Appendix G: MTSS-B Staff and Teacher Survey
Welcome and Introduction
Your school is participating in the federal study evaluating Multi-Tiered Systems of Support for Behavior (MTSS-B), and approach to teaching and reinforcing appropriate behavior for all students and providing additional supports for students with greater needs. This survey is part of that larger study and aims to understand the experience of teachers and staff in these schools.
We would like you to answer some questions about your experience in the school in which you are working. This information is crucial in helping us understand the impacts of MTSS-B on students. As a token of our appreciation you will receive $25 for completing the survey.
When answering the questions, please keep in mind the following:
Participation is voluntary – You can choose not to answer any question, and your decision to participate will not affect your current or future status at your school. If you skip a question on the web-based survey a screen will appear asking if you intended to skip the question and giving you the option to select “Not Sure” or “Decline to Answer.”
Participation is private - All your responses will be kept private and will be used only for this study and related research. Your name will never appear in any public document, be linked to your responses, or revealed to people outside of the MDRC research team. MDRC, a non-profit, non-partisan social policy research agency based in New York, is conducting this research. (Please see www.mdrc.org for more information.) The U.S. Department of Education is providing the funding.
Information collected for this study comes under the confidentiality and data protection requirements of the Institute of Education Sciences. All information from this study will be kept confidential as required by the Education Sciences Reform Act of 2002 (Title I, Part E, Section 183). Responses to this data collection will be used only for statistical purposes. Personally identifiable information about individual respondents will not be reported. We will not provide information that identifies you, your school, or your district to anyone outside the study team, except as required by law.
Participation is very easy – This should take approximately 30-35 minutes to complete. You can answer the questions all at once, or over several sittings.
Participation is safe – We do not anticipate any risks from participating in this survey. Your responses and personal information will be stored securely. It will not be shared externally or used to evaluate you or other individuals in your school.
You can ask questions – If you have additional questions, you can contact the Fred Doolittle of MDRC at (212) 340-8638 or fred.doolittle@mdrc.org.
(Please select “Next” to continue.)
VOLUNTARY CONSENT
Now that we have informed you about the survey, we would like to ask for your consent to continue. If you have any questions or concerns about the MTSS-B research study, please contact Fred Doolittle at MDRC (fred.doolittle@mdrc.org or 212-340-8638).
Please indicate your preference by selecting the appropriate response below: (This is the only required question).
Yes - I consent to participate in the survey GO TO NAME
No - I choose not to participate in the survey GO TO END INTERVIEW
END INTERVIEW
Thank you for your time. We are sorry that you do not want to complete the MTSS-B Staff Survey. If you change your mind or have any questions, please contact Fred Doolittle at MDRC (fred.doolittle@mdrc.org or 212-340-8638).
(Please select “Next” to exit survey)
According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. The valid OMB control number for this information collection is #1850-NEW. The time to complete this survey is estimated to average 30-35 minutes, including time to review instructions, search existing data resources, gather the data needed, and complete and review the information collection. The obligation to respond to this collection is voluntary. If you have comments or concerns regarding the status of your individual submission of this form, application or survey, please write directly to Lauren Angelo, U.S. Department of Education, Institute of Education Sciences, 555 new Jersey Avenue, NW, Suite 502h, Washington, D.C. 20208 or email lauren.angelo@ed.gov.
(Please select “Next” to continue.)
A1. What is your age?
(Please select only one response)
18-30
31-40
41-50
51-60
61+
A2. Are you male or female?
(Please select only one response)
Male
Female
A3. Please select your position at this school.
(Please select only one response)
Classroom teacher (e.g. you teach only one group of students who spend most of the day with you)
Subject-specific classroom teacher (e.g. art, science, PE)
Principal
Other administrator (e.g. Dean, or assistant principal)
Administrative assistant
Special education teacher (i.e. lead teacher for self-contained or co-taught special education class)
Other instructional staff (counselor, librarian, specialist, etc.)
