NATIONAL ASSESSMENT OF 

EDUCATIONAL PROGRESS 

Wave 2 Submittal for 2015 

VOLUME II 

SURVEY QUESTIONS

Part 1a 

Student Grade 4 

Part 1a contains Student Grade 4: 

Core Questions 

Science Questions 

KaSA Core Questions (adapted for Puerto Rico) 

NIES Questions 

The amount of time estimated to complete these forms: 

Core - 5 minutes 

Subject-specific – 10 minutes 

NIES – 15 minutes 

Part 1a - Page 1 of 26
STUDENT QUESTIONNAIRES

OMB Information on Student 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 it displays a valid OMB control 

number. The valid OMB control number for this voluntary information collection 

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

estimated to average xx1

 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, suggestions for improving this collection, or any comments or 

concerns regarding the status of your individual submission of this form, please 

write to: National Assessment of Educational Progress, National Center for 

Education Statistics, 1990 K Street, NW, Washington, DC 20006. 

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 

 

1 Note: 75 minutes is total for assessment (cognitive and survey), for Wave 2 paper & pencil administrations (Science); 

90 minutes for TBA, Science HOTS and ICT administrations; and 95 minutes for the Mathematics KaSA, Puerto Rico version.

Applicable survey question time is listed on part covers. 

Part 1a - Page 2 of 26
Student Grade 4 Core 

Student Grade 4 Core Questions 

The amount of time estimated to complete this form is 5 minutes. 

Part 1a - Page 3 of 26
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SECTION 3 Section 3

J1D1 GO ON TO THE NEXT PAGE Page 1

In this section, please tell us about yourself and your family. Please answer questions about 

your home based on where you live most of the time during the school year. The section has 

11 questions. Mark your answers in your booklet. Fill in only one oval for each question 

except where instructed otherwise.

VB331330

 1. Are you Hispanic or Latino? Fill in one

or more ovals.

No, I am not Hispanic or Latino.

Yes, I am Mexican, Mexican 

American, or Chicano.

Yes, I am Puerto Rican or Puerto 

Rican American.

Yes, I am Cuban or Cuban 

American.

Yes, I am from some other 

Hispanic or Latino background.

A

B

C

D

E

VB331331

 2. Which of the following best describes 

you? Fill in one or more ovals.

White

Black or African American

Asian

American Indian or Alaska Native

Native Hawaiian or other Pacific 

Islander

A

B

C

D

E

Part 1a - Page 4 of 26
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Section 3

J1D1 Page 2 GO ON TO THE NEXT PAGE 

TB001101

 6. About how many pages a day do you 

have to read in school and for 

homework?

5 or fewer

6–10

11–15

16–20

More than 20

VB331339

 7. How often do you talk about things you 

have studied in school with someone in 

your family?

Never or hardly ever

Once every few weeks

About once a week

Two or three times a week

Every day

VB331447

 8. How many days were you absent from 

school in the last month?

None

1 or 2 days

3 or 4 days

5 to 10 days

More than 10 days

A

B

C

D

E

VB331335

 3. About how many books are there in 

your home?

Few (0–10)

Enough to fill one shelf (11–25)

Enough to fill one bookcase (26–100)

Enough to fill several bookcases 

(more than 100)

VB331336

 4. Is there a computer at home that 

you use?

Yes

No

VF098664

 5. Do you have the following in your 

home? Fill in ovals for all that apply.

Access to the Internet

Clothes dryer just for your family

Dishwasher

More than one bathroom

Your own bedroom

A

B

A

B

C

D

A

B

C

D

E

A

B

C

D

E

A

B

C

D

E

GO ON TO THE NEXT PAGE 

TB001101

 6. About how many pages a day do you 

have to read in school and for 

homework?

5 or fewer

6–10

11–15

16–20

More than 20

VB331339

 7. How often do you talk about things you 

have studied in school with someone in 

your family?

Never or hardly ever

Once every few weeks

About once a week

Two or three times a week

Every day

VB331447

 8. How many days were you absent from 

school in the last month?

None

1 or 2 days

3 or 4 days

5 to 10 days

More than 10 days

Part 1a - Page 5 of 26
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Section 3

J1D1

VB331451

 9. How often do people in your home talk 

to each other in a language other than 

English?

Never

Once in a while

About half of the time

All or most of the time

VF095730

 10. Do the following people live in your 

home? Fill in ovals for all that apply.

Mother

Stepmother

Foster mother or other female legal 

guardian

Father

Stepfather

Foster father or other male legal 

guardian

A

B

C

D

A

B

C

D

E

F

J1D1 Page 3 STOP

VB331451

 9. How often do people in your home talk 

to each other in a language other than 

English?

Never

Once in a while

About half of the time

All or most of the time

VF095730

 10. Do the following people live in your 

home? Fill in ovals for all that apply.

Mother

Stepmother

Foster mother or other female legal 

guardian

Father

Stepfather

Foster father or other male legal 

guardian

A

B

C

D

VE102537

 11. Write the ZIP code of your home address 

in the boxes.

A

B

C

D

E

F

Part 1a - Page 6 of 26
Student Grade 4 Science 

Student Grade 4 Science Questions 

The amount of time estimated to complete this form is 10 minutes. 

Part 1a - Page 7 of 26
L1SB1 GO ON TO THE NEXT PAGE

SECTION 4 Section 4

Page 1

This section has 32 questions. Mark your answers in your booklet. Fill in only one oval 

for each question.

VC315287

1. In this school year, how often have you 

done activities or projects in science? 

Never or hardly ever

Once every few weeks

About once a week

Two or three times a week

Every day or almost every day

VH157864

2. In this school year, have you done 

activities or projects to learn about 

living things (for example, plants,

animals, bacteria)?

Yes

No

A

B

C

D

E

A

B

VH157868

3. In this school year, have you done 

activities or projects to learn about 

electricity (for example, circuits,

batteries, and light bulbs)?

Yes

No

VH157871

4. In this school year, have you done 

activities or projects to learn about 

chemicals (for example, mixing sugar 

or salt in water)?

Yes

No

A

B

A

B

Part 1a - Page 8 of 26
GO ON TO THE NEXT PAGE

Section 4

L1SB1 Page 2

VH157875

5. In this school year, have you done 

activities or projects to learn about 

rocks or minerals (for example, looking 

at different rocks)?

Yes

No

VH157879

6. In this school year, how often have 

you done science activities using 

scientific tools (for example, telescopes,

microscopes, thermometers, or 

weighing scales)? 

Never or hardly ever

Once every few weeks

About once a week

Two or three times a week

Every day or almost every day

VC315232

7. In this school year, how often have you 

read a science textbook?

Never or hardly ever

Once every few weeks

About once a week

Two or three times a week

Every day or almost every day

A

B

A

B

C

D

E

A

B

C

D

E

VC315239

8. In this school year, how often have you 

read a book or magazine about science? 

Never or hardly ever

Once every few weeks

About once a week

Two or three times a week

Every day or almost every day

VC519400

9. In this school year, how often have you 

read about science on the computer? 

Never or hardly ever

Once every few weeks

About once a week

Two or three times a week

Every day or almost every day

VC315248

10. In this school year, how often have you 

watched a movie, video, or DVD about 

science?

Never or hardly ever

Once every few weeks

About once a week

Two or three times a week

Every day or almost every day

A

B

C

D

E

A

B

C

D

E

A

B

C

D

E

Part 1a - Page 9 of 26
GO ON TO THE NEXT PAGE

Section 4

L1SB1 Page 3

VC315249

11. In this school year, how often have you 

discussed news stories about science? 

Never or hardly ever

Once every few weeks

About once a week

Two or three times a week

Every day or almost every day

VC315270

12. In this school year, how often have 

you worked with other students on a 

science activity or project?

Never or hardly ever

Once every few weeks

About once a week

Two or three times a week

Every day or almost every day

VC315259

13. In this school year, how often have 

you presented what you learned about 

science to your class? 

Never or hardly ever

Once every few weeks

About once a week

Two or three times a week

Every day or almost every day

A

B

C

D

E

A

B

C

D

E

A

B

C

D

E

VC315256

14. In this school year, how often have you 

taken a science test or quiz? 

