### APPENDIX C **TEACHER SURVEY** 

**1. Teacher Letter**  **2. Teacher**  **Qu estionnaire** 

### TEACHER SURVEY COVER LETTER

Dear 

### [TEACHER NAME]: Your school is participating in the national Evaluation of the Teacher Incentive Fund (TIF) conducted by xxxxxxxxxxxxx for the U.S. Department of Education. This important study will produce valuable information on the impact of performance - based incentive programs on student achievement and teacher and principal mobility. As part of the study, a sample of teachers is being asked to complete a Web - based survey this spring 2015. You have been selected to be included in this sample. The survey will take abo ut 30 minutes of your time. Th e survey is designed to learn about teachers’ understanding of the TIF program, your attitude toward it, as well as to collect demographic characteristics, educational background, and professional experience information. Whi le y our participation is voluntary , the information collected from teachers like you will be extremely important to the study ’s findings. We will mail you a check for $20 in appreciation of your participation upon receipt of the completed survey this year and each subsequent year. **The information you provide in this survey will be kept strictly confidential and will not be shared with anyone outside the study team. District officials, principals, and school staff will**  **not have access to the survey’s data. Responses will be presented only in aggregate form and**  **will not identify any individual or school.** Please use the information below to access the TIF teacher survey. Go to https://www.xxxxxxx.org/ At the login screen, enter the following: **Login ID:** [ username] **Password:** [password] If you have any

questions, please contact xxxxxxxxx , the deputy survey director, toll free at xxx - xxx xxxx, or by email at xxxxxxxxxxxxx . Thank y ou for your cooperation and participation in this important study. Sincer ely , xxxxxxxxxxxxxxxxxxxxxxxxxx Survey DirectorOM B Control No.: [ Program Name ]

Ex piration Date: 

# U.S. DEPARTMENT OF EDUCATION **NATIONAL TEACHER INCENTIVE FUND EVALUATION**



# SURVEY **OF TEACHERS**

**SPRING 201**  **5**

This survey is part of the evaluation of the Teacher Incentive Fund (TIF), a federally funded initiative on performance pay for educators. The survey i ncludes questions about your background, your teaching and other responsibilities, and your involvement in professional development. **Please return th e completed form to:**  **If you have questions, please contact:**

This survey is authorized by l aw: (1) Sections 171(b) and 173 of the Education Sciences Reform Act of 2002, Pub. L. 107 - 279 (2002); and (2) Section 9601 of the Elem entary and Secondar y Education Act (ESEA), as amended by the No Child Left Behind (NCLB) Act of 2001 (Pub. L. 107 - 110).

According to the Paperw ork 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 information collection is 1 850 - 0876
. The time required to complete this information collection is estimated to av erage 30 minutes per respondent, including the time to rev iew i nstructions, gather t he data needed, and complete and review t he information collected. If you have any com ments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please wr ite to: U .S. Department of Education, Wa shington, DC 2 0202. If you have comme nts or concerns regarding the status of your individual submission of this form, wr ite directly to: U .S. Department of Education, Institute of Education Sciences, 555 New Jersey Avenue, N W, W ashington, DC 20208.TIF Spring 201 5 Teacher Survey

This survey is part of the national evaluation of the Teacher Incentive Fund (TIF), a federally funded initiative that will provide valuable information on the potential im pact of performance - based teacher incentive programs on student achievement and educ ator mo bilit y. The survey includes questions about yo ur background, yo ur teaching and other responsibilities, professional development activities, sources of com pensation, and your knowledge and perceptions of your school’s TIF funded program. **We would lik e you to know that:** 
 This survey

i s voluntary, but your response is critical for producing valid and reliable data on yo ur district’s TIF funded program. You may s kip any

q uestions yo u do not wish to answer; however, we hope that you answer as many question s as y ou can.
 The survey takes about 30 mi nutes to complete , and once yo u have completed it, we will send yo u $20 as a thank y ou.
 Refusal to participate in the teacher survey will not affect yo ur em ploy me nt, or relationship with yo ur school or the evaluation partners, including the U.S. Department of Education, in any way.
 The study will provide important information that can be used by y ou and yo ur district. Specifically, we will learn whether incentive programs may h ave a positive impact on stude nt achievement and teacher and principal retention.
 Responses to this data collection will be used only for statistical purposes. The reports prepared for this study

w ill summa rize findings across the sample and will not associate responses with a specifi c school or individual. We w ill not provide information that identifies you or your school to anyone outside the study t eam , except as required by l aw. Additionally, no one in yo ur school or district will see your responses.
 Participation in the teacher s urvey does not im pose any special risks to yo u as a respondent other than accidental disclosure of information. Safeguards are in place to ensure individual respondent’s confidentiality including restricted access to questionnaire data and separating ident if yi ng information such as nam e and school from survey responses. All contractor staff sign a confidentiality pledge and all staff with access to study data have received clearance from the U.S. Department of Education and are subject to severe legal conse quences for any breach of confidentiality.
 An IRB has reviewed and approved this study
. If yo u have any q uestions about yo ur rights as a research participant, you can contact IRB at 1 - 800 - xxx - xxxx . I have read and I understand the above statements and agree to participate in the survey Thank you ver y m uch for your help with this survey.TIF Spring 201 5 Teacher Survey 1