Student support staff (e.g. School counselor; paraprofessional, school psychologist; nurse, security personnel)
Custodial or food service staff (e.g. cafeteria or maintenance staff)
Other (SPECIFY): ____________________________
Classroom teacher, special education teacher or Subject-Specific classroom teacher go to A4.
Staff (all other responses in A3) go to A6.
(Subsequent skip instructions will use these same definitions for Teachers and Staff.)
A4. How many years in total have you worked as a teacher?
(Range = 0 to 50)
Enter number of years ___ ___
A5. How many years in total have you worked as a teacher in this school?
(Range = 0 to 50)
Enter number of years ___ ___
A6. Please indicate the degrees you have completed.
(Please select all that apply)
High school Degree
Associate’s Degree
Bachelor’s Degree
Master’s Degree
Post-Master’s Certificate
Doctorate
None of the above
Other (Specify): ____________________________
A7. Please check all certifications earned.
(Please select all that apply)
General elementary grade teacher
Reading teacher
Special educator
English as a Second Language
Bilingual education
Gifted and talented
Guidance
Administrator
Supervisor
Regular or standard state certificate or advanced professional teaching certificate
Provisional teaching certificate
I have no certifications at this time
Other (please specify): _________________________________
Teachers only; Staff go to B1.
A8. What grade(s) do you teach this school year?
(Please select all that apply)
Kindergarten
1st grade
2nd grade
3rd grade
4th grade
5th grade
6th grade
Other: (SPECIFY): ___________________
If Kindergarten through 6th grade or Other in A8, go to A9.
If Not sure or Decline to answer in A8, go to B1.
A9. Including this year, how many years have you taught this grade?
(Range = 0 to 50)
Enter number of years ___ ___
B1. The following are statements are about the school at which you currently work. Please indicate the extent to which each statement characterizes your school this school year by choosing the appropriate response.
(Please select one response per row)
|
Rarely Occurs |
Sometimes Occurs |
Often Occurs |
Very Frequently Occurs |
|
1 |
2 |
3 |
4 |
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1 |
2 |
3 |
4 |
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1 |
2 |
3 |
4 |
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1 |
2 |
3 |
4 |
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1 |
2 |
3 |
4 |
|
1 |
2 |
3 |
4 |
B2. The following are statements are about the school at which you currently work. Please indicate the extent to which each statement characterizes your school this school year by choosing the appropriate response.
(Please select one response per row)
|
Rarely Occurs |
Sometimes Occurs |
Often Occurs |
Very Frequently Occurs |
|
1 |
2 |
3 |
4 |
|
1 |
2 |
3 |
4 |
|
1 |
2 |
3 |
4 |
|
1 |
2 |
3 |
4 |
|
1 |
2 |
3 |
4 |
|
1 |
2 |
3 |
4 |
B3. The following are statements are about the school at which you currently work. Please indicate the extent to which each statement characterizes your school this school year by choosing the appropriate response.
(Please select one response per row)
|
Rarely Occurs |
Sometimes Occurs |
Often Occurs |
Very Frequently Occurs |
|
1 |
2 |
3 |
4 |
|
1 |
2 |
3 |
4 |
|
1 |
2 |
3 |
4 |
|
1 |
2 |
3 |
4 |
|
1 |
2 |
3 |
4 |
B4. This set of questions asks about feelings school staff sometimes experience. Please rate how much you agree or disagree with each of the following statements about your work this school year.
|
Strongly Agree |
Agree |
Disagree |
Strongly Disagree |
|
4 |
3 |
2 |
1 |
|
4 |
3 |
2 |
1 |
B5. This set of questions asks about feelings school staff sometimes experience. Please rate how much you agree or disagree with each of the following statements.
|
Strongly Agree |
Agree |
Disagree |
Strongly Disagree |
|
4 |
3 |
2 |
1 |
|
4 |
3 |
2 |
1 |
|
4 |
3 |
2 |
1 |
B6. Please mark the extent to which each of the following school-wide systems are in place in the school in which you teach. School-wide is defined as involving all students, all staff, and all settings.