Never or hardly ever

Once every few weeks

About once a week

Two or three times a week

Every day or almost every day

VC315288

15. In this school year, how often have 

you talked about measurements or 

results from your science activities or 

projects? 

Never or hardly ever

Once every few weeks

About once a week

Two or three times a week

Every day or almost every day

VF633162

16. In this school year, how often have you 

been asked to write about your science 

activities or projects (such as reports,

science journals, or lab write-ups)? 

Never or hardly ever

Once every few weeks

About once a week

Two or three times a week

Every day or almost every day

A

B

C

D

E

A

B

C

D

E

A

B

C

D

E

Part 1a - Page 10 of 26
GO ON TO THE NEXT PAGE

Section 4

L1SB1 Page 4

VH142438

17. In this school year, how often have 

you been asked to write long answers 

(several sentences or paragraphs) to 

questions on tests or assignments for 

science? 

Never or hardly ever

Once every few weeks

About once a week

Two or three times a week

Every day or almost every day

VC546453

18. In this school year, how often have you 

talked with your teacher about how 

you are doing in science?

Never or hardly ever

Once every few weeks

About once a week

Two or three times a week

Every day or almost every day

VH157884

19. In this school year, how often have 

you used your school library or media 

center resources for science (such as 

books, magazines, computers, and 

audio-video materials)? 

Never or hardly ever

Once every few weeks

About once a week

Two or three times a week

Every day or almost every day

VC546463

20. In this school year, how often have you 

used computers for science? 

Never or hardly ever

Once every few weeks

About once a week

Two or three times a week

Every day or almost every day

VC315410

21. How often do you do science activities 

that are not for schoolwork? 

Never or hardly ever

Sometimes

Often

Always or almost always

VC315291

22. How often do you feel you can 

understand what the teacher talks 

about in science class? 

Never or hardly ever

Sometimes

Often

Always or almost always

A

B

C

D

E

A

B

C

D

E

A

B

C

D

E

A

B

C

D

E

A

B

C

D

A

B

C

D

Part 1a - Page 11 of 26
GO ON TO THE NEXT PAGE

Section 4

L1SB1 Page 5

VC315292

23. How often do you feel you can do a 

good job on your science tests?

Never or hardly ever

Sometimes

Often

Always or almost always

VC315294

24. How often do you feel you can do a 

good job on your science assignments? 

Never or hardly ever

Sometimes

Often

Always or almost always

VC315299

25. How much do you like studying 

science? 

Very little

Some

Quite a bit

Very much

VC315302

26. How often do you feel science is one of 

your favorite subjects?

Never or hardly ever

Sometimes

Often

Always or almost always

VF640468

27. In this school year, have you 

participated in a science club, a science 

fair, or a science competition? 

Yes

No

VF633304

28. In this school year, have you visited 

a museum, zoo, or aquarium to learn 

about science on a school trip? 

Yes

No

VF633276

29. In this school year, have you visited 

a museum, zoo, or aquarium to learn 

about science that was not on a school 

trip? 

Yes

No

VB595182

30. How hard was this test compared to 

most other tests you have taken this 

year in school? 

Easier than other tests

About as hard as other tests

Harder than other tests

Much harder than other tests

A

B

C

D

A

B

C

D

A

B

C

D

A

B

C

D

A

B

C

D

A

B

A

B

A

B

Part 1a - Page 12 of 26
L1SB1 STOP

Section 4

Page 6

VC034559

31. How hard did you try on this test 

compared to how hard you tried on 

most other tests you have taken this 

year in school? 

Not as hard as on other tests

About as hard as on other tests

Harder than on other tests

Much harder than on other tests

VB595184

32. How important was it to you to do 

well on this test? 

Not very important

Somewhat important

Important

Very important

A

B

C

D

A

B

C

D

Part 1a - Page 13 of 26
Student Grade 4 KaSA Core 

(adapted for Puerto Rico) 

Student Grade 4 KaSA Core Questions 

The amount of time estimated to complete this form is 5 minutes. 

Part 1a - Page 14 of 26
VB331330

1. Are you Hispanic or Latino? Fill in one or more ovals.

A No, I am not Hispanic or Latino.

B Yes, I am Mexican, Mexican American, or Chicano.

C Yes, I am Puerto Rican or Puerto Rican American.

D Yes, I am Cuban or Cuban American.

E Yes, I am from some other Hispanic or Latino background.

VB331331

2. Which of the following best describes you? Fill in one or more ovals.

A White

B Black or African American

C Asian

D American Indian or Alaska Native

E Native Hawaiian or other Pacific Islander

VB331335

3. About how many books are there in your home?

A Few (0–10)

B Enough to fill one shelf (11–25)

C Enough to fill one bookcase (26–100)

D Enough to fill several bookcases (more than 100)

Grade 4 Student Core 

for Puerto Rico Translation

In this section, please tell us about yourself and your family. Please answer questions about 

your home based on where you live most of the time during the school year. The section has 

11 questions. Mark your answers in your booklet. Fill in only one oval for each question 

except where instructed otherwise.

J1D1-S 1 Part 1a - Page 15 of 26
VF098664

5. Do you have the following in your home? Fill in ovals for all that apply.

A Access to the Internet

B Clothes dryer just for your family

C Dishwasher

D More than one bathroom

E Your own bedroom

TB001101

6. About how many pages a day do you have to read in school and for homework?

A 5 or fewer

B 6–10

C 11–15

D 16–20

E More than 20

VB331339

7. How often do you talk about things you have studied in school with someone in

your family?

A Never or hardly ever

B Once every few weeks

C About once a week

D Two or three times a week

E Every day

VB331336

4. Is there a computer at home that you use?

A Yes

B No

J1D1-S 2 Part 1a - Page 16 of 26
VB331447

8. How many days were you absent from school in the last month?

A None

B 1 or 2 days

C 3 or 4 days

D 5 to 10 days

E More than 10 days

VC037530

9. How often do people in your home talk to each other in a language other than

Spanish?

A Never

B Once in a while

C About half of the time

D All or most of the time

VF095730

10. Do the following people live in your home? Fill in ovals for all that apply.

A Mother

B Stepmother

C Foster mother or other female legal guardian

D Father

E Stepfather

F Foster father or other male legal guardian

J1D1-S 3 Part 1a - Page 17 of 26
VE102537

11. Write the ZIP code of your home address in the boxes.

J1D1-S 4 Part 1a - Page 18 of 26
Student Grade 4 NIES 

Student Grade 4 NIES Questions 

The amount of time estimated to complete this form is 15 minutes. 

Part 1a - Page 19 of 26
L1AIB Page 3 GO ON TO THE NEXT PAGE

SECTION 1 Section 1

VH039733

 2. Who taught you most of what you know about American Indian or Alaska Native 

history?

No one has taught me about American Indian or Alaska Native history.

Family members

Friends

Teachers

Tribal representatives or elders

Some else (please specify): 

Some of the questions are about your American Indian or Alaska Native background. 

When you answer these questions, think about the American Indian tribe or Alaska Native 

group to which you and your family belong. You may call your tribe or group a nation, a 

village, a band, or a community.

If you are connected to more than one American Indian tribe or Alaska Native group,

answer for the one you know best.

VC759180

 1. How much do you know about your 

American Indian tribe or Alaska Native 

group? For example, you may know 

about the history, traditions, or arts 

and crafts of your tribe or group.

Nothing

A little

Some

A lot

A

B

C

D

E

F

A

B

C

D

National Indian Education Study

Grade 4 Student Questionnaire

Part 1a - Page 20 of 26
L1AIB Page 4 GO ON TO THE NEXT PAGE

Section 1

VH039760

 3. Who taught you most of what you know about American Indian or Alaska Native 

traditions (ways of life, customs)?

No one has taught me about American Indian or Alaska Native traditions.

Family members

Friends

Teachers

Tribal representatives or elders

Some else (please specify): 

A

B

C

D

E

F

VH040030

 4. Who taught you most of what you know about American Indian or Alaska Native arts 

and crafts?

No one has taught me about American Indian or Alaska Native arts and crafts.

Family members

Friends

Teachers

Tribal representatives or elders

Some else (please specify): 

A

B

C

D

E

F

VC759193

 6. How often do members of your family 

talk to each other in your American 

Indian or Alaska Native language?

