NATIONAL ASSESSMENT OF 

EDUCATIONAL PROGRESS 

Wave 1 Submittal for 2014 

VOLUME II 

SURVEY QUESTIONS

Part 1c 

School Grade 4 

Part 1c contains School Grade 4: 

School Characteristics and Policies (SCP) 

Science 

Charter School

The amount of time estimated to complete these forms: 30 minutes 

 

Part 1c - Page 1 of 25
SCHOOL QUESTIONNAIRES

OMB Information on School Questionnaire Cover Page

Paperwork 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. The valid OMB control number for this information 

collection is 1850-0790. The time required to complete this information collection 

is estimated to average 30 minutes including the time to review instructions, 

search existing data resources, gather the data needed, and complete and review 

the information collection. If you have any comments concerning the accuracy 

of the time estimate(s) or suggestions for improving this form, please write 

to: U.S. Department of Education, Washington, D.C. 20202-4537. If you have 

comments or concerns regarding the status of your individual submission of 

this form, write directly to: NAEP/NCES, U.S. Department of Education, 400 

Maryland Avenue, S.W., Washington, DC 20202. 

A project of the National Center for Education Statistics (NCES), Institute of 

Education Sciences, U.S. Department of Education. 

The information you provide will be used for statistical purposes only. In 

accordance with the Confidential Information Protection provisions of Title V, 

Subtitle A, Public Law 107-347 and other applicable Federal laws, your responses 

will be kept confidential and will not be disclosed in identifiable form to anyone 

other than employees or agents. By law, every NCES employee as well as every 

agent, such as contractors and NAEP coordinators, has taken an oath and is 

subject to a jail term of up to 5 years, a fine of up to $250,000, or both if he or she 

willfully discloses ANY identifiable information about you. 

OMB No. 1850-0790 APPROVALEXPIRES 03/31/2016 

Part 1c - Page 2 of 25
K1SQ-SC Page 3

School Questionnaire – Grade 4

 This questionnaire should be completed by the principal or the head of the school.

Part 1c - Page 3 of 25
K1SQ-SC Page 4

Part I: School Characteristics and Policies

VB337248

 1. What grades are taught in your school? Fill in all ovals that apply.

Pre-kindergarten

Kindergarten

1st grade

2nd grade

3rd grade

4th grade

5th grade

6th grade

7th grade

8th grade

9th grade

10th grade

11th grade

12th grade

A

B

C

D

E

F

G

H

I

J

K

L

M

N

Part 1c - Page 4 of 25
K1SQ-SC Page 5

VE592238

 2. Can your school be described by any of the following? Fill in ovals for all that apply.

Elementary school

Middle or junior high school

Secondary school

Regular school with a magnet program

A magnet school or a school with a special program emphasis, e.g., science/

mathematics school, performing arts school, talented/gifted school, foreign language

immersion school

Special education school: primarily serves students with disabilities

Alternative school: offers a curriculum designed to provide alternative or

nontraditional education, not clearly categorized as regular, special, or vocational 

education

Private independent school

Private religiously affiliated school

Independent charter school

Charter school administered by local school district

Other (specify):

VB337250

 3. What is the current enrollment in your school?

,

A

B

C

D

E

F

G

H

I

J

K

L

Part 1c - Page 5 of 25
K1SQ-SC Page 6

VE462940

 4. Approximately what percentage of fourth-graders in your school is new this year?

%

VB337256

 5. Of the students currently enrolled in your school, what percentage has been identified as 

limited-English proficient?

0%

1–5%

6–10%

11–25%

26–50%

51–75%

76–90%

Over 90%

VE588132

 6. Last school year, approximately what percentage of students at your school enrolled after

the first day of school?

0%

1–3%

4–6%

7–10%

11–20%

Over 20%

A

B

C

D

E

F

G

H

A

B

C

D

E

F

Part 1c - Page 6 of 25
K1SQ-SC Page 7

HE000917

 8. About what percentage of your students is absent on an average day? (Include excused and 

unexcused absences in calculating this rate.)

0–2%

3–5%

6–10%

More than 10%

LC000488

 9. About what percentage of your teachers is absent on an average day? (Include all absences in 

calculating this rate.)

0–2%

3–5%

6–10%

More than 10%

VE592581

 7. Last school year, approximately what percentage of students at your school left before the 

end of the school year?

0%

1–3%

4–6%

7–10%

11–20%

Over 20%

A

B

C

D

E

F

A

B

C

D

A

B

C

D

Part 1c - Page 7 of 25
K1SQ-SC Page 8

VB556173

 12. How does the school operate the program? 

Student eligibility is determined individually, and eligible students receive free or

reduced-price lunch. ➔ Skip to Question 14.

All students in school receive free lunch under special provisions 

(e.g., Provision 2 or 3). ➔ Go to Question 13.

HE002094

 11. Does your school participate in the National School Lunch Program?

Yes ➔ Go to Question 12.

No ➔ Skip to Question 15.

HE002112

 10. About what percentage of this year’s fourth-graders was held back and is repeating fourth 

grade?

0%

1–2%

3–5%

6–10%

More than 10%

A

B

A

B

A

B

C

D

E

Part 1c - Page 8 of 25
K1SQ-SC Page 9

VB608487

14. During this school year, about what percentage of students in your school was eligible 

to receive a free or reduced-price lunch through the National School Lunch Program?

0%

1–5%

6–10%

11–25%

26–34%

35–50%

51–75%

76–99%

100%

VE382479

 13. If your school distributes free lunch to all students under Provision 2 or 3, what was the 

base year during which individual student eligibility was collected?

This school does not distribute free lunch to all students under Provision 2 or 3—

eligibility is determined annually.

2013

2012

2011

2010

2009

2008 or earlier

A

B

C

D

E

F

G

H

I

A

B

C

D

E

F

G

Part 1c - Page 9 of 25
K1SQ-SC Page 10

VB608488

 15. Does your school receive Title I funding? (Title I is a federally funded program that

provides educational services, such as remedial reading or remedial math, to children who 

live in areas with high concentrations of low-income families.)

No 

Yes, our school receives funds, which are targeted to eligible students.

Yes, our school receives funds, which are used for schoolwide purposes.

VB485284

 16. Approximately what percentage of students in your school receives the following services? 

Fill in one oval on each line. Students who receive more than one service should be counted 

for each service they receive. Please report the percentage of students who receive each of the

following services as of the day you respond to this questionnaire.

 Over

 None 1–5% 6–10% 11–25% 26–50% 51–75% 76–90% 90%

VB610145

VB485286

VB485287

VB485288

VB485289

a. Targeted Title I services

b. Gifted and talented 

program

c. Instruction provided in 

student’s home 

language (non-English)

d. English-as-a-secondlanguage (not in a 

bilingual education 

program)

e. Special education

A

B

C

A

A

A

A

A

B

B

B

B

B

C

C

C

C

C

D

D

D

D

D

E

E

E

E

E

F

F

F

F

F

H

H

H

H

H

G

G

G

G

G

Part 1c - Page 10 of 25
K1SQ-SC Page 11

VE588470

 17. During a typical week of school, what is the total number of regularly scheduled 

volunteers, including parents, working in the school?

0

1–5

6–10

11–15

16–25

More than 25

VE588677

 18. Approximately what percentage of students in your school have parents or guardians who 

do each of the following activities? Fill in one oval on each line.

Not 

applicable 0–10% 11–25% 26–50%

Over

 50%

VE588679 a. Volunteer regularly to 

help in the classroom or 

another part of the school

VE588681 b. Attend teacher–parent 

conferences

A

B

C

D

E

F

A

A

B

B

C

C

D

D

E

E

Part 1c - Page 11 of 25
K1SQ-SC Page 12

VF096612

 20. Does your school offer tenure to teachers?

Yes

No

VE101552

For all teacher counts entered in item 19:

INCLUDE these types of teachers:

 • Regular

 • Special area or resource teachers (e.g., special education, Title I, art, music,

physical education)

 • Long-term substitute teachers

INCLUDE these types of teachers:

 • Itinerant teachers who teach part-time at this school

 • Employees reported in other items of this section if they also have a part-time

teaching assignment at this school

DO NOT INCLUDE:

 • Student teachers

 • Short-term substitute teachers

 • Teachers who teach ONLY pre-kindergarten or adult education

19. Around the first of October, how many TEACHERS held full-time or part-time positions or 

assignments in this school? If none, mark (0) in the boxes.

a. Full-time

 Full-time teachers

b. Part-time

 Part-time teachers

A

B

Part 1c - Page 12 of 25
K1SQ-SC Page 13

VE588721

21. Of the following categories of teachers who were full-time teachers at your school at the 

end of the last school year, what percentage stayed on as full-time teachers for this school 

year? Fill in one oval on each line.