**A1 .**  **Please tell us about your degree (**  **s )**  **.** Colum n A: **For each row, i ndicate**  **whether you hold that**  **degree.** Colum n B: **For each degree that you hold, provide**  **the name**  **, city, and state of**  **the institution**

**from which you received that degree.** Colum n C: **Write the**  **code for the major field(s) of study using**  **the Field of Study Codes table**

**below.** Colum n D: **Write the year in which**  **that degree was awarded.**  Note: If you have more than one bachelor’s or master’s degree, in Columns B - D, answer for the most recently received degree. IN EACH ROW , MARK ONE BOX IN COLUMN A . IF YES , COMPLETE COLUMNS B TO D **A .**  **DO YOU HA**

**VE THIS DEGREE**  **? B**  **. NA**  **ME ,**  **CITY ,**  **AND STA TE OF**  **AW AR**  **DING INSTITUTION C**  **. MA**  **JOR CODE**  **D .**  **YEA R** 

**AW AR**  **DED**

a. Bachelor’s degree
................. 1 

###  Yes 0 

###  No _______________________

_______________________ 

### | | | | 

### | | | | |

b. Master’s degree
.................... 1 

###  Yes 0 

###  No _______________________

_______________________ 

### | | | | 

### | | | | |

c. Doctorate degree
.................. 1 

###  Yes 0 

###  No _______________________

_______________________ 

### | | | | 

### | | | | |
d. Other degree (Specify):
............................... 1 

###  Yes 0 

###  No _______________________

_______________________ 

### | | | | 

### | | | | |

_______________________ 

### Field of Study

**Codes General Education**  **Elementary Education** 101 Early childhood or pre - K, general 102 Elem entar y grades, general **Secondary Education** 103 Middle grades, general 104 Secondary grades, general **110 Special Education**  **Other Education** 131 Adm inistration 132 Counseling and guidance 133 Educational psychology 134 Policy studies 135 School ps yc hology 136 Other non - subject ma tter - specific education **Subject Matter -**  **Specific** 014 Arts and music 015 English and language arts 016 English as a Second Language (ESL) 017 Foreign languages 018 Health or phy sical education 019 Mathematics or computer science 020 Natural sciences 021 Social sciences (includes history, economics, government, etc.) 022 Vocational, career, or technical education 023 Humanities (includes philosophy, religion) 024 Other 

### A. **EDUCA TION, CERTIFICA**  **TION, AND CURRENT EMPLOYMENT STA**  **TUS**TIF Spring 201 5 Teacher Survey 2

**A2. Which of**  **the following best describes the teaching certificate you currently hold in THIS state?**  MARK ONE ONLY 1 

###  **Regular or standard certificate** or advanced professional certificate. 2 

###  **Certificate** issued after satisfying all requirements except the compl etion of a probationar y period. 3 

###  **Certificate** that requires some additional college coursework, student teaching, or passage of a test before regular certification can be obtained. 4 

###  **Certificate** issued to persons who must complete a certification program in order to continue teaching. 5 

###  I do not hold any of the above certific ations in THIS state. **GO TO QUESTION A 5**  **A 3**  **. In what area(s) does the teaching certificate marked in A**  **2 above allow you t o teach in this**  **state?** SELECT ALL THAT APPLY 1 

###  Preschool (birth - Pre - K) 2 

###  Elem entary (K - 5) 3 

###  Middle grades (6 - 8) 4 

###  Secondar y grades (9 - 12) 5 

###  Specific subject areas (K - 12) ( Specify ):

________________________________ ________ 6 

###  Exceptional children (K - 12) 7 

###  Other (

Specify ):

________________________________ ___________________________ **A 4**  **. Which of the following statements best describes the way you obtained your certification?** 

MARK ONE ONLY 1 

###  Through a traditional teacher certification program as part of a bachelor’s degree 2 

###  Through a traditional teacher certification program as a “5th year” or master’s degree 3 

###  Through the Teach For America (TFA) program 4 

###  Through an alternative route to certification (other than TFA) 5 

###  Other (

Specify ):

________________________________ ___________________________TIF Spring 201 5 Teacher Survey 3

**A 5**  **. Do you have or are you currently pursuing National Board Certification?** 

1 

###  Yes
0 

###  No **GO TO QUESTION A 6**  **a. Date obtained or expected** 

## | | | / | | | | | MONTH YEAR **b. In what discipline is the certification?**

______________________________ **A 6**  **. Since receiving your undergraduate degree, have you worked in any full**  **- time**  **non -**  **teaching job?**  1 

###  Yes
. **For how many years?** 

## | | | NUMBER 0 

###  No **A 7**  **. Are you currently in a teaching position?** 

1 

###  Yes **GO TO QUESTION B1** 
0 

###  No **GO TO QUESTION A8** 
**A 8**  **. Which category best describes your current employment status?** 

MARK ONE ONLY 1 

###  Wo rk ing in the field of education, but not as a teacher (e.g ., adm inistrator or counselor) **GO TO QUESTION A**  **9** 2 

###  Wo rk ing in a position outside the field of education **GO TO QUESTION A 9**  3 

###  Wo rk ing in the home **GO TO QUESTION A**  **9** 4 

###  Unemployed (looking for work) **GO TO QUESTION A**  **9** 5 

###  Retired **GO TO SECTION F ON PA**  **GE 20**  6 

###  Ta king time off from teaching with intent to return (e.g., maternity or disability leave) **GO TO SECTION**  **F ON PA GE**  **20** 7 