Never or hardly ever

Once or twice a month

Once or twice a week

Every day or almost every day

A

B

C

D

VC759183

 5. How often do you go to American 

Indian or Alaska Native ceremonies 

and gatherings?

Never

Every few years

At least once a year

Several times a year

A

B

C

D

Part 1a - Page 21 of 26
L1AIB Page 5 GO ON TO THE NEXT PAGE

Section 1

VC759195

 7. How often do people in your school 

talk to each other in your American 

Indian or Alaska Native language?

Never or hardly ever

Once or twice a month

Once or twice a week

Every day or almost every day

A

B

C

D

VH153907

 8. How often do you attend classes in 

school that are taught in an American 

Indian or Alaska Native language?

My school does not offer classes 

that are taught in an American 

Indian or Alaska Native language.

Never or hardly ever

Once or twice a month

Once or twice a week

Every day or almost every day

A

B

C

D

E

VH040050

 9. How do you rate yourself in speaking 

an American Indian or Alaska Native 

language?

I cannot speak an American Indian 

or Alaska Native language.

I can speak a few words or phrases.

I can speak well.

A

B

C

VH040067

 10. How do you rate yourself in reading 

an American Indian or Alaska Native 

language?

I cannot read in an American 

Indian or Alaska Native language.

I can read a few words or phrases.

I can read well.

A

B

C

VH040082

 11. Who taught you most of what you know about an American Indian or Alaska Native 

language?

No one has taught me about an American Indian or Alaska Native language.

Family members

Friends

Teachers

Tribal representatives or elders

Some else (please specify): 

A

B

C

D

E

F

Part 1a - Page 22 of 26
L1AIB Page 6 GO ON TO THE NEXT PAGE

Section 1

VH158483

 12. During 4th grade, have you attended 

school field trips to museums,

traditional villages, or other places to 

learn about American Indian or Alaska 

Native people?

Yes

No

A

B

VH153940

 14. During 4th grade, have you used books,

videos, or other materials (including 

Internet resources) about American 

Indian or Alaska Native people outside 

of school?

Yes, once or twice

Yes, three or more times

No

A

B

C

VH153945

 15. In school, do you have access to a 

library, media center, or resource 

center with books, videos, or other 

materials (including Internet resources)

about American Indian or Alaska 

Native people?

Yes

No

A

B

VH040212

 16. When my teacher talks about 

American Indian or Alaska Native 

history or culture, I try to read more 

about it.

This is not like me.

This is a little like me.

This is a lot like me.

A

B

C

VH153935

 13. During 4th grade, have you used books,

videos, or other materials (including 

Internet resources) about American 

Indian or Alaska Native people in 

school?

Yes, once or twice

Yes, three or more times

No

A

B

C

VC759280

 17. I enjoy reading about American Indian 

or Alaska Native people.

This is not like me.

This is a little like me.

This is a lot like me.

A

B

C

VC759283

 18. I enjoy reading about people who have 

different traditions and cultures (ways 

of life, customs) than I have.

This is not like me.

This is a little like me.

This is a lot like me.

A

B

C

Part 1a - Page 23 of 26
L1AIB Page 7 GO ON TO THE NEXT PAGE

Section 1

VH040240

19. I put a lot of effort into my schoolwork.

This is not like me.

This is a little like me.

This is a lot like me.

A

B

C

VH040276

 20. I want to be one of the best students in 

my class.

This is not like me.

This is a little like me.

This is a lot like me.

A

B

C

VH040379

 21. I enjoy being challenged in my classes.

This is not like me.

This is a little like me.

This is a lot like me.

VH040382

 22. I feel that I belong at school.

This is not like me.

This is a little like me.

This is a lot like me.

A

B

C

VH040391

 23. If I put in enough effort, I will succeed 

in school.

Strongly disagree

Disagree

Agree

Strongly agree

VH040394

 24. Trying hard in school will help me live 

a good life when I grow up.

Strongly disagree

Disagree

Agree

Strongly agree

VC759288

 25. How often does a parent or someone 

else from your family help you with 

your schoolwork? For example, they 

might help you to study for a test, help 

you with a school project, or go over 

your homework with you.

Never or hardly ever

Once or twice a month

Once or twice a week

Every day or almost every day

A

B

C

D

A

B

C

D

A

B

C

D

A

B

C

Part 1a - Page 24 of 26
L1AIB Page 8 GO ON TO THE NEXT PAGE

Section 1

VC759290

 27. How often does another student 

from your school help you with your 

schoolwork? For example, they might 

help you to study for a test, help you 

with a school project, or go over your 

homework with you.

Never or hardly ever

Once or twice a month

Once or twice a week

Every day or almost every day

A

B

C

D

VH040389

 28. How often do you help other 

students from your school with their 

schoolwork? For example, you might 

help other students to study for a test,

help them with a school project, or go 

over their homework with them.

Never or hardly ever

Once or twice a month

Once or twice a week

Every day or almost every day

A

B

C

D

VC759293

 29. How much do you like school?

Not at all

A little

Somewhat

Very much

A

B

C

D

VC759294

 30. Do you know the name of the 

American Indian tribe or Alaska Native 

group you belong to or are enrolled in?

Yes

No

I’m not sure.

A

B

C

VC759295

 31. If you know the name of the American Indian tribe or Alaska Native group that you 

belong to or are enrolled in, or if you think you know it, please print it on the line below. 

Do not worry about spelling. If you belong to more than one American Indian tribe or 

Alaska Native group, write the names of as many as you know.

VC759289

 26. How often does a teacher or another 

adult from your school help you with 

your schoolwork? For example, they 

might help you to study for a test, help 

you with a school project, or go over 

your homework with you.

Never or hardly ever

Once or twice a month

Once or twice a week

Every day or almost every day

A

B

C

D

Part 1a - Page 25 of 26
L1AIB Page 9 STOP

Section 1

VC759297

 32. What else would you like to say about yourself, your school, or about American Indian or 

Alaska Native people? Use these lines to write your ideas.

THANK YOU FOR YOUR HELP. YOUR IDEAS ARE IMPORTANT.

Part 1a - Page 26 of 26
NATIONAL ASSESSMENT OF 

EDUCATIONAL PROGRESS 

Wave 2 Submittal for 2015 

VOLUME II 

SURVEY QUESTIONS

Part 1b 

Student Grade 8 

Part 1b contains Student Grade 8: 

Core Questions 

Science Questions 

KaSA (Puerto Rico) Core Questions 

NIES Questions 

The amount of time estimated to complete these forms: 

Core - 5 minutes 

Subject-specific – 10 minutes 

NIES – 15 minutes 

Part 1b -Page 1 of 32
STUDENT QUESTIONNAIRES

OMB Information on Student 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 it displays a valid OMB control 

number. The valid OMB control number for this voluntary information collection 

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

estimated to average xx1

 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, suggestions for improving this collection, or any comments or 

concerns regarding the status of your individual submission of this form, please 

write to: National Assessment of Educational Progress, National Center for 

Education Statistics, 1990 K Street, NW, Washington, DC 20006. 

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 

 

1

 Note: 75 minutes is total for assessment (cognitive and survey), for Wave 2 paper & pencil administrations 

(Science); 90 minutes for TBA, Science HOTS and ICT administrations; and 95 minutes for the Mathematics 

KaSA, Puerto Rico version. Applicable survey question time is listed on part covers. 

Part 1b -Page 2 of 32
Student Grade 8 Core 

Student Grade 8 Core Questions 

The amount of time estimated to complete this form is 5 minutes. 

Part 1b -Page 3 of 32
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SECTION 3 Section 3

J2D1 GO ON TO THE NEXT PAGE Page 1

In this section, please tell us about yourself and your family. Please answer questions about 

your home based on where you live most of the time during the school year. The section has 

13 questions. Mark your answers in your booklet. Fill in only one oval for each question 

except where instructed otherwise.

VB331330

 1. Are you Hispanic or Latino? Fill in one

or more ovals.

No, I am not Hispanic or Latino.

Yes, I am Mexican, Mexican 

American, or Chicano.

Yes, I am Puerto Rican or Puerto 

Rican American.

Yes, I am Cuban or Cuban 

American.