VE588765 a. Nontenured teachers 

who had taught for at 

least one year

VE588766 b. Tenured teachers

VE600319

 22. In the last school year, how many full-time teachers were new to your school?

 If you answered 1 or any number greater than 1, go to Question 23.

 If you answered 0, skip to Part II.

VE592330

 23. Of the full-time teachers who were new to your school last year, what percentage stayed 

on as full-time teachers for this school year?

0–10%

11–25%

26–50%

51–75%

76–90%

Over 90%

A

B

C

D

E

F

 Over

0–10% 11–25% 26–50% 51–75% 76–90% 90%

A

A

B

B

C

C

D

D

E

E

F

F

Part 1c - Page 13 of 25
K1SQ-SX Page 1

Part II: Science

VF654498

 1. In addition to their regular classroom teacher, is there a science resource teacher available 

(full- or part-time) to fourth-grade students at your school?

Yes, available full-time to fourth-grade students ➔ Go to Question 2.

Yes, available part-time to fourth-grade students ➔ Go to Question 2.

No ➔ Skip to Question 3.

VF654506

 2. To what extent is each of the following a responsibility of the science resource

teacher(s) available to fourth-grade students at your school? Fill in one oval on each line.

 Not

 at all

 Small 

 extent

 Moderate

 extent

 Large

 extent

VF654507 a. Provide science course-related 

support, remediation, or intervention 

to individual students

VF654508 b. Provide science course-related 

support, remediation, or intervention 

to groups of students

VF654511 c. Provide science enrichment to 

individual students

VF654523 d. Provide science enrichment to 

groups of students

A

B

C

A

A

A

A

B

B

B

B

C

C

C

C

D

D

D

D

Part 1c - Page 14 of 25
K1SQ-SX Page 2

VF633195

 3. Is there a science coach available (full- or part-time) to fourth-grade teachers at your 

school?

Yes, available full-time to fourth-grade teachers ➔ Go to Question 4.

Yes, available part-time to fourth-grade teachers ➔ Go to Question 4.

No ➔ Skip to Question 5.

A

B

C

VF640401

 4. To what extent is each of the following a responsibility of the science coach(es)

available to fourth-grade teachers at your school? Fill in one oval on each line.

Not

at all

Small 

extent

Moderate 

extent

Large 

extent

VF640402 a. Provide support/assistance about 

science content or the teaching of 

science to individual teachers

VF640403 b. Provide technical support/assistance 

to individual teachers

VF640404 c. Conduct professional development 

about science or the teaching of 

science for groups of teachers

A

A

A

B

B

B

C

C

C

D

D

D

Part 1c - Page 15 of 25
K1SQ-SX Page 3

VC304219

 5. To what extent is your school’s science program structured according to the following 

resources? Fill in one oval on each line.

Not

at all

Small 

extent

Moderate 

extent

Large 

extent

VC304220 a. State curriculum standards or 

frameworks

VC304221 b. District curriculum standards or 

curriculum guides

VC304222 c. Results from state/district 

assessments

VC304223 d. In-school curriculum frameworks 

and standards for learning

VC304224 e. Results from school assessments

VC304225 f. Recommendations from school 

science department

VC304226 g. Discretion of individual teachers

VC304227 h. Commercially designed programs

A

A

A

A

A

A

A

A

B

B

B

B

B

B

B

B

C

C

C

C

C

C

C

C

D

D

D

D

D

D

D

D

Part 1c - Page 16 of 25
K1SQ-SX Page 4

VC304214

 6. To what extent does your school’s fourth-grade science curricula focus on preparation for 

the following types of assessments? Fill in one oval on each line.

Not

at all

Small 

extent

Moderate 

extent

Large 

extent

VC304216 a. State assessments

VC304217 b. District assessments

VC304218 c. School assessments

VC304092

 7. Does your school have laboratory facilities for fourth-grade science instruction?

Yes ➔ Go to Question 8.

No ➔ Skip to Question 9.

A

B

A

A

A

B

B

B

C

C

C

D

D

D

Part 1c - Page 17 of 25
K1SQ-SX Page 5

VE013387

 8. To what extent do your school’s science laboratories that are available for fourth-grade 

instruction have the following features? Fill in one oval on each line.

Not

at all

Small 

extent

Moderate 

extent

Large 

extent

VE013388 a. Demonstration stations

VE013390 b. Student lab stations

VE013391 c. Storage areas for chemicals and other 

supplies

VE013394 d. Electricity

VE013396 e. Running water

VE013397 f. Gas for burners

VE013399 g. Hoods or air hoses

VE013400 h. Safety equipment

VE013401 i. Computers

VE013402 j. Internet connection

A

A

A

A

A

A

A

A

A

A

B

B

B

B

B

B

B

B

B

B

C

C

C

C

C

C

C

C

C

C

D

D

D

D

D

D

D

D

D

D

Part 1c - Page 18 of 25
K1SQ-SX Page 6

VE013406

 9. To what extent are any of the following available to fourth-grade teachers who teach 

science? Fill in one oval on each line.

Not

at all

Small 

extent

Moderate 

extent

Large 

extent

VF864037 a. Science textbooks (including digital 

forms, such as online textbooks)

VF864038 b. Science magazines and books 

(including digital forms, such as 

online magazines and books)

VE013409 c. Supplies or equipment for science 

demonstrations

VE013412 d. Supplies or equipment for science 

labs

VE013413 e. Student access to computers in class 

for science instruction

VE013414 f. Student access to computer labs for 

science instruction

VE013415 g. Teacher access to computers for 

science instruction

VE013416 h. Computerized science labs for 

classroom use

VE013417 i. Audiovisual materials for science 

instruction

VE013419 j. Science kits

VE013420 k. Scientific measurement instruments 

(e.g., telescopes, microscopes,

thermometers, or weighing scales)

A

A

A

A

A

A

A

A

A

A

A

B

B

B

B

B

B

B

B

B

B

B

C

C

C

C

C

C

C

C

C

C

C

D

D

D

D

D

D

D

D

D

D

D

Part 1c - Page 19 of 25
K1SQ-SX Page 7

VE013423

 10. Approximately what percentage of your school’s classrooms has the following technological 

resources for fourth-grade science instruction? Fill in one oval on each line.

 0% 1–25% 26–50% 51–75% 76–99% 100%

VE013424

VE013425

VE013427

VE013428

VE013429

VE013430

VE013432

VE013433

VE013434

Continued on next page.

A

A

A

A

A

A

A

A

A

B

B

B

B

B

B

B

B

B

C

C

C

C

C

C

C

C

C

D

D

D

D

D

D

D

D

D 

E

E

E

E

E

E

E

E

E

F

F

F

F

F

F

F

F

F

a. Desktop

computer

b. Laptop computer

c. Tablet PC

(notebook-like

computer that

allows users to

write or draw

through the use

of a stylus or

touch-screen)

d. Digital projector

(device that

connects to

a computer

to display

presentations

or demonstrate

lessons, such as

an LCD)

e. CD-ROM

f. Online software

g. Digital music

device (pocketsized music

player used to

listen to or create

audio files, such

as an MP3 player)

h. Cable/satellite/

closed-circuit

television

i. DVD player and

DVDs

Part 1c - Page 20 of 25
K1SQ-SX Page 8

 0% 1–25% 26–50% 51–75% 76–99% 100%

VE013435

VE013436

VE013437

VE013438

VE013439

VE013440

A

A

A

A

A

A

B

B

B

B

B

B

C

C

C

C

C

C

D

D

D

D

D

D

E

E

E

E

E

E

F

F

F

F

F

F

j. Digital camera

k. Graphing

calculator

l. Handheld device 

(pocket-sized 

computing

device, such as 

personal digital 

assistant or 

smartphone)

m. Data collection 

sensors/probes 

(tool that

connects to a 

handheld device 

or graphing 

calculator and 

detects motion,

pH, temperature,

light)

n. Online course 

management 

system (webbased software 

used to organize 

information,

assignments,

grades, and 

discussions)

o. Digital

whiteboard 

(computerized 

display panels

that can respond 

to fingertip

command and 

creates a shared 

interactive

space, akin 

to traditional 

chalkboards)

Part 1c - Page 21 of 25
K1SQ-SX Page 9

VF654582

 11. In this school year, is there a science club offered to fourth-grade students in your

school? Fill in one oval on each line.

No

VF654583

VF654584

VF654585

a. Teacher volunteered (initiated and 

run by individual teachers)

b. School sponsored (initiated by 

school and run by school designated 

personnel)

c. Partnered with external agencies 

(such as universities, science 

museums, or industries)

Yes

A

A

A

B

B

B

VF639740

 12. To what extent does your school provide fourth-grade students with the following 

learning experiences? Fill in one oval on each line.