###  Other (Specify ) ________________________ **GO TO QUESTION A 9** TIF Spring 201 5 Teacher Survey 4

**A 9**  **. Please indicate whether any of the following**  **factors contributed to you leaving your teaching position.**  MARK ONE BOX IN EACH RO W **YES NO**  a. To pursue opportunities for professional advancement
.......................... 1 

###  0 

###  b. To pursue opportunities to earn extra pay
................................ .............. 1 

###  0 

###  c. I did not like the way teacher performance was evaluated
..................... 1 

###  0 

###  d. Low mo rale at the school
................................ ................................ ........ 1 

###  0 

###  e. I was dissatisfied with teaching
................................ ............................... 1 

###  0 

###  f. The school’s participation in [Program Name]
................................ ........ 1 

###  0 

### 



# GO TO SECTION **F ON P AG**  **E 21**TIF Spring 201 5 Teacher Survey 5

**B1. Including this school year, how many years have you worked as a teacher?**  a. Total years as a teacher 

## | | | NUMBER b. Years in current district 

## | | | NUMBER **B2 .**  **Please tell us about the school where you currently teach.** a. Name of school:

___________________________________________ b. Including this year, number of years you have taught at this school 

## | | | NUMBER Note: If this is your first year teaching at this school, enter “01”. **B 3**  **. How influential**  **was each of**  **the following in your decision to work at your current school?** MARK ONE BOX IN EACH ROW **NOT A T**  **AL L**  **SLIGHTLY SOMEWHA**  **T HIGHLY**  a. District central office
................................ ......... 1 

###  2 

###  3 

###  4 

###  b. Principal
................................ ............................ 1 

###  2 

###  3 

###  4 

###  c. Other school staff
................................ ............. 1 

###  2 

###  3 

###  4 

###  d. School location
................................ ................. 1 

###  2 

###  3 

###  4 

###  e. Compensation
................................ .................. 1 

###  2 

###  3 

###  4 

###  f. Wo rk ing conditions
................................ ........... 1 

###  2 

###  3 

###  4 

###  g . Other (Specify)
................................ ................. 1 

###  2 

###  3 

###  4 

### 

________________________________ ____ **B 4**  **. Of the factors listed above, which was the**  **most influential in your decision?**  Wr ite the letter of the factor above that was most influential. 

## | | LETTER **B 5**  **. Did**  **the [Program Name] affect your choice of where or what to teach?** 

1 

###  Yes 0 

###  No **GO TO QUESTION B**  **7**



### B. TEA **CHING AN**  **D OTHER RESPONSIBILITIES**TIF Spring 201 5 Teacher Survey 6

**B 6**  **. How has**  **the [Program Name ] affected your choice of where or what to teach this**  **school year?**

SELECT ALL THAT APPL Y 1 

###  Stayed at m y school because of the **[Program Name ]**  2 

###  Changed school to get into the **[Program Name ]**  3 

###  Changed m y primary grade or subject of instruction because of the **[Program Name ]**  4 

###  Applied to m y school to get into the **[Program Name ]**  5 

###  Applied for position(s) in another school to leave the **[Program Name ]**  6 

###  Applied for position(s) in another school with a better bonus program **B 7**  **. Will**  **the [Program Name ] affect your choice of where or what to teach in**  **the coming school year?**  1 

###  Yes 0 

###  No **GO TO QUESTION B**  **9 B**  **8 .**  **How do you expect the [Program Name**  **] to**  **affect your choice of where or what to teach in the coming school year?**  SELECT ALL THAT APPL Y 1 

###  Stay at m y school because of the **[Program Name ]**  2 

###  Change school to get out of the **[Program Name ]**  3 

###  Change m y primary grade or subject of instruction because of the **[Program Name**  **]** 4 

###  Apply for position(s) in another school to leave the **[Program Name ]**  5 

###  Apply for position(s) in another school with a better bonus program **B 9**  **. How would you classify your current teaching position at this school?** 

MARK ONE ONLY 1 

###  Regular full - tim e teacher 2 

###  Regular part - tim e teacher 3 

###  Substitute teacher 4 

###  Itinerant teacher (assigned to multiple schools) 5 

###  Other (

Specify ):

________________________________ ___________________________TIF Spring 201 5 Teacher Survey 7

**B1 0**  **. Please indicate the grade(s) of the students you currently teach at THIS school.** 

SELECT ALL THAT APPL Y 1 

###  1st grade 2 

###  2nd grade 3 

###  3rd grade 4 

###  4th grade 5 

###  5th grade 6 

###  6th grade 7 

###  7th grade 8 

###  8th grade 9 

###  9th grade 10 

###  10th grade 11 

###  11th grade 12 

###  12 th grade 13 

###  Kindergarten 14 

###  Pre - kindergarten 15 

###  Ungraded **B1 1**  **. Do you currently teach one self**  **- contained class (where you teach the same**  **group of students most or all of the day**  **in multiple subjects) or do you teach several classes of different**  **students in one or more academic subjects?** MARK ONE ONLY 1 