Yes, I am from some other 

Hispanic or Latino background.

A

B

C

D

E

VB331331

 2. Which of the following best describes 

you? Fill in one or more ovals.

White

Black or African American

Asian

American Indian or Alaska Native

Native Hawaiian or other Pacific 

Islander

A

B

C

D

E

Part 1b -Page 4 of 32
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Section 3

J2D1 Page 2 GO ON TO THE NEXT PAGE 

TB001101

 6. About how many pages a day do you 

have to read in school and for 

homework?

5 or fewer

6–10

11–15

16–20

More than 20

VB331339

 7. How often do you talk about things you 

have studied in school with someone in 

your family?

Never or hardly ever

Once every few weeks

About once a week

Two or three times a week

Every day

VB331447

 8. How many days were you absent from 

school in the last month?

None

1 or 2 days

3 or 4 days

5 to 10 days

More than 10 days

A

B

C

D

E

VB331335

 3. About how many books are there in 

your home?

Few (0–10)

Enough to fill one shelf (11–25)

Enough to fill one bookcase (26–100)

Enough to fill several bookcases 

(more than 100)

VB331336

 4. Is there a computer at home that 

you use?

Yes

No

VF098664

 5. Do you have the following in your 

home? Fill in ovals for all that apply.

Access to the Internet

Clothes dryer just for your family

Dishwasher

More than one bathroom

Your own bedroom

A

B

A

B

C

D

A

B

C

D

E

A

B

C

D

E

A

B

C

D

E

GO ON TO THE NEXT PAGE 

TB001101

 6. About how many pages a day do you 

have to read in school and for 

homework?

5 or fewer

6–10

11–15

16–20

More than 20

VB331339

 7. How often do you talk about things you 

have studied in school with someone in 

your family?

Never or hardly ever

Once every few weeks

About once a week

Two or three times a week

Every day

VB331447

 8. How many days were you absent from 

school in the last month?

None

1 or 2 days

3 or 4 days

5 to 10 days

More than 10 days

Part 1b -Page 5 of 32
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Section 3

J2D1

VB330870

 9. How far in school did your mother go?

She did not finish high school.

She graduated from high school.

She had some education after high 

school.

She graduated from college.

I don’t know.

VB330871

 10. How far in school did your father go?

He did not finish high school.

He graduated from high school.

He had some education after high 

school.

He graduated from college.

I don’t know.

VB331451

 11. How often do people in your home talk 

to each other in a language other than 

English?

Never

Once in a while

About half of the time

All or most of the time

A

B

C

D

A

B

C

D

E

A

B

C

D

E

J2D1 Page 3 STOP

VB330870

 9. How far in school did your mother go?

She did not finish high school.

She graduated from high school.

She had some education after high 

school.

She graduated from college.

I don’t know.

VB330871

 10. How far in school did your father go?

He did not finish high school.

He graduated from high school.

He had some education after high 

school.

He graduated from college.

I don’t know.

VB331451

 11. How often do people in your home talk 

to each other in a language other than 

English?

Never

Once in a while

About half of the time

All or most of the time

A

B

C

D

A

B

C

D

E

A

B

C

D

E

VE102537

 13. Write the ZIP code of your home address 

in the boxes.

VF095730

 12. Do the following people live in your 

home? Fill in ovals for all that apply.

Mother

Stepmother

Foster mother or other female legal 

guardian

Father

Stepfather

Foster father or other male legal 

guardian

A

B

C

D

E

F

Part 1b -Page 6 of 32
Student Grade 8 Science 

Student Grade 8 Science Questions 

The amount of time estimated to complete this form is 10 minutes. 

Part 1b -Page 7 of 32
L2SB1 GO ON TO THE NEXT PAGE

SECTION 4 Section 4

Page 1

This section has 19 questions. Mark your answers in your booklet. Fill in only one oval 

for each question except where instructed otherwise.

VC304978

 1. In your science class this year, which of the following topics have been covered? Fill in 

one oval on each line.

Yes No

VC304982 a. Life science (for example, biology, the human 

body, or ecology)

VC304983 b. Physical science (for example, energy, physics, or 

chemistry)

VC304984 c. Earth and space science (for example, geology or 

astronomy)

VC304985 d. Engineering and technology (for example,

designing solutions to problems)

B

B

B

B

A

A

A

A

A

A

A

A

A

A

A

B

B

B

B

B

B

B

C

C

C

C

C

C

C

VF633079

2. In your science class this year, how often have you done hands-on activities or projects 

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

a. Living things (for example,

plants, animals, bacteria)

b. Electricity (for example, circuits,

batteries, and light bulbs)

c. Chemicals (for example, mixing 

or dissolving sugar or salt in 

water)

d. Rocks or minerals (for example,

identifying types)

e. Simple machines (for example,

pulleys and levers) 

f. Magnifying glass or microscope 

(for looking at small things)

g. Thermometer or barometer

(for making measurements)

VF633080

VF633083

VF633082

VF633087

VF633086

VF633084

VF633085

Never Rarely Sometimes

D

D

D

D

D

D

D

Often

Part 1b -Page 8 of 32
GO ON TO THE NEXT PAGE

Section 4

L2SB1 Page 2

VC305292

 3. In your science class this year, how often do you do each of the following? Fill in one oval 

on each line.

Never

or hardly 

ever

Once

every

few

weeks

About

once a 

week

Two or 

three

times a 

week

Every

day or

almost 

every

day

VC546510 a. Read a science textbook,

in class or at home

VF633095 b. Read a book or magazine 

about science topics

VF633097 c. Use the Internet to learn 

about science topics

VF633099 d. Watch a movie, video, or 

DVD about science topics

A

A

A

A

B 

B

B

B

C

C

C

C

D

D

D

D

E

E

E

E

VC304769

4. In your science class this year, how often do you do each of the following? Fill in one oval 

on each line.

Never 

or hardly 

ever

Once

 every

few

weeks

About

once a 

week

Two or 

three

times a 

week

Every

day or 

almost 

every

day

VC304771 a. Discuss events in the 

news that are related to 

what you are learning in 

science class

VC304772 b. Work with other students 

on a science project or 

activity

VC304778 c. Present what you learned 

about science to your class

VC720564 d. Take a science test or quiz

A

A

A

A

B

B

B

B

C

C

C

C

D

D

D

D

E

E

E

E

Part 1b -Page 9 of 32
GO ON TO THE NEXT PAGE

Section 4

L2SB1 Page 3

VC720622

5. In your science class this year, how often do you do each of the following? Fill in one oval 

on each line.

Never

 or hardly 

ever

Once

every

few

weeks

About

once a 

week

Two or 

three

times a 

week

Every

day or

almost 

every

day

VC720623 a. Identify questions that 

can be addressed through 

science experiments

VC720634 b. Design a science 

experiment

VC720635 c. Talk about measurements 

you took for your science 

project or activity

VC720636 d. Talk about the results of 

your science project or 

activity

VC720638 e. Watch your teacher do 

a science experiment or 

activity

VC720639 f. Make graphs or charts of

the results from your 

science project or activity

VF633111 g. Write about your science 

activities or projects 

(such as reports, science 

journals, or lab write-ups)

A

A

A

A

A

A

A

B

B

B

B

B

B

B

C

C

C

C

C

C

C

D

D

D

D

D

D

D

E

E

E

E

E

E

E

Part 1b -Page 10 of 32
GO ON TO THE NEXT PAGE

Section 4

L2SB1 Page 4

VH142438

6. In this school year, how often have 

you been asked to write long answers 

(several sentences or paragraphs) to 

questions on tests or assignments for 

science?

Never or hardly ever

Once every few weeks

About once a week 

Two or three times a week

Every day or almost every day

VC546453

7. In this school year, how often have you 

talked with your teacher about how 

you are doing in science?

Never or hardly ever

Once every few weeks

About once a week 

Two or three times a week

Every day or almost every day

VH157884

8. In this school year, how often have 

you used your school library or media 

center resources for science (such as 

books, magazines, computers, and 

audio-video materials)? 

Never or hardly ever

Once every few weeks

About once a week 

Two or three times a week

Every day or almost every day

VC546463

9. In this school year, how often have you 

used computers for science?