Not

at all

1–2 times 

per year

3–4 times 

per year

More than 

5 times

per year

VF640118 a. Science fairs

VF640143 b. Science competitions

VF640145 c. Science-related field trips (including 

museums, zoos, aquariums, science 

centers, and other similar sites)

A

A

A

B

B

B

C

C

C

D

D

D

Part 1c - Page 22 of 25
J1SQ-CH Page 23

This section should be completed by the principal or the head of the school. If your school 

is a charter school, please continue. If your school is not a charter school, you have finished 

the survey. Thank you for your time.

Part III: Supplemental Charter School Questions

VC311248

 1. Is your school a public charter school?

 (A charter school is a public school that, in accordance with an enabling state statute, has 

been granted a charter exempting it from selected state or local rules and regulations. A 

charter school may be a newly created school, or it may previously have been a public or 

private school.)

Yes ➔ Go to Question 2.

No ➔ You have finished the survey. Thank you for your time.

A

B

VC104697

 2. In which year did your school start providing instruction as a charter school?

VE588849

 3. Who granted your school’s current charter?

School district

State board of education (includes state board of regents and District of Columbia State 

Board of Education)

Postsecondary institution

State charter-granting agency

City or state public charter school board

Other (specify):

A

B

C

D

E

F

Part 1c - Page 23 of 25
J1SQ-CH Page 24

VC104799

4. What is the legal status of your school?

Officially part of the school district or local education agency (LEA)

Independent from the school district or local education agency (LEA)

A separate local education agency (LEA) as stipulated by state law

A

B

C

VE600331

 5. Is this school operated by a company or organization that also operates other charter schools?

Yes

No

A

B

VC104758

6. Which one of the following best describes your charter school’s primary focus in terms of 

program content?

We have a comprehensive curriculum with no specialized area of focus.

We have a special curricular focus, for example, the arts, math/science, foreign 

language immersion.

Our curriculum is based on a particular educational theory, for example, Montessori,

open school, Core Knowledge.

Our curriculum is based on a particular moral philosophy or set of values, for 

example, African-centered education, character-based education, Eastern philosophy.

A

B

C

D

Part 1c - Page 24 of 25
J1SQ-CH Page 25

VE588897

 7. Does your school provide a written contract for parents?

Yes, and parents are required to abide by it. ➔ Go to Question 8.

Yes, but signing it is voluntary. ➔ Go to Question 8.

No ➔ You have finished the survey. Thank you for your time.

A

B

C

VE588978

8. Are the following elements addressed in your charter–parent contract? Fill in one

oval in each row.

Yes No

VE588983 a. Dress code

VE588989 b. Home learning environment

VE588981 c. Homework

VE588987 d. Parent–teacher communication

VE588991 e. Parent volunteering

VE588985 f. School discipline policy

VE588980 g. Student attendance

VE588988 h. Student promotion policy

VE592478 i. Other (specify):

A

A

A

A

A

A

A

A

A

B

B

B

B

B

B

B

B

B

Part 1c - Page 25 of 25
NATIONAL ASSESSMENT OF 

EDUCATIONAL PROGRESS 

Wave 1 Submittal for 2014 

VOLUME II 

SURVEY QUESTIONS

Part 2c 

School Grade 8 

Part 2c contains School Grade 8: 

School Characteristics and Policies (SCP) 

Civics, Geography, U.S. History 

Science 

Charter School

The amount of time estimated to complete these forms: 30 minutes 

 

Part 2c - Page 1 of 30
SCHOOL QUESTIONNAIRES

OMB Information on School Questionnaire Cover Page

Paperwork 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. The valid OMB control number for this information 

collection is 1850-0790. The time required to complete this information collection 

is estimated to average 30 minutes including the time to review instructions, 

search existing data resources, gather the data needed, and complete and review 

the information collection. If you have any comments concerning the accuracy 

of the time estimate(s) or suggestions for improving this form, please write 

to: U.S. Department of Education, Washington, D.C. 20202-4537. If you have 

comments or concerns regarding the status of your individual submission of 

this form, write directly to: NAEP/NCES, U.S. Department of Education, 400 

Maryland Avenue, S.W., Washington, DC 20202. 

A project of the National Center for Education Statistics (NCES), Institute of 

Education Sciences, U.S. Department of Education. 

The information you provide will be used for statistical purposes only. In 

accordance with the Confidential Information Protection provisions of Title V, 

Subtitle A, Public Law 107-347 and other applicable Federal laws, your responses 

will be kept confidential and will not be disclosed in identifiable form to anyone 

other than employees or agents. By law, every NCES employee as well as every 

agent, such as contractors and NAEP coordinators, has taken an oath and is 

subject to a jail term of up to 5 years, a fine of up to $250,000, or both if he or she 

willfully discloses ANY identifiable information about you. 

OMB No. 1850-0790 A33529$/(;3,5(6 03/31/2016 

Part 2c - Page 2 of 30
K2SQ-SC Page 3

 This questionnaire should be completed by the principal or the head of the school.

School Questionnaire – Grade 8

Part 2c - Page 3 of 30
K2SQ-SC Page 4

Part I: School Characteristics and Policies

VB337248

 1. What grades are taught in your school? Fill in all ovals that apply.

Pre-kindergarten

Kindergarten

1st grade

2nd grade

3rd grade

4th grade

5th grade

6th grade

7th grade

8th grade

9th grade

10th grade

11th grade

12th grade

A

B

C

D

E

F

G

H

I

J

K

L

M

N

Part 2c - Page 4 of 30
K2SQ-SC Page 5

VE592238

 2. Can your school be described by any of the following? Fill in ovals for all that apply.

Elementary school

Middle or junior high school

Secondary school

Regular school with a magnet program

A magnet school or a school with a special program emphasis, e.g., science/

mathematics school, performing arts school, talented/gifted school, foreign language

immersion school

Special education school: primarily serves students with disabilities

Alternative school: offers a curriculum designed to provide alternative or

nontraditional education, not clearly categorized as regular, special, or vocational 

education

Private independent school

Private religiously affiliated school

Independent charter school

Charter school administered by local school district

Other (specify):

VB337250

 3. What is the current enrollment in your school?

,

A

B

C

D

E

F

G

H

I

J

K

L

Part 2c - Page 5 of 30
K2SQ-SC Page 6

VE462941

 4. Approximately what percentage of eighth-graders in your school is new this year?

%

VB337256

 5. Of the students currently enrolled in your school, what percentage has been identified as 

limited-English proficient?

0%

1–5%

6–10%

11–25%

26–50%

51–75%

76–90%

Over 90%

VE588132

 6. Last school year, approximately what percentage of students at your school enrolled after

the first day of school?

0%

1–3%

4–6%

7–10%

11–20%

Over 20%

A

B

C

D

E

F

G

H

A

B

C

D

E

F

Part 2c - Page 6 of 30
K2SQ-SC Page 7

HE000917

 8. About what percentage of your students is absent on an average day? (Include excused and 

unexcused absences in calculating this rate.)

0–2%

3–5%

6–10%

More than 10%

LC000488

 9. About what percentage of your teachers is absent on an average day? (Include all absences in 

calculating this rate.)

0–2%

3–5%

6–10%

More than 10%

VE592581

 7. Last school year, approximately what percentage of students at your school left before the 

end of the school year?

0%

1–3%

4–6%

7–10%

11–20%

Over 20%

A

B

C

D

E

F

A

B

C

D

A

B

C

D

Part 2c - Page 7 of 30
K2SQ-SC Page 8

HE002230

 10. About what percentage of this year’s eighth-graders was held back and is repeating eighth 

grade?

0%

1–2%

3–5%

6–10%

More than 10%

VB556173

 12. How does the school operate the program? 

Student eligibility is determined individually, and eligible students receive free or

reduced-price lunch. ➔ Skip to Question 14.

All students in school receive free lunch under special provisions 

(e.g., Provision 2 or 3). ➔ Go to Question 13.

HE002094

 11. Does your school participate in the National School Lunch Program?

Yes ➔ Go to Question 12.

No ➔ Skip to Question 15.

A

B

C

D

E

A

B

A

B

Part 2c - Page 8 of 30
K2SQ-SC Page 9

VB608487

14. During this school year, about what percentage of students in your school was eligible 

to receive a free or reduced-price lunch through the National School Lunch Program?

0%

1–5%

6–10%

11–25%

26–34%

35–50%

51–75%

76–99%

100%

VE382479

 13. If your school distributes free lunch to all students under Provision 2 or 3, what was the 

base year during which individual student eligibility was collected?