###  I teach one self - contained class **GO TO QUESTION B1**  **3** 2 

###  I teach several classes of different studentsTIF Spring 201 5 Teacher Survey 8

**B1 2**  **. What**  **subject(s) do you currently**  **teach?**

SELECT ALL THAT APPLY 1 

###  English / language arts / reading 2 

###  Mathematics 3 

###  Science 4 

###  Social studies or history 5 

###  Foreign language 6 

###  Special instruction for English Language Learners (ELL) or Limited English Proficient (LEP) students 7 

###  English as a Second Language (ESL) 8 

###  Visual or performing arts 9 

###  Special education 1 0 

###  Physical education 11 

###  Other (

Specify ):

________________________________ __________________________TIF Spring 201 5 Teacher Survey 9

**B1 3**  **. In the most recent FULL WEEK**  **of school , what is your best estimate of**  **how you spent your ti**  **me during**  **school hours ?**  SCHOOL HOURS are the hours that you are required to be at school, regardless of whether students are there. Report hours to the nearest WHOLE HOUR. If you did not spend time on a particular activity, write 0 (zero). Please make sure the hours in the items below ( a through e

) sum to the total number of school hours in the most recent full week. **HOURS SPENT LA**  **ST FULL**  **WEEK** a . Teaching students in the classroom, small groups, or individually 

### | | | b
. Supervising students in other activities (e.g., bus duty, hall duty, lunch dut y, counseling, coaching a sport) 

### | | | c . Preparation on your own (e.g., lessons, grading, assignments) 

### | | | d
. Preparation and professional development with colleagues (e.g., common lesson planning, workshops, staff meetings, mentoring) 

### | | | e . Other activities 

### | | | TOTAL SCHOOL HOURS IN LAST FULL WE EK (SUM OF a THROUGH e) **B1 4**  **. In the most recent FULL WEEK**  **of school , what is your best estimate of the hours you spent**  **on school**  **- related activities**  **during non**  **- school hours**  **?** NON - SCHOOL HOURS are the hours that you are not required to be at school
. Report hours to the nearest WHOLE HOUR. If you did not spend time on a particular activity, write 0 (zero). **HOURS SPENT LA** 

**ST FULL**  **WEEK** a. Academic - related activities with students (e.g., tutoring) 

### | | | b. Other activities with students (e.g., transporting students, sports coaching, advising a student group) 

### | | | c. Preparation on your own (e.g., lessons, grading, assignments) 

### | | | d. Preparation and professional development with colleagues (e.g., common lesson planning, workshops, staff meetings, mentoring) 

### | | | e. Other school - related activities 

### | | | TOTAL NON - SCHOOL HOURS IN LAST FULL WE EK (SUM OF a THROUGH e ) **B1 5**  **. Ap**  **proximately how many years do you think you will remain in teaching after this school year?** I will probably teach for 

## | | | mo re years.TIF Spring 201 5 Teacher Survey 10



### Support You Received **C1. Did you have any mentor, coach, or colleague who was responsible for supporting your**  **teaching this year?** 1 

###  Yes 0 

###  No **GO TO QUESTION C**  **5 C2.**  **In a typical month**  **of teaching, how frequently did you have scheduled meetings with mentors**  **or coaches?** 

## | | | SCHEDULED MEETING ( S ) IN A TYPICAL MONTH **C3. On average, how long were these scheduled meetings?**  

## | | | MINUTES PER SCHEDULE D MEETING **C4. In addition to the scheduled time above, how much**  **unscheduled time did you spend meeting**  **with mentors or coaches during a typical month**  **of teaching?** 

## | | | HOURS AND 

## | | | MINUTES OF UNSCHEDUL ED TIME 

### Support You Provided **C5. During this school year, were you assigned to mentor or coach another teacher (or teachers)**  **in your school or district? If so, please indicate whether it was part of the [Program Name**  **] .**  MARK ONE ONLY 1  Yes, part of the **[Program Name ]**  2  Yes, but not a s part of the **[Program Name ]**  0 

###  No **GO TO QUESTION C8**  **C6. During a typical**  **month of teaching, how much time did you spend mentoring or coaching**  **other teachers?** Please include both scheduled meetings and informal time, but exclude normal peer collaboration or common lesson planning. 

## | | | HOUR ( S ) AND 

## | | | MINUTES MENTORING DU RING A TYPICAL MONTH OF TEACHING



### C. **SUPPORT A ND PROFESSIONA**  **L DEVELOPMENT**TIF Spring 201 5 Teacher Survey 11

**C7. Indicate whether each of the following statements about the support (coaching or mentoring)**  **you provided to other teachers is true.** MARK ONE BOX IN EACH ROW **YES NO**  a. I received special training before this school year on providing me ntoring or coaching
................................ ................................ ............. 1 

###  0 

###  b. I received special training during this school ye ar on providing me ntoring or coaching
................................ ................................ ............. 1 

###  0 

###  c. I have been given release time for mentoring or coaching
..................... 1 

###  0 

###  d. I am a mentor or coach to more than one teacher
................................ .. 1 

###  0 

###  e. I am responsible for conducting classroom observations
....................... 1 

###  0 

###  f. I have conducted professional development sessions in m y school
...... 1 

###  0 

###  **Professional Development C8.**  **A pproximately**  **how many hours d**  **o you**  **expect to spend participating in professional**  **development activities during the 201**  **4 -**  **201 5**  **school year ?**  Include courses you have taken for recertification or advanced certification, workshops sponsored by your school or district, conferences, or any other training that is relevant to your teaching. If you did not participate in ANY professional development activities during this time, write ‘0 ’ and go to Question C10. 

