1

End-of-12th-Grade Student Survey

INSTRUCTIONS

This survey asks about your involvement in school and the community, learning and study habits, and plans for 

the future. The survey should take about 35 minutes. Your answers are very important to us and will not be 

shared with anyone in your school, family, or community. This is not a test. There are no right or wrong 

answers. You may skip any question you do not wish to answer. If you have a question about the survey, raise 

your hand and someone will help you.

SECTION A: BACKGROUND

1. What school do you go to? School name

2. How many years have you been in the Roads to 

Success program?

0

1

2 or more

3. Are you graduating this year? 1 Yes

0 No

4. What grades do you typically get in school? 1 Mostly As

2 As and Bs

3 Mostly Bs

4 Bs and Cs

5 Mostly Cs

6 Cs and Ds

7 Mostly Ds

8 Ds and Fs

9 Mostly Fs

5. Please indicate whether you agree or disagree with 

the following statements:

a. There is no point in deciding on a job when the 

future is so uncertain. 

b. I can’t seem to become very concerned about my 

future occupation. 

c. I seldom think about the job that I want to enter. 

d. I’m not going to worry about choosing an 

occupation until I am out of school.

e. As far as choosing an occupation is concerned, 

something will come along sooner or later.

f. I really can’t find any work that has much appeal 

to me.

6. Different people have different strengths. No one is 

good at everything, and each of us emphasizes some 

strengths more than others. Please rate how strongly 

you have developed each of the following abilities using 

the scale below:

1 (Not strong) to 5 (Strongest) 

a. Keeping upbeat

b. Making decisions by myself

c. Taking responsibility for my actions

d. Sticking up for my beliefs

e. Counting on myself

f. Doing what’s right for me.

SECTION B: POSTSECONDARY PLANNING

7. Did you apply to or register at any colleges (including 2 

year, 4 year, and technical/

trade) this year?

If yes, please answer questions 8-11. If no, please go to 

question 12.

1 Yes

0 No
2

8. How many 2-year schools did you apply to or register 

at?

1 0

2 1

3 2-4

4 More than 4

List names of schools : ________

9. How many 4-year schools did you apply to or register 

at?

1 0

2 1

3 2-4

4 More than 4

List names of schools : ________

10. How many tech/trade schools did you apply to or 

register at?

1 0

2 1

3 2-4

4 More than 4

List names of schools : ________

11. How many schools were you accepted to? 1 2-year schools ___

2 4-year schools ____

3 Tech/trade schools ____

List names of schools : _____

12. Do you plan on applying to college in the future? 1 Yes

0 No

13. Do you have an up-to-date resume? 1 Yes

0 No

14. What are your main plans for the fall? Are you: 1 Going to college (Go to Section C)

2 Starting a full-time job (Go to Section D)

3 Starting a part-time job (Go to Section D)

4 Joining the military (Go to Section D)

5 Other (for example, travel, volunteer, or mission) 

(Go to Section E)

6 No current plans (Go to Section E)

SECTION C: IMMEDIATE PLANS-COLLEGE

If you are planning to attend college starting in the Fall, and you’ve been accepted or have registered, please 

answer the following questions. 

15. What type of college will you be attending? 1 Community college or 2-year college

2 4-year college or university

3 Technical or trade school

List name of school: 

16. Where will you be living? 1 in campus housing (dorm)

2 in off campus housing (apartment)

3 at home

17a. Do you have a major you are interested in?

If no, skip the next two questions.

17b. If yes, what is that major?

1 Yes

0 No

Planned major (survey-assisted): _______

17c. How interested are you in this major? 1 (not very)

2

3

4

5 (very)
3

18. What is the cost of attending school next year? 1 Tuition and Fees ___________

2 Room & Board ____________

3 Books & Supplies __________

4 Misc. ____________________

19a. Did you or your parents fill out the Free Application 

for Federal Student Aid (FAFSA)?

If no, go to 18b. If yes, skip 18b. 