This school does not distribute free lunch to all students under Provision 2 or 3—

eligibility is determined annually.

2013

2012

2011

2010

2009

2008 or earlier

A

B

C

D

E

F

G

H

I

A

B

C

D

E

F

G

Part 2c - Page 9 of 30
K2SQ-SC Page 10

VB608488

 15. Does your school receive Title I funding? (Title I is a federally funded program that

provides educational services, such as remedial reading or remedial math, to children who 

live in areas with high concentrations of low-income families.)

No 

Yes, our school receives funds, which are targeted to eligible students.

Yes, our school receives funds, which are used for schoolwide purposes.

VB485284

 16. Approximately what percentage of students in your school receives the following services? 

Fill in one oval on each line. Students who receive more than one service should be counted 

for each service they receive. Please report the percentage of students who receive each of the

following services as of the day you respond to this questionnaire.

 Over

 None 1–5% 6–10% 11–25% 26–50% 51–75% 76–90% 90%

VB610145

VB485286

VB485287

VB485288

VB485289

a. Targeted Title I services

b. Gifted and talented 

program

c. Instruction provided in 

student’s home 

language (non-English)

d. English-as-a-secondlanguage (not in a 

bilingual education 

program)

e. Special education

A

B

C

A

A

A

A

A

B

B

B

B

B

C

C

C

C

C

D

D

D

D

D

E

E

E

E

E

F

F

F

F

F

H

H

H

H

H

G

G

G

G

G

Part 2c - Page 10 of 30
K2SQ-SC Page 11

VE588470

 17. During a typical week of school, what is the total number of regularly scheduled 

volunteers, including parents, working in the school?

0

1–5

6–10

11–15

16–25

More than 25

VE588677

 18. Approximately what percentage of students in your school have parents or guardians who 

do each of the following activities? Fill in one oval on each line.

Not 

applicable 0–10% 11–25% 26–50%

Over

 50%

VE588679 a. Volunteer regularly to 

help in the classroom or 

another part of the school

VE588681 b. Attend teacher–parent 

conferences

A

B

C

D

E

F

A

A

B

B

C

C

D

D

E

E

Part 2c - Page 11 of 30
K2SQ-SC Page 12

VE101552

For all teacher counts entered in item 19:

INCLUDE these types of teachers:

 • Regular

 • Special area or resource teachers (e.g., special education, Title I, art, music,

physical education)

 • Long-term substitute teachers

INCLUDE these types of teachers:

 • Itinerant teachers who teach part-time at this school

 • Employees reported in other items of this section if they also have a part-time

teaching assignment at this school

DO NOT INCLUDE:

 • Student teachers

 • Short-term substitute teachers

 • Teachers who teach ONLY pre-kindergarten or adult education

19. Around the first of October, how many TEACHERS held full-time or part-time positions or 

assignments in this school? If none, mark (0) in the boxes.

a. Full-time

 Full-time teachers

b. Part-time

 Part-time teachers

VF096612

 20. Does your school offer tenure to teachers?

Yes

No

A

B

Part 2c - Page 12 of 30
K2SQ-SC Page 13

VE588721

21. Of the following categories of teachers who were full-time teachers at your school at the 

end of the last school year, what percentage stayed on as full-time teachers for this school 

year? Fill in one oval on each line.

VE588765 a. Nontenured teachers 

who had taught for at 

least one year

VE588766 b. Tenured teachers

VE600319

 22. In the last school year, how many full-time teachers were new to your school?

 If you answered 1 or any number greater than 1, go to Question 23.

 If you answered 0, skip to Part II.

VE592330

 23. Of the full-time teachers who were new to your school last year, what percentage stayed 

on as full-time teachers for this school year?

0–10%

11–25%

26–50%

51–75%

76–90%

Over 90%

 Over

0–10% 11–25% 26–50% 51–75% 76–90% 90%

A

B

C

D

E

F

A

A

B

B

C

C

D

D

E

E

F

F

Part 2c - Page 13 of 30
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1

P

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2

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2

1

4

2

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1

VE101552

ic, 

-time 

ositions or 

G2SQ-CGH Page 13

 1. At what grade do students in your school typically take th

all ovals that apply.

6th 

grade

7th 

grade

8th 

grad

a. A class primarily focused 

on U.S. history

b. A class primarily focused 

on geography

c. A class primarily focused 

on civics or government



















For the purposes of this questionnaire, “civics” means the stu

the theory and practice of constitutional democracy in the U

is the development of intellectual and participatory civic skil

to assume the rights and responsibilities of individuals in soc

Part 2c - Page 14 of 30
CC

G2SQ-CGH Page 14 

U.S. history curriculum? Fill in one oval on each line.

Not 

at all

Small 

extent

Moderate 

extent

Large 

extent

a. Change and continuity in 

U.S. democracy

b. Gatherings and 

interactions of people 

from various cultures

c. Technological changes

d. Economic changes

e. Changing role of the U.S. 

in the world









































U.S. history curriculum? Fill in one oval on each line.

Not 

at all

Small 

extent

Moderate 

extent

Large 

extent

a. Change and continuity in 

U.S. democracy

b. Gatherings and 

interactions of people 

from various cultures

c. Technological changes

d. Economic changes

e. Changing role of the U.S. 

in the world

Part 2c - Page 15 of 30
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21P7421P7421

421P7421P7421

G2SQ-CGH

civics or government curriculum? Fill in one oval on each 

Not 

at all

Small 

extent

Moder

exte

a. Politics and government

b. Foundations of the U.S. 

political system

c. The U.S. Constitution

d. World affairs

e. Roles of citizens in U.S. 

democracy

 4. To what extent have you emphasized each of the followin

geography curriculum? Fill in one oval on each line.

Not 

at all

Small 

extent

Moder

exte

a. Space and place (i.e., basic 

concepts of physical and 

human geography)

b. Environment and society (i.e., how people adapt 

to, depend on, and are 

affected by the natural 

environment)

c. Spatial dynamics and 

connections (i.e., variation 

among regions and how 

people interact across 

space via communication,

transportation, trade)

opic 

ot 

d in 

hool.

VE015668 

VE015669 

VE015670 

VE015671 

VE015672 

G2SQ-CGH Page 15

civics or government curriculum? Fill in one oval on each 

Not 

at all

Small 

extent

Moder

exte

a. Politics and government

b. Foundations of the U.S. 

political system

c. The U.S. Constitution

d. World affairs

e. Roles of citizens in U.S. 

democracy



 4. To what extent have you emphasized each of the followin

geography curriculum? Fill in one oval on each line.

Not 

at all

Small 

extent

Moder

exte

a. Space and place (i.e., basic 

concepts of physical and 

human geography)

b. Environment and society (i.e., how people adapt 

to, depend on, and are 

affected by the natural 

environment)

c. Spatial dynamics and 

connections (i.e., variation 

among regions and how 

people interact across 

space via communication,

transportation, trade)



opic 

ot 

d in 

hool.

VE015668 

VE015669 

VE015670 

VE015671 

VE015672 

Part 2c - Page 16 of 30
CC

G2SQ-CGH Page 16 

behind or need extra help in social studies (e.g., U.S. history, civics, or ge

one oval on each line.

Yes No

a. Tutoring

b. Placement of instructional aides in classrooms to 

provide assistance

c. Use of instructional aides for pull-out instruction

d. Extra work or homework

e. Before- or after-school programs

f. Saturday classes

g. Summer school program

h. Extra help for English language learners

































behind or need extra help in social studies (e.g., U.S. history, civics, or ge

one oval on each line.

Yes No

a. Tutoring

b. Placement of instructional aides in classrooms to 

provide assistance

c. Use of instructional aides for pull-out instruction

d. Extra work or homework

e. Before- or after-school programs

f. Saturday classes

g. Summer school program

h. Extra help for English language learners

Part 2c - Page 17 of 30
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G2SQ-CGH

history, civics, or geography) structured according to the f

oval on each line.

Not 

at all

Sma

exten

a. District curriculum standards or 

frameworks

b. State curriculum standards or 

frameworks

c. National curriculum standards or 

frameworks

d. School-based curriculum standards 

or frameworks

e. Results from district or school 

assessments

f. Results from state assessments

g. Results from national assessments

h. Recommendations from district 

social studies department

i. Discretion of individual teachers

j. Commercially designed programs

 7. To what extent does your school’s eighth-grade social stu

(e.g., U.S. history

, civics, or geography) focus on preparation 

of assessments? Fill in one oval on each line.

Not 

at all

Sma

exten

a. District or school assessments

b. State assessments

c. National assessments

hy)? Fill in 

VE015687 

VE015690 

VE015691 

VE015694 

VE015695 

VE015696 

VE015697 

VE015698 

G2SQ-CGH Page 17

history, civics, or geography) structured according to the f

oval on each line.