(Please select one response per row)
|
In place |
Partially in place |
Not in place |
|
3 |
2 |
1 |
|
3 |
2 |
1 |
|
3 |
2 |
1 |
|
3 |
2 |
1 |
|
3 |
2 |
1 |
|
3 |
2 |
1 |
Teachers go to B7.
Staff go to C1.
B7. Please mark the extent to which each of the following classroom setting systems is in place in your classroom. Classroom settings are defined as instructional settings in which teacher(s) supervise and teach groups of students.
(Please select one response per row)
|
In place |
Partially in place |
Not in place |
|
3 |
2 |
1 |
|
3 |
2 |
1 |
|
3 |
2 |
1 |
|
3 |
2 |
1 |
C1. Have you implemented a program/curriculum addressing each of the following areas in your classroom (“in your school” for non-teaching staff) during the 2016-2017 school year?
Programming instruction: For each item in C1, if “Yes” ask C2 and C3 for that item. Otherwise, ask C1 for the next item on the list.
Paper survey note: C1 – C3 will be displayed different on the paper version of the survey so that C1 – C3 can asked administered consequently for each item before moving on to the next item.
(Please select one response per row)
|
Yes |
No |
|
1 |
2 |
|
1 |
2 |
|
1 |
2 |
|
1 |
2 |
|
1 |
2 |
|
1 |
2 |
|
1 |
2 |
FOR C2 and C3, ONLY DISPLAY ITEMS FOR WHICH YES RESPONSES WERE GIVEN IN C1.
C2. Has this program or activity included all students or some students in your class (“in your school” for non-teaching staff)?
(Please one response per row)
|
All students |
Some students |
Not Sure |
Decline to answer |
|
1 |
2 |
3 |
9 |
|
1 |
2 |
3 |
9 |
|
1 |
2 |
3 |
9 |
|
1 |
2 |
3 |
9 |
|
1 |
2 |
3 |
9 |
|
1 |
2 |
3 |
9 |
|
1 |
2 |
3 |
9 |
C3. How often has this program or activity occurred in your classroom (“in your school” for non-teaching staff)?
(Please select one response per row)
|
Daily |
Weekly |
Monthly |
One time |
As needed |
Not Sure |
Decline to Answer |
|
1 |
2 |
3 |
4 |
5 |
6 |
9 |
|
1 |
2 |
3 |
4 |
5 |
6 |
9 |
|
1 |
2 |
3 |
4 |
5 |
6 |
9 |
|
1 |
2 |
3 |
4 |
5 |
6 |
9 |
|
1 |
2 |
3 |
4 |
5 |
6 |
9 |
|
1 |
2 |
3 |
4 |
5 |
6 |
9 |
|
1 |
2 |
3 |
4 |
5 |
6 |
9 |
Teachers go to C4.
Staff go to D2a.
C4. Please think about behavior management programs or activities that you have used with your class since the beginning of the school year to address social and character development. By behavior management we mean strategies or techniques designed to maximize positive behaviors and minimize negative behaviors. Typical examples are sticker or star charts, points or token program, time out for disruptive behavior, and daily and weekly reward programs.
Have you had any behavior management programs or activities going on in your classroom during this school year?
(Please select only one response)
Yes GO TO C5
No GO TO D1a
C5. Please indicate the name of the classroom management or social-emotional learning program you have used this school-year.
Lions Quest Skills for Growing
Positive Action
Too Good for Drugs
Too Good for Violence
Incredible Years
Second Step Violence Prevention Program
Positive Behavior Game
Skillstreaming
Stop and Think Social Skills Program
Olweus Bullying Prevention Program
CHAMPS
Good Behavior Game
Promoting Alternative Thinking Strategies (PATHS)
Responsive Classroom
Other (SPECIFY): ___________________________
C6. Have you used these behavior management and/or social-emotional strategies with all of your students or some of your students during the 2016-2017 school year?