## | | | | TOTAL HOUR ( S )TIF Spring 201 5 Teacher Survey 12

**C9. Have you received or do you plan to receive**  **professional development (PD) on any of the**  **following topics during the 201 4**  **- 201**  **5 school year?**  **For each topic listed, indicate the following: A:**  **Was the topic the focus of professional development (PD) in which you participated? B:**  **If yes, approximately how many hours were spent on the topic?** (Y our best estimate.) **C: In general, how useful was the PD to your teaching?**  I N EACH ROW

, MARK ONE BOX IN C OLUMN A. I F Y ES , COMPLETE COLUMNS B AND C. **A .**  **FOCUS OF PD**  **? B**  **. HOURS**  **SPENT ON TOPIC**  **C .**  **USEFULNESS OF PD**  **TO YOUR TEA CHING**  **YES NO**  **NOT A T**  **AL L**  **SLIGHTLY SOME**  **** **WHA T**  **HIGHLY** a Understanding components of the **[Program Name ]** 
........................ 1  0  

### | | | 1  2  3  4  b. Understanding performance me asure used as part of the **[Program Name ]** 
........................ 1  0  

### | | | 1  2  3  4  c. Direct feedback based upon individual performance ratings as me asured by the **[Program Name]** 
................................ ......... 1  0  

### | | | 1  2  3  4  d. Differentiated instructional strategies based on student assessments
............................... 1  0  

### | | | 1  2  3  4  e. Instructional techniques and strategies
................................ ..... 1  0  

### | | | 1  2  3  4  f. Aligning curricula to state or district standards
......................... 1  0  

### | | | 1  2  3  4  

### Classroom Observation **Note:** For the following questions, please consider only instances of **formal observations** conducted in your classroom. **Formal observations** are standardized by using an instrument, rubric or checklist
. **C10. How many times during this school year has someone observed you teaching?**  Formal classroom observation involves a staff member who observes and takes notes. 

## | | | | OBSERVATION ( S ) THIS SCHOOL YEAR TO DATE **C11. How many additional times during**  **this school year do you expect to be observed teaching?** 

## | | | | MORE OBSERVATION ( S ) EXPECTED BY THE END OF THE SCHOOL YEARTIF Spring 201 5 Teacher Survey 13

**C12. How many people in each of the categories listed below observed you teaching?**  For each category, write the number of people involved in the formal classroom observation(s) you have had or expect to have during this school year. Write 0 for any category that does not apply. WRITE NUMBER IN EACH ROW a. Principal(s)
................................ ................................ .............................. 

### | | | b. Assistant or vice principal(s)
................................ ................................ ... 

### | | | c. Department head(s)
................................ ................................ ................ 

### | | | d. Math or literac y coach(es)
................................ ................................ ....... 

### | | | e. Other senior teacher(s) from the school, such as a mentor, master or lead teacher 

### | | | f. Observer(s) not working at yo ur school
................................ .................. 

### | | | g. Other (Specify)
................................ ................................ ........................ 

### | | |

**________________________________ ______________________________**  **C13. Think**  **of the most recent formal observation you received . D**  **id it include feedback designed**  **to help you improve your teaching?**  1  Yes 0  No **GO TO QUESTION D1**  **C1 4**  **. Think**  **of the most recent formal observation you received**  **. D id you receive or do you expect to**  **receive a written summary of findings?** MARK ONE ONLY 1  I have received a written summary 2  I have not received a written summary but expect to receive one 3  I have not received a written summary and do not expect to receive one **C1 5**  **. Did you receive oral feedback?** 

1  Yes 0  No **C16. H**  **ow soon after the observation**  **did you**  **receive the feedback ?** 

1  Same day as the observation 2  Wi thin a week after the observation 3  Between one and two weeks after the observation 4  More than two weeks after the observationTIF Spring 201 5 Teacher Survey 14

**C1 7**  **. H**  **ow much**  **do you**  **agree or**  **disagree with**  **the following**  **statements about**  **the most**  **recent feedback**  **you received based on a formal classroom observation that used**  **a rubric or checklist?** 
MARK ONE BOX IN EACH ROW **S TRONGLY**  **DISA GREE**  **DISA GREE**  **AG REE**  **STRONGLY AG**  **REE** a. The tim eliness of the feedback was appropriate

................................ ................................ ......... 1 

###  2 

###  3 

###  4 

###  b. The feedback was eas y to understand 1 

###  2 

###  3 

###  4 

###  c. The feedback provided specific ideas about how I could improve m y performance 1 

###  2 

###  3 

###  4 

###  d. The feedback made me more reflective about my teaching 1 

###  2 

###  3 

###  4 

###  e. The feedback provided useful information to im prove m y teaching 1 

###  2 

###  3 

###  4 

###  f
. In the long run, students will benefit from the feedback I received 1 

###  2 

###  3 

###  4 

### TIF Spring 201 5 Teacher Survey 15

**D1. How satisfied are you with each of**  **the following aspects of your school this year?** MARK ONE BOX IN EACH ROW **VERY DIS**  **SA TISFIED**  **SOMEWHA T**  **DISSA TISFIED**  **SOMEWHA T**  **SA TISFIED**  **VERY**

**SA TISFIED**  a. Opportunities for professional advancement
.............................. 1 

###  2 

###  3 

###  4 

###  b. Opportunities to enhance my skills
................................ ............ 1 

###  2 

###  3 

###  4 

### 
c. Opportunities to earn extra pay
................................ .................. 1 

###  2 

###  3 

###  4 

###  d. Use of formal classroom observations to assess my skills
................................ ................................ ...................... 1 