Not 

at all

Sma

exten

a. District curriculum standards or 

frameworks

b. State curriculum standards or 

frameworks

c. National curriculum standards or 

frameworks

d. School-based curriculum standards 

or frameworks

e. Results from district or school 

assessments

f. Results from state assessments

g. Results from national assessments

h. Recommendations from district 

social studies department

i. Discretion of individual teachers

j. Commercially designed programs   

 7. To what extent does your school’s eighth-grade social stu

(e.g., U.S. history

, civics, or geography) focus on preparation 

of assessments? Fill in one oval on each line.

Not 

at all

Sma

exten

a. District or school assessments

b. State assessments

c. National assessments   

hy)? Fill in 

VE015687 

VE015690 

VE015691 

VE015694 

VE015695 

VE015696 

VE015697 

VE015698 

Part 2c - Page 18 of 30
K2SQ-SX Page 1

Part III: Science

VF654596

 1. In addition to their regular classroom teacher, is there a science resource teacher available 

(full- or part-time) to eighth-grade students at your school?

Yes, available full-time to eighth-grade students ➔ Go to Question 2.

Yes, available part-time to eighth-grade students ➔ Go to Question 2.

No ➔ Skip to Question 3.

VF654598

 2. To what extent is each of the following a responsibility of the science resource

teacher(s) available to eighth-grade students at your school? Fill in one oval on each line.

Not

at all

Small 

extent

Moderate 

extent

Large 

extent

VF654605 a. Provide science course-related 

support, remediation, or intervention

to individual students

VF654606 b. Provide science course-related 

support, remediation, or intervention

to groups of students

VF654609 c. Provide science enrichment to 

individual students

VF654610 d. Provide science enrichment to 

groups of students

A

B

C

A

A

A

A

B

B

B

B

C

C

C

C

D

D

D

D

Part 2c - Page 19 of 30
K2SQ-SX Page 2

VF654613

 4. To what extent is each of the following a responsibility of the science coach(es)

available to eighth-grade teachers at your school? Fill in one oval on each line.

Not

at all

Small 

extent

Moderate 

extent

Large 

extent

VF654614 a. Provide support/assistance about 

science content or the teaching of 

science to individual teachers

VF654615 b. Provide technical support/assistance 

to individual teachers

VF654616 c. Conduct professional development 

about science or the teaching of 

science for groups of teachers

A

A

A

B

B

B

C

C

C

D

D

D

VF654612

 3. Is there a science coach available (full- or part-time) to eighth-grade teachers at your 

school?

Yes, available full-time to eighth-grade teachers ➔ Go to Question 4.

Yes, available part-time to eighth-grade teachers ➔ Go to Question 4.

No ➔ Skip to Question 5.

A

B

C

Part 2c - Page 20 of 30
K2SQ-SX Page 3

VC304219

 5. To what extent is your school’s science program structured according to the following 

resources? Fill in one oval on each line.

Not

at all

Small 

extent

Moderate 

extent

Large 

extent

VC304220 a. State curriculum standards or 

frameworks

VC304221 b. District curriculum standards or 

curriculum guides

VC304222 c. Results from state/district 

assessments

VC304223 d. In-school curriculum frameworks 

and standards for learning

VC304224 e. Results from school assessments

VC304225 f. Recommendations from school 

science department

VC304226 g. Discretion of individual teachers

VC304227 h. Commercially designed programs

A

A

A

A

A

A

A

A

B

B

B

B

B

B

B

B

C

C

C

C

C

C

C

C

D

D

D

D

D

D

D

D

Part 2c - Page 21 of 30
K2SQ-SX Page 4

VC304506

 6. To what extent does your school’s eighth-grade science curricula focus on preparation for 

the following types of assessments? Fill in one oval on each line.

Not

at all

Small 

extent

Moderate 

extent

Large 

extent

VC304508 a. State assessments

VC304510 b. District assessments

VC304511 c. School assessments

VC304465

 7. Does your school have laboratory facilities for eighth-grade science instruction?

Yes ➔ Go to Question 8.

No ➔ Skip to Question 9.

A

B

A

A

A

B

B

B

C

C

C

D

D

D

Part 2c - Page 22 of 30
K2SQ-SX Page 5

VE013981

 8. To what extent do your school’s science laboratories that are available for eighth-grade 

instruction have the following features? Fill in one oval on each line.

Not

at all

Small 

extent

Moderate 

extent

Large 

extent

VE013983 a. Demonstration stations

VE013984 b. Student lab stations

VE013985 c. Storage areas for chemicals and other 

supplies

VE013986 d. Electricity

VE013990 e. Running water

VE013991 f. Gas for burners

VE013992 g. Hoods or air hoses

VE013993 h. Safety equipment

VE013995 i. Computers

VE013996 j. Internet connection

A

A

A

A

A

A

A

A

A

A

B

B

B

B

B

B

B

B

B

B

C

C

C

C

C

C

C

C

C

C

D

D

D

D

D

D

D

D

D

D

Part 2c - Page 23 of 30
K2SQ-SX Page 6

VE014000

 9. To what extent are any of the following available to eighth-grade teachers who teach 

science? Fill in one oval on each line.

Not

at all

Small 

extent

Moderate 

extent

Large 

extent

VF863974 a. Science textbooks (including digital 

forms, such as online textbooks)

VF863976 b. Science magazines and books 

(including digital forms, such as 

online magazines and books)

VE014005 c. Supplies or equipment for science 

demonstrations

VE014006 d. Supplies or equipment for science 

labs

VE014008 e. Student access to computers in class 

for science instruction

VE014010 f. Student access to computer labs for 

science instruction

VE014011 g. Teacher access to computers for 

science instruction

VE014012 h. Computerized science labs for 

classroom use

VE014014 i. Audiovisual materials for science 

instruction

VE014015 j. Science kits

VE014016 k. Scientifi c measurement instruments 

(e.g., telescopes, microscopes,

thermometers, or weighing scales)

A

A

A

A

A

A

A

A

A

A

A

B

B

B

B

B

B

B

B

B

B

B

C

C

C

C

C

C

C

C

C

C

C

D

D

D

D

D

D

D

D

D

D

D

Part 2c - Page 24 of 30
K2SQ-SX Page 7

VE014018

 10. Approximately what percentage of your school’s classrooms has the following technological 

resources for eighth-grade science instruction? Fill in one oval on each line.

 0% 1–25% 26–50% 51–75% 76–99% 100%

VE014020

VE014021

VE014023

VE014024

VE014025

VE014026

VE014027

VE014029

VE014030

Continued on next page.

A

A

A

A

A

A

A

A

A

B

B

B

B

B

B

B

B

B

C

C

C

C

C

C

C

C

C

D

D

D

D

D

D

D

D

D

E

E

E

E

E

E

E

E

E

F

F

F

F

F

F

F

F

F

a. Desktop

computer

b. Laptop computer

c. Tablet PC

(notebook-like

computer that

allows users to

write or draw

through the use

of a stylus or

touch-screen)

d. Digital projector

(device that

connects to

a computer

to display

presentations

or demonstrate

lessons, such as

an LCD)

e. CD-ROM

f. Online software

g. Digital music

device (pocketsized music

player used to

listen to or create

audio fi les, such

as an MP3 player)

h. Cable/satellite/

closed-circuit

television

i. DVD player and

DVDs

Part 2c - Page 25 of 30
K2SQ-SX Page 8

 0% 1–25% 26–50% 51–75% 76–99% 100%

VE014033

VE014041

VE014042

VE014043

VE014046

VE014047

A

A

A

A

A

A

B

B

B

B

B

B

C

C

C

C

C

C

D

D

D

D

D

D

E

E

E

E

E

E

F

F

F

F

F

F

j. Digital camera

k. Graphing

calculator

l. Handheld device 

(pocket-sized 

computing

device, such as 

personal digital 

assistant or 

smartphone)

m. Data collection 

sensors/probes 

(tool that

connects to a 

handheld device 

or graphing 

calculator and 

detects motion,

pH, temperature,

light)

n. Online course 

management 

system (webbased software 

used to organize 

information,

assignments,

grades, and 

discussions)

o. Digital

whiteboard 

(computerized 

display panels

that can respond 

to fi ngertip

command and 

creates a shared 

interactive

space, akin 

to traditional 

chalkboards)

Part 2c - Page 26 of 30
K2SQ-SX Page 9

VF654617

 11. In this school year, is there a science club offered to eighth-grade students in your

school? Fill in one oval on each line.