(Please select only one response)
With all students
With some students
C7. How often have you used these behavior management and/or social-emotional strategies above during the 2016-2017 school year?
Daily
Weekly
Monthly
One-time
As needed
Other (SPECIFY BY INDICATING NUMBER OF HOURS AND WEEKS)
|
Teachers go to D1a.
Staff go to D2a.
D1a. During the 2016-2017 school year, have you ever used a classroom strategy to teach and reinforce school-wide expectations (e.g. Good Behavior Game or Positive Behavior Game)?
Yes GO TO D2
No GO TO D3a
D1b. In the past month, how many times have you used this strategy in your classroom?
At least once a day
A few times per week
Once per week
Less than once per week
I have not used this strategy in the past month
D2a. During the 2016-2017 school year, has your school used any specific programs designed for students who struggle with behavior and who do not respond to universal or school-wide approach?
Yes GO TO D2b
No GO TO D3a
D2b. What is the most commonly used program called?
Specify by writing in the name of the program below: |
|
Teachers go to D2c. Staff go to D3a.
D2c. Have you implemented this program with any students in your classroom?
Yes GO TO D2d
No GO TO D3a
D2d. On average, how often have you implemented the program’s strategies with students in your classroom during the 2016-2017 school year?
Daily
Several times per week
Monthly
D2e. What proportion of your students have you implemented this with during the 2016-2017 school year?
1-10 percent
11-20 percent
21-40 percent
Over 40 percent
D3a. Have you participated in any professional development (e.g., workshops, trainings, webinars, individual meetings, coaching) related to student behavior during the summer of 2016 or during the 2016-2017 school year?
Yes
No
Staff: Skip D3b. If yes to D3a go to D4. If no and Program go to E1. If no and Control go to End Survey 2.
Teachers: Go to D3b
D3b. Have you participated in any professional development (e.g., workshops, trainings, webinars, individual meetings, coaching) related to classroom management during the summer of 2016 or during the 2016-2017 school year?
Yes
No
Teachers: If yes in D3a or D3b, go to D4.
All others go to D5.
D4. During the summer of 2016 and the 2016-2017 school year, what is your estimate of the total number of hours you spent in the following professional activities?
(Write down the total number of hours you spent in each of these activities. Mark “0” if you have not participated in an activity.)
Range = 0 - 97
|
Number of Hours |
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|
|
|
|
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|
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Teachers: Go to D5.
Staff: If Program go to E1. If Control, go to END INTERVIEW 2.
D5.This series of questions asks you about coaching activities regarding student behavior that you may have engaged in during the 2016-2017 school year. By coaching we mean one-on-one or small group activities that you engaged in with a colleague designated to be your mentor or coach. Coaching is different from training because it is individualized to meet your specific needs.
How often have you experienced the following coaching activities during the 2016-2017 school year?
(Please select one response per row)
|
Did not happen |
Less than once a month |
Once or twice a month |
More than twice a month |
Once a week or more often |
|
1 |
2 |
3 |
4 |
5 |
|
1 |
2 |
3 |
4 |
5 |
|
1 |
2 |
3 |
4 |
5 |
|
1 |
2 |
3 |
4 |
5 |
|
1 |
2 |
3 |
4 |
5 |
|
1 |
2 |
3 |
4 |
5 |
Ask D6 if answer of Less than once a month, Once or twice a month, More than twice a month, or Once a week or more often given for one or more items in D5.
Others: If Program go to E1. If Control, go to END INTERVIEW 2.