###  2 

###  3 

###  4 

###  e. Use of student achievement scores to assess my effectiveness
................................ ................................ .............. 1 

###  2 

###  3 

###  4 

###  f
. Feedback on m y performance
................................ ................... 1 

###  2 

###  3 

###  4 

###  g . Recognition of accomplishments
................................ ............... 1 

###  2 

###  3 

###  4 

###  h
. Quality of interaction with colleagues
................................ 1 

###  2 

###  3 

###  4 

###  i
. E ffort s of m y colleagues
................................ ............................. 1 

###  2 

###  3 

###  4 

###  j
. Morale in the school
................................ ................................ 1 

###  2 

###  3 

###  4 

###  k
. Overall job satisfaction
................................ ............................... 1 

###  2 

###  3 

###  4 

###  

### D **. PERCEPTIONS A**  **BOUT YOUR SCHOOL**TIF Spring 201 5 Teacher Survey 16

**D2. How much do you agree or disagree with each**  **of the following statement**  **s ?**  If a statement does not apply (e.g. you are not currently teaching in a school participating in TIF 3, or teachers in your school cannot earn bonuses), mark the N/A column for not applicable. MARK ONE BOX IN EACH ROW **STRONGLY DISA**  **GREE DISA**  **GREE AG**  **REE STRONGLY**  **AG REE**  **N /**  **A** a. Teachers who do the same job should receive the same pay.
................................ ................................ 1 

###  2 

###  3 

###  4 

###  9 

###  b. Standardized student test scores in m y district me asure what students have learned
................................ 1 

###  2 

###  3 

###  4 

###  9 

### 
c. My principal is a good judge of teacher talent.
........................... 1 

###  2 

###  3 

###  4 

###  9 

###  d. I am glad that I am participating in the **[Program Name ]** 
................................ ................................ 1 

###  2 

###  3 

###  4 

###  9 

###  e. My job satisfaction has increased due to the **[Program Name ]** 
................................ ................................ 1 

###  2 

###  3 

###  4 

###  9 

###  f. I feel increased pressure to perform due to the **[Program Name ]** 
................................ ................................ 1 

###  2 

###  3 

###  4 

###  9 

###  g. I have less freedom to teach the way I would like to teach due to the **[Program Name ]** 
................................ 1 

###  2 

###  3 

###  4 

###  9 

###  h. T he **[Program Name ]**  has harmed the collaborative nature of teaching
................................ 1 

###  2 

###  3 

###  4 

###  9 

###  i. T he **[Program Name ]**  has caused teachers to work more effectively
................................ ................................ 1 

###  2 

###  3 

###  4 

###  9 

###  j. T he **[Program Name ]**  is fair
................................ ...................... 1 

###  2 

###  3 

###  4 

###  9 

###  k. The process used to determine how bonuses are determined was adequately explained to me ................................ ................................ ............................... 1 

###  2 

###  3 

###  4 

###  9 

### TIF Spring 201 5 Teacher Survey 17

For questions in this section, please think about all policies and programs in effect at your school. **E 1**  **. For which of**  **the following roles or activities can teachers**  **in your school earn additional pay**  **this school year**  **?** For each Yes answer, indicate in Column B the maximum amount that a ny teacher could receive , and in Column C, the amount you expe ct to receive. Enter “0” if you are not eligible or do not expect to earn pay in this category
. **Roles and Responsibilities A**  **. ELIGIBLE FOR**  **AD DITIONA**  **L PA**  **Y ?**  **B .**  **MA**

**XIMU M A**  **MOUNT POSSIBLE**  **C .**  **AM OUNT YOU EXPECT**  **TO RECEIVE** a. Mentor teacher
................................ ............... 1 

###  Yes 0 

###  No $ 

### | | |,| | | | $ 

### | | |,| | | |
b. Master or lead teacher
................................ 1 

###  Yes 0 

###  No $ 

### | | |,| | | | $ 

### | | |,| | | |

c. Department chair or head
............................... 1 

###  Yes 0 

###  No $ 

### | | |,| | | | $ 

### | | |,| | | |
d. Lead curriculum specialist
............................. 1 

###  Yes 0 

###  No $ 

### | | |,| | | | $ 

### | | |,| | | |

e. Serving on a school - wide committee or task force
................................ ........................ 1 

###  Yes 0 

###  No $ 

### | | |,| | | | $ 

### | | |,| | | | f. Serving on a leadership team in some capacity (Specify)
................................ ...........

________________________________ 1 

###  Yes 0 

###  No $ 

### | | |,| | | | $ 

### | | |,| | | | **Other A ctivities**  g . Teaching in a hard - to - staff school (e.g., schools serving large proportions of economically disadvantaged or low performing students)
................................ ....... 1 

###  Yes 0 

###  No $ 

### | | |,| | | | $ 

### | | |,| | | |
h
. Teaching high - need subjects (e.g., ma th, science, or special education)
.............. 1 

###  Yes 0 

###  No $ 

### | | |,| | | | $ 

### | | |,| | | | i
. Attending professional development activities or enrolling in graduate - level courses (exclude tuition )
................................