Never or hardly ever

Once every few weeks

About once a week 

Two or three times a week

Every day or almost every day

A

B

C

D

E

A

B

C

D

E

A

B

C

D

E

A

B

C

D

E

Part 1b -Page 11 of 32
GO ON TO THE NEXT PAGE

Section 4

L2SB1 Page 5

VC315291

10. How often do you feel you can 

understand what the teacher talks 

about in science class? 

Never or hardly ever

Sometimes

Often

Always or almost always

A

B

C

D

VC315292

11. How often do you feel you can do a 

good job on your science tests?

Never or hardly ever

Sometimes

Often

Always or almost always

VC315294

12. How often do you feel you can do a 

good job on your science assignments? 

Never or hardly ever

Sometimes

Often

Always or almost always

A

B

C

D

A

B

C

D

Part 1b -Page 12 of 32
GO ON TO THE NEXT PAGE

Section 4

L2SB1 Page 6

VC305330

 13. Please indicate how much you DISAGREE or AGREE with the following statements 

about science. Fill in one oval on each line.

Strongly 

disagree Disagree Agree

Strongly 

agree

VC305348 a. I do science-related activities that 

are not for schoolwork.

VC305350 b. I like science.

VC305351 c. Science is one of my favorite subjects.

VC305352 d. I take science only because I have to.

VH142495 e. I need to do well in science to get

the job I want.

VH142499 f. I would like a job that involves

using science.

A

A

A

A

A

A

B

B

B

B

B

B

C

C

C

C

C

C

D

D

D

D

D

D

VF633276

16. In this school year, have you visited 

a museum, zoo, or aquarium to learn 

about science that was not on a school 

trip?

Yes

No

VF633128

14. In this school year, have you participated in any of the following activities? Fill in one

oval on each line.

VF633132

VF633134

VF633135

a. Science fair

b. Science club

c. Science competition

Yes No

B

B

B

VF633304

15. In this school year, have you visited 

a museum, zoo, or aquarium to learn 

about science on a school trip?

Yes

No

A

B

A

A

A

A

B

Part 1b -Page 13 of 32
L2SB1 STOP

Section 4

Page 7

VB595182

 17. How hard was this test compared to 

most other tests you have taken this 

year in school?

Easier than other tests

About as hard as other tests

Harder than other tests 

Much harder than other tests

VC034559

18. How hard did you try on this test 

compared to how hard you tried on 

most other tests you have taken this 

year in school?

Not as hard as on other tests

About as hard as on other tests

Harder than on other tests 

Much harder than on other tests

VB595184

19. How important was it to you to do 

well on this test?

Not very important

Somewhat important

Important

Very important

A

B

C

D

A

B

C

D

A

B

C

D

Part 1b -Page 14 of 32
Student Grade 8 KaSA Core 

(adapted for Puerto Rico) 

Student Grade 8 KaSA Core Questions 

The amount of time estimated to complete this form is 5 minutes. 

Part 1b -Page 15 of 32
VB331330

1. Are you Hispanic or Latino? Fill in one or more ovals.

A No, I am not Hispanic or Latino.

B Yes, I am Mexican, Mexican American, or Chicano.

C Yes, I am Puerto Rican or Puerto Rican American.

D Yes, I am Cuban or Cuban American.

E Yes, I am from some other Hispanic or Latino background.

VB331331

2. Which of the following best describes you? Fill in one or more ovals.

A White

B Black or African American

C Asian

D American Indian or Alaska Native

E Native Hawaiian or other Pacific Islander

VB331335

3. About how many books are there in your home?

A Few (0–10)

B Enough to fill one shelf (11–25)

C Enough to fill one bookcase (26–100)

D Enough to fill several bookcases (more than 100)

Grade Student Core 

for Puerto Rico Translation

In this section, please tell us about yourself and your family. Please answer questions about 

your home based on where you live most of the time during the school year. The section has 

13 questions. Mark your answers in your booklet. Fill in only one oval for each question 

except where instructed otherwise.

8

Part 1b -Page 16 of 32
VF098664

5. Do you have the following in your home? Fill in ovals for all that apply.

A Access to the Internet

B Clothes dryer just for your family

C Dishwasher

D More than one bathroom

E Your own bedroom

TB001101

6. About how many pages a day do you have to read in school and for homework?

A 5 or fewer

B 6–10

C 11–15

D 16–20

E More than 20

VB331339

7. How often do you talk about things you have studied in school with someone in

your family?

A Never or hardly ever

B Once every few weeks

C About once a week

D Two or three times a week

E Every day

VB331336

4. Is there a computer at home that you use?

A Yes

B No

Part 1b -Page 17 of 32
VB331447

8. How many days were you absent from school in the last month?

A None

B 1 or 2 days

C 3 or 4 days

D 5 to 10 days

E More than 10 days

VB330870

9. How far in school did your mother go?

A She did not finish high school.

B She graduated from high school.

C She had some education after high school.

D She graduated from college.

E I don’t know.

VB330871

10. How far in school did your father go?

A He did not finish high school.

B He graduated from high school.

C He had some education after high school.

D He graduated from college.

E I don’t know.

VC037530

11. How often do people in your home talk to each other in a language other than

Spanish?

A Never

B Once in a while

C About half of the time

D All or most of the time

Part 1b -Page 18 of 32
VF095730

12. Do the following people live in your home? Fill in ovals for all that apply.

A Mother

B Stepmother

C Foster mother or other female legal guardian

D Father

E Stepfather

F Foster father or other male legal guardian

VE102537

13. Write the ZIP code of your home address in the boxes.

Part 1b -Page 19 of 32
Student Grade 8 NIES 

Student Grade 8 NIES Questions 

The amount of time estimated to complete this form is 15 minutes. 

Part 1b -Page 20 of 32
L2AIB Page 3 GO ON TO THE NEXT PAGE

SECTION 1 Section 1

Some of the questions are about your American Indian or Alaska Native background. 

When you answer these questions, think about the American Indian tribe or Alaska Native 

group to which you and your family belong. You may call your tribe or group a nation, a 

village, a band, or a community.

If you are connected to more than one American Indian tribe or Alaska Native group,

answer for the one you know best. 

VC996578

 1. How much do you know about each of the following? Fill in one oval on each line.

Nothing A little Some A lot

VC996581

a. Your American Indian or Alaska 

Native history

VC996582

b. Your American Indian or Alaska 

Native traditions and culture (way of 

life, customs)

VC996583

c. Issues today that are important to 

American Indian or Alaska Native 

people

A

A

A

B

B

B

C

C

C

D

D

D

National Indian Education Study

Grade 8 Student Questionnaire

VH039733

 2. Who taught you most of what you know about American Indian or Alaska Native 

history?

No one has taught me about American Indian or Alaska Native history.

Family members

Friends

Teachers

Tribal representatives or elders

Someone else (please specify):

A

B

C

D

E

F

Part 1b -Page 21 of 32
L2AIB Page 4 GO ON TO THE NEXT PAGE

Section 1

VH039760

 3. Who taught you most of what you know about American Indian or Alaska Native 

traditions (ways of life, customs)?

No one has taught me about American Indian or Alaska Native traditions.

Family members

Friends

Teachers

Tribal representatives or elders

Someone else (please specify):

A

B

C

D

E

F

VH039931

 4. Who taught you most of what you know about issues today that are important to 

American Indian or Alaska Native people?

No one has taught me about issues today that are important to American Indian or 

Alaska Native people.

Family members

Friends

Teachers

Tribal representatives or elders

Someone else (please specify):

A

B

C

D

E

F

Part 1b -Page 22 of 32
L2AIB Page 5 GO ON TO THE NEXT PAGE

Section 1

VC759193

 6. How often do members of your family talk to each other in your American Indian or 

Alaska Native language?

Never or hardly ever

Once or twice a month

Once or twice a week

Every day or almost every day

VC759195

 7. How often do people in your school talk to each other in your American Indian or Alaska 

Native language?