No

VF654618

VF654619

VF654620

a. Teacher volunteered (initiated and 

run by individual teachers)

b. School sponsored (initiated by 

school and run by school designated 

personnel)

c. Partnered with external agencies 

(such as universities, science 

museums, or industries)

Yes

VF654621

 12. To what extent does your school provide eighth-grade students with the following 

learning experiences? Fill in one oval on each line.

Not

at all

1–2 times 

per year

3–4 times 

per year

More than 

5 times

per year

VF654622 a. Science fairs

VF654623 b. Science competitions

VF654624 c. Science-related fi eld trips (including 

museums, zoos, aquariums, science 

centers, and other similar sites)

A

A

A

B

B

B

C

C

C

D

D

D

A

A

A

B

B

B

Part 2c - Page 27 of 30
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J2SQ-CH Page 25

This section should be completed by the principal or the head of the school. If your school 

is a charter school, please continue. If your school is not a charter school, you have finished 

the survey. Thank you for your time.

Part IV: Supplemental Charter School Questions

VC311248

 1. Is your school a public charter school?

 (A charter school is a public school that, in accordance with an enabling state statute, has 

been granted a charter exempting it from selected state or local rules and regulations. A 

charter school may be a newly created school, or it may previously have been a public or 

private school.)

Yes ➔ Go to Question 2.

No ➔ You have finished the survey. Thank you for your time.

VC104697

 2. In which year did your school start providing instruction as a charter school?

VE588849

3. Who granted your school’s current charter?

School district

State board of education (includes state board of regents and District of Columbia State 

Board of Education)

Postsecondary institution

State charter-granting agency

City or state public charter school board

Other (specify):

A

B

A

B

C

D

E

F

Part 2c - Page 28 of 30
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J2SQ-CH 

Page 26

VC104799

4. What is the legal status of your school?

Officially part of the school district or local education agency (LEA)

Independent from the school district or local education agency (LEA)

A separate local education agency (LEA) as stipulated by state law

VE600331

 5. Is this school operated by a company or organization that also operates other charter schools?

Yes

No

VC104758

6. Which one of the following best describes your charter school’s primary focus in terms of 

program content?

We have a comprehensive curriculum with no specialized area of focus.

We have a special curricular focus, for example, the arts, math/science, foreign 

language immersion.

Our curriculum is based on a particular educational theory, for example, Montessori,

open school, Core Knowledge.

Our curriculum is based on a particular moral philosophy or set of values, for 

example, African-centered education, character-based education, Eastern philosophy.

A

B

C

A

B

A

B

C

D

VC104799

4. What is the legal status of your school?

Officially part of the school district or local education agency (LEA)

Independent from the school district or local education agency (LEA)

A separate local education agency (LEA) as stipulated by state law

VE600331

 5. Is this school operated by a company or organization that also operates other charter schools?

Yes

No

VC104758

6. Which one of the following best describes your charter school’s primary focus in terms of 

program content?

We have a comprehensive curriculum with no specialized area of focus.

We have a special curricular focus, for example, the arts, math/science, foreign 

language immersion.

Our curriculum is based on a particular educational theory, for example, Montessori,

open school, Core Knowledge.

Our curriculum is based on a particular moral philosophy or set of values, for 

example, African-centered education, character-based education, Eastern philosophy.

Part 2c - Page 29 of 30
CC

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P

7

4

2

1

P

7

4

2

1

P

7

4

2

1

P

7

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J2SQ-CH 

VE588897

7. Does your school provide a written contract for parents?

Yes, and parents are required to abide by it. ➔ Go to Question 8.

Yes, but signing it is voluntary. ➔ Go to Question 8.

No ➔ You have finished the survey. Thank you for your time.

VE588978

8. Are the following elements addressed in your charter–parent contract? Fill in one

oval in each row.

Yes No

VE588983 a. Dress code

VE588989 b. Home learning environment

VE588981 c. Homework

VE588987 d. Parent–teacher communication

VE588991 e. Parent volunteering

VE588985 f. School discipline policy

VE588980 g. Student attendance

VE588988 h. Student promotion policy

VE592478 i. Other (specify):

A

B

C

J2SQ-CH Page 27

VE588897

7. Does your school provide a written contract for parents?

Yes, and parents are required to abide by it. ➔ Go to Question 8.

Yes, but signing it is voluntary. ➔ Go to Question 8.

No ➔ You have finished the survey. Thank you for your time.

VE588978

8. Are the following elements addressed in your charter–parent contract? Fill in one

oval in each row.

Yes No

VE588983 a. Dress code

VE588989 b. Home learning environment

VE588981 c. Homework

VE588987 d. Parent–teacher communication

VE588991 e. Parent volunteering

VE588985 f. School discipline policy

VE588980 g. Student attendance

VE588988 h. Student promotion policy

VE592478 i. Other (specify):

A

B

C

A

A

A

A

A

A

A

A

A

B

B

B

B

B

B

B

B

B

Part 2c - Page 30 of 30
NATIONAL ASSESSMENT OF 

EDUCATIONAL PROGRESS 

Wave 1 Submittal for 2014 

VOLUME II 

SURVEY QUESTIONS

Part 3E

School Grade 12 

Part 3b contains School Grade 12: 

School Characteristics and Policies (SCP) 

Science 

Charter School

The amount of time estimated to complete these forms: 30 minutes 

 

Part 3b - Page 1 of 25
SCHOOL QUESTIONNAIRES

OMB Information on School Questionnaire Cover Page

Paperwork 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. The valid OMB control number for this information 

collection is 1850-0790. The time required to complete this information collection 

is estimated to average 30 minutes including the time to review instructions, 

search existing data resources, gather the data needed, and complete and review 

the information collection. If you have any comments concerning the accuracy 

of the time estimate(s) or suggestions for improving this form, please write 

to: U.S. Department of Education, Washington, D.C. 20202-4537. If you have 

comments or concerns regarding the status of your individual submission of 

this form, write directly to: NAEP/NCES, U.S. Department of Education, 400 

Maryland Avenue, S.W., Washington, DC 20202. 

A project of the National Center for Education Statistics (NCES), Institute of 

Education Sciences, U.S. Department of Education. 

The information you provide will be used for statistical purposes only. In 

accordance with the Confidential Information Protection provisions of Title V, 

Subtitle A, Public Law 107-347 and other applicable Federal laws, your responses 

will be kept confidential and will not be disclosed in identifiable form to anyone 

other than employees or agents. By law, every NCES employee as well as every 

agent, such as contractors and NAEP coordinators, has taken an oath and is 

subject to a jail term of up to 5 years, a fine of up to $250,000, or both if he or she 

willfully discloses ANY identifiable information about you. 

OMB No. 1850-0790 APPROVAL EXPIRES 03/31/2016 

Part 3b - Page 2 of 25
K3SQ-SC Page 3

School Questionnaire – Grade 12

 This questionnaire should be completed by the principal or the head of the school.

Part 3b - Page 3 of 25
K3SQ-SC Page 4

Part I: School Characteristics and Policies

VB337248

 1. What grades are taught in your school? Fill in all ovals that apply.

Pre-kindergarten

Kindergarten

1st grade

2nd grade

3rd grade

4th grade

5th grade

6th grade

7th grade

8th grade

9th grade

10th grade

11th grade

12th grade

A

B

C

D

E

F

G

H

I

J

K

L

M

N

Part 3b - Page 4 of 25
K3SQ-SC Page 5

VE592238

 2. Can your school be described by any of the following? Fill in ovals for all that apply.

Elementary school

Middle or junior high school

Secondary school

Regular school with a magnet program

A magnet school or a school with a special program emphasis, e.g., science/

mathematics school, performing arts school, talented/gifted school, foreign language

immersion school

Special education school: primarily serves students with disabilities

Alternative school: offers a curriculum designed to provide alternative or

nontraditional education, not clearly categorized as regular, special, or vocational 

education

Private independent school

Private religiously affiliated school

Independent charter school

Charter school administered by local school district

Other (specify):

VB337250

 3. What is the current enrollment in your school?

,

A

B

C

D

E

F

G

H

I

J

K

L

Part 3b - Page 5 of 25
K3SQ-SC Page 6

VE462942

 4. Approximately what percentage of twelfth-graders in your school is new this year?

%

VB337256

 5. Of the students currently enrolled in your school, what percentage has been identified as 

limited-English proficient?

0%

1–5%

6–10%

11–25%

26–50%

51–75%

76–90%

Over 90%

VE588132

 6. Last school year, approximately what percentage of students at your school enrolled after

the first day of school?

0%

1–3%

4–6%

7–10%

11–20%

Over 20%

A

B

C

D

E

F

G

H

A

B

C

D

E

F

Part 3b - Page 6 of 25
K3SQ-SC Page 7

HE000917

 8. About what percentage of your students is absent on an average day? (Include excused and 

unexcused absences in calculating this rate.)

