protected?
A: Yes. Your responses will be combined with those from other adults to produce statistical summaries about
education in the United States. 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 will my response help the Federal Government?
A: The U.S. Department of Education wants to understand schooling from your perspective. Your responses will
be combined with those from other households to inform educators, policy makers, and schools about how
adults in the U.S. learn the skills needed for work.
Q: Who is sponsoring this study?
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 20 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.
Q: What if I have other questions?
A: If you have any questions about the study, you may send e-mail to xxxx@census.gov or you may call the
Census Bureau toll-free at 1-800-xxx-xxxx
16
| File Type | application/pdf |
| Author | Manville, Kirsten |
| File Modified | 2014-12-16 |
| File Created | 2014-12-16 |