Never or hardly ever

Once or twice a month

Once or twice a week

Every day or almost every day

A

B

C

D

A

B

C

D

VC996584

 5. How often have you participated in each of the following? Fill in one oval on each line.

Never

Every

few

years

At least 

once

a year

Several 

times a 

year

VC996586 a. Ceremonies and gatherings for 

people from your American Indian 

tribe or Alaska Native group

VC996587 b. Ceremonies and gatherings that 

bring people together from many 

different American Indian tribes or 

Alaska Native groups

VC996589 c. Other American Indian or Alaska 

Native activities

A

A

A

B

B

B

C

C

C

D

D

D

Part 1b -Page 23 of 32
L2AIB Page 6 GO ON TO THE NEXT PAGE

Section 1

VH153907

 8. How often do you attend classes in school that are taught in an American Indian or 

Alaska Native language?

My school does not offer classes that are taught in an American Indian or Alaska 

Native language.

Never or hardly ever

Once or twice a month

Once or twice a week

Every day or almost every day

A

B

C

D

E

VH040050

 9. How do you rate yourself in speaking an American Indian or Alaska Native language?

I cannot speak an American Indian or Alaska Native language.

I can speak a few words or phrases.

I can speak well.

A

B

C

VH040067

 10. How do you rate yourself in reading an American Indian or Alaska Native language?

I cannot read in an American Indian or Alaska Native language.

I can read a few words or phrases.

I can read well.

A

B

C

Part 1b -Page 24 of 32
L2AIB Page 7 GO ON TO THE NEXT PAGE

Section 1

VC996590

 12. During 8th grade, how often have any of your teachers talked to your class about the 

history, traditions, and cultures (ways of life, customs) of American Indian or Alaska 

Native people?

Never or hardly ever

Once or twice a month

Once or twice a week

Every day or almost every day

A

B

C

D

VH040082

 11. Who taught you most of what you know about an American Indian or Alaska Native 

language?

No one has taught me about an American Indian or Alaska Native language.

Family members

Friends

Teachers

Tribal representatives or elders

Someone else (please specify): 

A

B

C

D

E

F

Part 1b -Page 25 of 32
L2AIB Page 8 GO ON TO THE NEXT PAGE

Section 1

VH158490

 13. During 8th grade, have you attended any of the following activities organized by your 

school? Fill in one oval on each line.

Yes No

VH158491 a. Presentations by American Indian or Alaska 

Native people about their traditions and cultures 

(ways of life, customs)

VH158492 b. American Indian or Alaska Native art and craft 

demonstrations

c. Traditional American Indian or Alaska Native 

music and/or dance performances

VH158493

VH158494 d. Field trips to museums, traditional villages, or 

other places to learn about American Indian or 

Alaska Native people

B

B

B

B

VH040140

 14. During 8th grade, have you participated in any of the following activities organized by 

your school? Fill in one oval on each line.

Yes No

VH040143 a. Sports team

VH040147 b. Music club, orchestra, or band

c. Cultural dances or other American Indian or 

Alaska Native activities (for example, drum 

groups)

VH040150

VH040152 d. Academic club (for example, math club)

B

B

B

B

A

A

A

A

A

A

A

A

Part 1b -Page 26 of 32
L2AIB Page 9 GO ON TO THE NEXT PAGE

Section 1

VH159106

 15. During 8th grade, have you used books, videos, or other materials (including Internet 

resources) about American Indian or Alaska Native people in school?

Yes, once or twice

Yes, three or more times

No

VH159110

 16. During 8th grade, have you used books, videos, or other materials (including Internet 

resources) about American Indian or Alaska Native people outside of school?

Yes, once or twice

Yes, three or more times

No

A

B

C

VH153945

 17. In school, do you have access to a library, media center, or resource center with books,

videos, or other materials (including Internet resources) about American Indian or Alaska 

Native people?

Yes

No

A

B

VC996624

 18. Here are some sentences about reading. Fill in one oval on each line to show whether the 

sentence describes a person like you.

This is

not like 

me.

This is a 

little like 

me.

This is a

lot like

me.

VH043704 a. When my teacher talks about American Indian 

or Alaska Native history or culture, I try to read 

more about it.

VC996627 b. I enjoy reading about American Indian or Alaska 

Native people.

VC996628 c. I enjoy reading about people who have different 

traditions and cultures (ways of life, customs)

than I have.

A

B

C

A

A

A

B

B

B

C

C

C

Part 1b -Page 27 of 32
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Section 1

VH040130

 19. Here are some sentences about your school. Fill in one oval on each line to show whether 

the sentence describes a person like you.

This is

not like 

me.

This is a 

little like 

me.

This is a

lot like

me.

VH040131 a. I put a lot of effort into my schoolwork.

VH040134 b. I want to be one of the best students in my 

class.

VH040137 c. I enjoy being challenged in my classes.

d. I feel that I belong at school. VH040138

VH040157

 20. How much do you agree with each of the following statements? Fill in one oval on each 

line.

Strongly 

disagree Disagree Agree

Strongly 

agree

VH040158 a. If I put in enough effort, I will 

succeed in school.

VH040160 b. If I put in enough effort in school, I 

will get into college.

VH040161 c. If I put in enough effort in school, I 

will get a good job.

A

A

A

B

B

B

C

C

C

D

D

D

VC759293

 21. How much do you like school?

Not at all

A little

Somewhat

Very much

A

B

C

D

B

B

B

B

C

C

C

C

A

A

A

A

Part 1b -Page 28 of 32
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Section 1

VC996661

 22. How much are the things you are learning in school preparing you for the life you want 

to lead?

Not at all

A little

A fair amount

Very much

VC996641

 23. During 8th grade, how often have you talked with any of your teachers outside of regular 

class periods? For example, to get extra help with your assignments, to talk about issues 

that matter to you, or just to visit.

Never or hardly ever

Once or twice a month

Once or twice a week

Every day or almost every day

VH040389

 24. How often do you help other students from your school with their schoolwork? For 

example, you might help other students to study for a test, help them with a school 

project, or go over their homework with them.

Never or hardly ever

Once or twice a month

Once or twice a week

Every day or almost every day

A

B

C

D

A

B

C

D

A

B

C

D

Part 1b -Page 29 of 32
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Section 1

VC996635

 25. How often do any of the following people help you with your schoolwork? For example,

they might help you to study for a test, help you with a school project, or go over your 

homework with you. Fill in one oval on each line.

Never or 

hardly

ever

Once or 

twice a 

month

Once or 

twice a 

week

Every day 

or almost 

every day

VC996636 a. A parent or someone else from my 

family

VC996637 b. A teacher or another adult from my 

school

VC996639 c. Another student

VH018268 d. A tribal representative or elder

A

A

A

A

C

C

C

C

D

D

D

D

VC996644

 26. During 8th grade, how many times have you talked to each of the following people 

about the classes you should take in high school or about what you want to do after high 

school? Fill in one oval on each line.

Never One time

Two or 

three

 times

Four or 

more times

VC996645 a. A family member

VC996646 b. A teacher

VC996647 c. A school counselor

VC996648 d. Another student

VH026209 e. A tribal representative or elder

VH026211 f. Someone else who lives in my

community or is a friend of

my family

C

C

C

C

C

C

D

D

D

D

D

D

B

B

B

B

A

A

A

A

A

A

B

B

B

B

B

B

Part 1b -Page 30 of 32
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Section 1

VC996650

27. Which of the following would you plan to do in your first year after high school? Fill in as 

many ovals as apply.

VC996651 a. Go to college full time

VC996652 b. Go to college part time

VC996653 c. Go to another school (for example, career training, technical,

or trade/vocational) full time

VC996654 d. Go to another school (for example, career training, technical,

or trade/vocational) part time

VC996655 e. Join the military

VC996656 f. Work full time

VC996657 g. Work part time

VC996658 h. Travel

VC996659 i. Care for family

VC996660 j. I don’t know.

VH040216

 28. To what extent is each of the following a problem in your school? Fill in one oval on each 

line. 

Not at 

all

Small 

extent

Moderate 

extent

Large

extent

a. Student tardiness VH040217

b. Student health problems VH040219

c. Student misbehavior in class VH040221

d. Physical conflicts among students VH040223

e. Bullying VH040226

f. Low student motivation VH040227

B

B

B

B

B

B

C

C

C

C

C

C

D

D

D

D

D

D

A

B

C

D

E

F

G

H

I

J

A

A

A

A

A

A

Part 1b -Page 31 of 32
L2AIB Page 14 STOP

Section 1

VC759295

 30. If you know the name of the American Indian tribe or Alaska Native group that you 

belong to or are enrolled in, or if you think you know it, please print it on the line below. 