0–2%

3–5%

6–10%

More than 10%

LC000488

 9. About what percentage of your teachers is absent on an average day? (Include all absences in 

calculating this rate.)

0–2%

3–5%

6–10%

More than 10%

VE592581

 7. Last school year, approximately what percentage of students at your school left before the 

end of the school year?

0%

1–3%

4–6%

7–10%

11–20%

Over 20%

A

B

C

D

E

F

A

B

C

D

A

B

C

D

Part 3b - Page 7 of 25
K3SQ-SC Page 8

HE002094

 10. Does your school participate in the National School Lunch Program?

Yes ➔ Go to Question 11.

No ➔ Skip to Question 14.

VE382479

 12. If your school distributes free lunch to all students under Provision 2 or 3, what was the 

base year during which individual student eligibility was collected?

This school does not distribute free lunch to all students under Provision 2 or 3—

eligibility is determined annually.

2013

2012

2011

2010

2009

2008 or earlier 

VB556173

 11. How does the school operate the program? 

Student eligibility is determined individually, and eligible students receive free or

reduced-price lunch. ➔ Skip to Question 13. 

All students in school receive free lunch under special provisions 

(e.g., Provision 2 or 3.) ➔ Go to Question 12.

A

B

A

B

C

D

E

F

G

A

B

Part 3b - Page 8 of 25
K3SQ-SC Page 9

VB608488

 14. Does your school receive Title I funding? (Title I is a federally funded program that

provides educational services, such as remedial reading or remedial math, to children who 

live in areas with high concentrations of low-income families.)

No 

Yes, our school receives funds, which are targeted to eligible students.

Yes, our school receives funds, which are used for schoolwide purposes.

VB608487

 13. During this school year, about what percentage of students in your school was eligible 

to receive a free or reduced-price lunch through the National School Lunch Program?

0%

1–5%

6–10%

11–25%

26–34%

35–50%

51–75%

76–99%

100%

A

B

C

A

B

C

D

E

F

G

H

I

Part 3b - Page 9 of 25
K3SQ-SC Page 10

VB485284

 15. Approximately what percentage of students in your school receives the following services? 

Fill in one oval on each line. Students who receive more than one service should be counted 

for each service they receive. Please report the percentage of students who receive each of the

following services as of the day you respond to this questionnaire.

 Over

 None 1–5% 6–10% 11–25% 26–50% 51–75% 76–90% 90%

VB610145

VB485286

VB485287

VB485288

VB485289

a. Targeted Title I services

b. Gifted and talented 

program

c. Instruction provided in 

student’s home 

language (non-English)

d. English-as-a-secondlanguage (not in a 

bilingual education 

program)

e. Special education

a. Attending a two-year 

college

b. Attending a four-year 

college

c. Attending a 

vocational-technical 

or business school

d. Working for pay

e. Serving in the military 

(excluding ROTC and 

military academies)

VE588195

 16. Of the students in last year’s graduating class, approximately what percentage is doing 

each of the following? Fill in one oval on each line.

VE588197

VE589625

VE588425

VE588429

VE588432

 Over I don’t

 0–5% 6–10% 11–25% 26–50% 51–75% 75% know.

A

A

A

A

A

B

B

B

B

B

C

C

C

C

C

D

D

D

D

D

E

E

E

E

E

F

F

F

F

F

H

H

H

H

H

G

G

G

G

G

A

A

A

A

A

B

B

B

B

B

C

C

C

C

C

D

D

D

D

D

E

E

E

E

E

F

F

F

F

F

G

G

G

G

G

Part 3b - Page 10 of 25
K3SQ-SC Page 11

VE592328

 17. Does your school offer any of the following services to students on a regular basis? Fill in 

ovals for all that apply.

Career and technical education workshops

Career counseling services or programs

Job placement services

Career days or job fairs

Career or employment readiness workshops

VE588470

 18. During a typical week of school, what is the total number of regularly scheduled 

volunteers, including parents, working in the school?

0

1–5

6–10

11–15

16–25

More than 25

VE588677

 19. Approximately what percentage of students in your school have parents or guardians who 

do each of the following activities? Fill in one oval on each line.

Not 

applicable 0–10% 11–25% 26–50%

Over

 50%

VE588679 a. Volunteer regularly to 

help in the classroom or 

another part of the school

VE588681 b. Attend teacher–parent 

conferences

A

B

C

D

E

A

B

C

D

E

F

A

A

B

B

C

C

D

D

E

E

Part 3b - Page 11 of 25
K3SQ-SC Page 12

VE101552

 For all teacher counts entered in item 20:

INCLUDE these types of teachers:

 • Regular

 • Special area or resource teachers (e.g., special education, Title I, art, music,

physical education)

 • Long-term substitute teachers

INCLUDE these types of teachers:

 • Itinerant teachers who teach part-time at this school

 • Employees reported in other items of this section if they also have a part-time

teaching assignment at this school

DO NOT INCLUDE:

 • Student teachers

 • Short-term substitute teachers

 • Teachers who teach ONLY pre-kindergarten or adult education

 20. Around the first of October, how many TEACHERS held full-time or part-time positions or 

assignments in this school? If none, mark (0) in the boxes.

a. Full-time

 Full-time teachers

b. Part-time

 Part-time teachers

VF096612

 21. Does your school offer tenure to teachers?

Yes

No

A

B

Part 3b - Page 12 of 25
K3SQ-SC Page 13

VE600319

 23. In the last school year, how many full-time teachers were new to your school?

 If you answered 1 or any number greater than 1, go to Question 24.

 If you answered 0, skip to Part II.

VE592330

 24. Of the full-time teachers who were new to your school last year, what percentage stayed 

on as full-time teachers for this school year?

0–10%

11–25%

26–50%

51–75%

76–90%

Over 90%

VE588721

22. Of the following categories of teachers who were full-time teachers at your school at the 

end of the last school year, what percentage stayed on as full-time teachers for this school 

year? Fill in one oval on each line.

VE588765 a. Nontenured teachers 

who had taught for at 

least one year

VE588766 b. Tenured teachers

 Over

0–10% 11–25% 26–50% 51–75% 76–90% 90%

A

B

C

D

E

F

A

A

B

B

C

C

D

D

E

E

F

F

Part 3b - Page 13 of 25
K3SQ-SX Page 1

Part II: Science

VC304670

1. Beginning with ninth grade, how many years (or Carnegie-unit equivalents) of course 

work in science does your school or district require for graduation?

None

One-half year

One year

Two years

Three years

Four years

More than four years

VC304672

 2. Does your school offer online science courses for credit?

Yes

No

A

B

C

D

E

F

G

A

B

Part 3b - Page 14 of 25
K3SQ-SX Page 2

QK070745

 3. Are courses of at least one semester in length taught in your school in each of the 

following subjects? Fill in one oval on each line.

Yes No

VC308200 a. Advanced Placement Biology

VC312550 b. International Baccalaureate® Biology

QK070746 c. Advanced biology (beyond an introductory course)

VC308202 d. Advanced Placement Environmental Science

VC312552 e. International Baccalaureate Environmental 

Systems

VC308203 f. Advanced environmental science (beyond an 

introductory course)

VC308204 g. Advanced Placement Chemistry

VC312554 h. International Baccalaureate Chemistry

QK070747 i. Advanced chemistry (beyond an introductory 

course)

VC308206 j. Advanced Placement Physics B or C

VC312556 k. International Baccalaureate Physics

QK070748 l. Advanced physics (beyond an introductory course)

VC312557 m. International Baccalaureate Design Technology

VC312559 n. Advanced technology (beyond an introductory 

course)

A

A

A

A

A

A

A

A

A

A

A

A

A

A

B

B

B

B

B

B

B

B

B

B

B

B

B

B

Part 3b - Page 15 of 25
K3SQ-SX Page 3

VF654632

 4. In addition to their regular classroom teacher, is there a science resource teacher available 

(full- or part-time) to twelfth-grade students at your school?

Yes, available full-time to twelfth-grade students ➔ Go to Question 5.

Yes, available part-time to twelfth-grade students ➔ Go to Question 5.

No ➔ Skip to Question 6.

A

B

C

VF654633

 5. To what extent is each of the following a responsibility of the science resource

teacher(s) available to twelfth-grade students at your school? Fill in one oval on each line.

Not

at all

Small 

extent

Moderate 

extent

Large 

extent

VF654634 a. Provide science course-related 

support, remediation, or intervention 

to individual students

VF654635 b. Provide science course-related 

support, remediation, or intervention 

to groups of students

VF654638 c. Provide science enrichment to 

individual students

VF654639 d. Provide science enrichment to 

groups of students

A

A

A

A

B

B

B

B

C

C

C

C

D

D

D

D

Part 3b - Page 16 of 25
K3SQ-SX Page 4

VF654640

 6. Is there a science coach available (full- or part-time) to twelfth-grade teachers at your 

school?