________________________________ 1 

###  Yes 0 

###  No $ 

### | | |,| | | | $ 

### | | |,| | | | j
. A n automatic bonus (e.g. 1% of salary) for participating in **[Program Name ]** 
.............. 1 

###  Yes 0 

###  No $ 

### | | |,| | | | $ 

### | | |,| | | | **E. COMPENSA** 

**TION A ND EV**  **AL UA**  **TION**TIF Spring 201 5 Teacher Survey 18

The next series of questions focus on criteria used to measure y our performance and to determine performance - based bonuses. Performance - based bonuses refer to bonuses based on measured teacher effectiveness and do not include additional pay for roles /responsibilities and activities (such as those listed in Question E1). **E2. Is it possible**  **for you to earn a bonus based solely**  **on your performance for the 201 4**  **- 201**  **5 school year**  **?** 1 

###  Yes **GO TO E3** 0 

###  No **GO TO E6 E**  **3 .**  **W hat is the maximum**  **performance -**  **based bonus that**  **someone in your teaching position could possibly earn**  **for this school year?** Round to the nearest $100. 

### $ 

## | | | , 

## | | | | **E 4**  **. What is your best estimate of the actual amount of**  **performance -**  **based bonus that you will**  **receive?** Round to the nearest $100 . Check the box if you do not expect to be eligible for or earn any additional pay based on your performance
. 

### $ 

## | | | , 

## | | | | **E 5**  **. Did you receive a bonus based**  **solely on your performance**  **last year ?** 

1 

###  Yes 0 

###  No **E6. How much do you agree or disagree with the following statements about the**  **performance**   ** based bonuses that were distributed based on teachers’ measured performance** **last year?** MARK ONE BOX IN EACH ROW **STRONGLY DISA**  **GREE DISA**  **GREE AG**  **REE STRONGLY**  **AG REE**  a. It was explained why I did (or did not) receive a performance - based 1 

###  2 

###  3 

###  4 

###  b. I understand how the am ounts of the performance - based 1 

###  2 

###  3 

###  4 

### 
c. I received i nformation about the performance based bonus in a timely 1 

###  2 

###  3 

###  4 

###  d. I feel the performance based bonus payouts were fair
................................ 1 

###  2 

###  3 

###  4 

###  e. I understand how I can adjust m y teaching practices this year to try to earn a bonus or 1 

###  2 

###  3 

###  4 

### TIF Spring 201 5 Teacher Survey 19

**E 7**  **. Which of the following performance criteria are used to evaluate your performance or to determine**  **your performance -**  **based bonus?** In column A , indicate whether the performance criterion is used to evaluate your performance. In column B, indicate whether the performance criterion helps determine whether you may receive a performance - based bonus or the amount of the bonus you may receive. If you are not eligible for a performance - based bonus, please mark “N/A” for not applicable. FOR EACH CRITERION

, MARK ONE BOX IN COLUMN A AND ONE BOX IN COLUMN B **A** 

### . **IS CRITERION USED TO EVALUATE**  **YOUR PERFORMANCE**  

### ? **B** 

### . **DOES CRITERION AFFECT**  **YOUR PERFORMANCE**  

### - **BASED BONUS**  

### ? **S TUDENT**  **ACHIEVEMENT YES**  **NO YES**  **NO N**  

### / **A** a. Student test scores at a point in time (e.g., average scores, proficiency rates, or Adequate Yearly Progress – AYP based on 201 4 - 201 5 scores only)
..... 1 

###  0 

###  1 

###  0 

###  9 

###  b. Growth in student test scores between the current and prior school year(s) at the school level (e.g., value - added, average gains)
................................ ........ 1 

###  0 

###  1 

###  0 

###  9 

### 
c. Growth in student test scores between the current and prior school year(s) in certain student groups (e.g., grade level, team, subject area
............................ 1 

###  0 

###  1 

###  0 

###  9 

###  d. Growth in student test scores between the current and prior school year(s) in teachers’ individual classes
................................ ................................ .......... 1 

###  0 

###  1 

###  0 

###  9 

### 
**DIRECT OBSERVA**

**TION** e. Classroom observations 1 

###  0 

###  1 

###  0 

###  9 

###  f. Professional judgment of principal or other adm inistrator, other than classroom observations
........ 1 

###  0 

###  1 

###  0 

###  9 

###  **ATTEND AN**  **CE** g. Teacher attendance 1 

###  0 

###  1 

###  0 

###  9 

###  h. Student attendance
................................ ....................... 1 

###  0 

###  1 

###  0 

###  9 

###  **STA KEHOLDER INPUT**  i. Reviews from other teachers 1 

###  0 

###  1 

###  0 

###  9 

###  j. Parent input
................................ ................................ ... 1 

###  0 

###  1 

###  0 

###  9 

###  k. Student input
................................ ................................ 1 

###  0 

###  1 

###  0 

###  9 

###  l. **OTHER** (Specify )
................................ ............................... 1 

###  0 

###  1 

###  0 

###  9 

### TIF Spring 201 5 Teacher Survey 20

**E 8**  **. W**  **hat is your academic -**  **year base teaching salary for the current school year**  **?** Do not include the value of potential performance - based bonuses. Please report your before - tax earnings from teaching for July 1, 201 4 to June 30, 201 5
. Round to the nearest $100. 