1 Yes

0 No

19b. What are the reasons you or your parents did not 

complete a FAFSA?

[MARK ALL THAT APPLY]

1 You or your family did not want to take on debt

2 You or your family can afford school or college 

without financial aid

3 You or your family thought you may ineligible or 

may not qualify

4 You or your family did not have enough 

information about how to complete a FAFSA

5 You or your family thought the FAFSA forms were 

too much work or to time-consuming

6 You or your family did not know you could 

complete a FAFSA

20. Will you be receiving financial aid? 

If no, skip the next question.

1 Yes

0 No

21. What amount of financial aid are you receiving? 1 Loans ________

2 Scholarships _________

3 Grants ___________

4 Work Study ________

22. Will you be working while you are in school?

If no, go to SECTION E. If yes, go to next question.

1 Yes

2 No

3 Not sure

23. Is this a work-study placement?

If no, got to SECTION D. If yes, go to SECTION E.

1 Yes

0 No

SECTION D: IMMEDIATE PLANS-WORK

If you are planning to start a full-time or part-time job this Summer or Fall, please fill out the items below.

24. What jobs have you applied for? List jobs (survey-assisted)

25. What will be your position/title? List position/title (survey-assisted)

26. Is this job: Part-time (How many hours?: ___)

Full-time

27. If you have not received a job offer yet, please write 

what jobs you’re considering on the lines below.

Jobs I’m considering:

[then, for each job provided:]

Have you applied? (yes/no)

Have you interviewed? (yes/no)

[For those not planning to go to college after high school 

{i.e., skipping from section B to D}:] 

28. Do you plan to take postsecondary classes while 

working?

1 Yes, part-time

2 Yes, full-time

0 No

[For those not planning to take postsecondary classes]:

29. Which of the following are reasons why you have 

decided NOT to take postsecondary classes right after 

high school? 

[MARK ALL THAT APPLY]

1 You don’t like school

2 Your grades aren’t good enough

3 Your college admission scores weren’t high 

enough

4 You won’t need more education for the career 

you want

5 You can’t afford to go on to school

6 You haven’t taken the right courses
4

7 No one in your family has ever gone on to school 

after high school

8 You plan to join the military

9 You’d rather work and make money than go to 

school

10 You don’t feel that going to school is important

11 Your counselors or teachers recommend you 

work rather than continue your education

12 You need to help support your family

SECTION E: FUTURE PLANS

30a. Do you have an interest in a specific career? 

If yes, go to next question. If no, skip next two questions.

30b. If yes, what career? _______

1 Yes

0 No

List career (survey-assisted)

30c. How interested are you in this career? 1 (not very)

2

3

4

5 (very)

31. How far in school do you think you will get? 1 Some high school

2 GED

3 High school graduate

4 Technical or trade school

5 Associates degree (2 year college degree)

6 Bachelor’s degree (4 year college degree)

7 Master’s degree or equivalent

8 Ph.D., MD or other advanced degree (like a 

medical or law degree)

9 Other (Please describe) _________

d Don’t know

32. What is the job or occupation you expect or plan to 

have at age 30?

_______ Job / occupation name (survey-assisted)

0 I don’t know

33. How much education do you think you need to get 

the job you expect or plan to have at age 30? 

1 Some high school

2 GED

3 High school graduate

4 Technical or trade school

5 Associates degree (2 year college degree)

6 Bachelor’s degree (4 year college degree)

7 Master’s degree or equivalent

8 Ph.D., MD or other advanced degree (like a 

medical or law degree)

9 Other (Please describe) _________

d Don’t know

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 information collection is 1830-NEW. The time required to complete this information collection is estimated 

to average 35 minutes per respondent, including the time to review instructions, gather the data needed, and complete and review the information 

collected. If you have any comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: U.S. 

Department of Education, Washington, DC 20202. If you have comments or concerns regarding the status of your individual submission of this form, write 

directly to: U.S. Department of Education, Office of Career, Technical, and Adult Education, 400 Maryland Avenue, SW, Washington, DC 20202-7100.