APPENDIX B

TEACHER SURVEY QUESTIONNAIRE AND ACCOMPANYING LETTER 
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UNITED STATES DEPARTMENT OF EDUCATION

INSTITUTE OF EDUCATION SCIENCES

National Center for Education Evaluation and Regional Assistance

Month XX, 2016

Teacher Firstname Lastname

Title

School Name

Address Line 1

City, ST XXXXX

Dear Teacher Name:

I am writing to request your help with an important new U.S. Department of Education study that 

will examine how teachers use data to help improve student learning. Your school is one of 104 

participating in this study, which seeks to provide valuable information on teacher perceptions and use of 

data-driven instruction (DDI). The study is being conducted by our contractor, Mathematica Policy 

Research and its partner organizations. 

As part of the study, we are conducting a survey of a sample of teachers in the study schools this 

spring to learn about your experiences with and use of data to inform your instruction. The survey also 

asks about your background and teaching experience. 

Information reported directly by teachers is extremely important to the success of the study. On 

behalf of the U.S. Department of Education, I encourage your participation to ensure the information 

gathered by the survey is accurate and complete. 

The survey can be completed online in less than 30 minutes, and in appreciation for your time and 

effort, Mathematica will send you a $20 check. All information you provide is strictly confidential –

your individual responses will not be shared outside the research team, and teacher survey data will 

be presented only in aggregate form and will not identify any individual or school. 

Please use the information below to access the DDI teacher survey. 

Go to https://DDI-Survey.org/teacher

At the login screen, enter the following:

Login ID: [username]

Password: [password]

Public Burden Statement

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. Public reporting burden for this collection of information is estimated to average 30 minutes per 

response. The obligation to respond to this collection is voluntary. Send comments regarding the burden estimate or any other aspect of this 

collection of information, including suggestions for reducing this burden, to the U.S. Department of Education, Washington, DC 20202. If you 

have comments or concerns regarding the content or the status of your individual submission of this form, write directly to: U.S. Department of 

Education, Institute of Education Sciences, 555 New Jersey Avenue, NW, Washington, DC 20208.
LETTER TO: Dr./Mr./Ms. Lastname

FROM: Project Officer Name

DATE: [DATE]

PAGE: 2

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This letter will be followed by an email from Mathematica that will include a link to the website as 

well as your login information. If you would like to update your email address or if you have any

questions, please contact the DDI survey team’s help desk toll free at 866-XXX-XXXX, or by email at 

DDI-SurveyHelp@mathematica-mpr.com. You can always contact the Mathematica survey director, 

sheaviside@mathematica-mpr.com or the study project director, Phil Gleason at pgleason@mathematicampr.com. We greatly appreciate your assistance with this important study.

Sincerely,

Erica Johnson

Federal Project Officer
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