D6. This set of questions is about the coaching activities you participated in during the 2016-2017 school year. Please indicate how often each of the following occurred.
|
Never |
Seldom |
Sometimes |
Often` |
Always |
|
0 |
1 |
2 |
3 |
4 |
|
0 |
1 |
2 |
3 |
4 |
|
0 |
1 |
2 |
3 |
4 |
|
0 |
1 |
2 |
3 |
4 |
|
0 |
1 |
2 |
3 |
4 |
|
0 |
1 |
2 |
3 |
4 |
D7. This set of questions is about the coaching activities you participated in during the 2016-2017 school year. Please indicate how often each of the following occurred.
|
Never |
Seldom |
Sometimes |
Often` |
Always |
|
0 |
1 |
2 |
3 |
4 |
|
0 |
1 |
2 |
3 |
4 |
|
0 |
1 |
2 |
3 |
4 |
|
0 |
1 |
2 |
3 |
4 |
|
0 |
1 |
2 |
3 |
4 |
|
0 |
1 |
2 |
3 |
4 |
Program: Go to E1.
Contro1: Go to END INTERVIEW 2
E1. Please state how much you agree or disagree with each of the following statements:
|
Strongly Disagree |
Disagree |
Neutral |
Agree |
Strongly Agree |
|
0 |
1 |
2 |
3 |
4 |
|
0 |
1 |
2 |
3 |
4 |
|
0 |
1 |
2 |
3 |
4 |
|
0 |
1 |
2 |
3 |
4 |
|
0 |
1 |
2 |
3 |
4 |
|
0 |
1 |
2 |
3 |
4 |
E2. Please indicate how much you agree or disagree with each of the following statements
|
Strongly Disagree |
Disagree |
Neutral |
Agree |
Strongly Agree |
|
0 |
1 |
2 |
3 |
4 |
|
0 |
1 |
2 |
3 |
4 |
|
0 |
1 |
2 |
3 |
4 |
Teachers: Go to E3.
Staff: Go to END INTERVIEW 2.
E3. During the 2016-2017 school year, how much emphasis have you placed on the following activities in your classroom?
(Please select one response per row)
|
Was not an emphasis |
Minor emphasis |
Moderate emphasis |
Was a major emphasis |
Decline to Answer |
|
1 |
2 |
3 |
4 |
9 |
|
1 |
2 |
3 |
4 |
9 |
|
1 |
2 |
3 |
4 |
9 |
|
1 |
2 |
3 |
4 |
9 |
|
1 |
2 |
3 |
4 |
9 |
|
1 |
2 |
3 |
4 |
9 |
|
1 |
2 |
3 |
4 |
9 |
E4. During the 2016-2017 school year, have any of your students participated in the Check-in Check-out Program?
Yes Go to E5
No Go to E7
E5. Approximately how many of your students participated in this program over the course of the year?
1-3
4-6
7-10
More than 10
E6. On average, how often have you given feedback to CICO students about their behavior goal?
I did not give feedback
A few times
Weekly
Daily
Multiple times per day
E7. How useful do you consider the following professional development activities?
|
Not Applicable (did not attend) |
Not useful |
Moderately Useful |
Very Useful |
|
0 |
1 |
2 |
3 |
|
0 |
1 |
2 |
3 |
E8. Are you a member of the school leadership team?
Yes Go to E9
No Go to E10
E9. How useful did you find the CSBS summer team training during the summer of 2016?
Did not attend
Not useful
Moderately useful
Very useful
E10. Are you a member of the targeted team?
Yes Go to E11
No Go to END INTERVIEW 2
E11. How useful did you find the CSBS summer team training during the summer 2016?
Did not attend
Not useful
Moderately useful
Very useful
END INTERVIEW 2
Thank you for your participation in the MTSS-B research study. You should receive your incentive for participating approximately two weeks after completing the survey.
If you have any questions or concerns about the MTSS-B research study, please contact Fred Doolittle at MDRC (fred.doolittle @mdrc.org or 212-340-8638).
(Please select “Next” to exit survey)
File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
Author | Ron BBass |
File Modified | 0000-00-00 |
File Created | 2021-01-25 |