Do not worry about spelling. If you belong to more than one American Indian tribe or 

Alaska Native group, write the names of as many as you know.

VC759297

 31. What else would you like to say about yourself, your school, or about American Indian or 

Alaska Native people? Use these lines to write your ideas.

THANK YOU FOR YOUR HELP. YOUR IDEAS ARE IMPORTANT.

VC759294

 29. Do you know the name of the American Indian tribe or Alaska Native group you belong 

to or are enrolled in?

Yes

No

I’m not sure.

A

B

C

Part 1b -Page 32 of 32
NATIONAL ASSESSMENT OF 

EDUCATIONAL PROGRESS 

Wave 2 Submittal for 2015 

VOLUME II 

SURVEY QUESTIONS

Part 1c 

Student Grade 12 

Part 1c contains Student Grade 12: 

Core Questions 

Science Questions 

The amount of time estimated to complete these forms: 

Core - 5 minutes 

Subject-specific – 10 minutes 

Part 1c - Page 1 of 17
STUDENT QUESTIONNAIRES

OMB Information on Student 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 it displays a valid OMB control 

number. The valid OMB control number for this voluntary information collection 

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

estimated to average xx1

 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, suggestions for improving this collection, or any comments or 

concerns regarding the status of your individual submission of this form, please 

write to: National Assessment of Educational Progress, National Center for 

Education Statistics, 1990 K Street, NW, Washington, DC 20006. 

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 

 

1

 Note: 75 minutes is total for assessment (cognitive and survey), for Wave 2 paper & pencil administrations 

(Science); 90 minutes for TBA, Science HOTS and ICT administrations. Applicable survey question time is listed 

on part covers. 

Part 1c - Page 2 of 17
Student Grade 12 Core 

Student Grade 12 Core Questions 

The amount of time estimated to complete this form is 5 minutes. 

Part 1c - Page 3 of 17
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SECTION 3 Section 3

In this section, please tell us about yourself and your family. Please answer questions about 

your home based on where you live most of the time during the school year. The section has 

15 questions. Mark your answers in your booklet. Fill in only one oval for each question 

except where instructed otherwise. 

VB331330

 1. Are you Hispanic or Latino? Fill in one

or more ovals.

No, I am not Hispanic or Latino.

Yes, I am Mexican, Mexican 

American, or Chicano.

Yes, I am Puerto Rican or Puerto 

Rican American.

Yes, I am Cuban or Cuban 

American.

Yes, I am from some other 

Hispanic or Latino background.

VB331331

 2. Which of the following best describes 

you? Fill in one or more ovals.

White

Black or African American

Asian

American Indian or Alaska Native

Native Hawaiian or other Pacific 

Islander

A

B

C

D

E

A

B

C

D

E

J3D1 GO ON TO THE NEXT PAGE Page 1

Part 1c - Page 4 of 17
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Section 3

TB001101

 6. About how many pages a day do you 

have to read in school and for 

homework?

5 or fewer

6–10

11–15

16–20

More than 20

VB331339

 7. How often do you talk about things you 

have studied in school with someone in 

your family?

Never or hardly ever

Once every few weeks

About once a week

Two or three times a week

Every day

VB331447

 8. How many days were you absent from 

school in the last month?

None

1 or 2 days

3 or 4 days

5 to 10 days

More than 10 days

A

B

C

D

E

VB331335

 3. About how many books are there in 

your home?

Few (0–10)

Enough to fill one shelf (11–25)

Enough to fill one bookcase (26–100)

Enough to fill several bookcases 

(more than 100)

VB331336

 4. Is there a computer at home that 

you use?

Yes

No

VF098664

 5. Do you have the following in your 

home? Fill in ovals for all that apply.

Access to the Internet

Clothes dryer just for your family

Dishwasher

More than one bathroom

Your own bedroom

A

B

C

D

E

A

B

C

D

A

B

C

D

E

A

B

C

D

E

A

B

J3D1 Page 2 GO ON TO THE NEXT PAGE 

TB001101

 6. About how many pages a day do you 

have to read in school and for 

homework?

5 or fewer

6–10

11–15

16–20

More than 20

VB331339

 7. How often do you talk about things you 

have studied in school with someone in 

your family?

Never or hardly ever

Once every few weeks

About once a week

Two or three times a week

Every day

VB331447

 8. How many days were you absent from

school in the last month?

None

1 or 2 days

3 or 4 days

5 to 10 days

More than 10 days

GO ON TO THE NEXT PAGE 

Part 1c - Page 5 of 17
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43

Section 3

VB330870

 9. How far in school did your mother go?

She did not finish high school.

She graduated from high school.

She had some education after high 

school.

She graduated from college.

I don’t know.

VB330871

 10. How far in school did your father go?

He did not finish high school.

He graduated from high school.

He had some education after high 

school.

He graduated from college.

I don’t know.

VB331451

 11. How often do people in your home talk 

to each other in a language other than 

English?

Never

Once in a while

About half of the time

All or most of the time

A

B

C

D

A

B

C

D

E

A

B

C

D

E

J3D1

VF095730

 12. Do the following people live in your 

home? Fill in ovals for all that apply.

Mother

Stepmother

Foster mother or other female legal 

guardian

Father

Stepfather

Foster father or other male legal 

guardian

VB330870

 9. How far in school did your mother go?

She did not finish high school.

She graduated from high school.

She had some education after high 

school.

She graduated from college.

I don’t know.

VB330871

 10. How far in school did your father go?

He did not finish high school.

He graduated from high school.

He had some education after high 

school.

He graduated from college.

I don’t know.

VB331451

 11. How often do people in your home talk 

to each other in a language other than 

English?

Never

Once in a while

About half of the time

All or most of the time

A

B

C

D

A

B

C

D

E

A

B

C

D

E

A

B

C

D

E

F

J3D1 GO ON TO THE NEXT PAGE Page 3

Part 1c - Page 6 of 17
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Section 3

VF291224

13. During this school year, which of the 

following have you done? Fill in ovals 

for all that apply.

Taken the SAT or ACT College 

Entrance Exams

Submitted the Free Application for 

Federal Student Aid (FAFSA)

Applied to a 2-year college

Been accepted to a 2-year college

Applied to a 4-year college

Been accepted to a 4-year college

Applied to a certificate or diploma 

program at a school that provides 

occupational training (such as 

electrician, beautician, mechanic,

computer programmer, etc.)

Been accepted to a technical 

training program

Talked with a military recruiter

Enlisted in the military

Applied for a full-time job

Been interviewed for a full-time job

None of the above

A

B

C

D

E

F

G

H

I

J

K

L

M

HE002549

 14. Which of the following best describes 

your high school program?

General

Academic or college preparatory

Vocational or technical

A

B

C

VE102537

 15. Write the ZIP code of your home address 

in the boxes.

J3D1 Page 4 STOP

Part 1c - Page 7 of 17
Student Grade 12 Science 

Student Grade 12 Science Questions 

The amount of time estimated to complete this form is 10 minutes. 

Part 1c - Page 8 of 17
L3SB1 GO ON TO THE NEXT PAGE

SECTION 4 Section 4

Page 1

VC305768

1. Which courses have you taken from eighth grade to the present?

If you have taken a course more than once, give the most recent year you took it. Fill in 

one oval on each line. INCLUDE courses taken in summer school, but DO NOT INCLUDE 

topics that were only taught as part of a longer course.

a. Earth and space 

science 

b. Life science (other 

than biology)

c. Physical science 

(other than 

chemistry or 

physics)

d. General science 

e. First-year biology

f. Second-year 

biology 

g. First-year 

chemistry 

h. Second-year 

chemistry 

i. First-year physics 

j. Second-year 

physics 

k. Engineering and 

technology 

l. Other science 

course 

Course

not

taken

I took this

course in

Grade 9

I took this

course in

Grade 10

I took this

course in

Grade 11

I am taking

or have

taken this

course in

Grade 12

VC305813

VC305814

VC305815

VC305817

VC305819

VC305820

VC305821

VC305822

VC305823

VC305825

VC305826

VC305829

A

A

A

A

A

A

A

A

A

A

A

A

B

B

B

B

B

B

B

B

B

B

B

B

C

C

C

C

C

C

C

C

C

C

C

C

D

D

D

D

D

D

D

D

D

D

D

D

E

E

E

E

E

E

E

E

E

E

E

E

F

F

F

F

F

F

F

F

F

F

F

F

This section has 23 questions. Mark your answers in your booklet. Fill in only one oval 

for each question except where instructed otherwise.