Yes, available full-time to twelfth-grade teachers ➔ Go to Question 7.

Yes, available part-time to twelfth-grade teachers ➔ Go to Question 7.

No ➔ Skip to Question 8.

A

B

C

VF654641

 7. To what extent is each of the following a responsibility of the science coach(es)

available to twelfth-grade teachers at your school? Fill in one oval on each line.

Not

at all

Small 

extent

Moderate 

extent

Large 

extent

VF654642 a. Provide support/assistance about 

science content or the teaching of 

science to individual teachers

VF654643 b. Provide technical support/assistance 

to individual teachers

VF654644 c. Conduct professional development 

about science or the teaching of 

science for groups of teachers

A

A

A

B

B

B

C

C

C

D

D

D

Part 3b - Page 17 of 25
K3SQ-SX Page 5

VC304219

 8. To what extent is your school’s science program structured according to the following 

resources? Fill in one oval on each line.

Not

at all

Small 

extent

Moderate 

extent

Large 

extent

VC304220 a. State curriculum standards or 

frameworks

VC304221 b. District curriculum standards or 

curriculum guides

VC304222 c. Results from state/district 

assessments

VC304223 d. In-school curriculum frameworks 

and standards for learning

VC304224 e. Results from school assessments

VC304225 f. Recommendations from school 

science department

VC304226 g. Discretion of individual teachers

VC304227 h. Commercially designed programs

A

A

A

A

A

A

A

A

B

B

B

B

B

B

B

B

C

C

C

C

C

C

C

C

D

D

D

D

D

D

D

D

Part 3b - Page 18 of 25
K3SQ-SX Page 6

VE015630

 9. To what extent are any of the following available to twelfth-grade teachers who teach 

science? Fill in one oval on each line.

Not

at all

Small 

extent

Moderate 

extent

Large 

extent

VF863506 a. Science textbooks (including digital 

forms, such as online textbooks)

VF863510 b. Science magazines and books 

(including digital forms, such as 

online magazines and books)

VE015633 c. Supplies or equipment for science 

demonstrations

VE015634 d. Supplies or equipment for science 

labs

VE015635 e. Student access to computers in class 

for science instruction

VE015636 f. Student access to computer labs for 

science instruction

VE015637

g. Teacher access to computers for 

science instruction

VE015638 h. Computerized science labs for 

classroom use

VE015639 i. Audiovisual materials for science 

instruction

VE015640 j. Science kits

VE015641 k. Scientifi c measurement instruments 

(e.g., telescopes, microscopes,

thermometers, or weighing scales)

A

A

A

A

A

A

A

A

A

A

A

B

B

B

B

B

B

B

B

B

B

B

C

C

C

C

C

C

C

C

C

C

C

D

D

D

D

D

D

D

D

D

D

D

Part 3b - Page 19 of 25
K3SQ-SX Page 7

VE015642

 10. Approximately what percentage of your school’s classrooms has the following technological 

resources for twelfth-grade science instruction? Fill in one oval on each line.

 0% 1–25% 26–50% 51–75% 76–99% 100%

VE015643

VE015644

VE015645

VE015646

VE015647

VE015648

VE015649

VE015650

VE015651

Continued on next page.

A

A

A

A

A

A

A

A

A

B

B

B

B

B

B

B

B

B

C

C

C

C

C

C

C

C

C

D

D

D

D

D

D

D

D

D

E

E

E

E

E

E

E

E

E

F

F

F

F

F

F

F

F

F

a. Desktop

computer

b. Laptop computer

c. Tablet PC

(notebook-like

computer that

allows users to

write or draw

through the use

of a stylus or

touch-screen)

d. Digital projector

(device that

connects to

a computer

to display

presentations

or demonstrate

lessons, such as

an LCD)

e. CD-ROM

f. Online software

g. Digital music

device (pocketsized music

player used to

listen to or create

audio fi les, such

as an MP3 player)

h. Cable/satellite/

closed-circuit

television

i. DVD player and

DVDs

Part 3b - Page 20 of 25
K3SQ-SX Page 8

 0% 1–25% 26–50% 51–75% 76–99% 100%

VE015652

VE015653

VE015654

VE015655

VE015656

VE015657

A

A

A

A

A

A

B

B

B

B

B

B

C

C

C

C

C

C

D

D

D

D

D

D

E

E

E

E

E

E

F

F

F

F

F

F

j. Digital camera

k. Graphing

calculator

l. Handheld device 

(pocket-sized 

computing

device, such as 

personal digital 

assistant or 

smartphone)

m. Data collection 

sensors/probes 

(tool that

connects to a 

handheld device 

or graphing 

calculator and 

detects motion,

pH, temperature,

light)

n. Online course 

management 

system (webbased software 

used to organize 

information,

assignments,

grades, and 

discussions)

o. Digital

whiteboard 

(computerized 

display panels

that can respond 

to fi ngertip

command and 

creates a shared 

interactive

space, akin 

to traditional 

chalkboards)

Part 3b - Page 21 of 25
K3SQ-SX Page 9

VF654649

 12. To what extent does your school provide twelfth-grade students with the following 

learning experiences? Fill in one oval on each line.

Not

at all

1–2 times 

per year

3–4 times 

per year

More than 

5 times

per year

VF654650 a. Science fairs

VF654651 b. Science competitions

VF654652 c. Science-related fi eld trips (including 

museums, zoos, aquariums, science 

centers, and other similar sites)

A

A

A

B

B

B

C

C

C

D

D

D

VF654645

 11. In this school year, is there a science club offered to twelfth-grade students in your 

school? Fill in one oval on each line.

No

VF654646

VF654647

VF654648

a. Teacher volunteered (initiated and 

run by individual teachers)

b. School sponsored (initiated by 

school and run by school designated 

personnel)

c. Partnered with external agencies 

(such as universities, science 

museums, or industries)

Yes

A

A

A

B

B

B

Part 3b - Page 22 of 25
J3SQ-CH Page 29

This section should be completed by the principal or the head of the school. If your school 

is a charter school, please continue. If your school is not a charter school, you have finished 

the survey. Thank you for your time.

Part III: Supplemental Charter School Questions

VC311248

 1. Is your school a public charter school?

 (A charter school is a public school that, in accordance with an enabling state statute, has 

been granted a charter exempting it from selected state or local rules and regulations. A 

charter school may be a newly created school, or it may previously have been a public or 

private school.)

Yes ➔ Go to Question 2.

No ➔ You have finished the survey. Thank you for your time.

VC104697

 2. In which year did your school start providing instruction as a charter school?

VE588849

 3. Who granted your school’s current charter?

School district

State board of education (includes state board of regents and District of Columbia State 

Board of Education)

Postsecondary institution

State charter-granting agency

City or state public charter school board

Other (specify):

A

B

A

B

C

D

E

F

Part 3b - Page 23 of 25
J3SQ-CH Page 30

VC104799

4. What is the legal status of your school?

Officially part of the school district or local education agency (LEA)

Independent from the school district or local education agency (LEA)

A separate local education agency (LEA) as stipulated by state law

VE600331

 5. Is this school operated by a company or organization that also operates other charter schools?

Yes

No

VC104758

6. Which one of the following best describes your charter school’s primary focus in terms of 

program content?

We have a comprehensive curriculum with no specialized area of focus.

We have a special curricular focus, for example, the arts, math/science, foreign 

language immersion.

Our curriculum is based on a particular educational theory, for example, Montessori,

open school, Core Knowledge.

Our curriculum is based on a particular moral philosophy or set of values, for 

example, African-centered education, character-based education, Eastern philosophy.

A

B

C

A

B

A

B

C

D

Part 3b - Page 24 of 25
J3SQ-CH Page 31

VE588897

 7. Does your school provide a written contract for parents?

Yes, and parents are required to abide by it. ➔ Go to Question 8.

Yes, but signing it is voluntary. ➔ Go to Question 8.

No ➔ You have finished the survey. Thank you for your time.

VE588978

8. Are the following elements addressed in your charter–parent contract? Fill in one

oval in each row.

Yes No

VE588983 a. Dress code

VE588989 b. Home learning environment

VE588981 c. Homework

VE588987 d. Parent–teacher communication

VE588991 e. Parent volunteering

VE588985 f. School discipline policy

VE588980 g. Student attendance

VE588988 h. Student promotion policy

VE592478 i. Other (specify):

A

B

C

A

A

A

A

A

A

A

A

A

B

B

B

B

B

B

B

B

B

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