### $ 

## | | | | , | | 0 | 0 | **E 9**  **. Does your base teaching salary include additional**  **pay for any roles**  **or activities you may have**  **performed this**  **year besides classroom teaching**  **?** 1  Yes **GO TO E 10**  0  No **GO TO F1 E**  **10 .**  **Please indicate the amount of your base teaching salary that is due to additional pay for performing additional roles or activities.**  Round to the nearest $100
. 

### $ 

## | | | , 

## | | | | **E11 .**  **How much do you agree or disagree with each of the following statements?**  MARK ONE BOX IN EACH ROW **STRONGLY DISA**  **GREE DISA**  **GREE AG**  **REE STRONGLY**  **AG REE**  a . The district’s 1 

###  2 

###  3 

###  4 

### 

b
. The district’s teacher performance me asures are fair.............................................

...... 1 

###  2 

###  3 

###  4 

###  c . The district’s teacher performance me asures are used to support teacher improvement.
.... 1 

###  2 

###  3 

###  4 

### TIF Spring 201 5 Teacher Survey 21

**F1. In 2015**  **- 16,**  **I have the potential to earn additional pay**  MARK ONE PER ROW **YES NO**  a. Based solely on performance (e.g., measured by student achievement growth, observations, or a combination of measures)
............................... 1 

# □ 0 

# □ b
. Based on performance me asured by student achievement growth
.......... 1 

# □ 0 

# □ c . Based on performance me asured by observations
................................ ... 1 

# □ 0 

# □ d. Based on m y school’s characteristics (e.g., schools serving large proportions of economically disadvantaged or low - performing students)
.. 1 

# □ 0 

# □ e. For teaching in a hard - to - staff school or subject
................................ ......... 1 

# □ 0 

# □ f. For taking on additional roles or responsibilities (such as mentoring or ma ster lead teacher)
................................ ................................ .................. 1 

# □ 0 

# □ **F2. How much do you agree or disagree with each of the following statements?**  MARK ONE BOX IN EACH ROW **STRONGLY DISA**  **GREE DISA**  **GREE AG**  **REE STRONGLY**  **AG REE**  a. The district should provide additional pay based on teacher performance in 2015 - 16
................. 1 

###  2 

###  3 

###  4 

###  b. The district should use student achievement growth to measure teacher performance in 2015 - 16
................................ .......................... 1 

###  2 

###  3 

###  4 

###  c. The district should use mu ltiple observations conducted by trained observers to measure teacher effectiveness in 2015 - 16
................ 1 

###  2 

###  3 

###  4 

### 



### F. PERFORMA **NCE EVA LUA**  **TION IN 2015 -**  **16**TIF Spring 201 5 Teacher Survey 22

**G 1.**  **Are you male or female?**

1 

###  Male 2 

###  Fem ale **G 2.**  **Are you of Hispanic or Latino origin?**

1 

###  Yes 0 

###  No **G 3.**  **What is your race?**

SELECT ALL THAT APPLY 1 

###  Wh ite 2 

###  Black or African American 3 

###  Asian 4 

###  Native Hawaiian or other Pacific Islander 5 

###  Am erican Indian or Alaska Native **G 4.**  **What is your year of birth?**  

### | 1 | 9 | | | **G 5.**  **What is your marital status?**

1 

###  Married or living with a partner 2 

###  Wi dowed, separated, divorced, or never married **G 6.**  **Please check the appropriate box(es) regarding dependent children living with you.**

SELECT ALL THAT APPL Y 1 

###  Under 5 years 2 

###  Age 5 to 18 years 0 

###  No dependent children 18 years or younger 

### G. YOUR BA **CKGROUND**TIF Spring 201 5 Teacher Survey 23

**G 7.**  **Which statement below describes your living arrangement?**

MARK ONE ONLY 1 

###  Own home (either paying a mortgage or own outright) 2 

###  Rent 3 

###  Living with parents or someone else rent - free **G 8.**  **How far do you live from the school where you currently teach?** If you are not cu rrently teaching, check this box  and go Question F9
. Please indicate miles AND minutes. Your best estimate is fine. a. 

## | | | | mi les b. 

## | | | | mi nutes **G 9.**  **If you have any additional thoughts you would like to share about the [Program Name**  **], please use the space below.** TIF Spring 201 5 Teacher Survey 24

**H 1.**  **Please provide your contact information below. We will use it to reach you in case we need to clarify any of your responses. We will also use the address to mail your check**  **if you would like**  **to receive it at an address other than the school’s. Providing**  **this information is voluntary.** Name:______________________________________________________________________ Street address:______________________________________________________________ Cit y:____________________________ State:___________________ Zip Code:_________ Home Telephone: | | | | - | | | | - | | | | |

Area Code Number Cell Phone: | | | | - | | | | - | | | | |

Area Code Number Wo rk em ail:_________________________________________________________________ Home email:_________________________________________________________________ Best time to reach you by phone: Day: ______________________ Time: ________________ **H 2.**  **A follow**  **- up**  **questionnaire will be sent to you at your school next year. Please provide the name and contact information of someone who will know how to reach you if you are no**  **longer at your current school. Providing this information is voluntary.**  Person’s Name:

________________________________ ______________________________ R elationship to you:

________________________________ ___________________________ Street addr ess:

________________________________ ______________________________ Cit y:_______________________________ State:_________________ Zip Code:

________ Home Telephone: | | | | - | | | | - | | | | |

Area Code Number Em ail:

________________________________ ________________________________ _____ **Thank you for completing this questionnaire.**  

### H **. CONTA**  **CT INFORMATION**