I took this

course in

Grade 8

Part 1c - Page 9 of 17
GO ON TO THE NEXT PAGE

Section 4

L3SB1 Page 2

ID110276

2. Are you currently enrolled in or have you taken International Baccalaureate® courses in 

science? 

Yes

No

VC304768

3. Are you currently enrolled in or have you taken any online science courses for high 

school or college credit?

Yes

No

ID110275

4. Are you currently enrolled in or have you taken an Advanced Placement course in 

science? Fill in ovals for all that apply.

Yes, I am enrolled in or have taken Advanced Placement Biology.

Yes, I am enrolled in or have taken Advanced Placement Environmental Science.

Yes, I am enrolled in or have taken Advanced Placement Chemistry.

Yes, I am enrolled in or have taken Advanced Placement Physics B or C.

Yes, I am enrolled in or have taken Advanced Placement Computer Science A or AB.

No, I have never taken an Advanced Placement science course.

A

B

A

B

A

B

C

D

E

F

Part 1c - Page 10 of 17
GO ON TO THE NEXT PAGE

Section 4

L3SB1 Page 3

VC305330

5. Please indicate how much you DISAGREE or AGREE with the following statements 

about science. Fill in one oval on each line.

Strongly

disagree Disagree Agree

Strongly

agree

VC305348

VC305350

VC305351

VC305352

VH142495

VH142499

a. I do science-related activities that 

are not for schoolwork.

b. I like science.

c. Science is one of my favorite subjects.

d. I take science only because I have to.

e. I need to do well in science to get the 

job I want.

f. I would like a job that involves using 

science.

A

A

A

A

A

A

B

B

B

B

B

B

C

C

C

C

C

C

D

D

D

D

D

D

VC720597

6. Are you currently taking a science course?

Yes ➔ Go to Question 7.

No ➔ Skip to Question 18.

A

B

Part 1c - Page 11 of 17
GO ON TO THE NEXT PAGE

Section 4

L3SB1 Page 4

A

A

A

A

A

A

A

VC305292

8. In your science class this year, how often do you do each of the following? Fill in one oval 

on each line.

Never

or hardly

ever

Once

every

few

weeks

About

once a

week

Two or

three

times a

week

Every

day or

almost

every

day

VC546510 a. Read a science textbook,

in class or at home

VF633095 b. Read a book or magazine 

about science topics

VF633097 c. Use the Internet to learn 

about science topics

VF633099 d. Watch a movie, video, or 

DVD about science topics

A

A

A

A

B

B

B

B

C

C

C

C

D

D

D

D

E

E

E

E

VF633079

7. In your science class this year, how often have you done hands-on activities or projects 

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

a. Living things (for example,

plants, animals, bacteria)

b. Electricity (for example, circuits,

batteries, and light bulbs)

c. Chemicals (for example, mixing 

or dissolving sugar or salt in 

water)

d. Rocks or minerals (for example,

identifying types)

e. Simple machines (for example,

pulleys and levers) 

f. Magnifying glass or microscope 

(for looking at small things)

g. Thermometer or barometer

(for making measurements)

VF633080

VF633083

VF633082

VF633087

VF633086

VF633084

VF633085

Never Rarely Sometimes Often

C

C

C

C

C

C

C

D

D

D

D

D

D

D

B

B

B

B

B

B

B

Part 1c - Page 12 of 17
GO ON TO THE NEXT PAGE

Section 4

L3SB1 Page 5

VC304769

9. In your science class this year, how often do you do each of the following? Fill in one oval 

on each line. 

Never

or hardly

ever

Once

every few

weeks

About

once a

week

Two or

three times

a week

Every day

or almost

every day

VC304771 a. Discuss events in the 

news that are related to 

what you are learning in 

science class

VC304772 b. Work with other students 

on a science project or 

activity

VC304778 c. Present what you learned 

about science to your class

VC720564 d. Take a science test or quiz

A

A

A

A

B

B

B

B

C

C

C

C

D

D

D

D

E

E

E

E

Part 1c - Page 13 of 17
GO ON TO THE NEXT PAGE

Section 4

L3SB1 Page 6

VC720622

10. In your science class this year, how often do you do each of the following? Fill in one oval 

on each line. 

Never

or hardly

ever

Once

every

few

weeks

About

once a

week

Two or

three

times a

week

Every

day or

almost

every

day

VC720623 a. Identify questions that 

can be addressed through 

science experiments

VC720634 b. Design a science 

experiment

VC720635 c. Talk about measurements 

you took for your science 

project or activity

VC720636 d. Talk about the results of 

your science project or 

activity

VC720638 e. Watch your teacher do 

a science experiment or 

activity

VC720639 f. Make graphs or charts 

of the results from your 

science project or activity

VF633111 g. Write about your science 

activities or projects 

(such as reports, science 

journals, or lab write-ups)

A

A

A

A

A

A

A

B

B

B

B

B

B

B

C

C

C

C

C

C

C

D

D

D

D

D

D

D

E

E

E

E

E

E

E

Part 1c - Page 14 of 17
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Section 4

L3SB1 Page 7

VH142438

11. In this school year, how often have 

you been asked to write long answers 

(several sentences or paragraphs) to 

questions on tests or assignments for 

science?

Never or hardly ever

Once every few weeks

About once a week 

Two or three times a week

Every day or almost every day

VC546453

12. In this school year, how often have you 

talked with your teacher about how 

you are doing in science?

Never or hardly ever

Once every few weeks

About once a week 

Two or three times a week

Every day or almost every day

VH157884

13. In this school year, how often have 

you used your school library or media 

center resources for science (such as 

books, magazines, computers, and 

audio-video materials)?

Never or hardly ever

Once every few weeks

About once a week 

Two or three times a week

Every day or almost every day

VC546463

14. In this school year, how often have you 

used computers for science?

Never or hardly ever

Once every few weeks

About once a week 

Two or three times a week

Every day or almost every day

A

B

C

D

E

A

B

C

D

E

A

B

C

D

E

A

B

C

D

E

Part 1c - Page 15 of 17
GO ON TO THE NEXT PAGE

Section 4

L3SB1 Page 8

VC315291

15. How often do you feel you can 

understand what the teacher talks 

about in science class? 

Never or hardly ever

Sometimes

Often

Always or almost always

A

B

C

D

VC315292

16. How often do you feel you can do a 

good job on your science tests?

Never or hardly ever

Sometimes

Often

Always or almost always

VC315294

17. How often do you feel you can do a 

good job on your science assignments? 

Never or hardly ever

Sometimes

Often

Always or almost always

A

B

C

D

A

B

C

D

VF633128

18. In this school year, have you participated in any of the following activities? Fill in one

oval on each line.

No

VF633132

VF633134

VF633135

a. Science fair

b. Science club

c. Science competition

Yes

B

B

B

A

A

A

Part 1c - Page 16 of 17
L3SB1 STOP

Section 4

Page 9

VF633304

19. In this school year, have you visited 

a museum, zoo, or aquarium to learn 

about science on a school trip?

Yes

No

VF633276

20. In this school year, have you visited 

a museum, zoo, or aquarium to learn 

about science that was not on a school 

trip?

Yes

No

VB595182

21. How hard was this test compared to 

most other tests you have taken this 

year in school?

Easier than other tests

About as hard as other tests

Harder than other tests 

Much harder than other tests

VC034559

22. How hard did you try on this test 

compared to how hard you tried on 

most other tests you have taken this 

year in school?

Not as hard as on other tests

About as hard as on other tests

Harder than on other tests 

Much harder than on other tests

VB595184

23. How important was it to you to do 

well on this test?

Not very important

Somewhat important

Important 

Very important

A

B

A

B

A

B

C

D

A

B

C

D

A

B

C

D

Part 1c - Page 17 of 17