### APPENDIX B **PRINCIPAL SURVEY** 

**1. Principal**  **Letter 2.**  **Principal Qu**  **estionnaire**

### PRINCIPAL SURVEY COVER LETTER

Dear [PRINCIPAL NAME]: 

### Your school is participating in the national Evaluation of the Teacher Incentive Fund (TIF) conducted by <TBD > 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, the career paths of principals and teachers, and the ability of schools to retain high quality staff. As part of the study, school principals are being asked to complete a Web - based survey this spring 2015. The survey will take about 30 minutes of your time. Th e survey is designed to learn about the hiring practices of school administr ators, understand how principals and teachers are evaluated and compensated for their performance, and assess principals’ understanding of the TIF program. The survey also collects information on principals’ demographic characteristics, educational backgro und, and professional experiences. While your participation is voluntary , the information collected from principals 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 questionnaire 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 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 principal 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 xxxxxxx , the deputy survey director, toll free at 866 - xxx xxxx or xxxx . Thank you for your cooperation and participation in this i mportant study. Sincerely , xxxxxxxxxxxxx Survey DirectorOM B Control No.: [Program Name]

Ex piration Date: 

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



# PRINCIPAL SURVEY **SPRING 201 5** 

This survey is part of the evalua tion of the Teacher Incentive Fund (TIF), a federally funded initiative on performance pay

for educators. The survey includes questions about yo ur background, yo ur school’s hiring practices, classroom assignments, and knowledge and perceptions of the TIF f unded program. **Please return the completed form to: If you have questions, please contact:** 
This survey

i s authorized by

l aw: The ARRA, Division A, Title VIII, Pub. L. 111 – 5 and Departments of Labor, Health and Human Services, and Education, and Related Agencies Appropriations Act, 2010, Division D, Title III, Pub. L. 111 – 117. 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 con trol number for this information collection is 1850 - 0876 . The time required to complete this information collection is estimated to average 30 minutes per respondent, including the time to review instructions, gather t he data needed, and complete and revie w the information collected. If you have any comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please w rite to: U.S. Department of Education, Washington, DC 20202. If you have commen ts or concerns regarding t he status of your individual submission of this form, write 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 Principal Survey

This survey is part of the national evaluation of the Teacher Ince ntive Fund (TIF), a federally funded initiative that will provide valuable information on the potential im pact of performance - based incentive programs on student achievement and educator mobility. The survey i ncludes questions about your background, yo ur s chool’s hiring practices, classroom assignments, and knowledge and perceptions of the TIF funded program. **We would like you to know that:**
 This survey is voluntary, but yo ur response is critical for producing valid and reliable data about yo ur district’s TIF funded program. You may s kip any questions you do not wish to answer; however, we hope that you answer as many questions as you can.
 The survey takes about 30 mi nutes to complete , and once yo u have completed it, we will send yo u $20 to compensate you for your time.
 Refusal to participate in the principal survey will not affect your 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 im portant information that can be used by p rincipals and other educators. Specifically, we will learn whether incentive programs may h ave a positive impact on student achievement and teacher and principal retention.
 Responses to this data collection will be used only for stati stical purposes. The reports prepared for this study

w ill summa rize findings across the sample and will not associate responses with a specific school or individual. We w ill not provide information that identifies you or your school to anyone outside the s tudy t eam , except as required byl aw. Additionally, no one in yo ur school or district will see your responses.
 Participation in the principal survey d oes not im pose any s pecial risks to you 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 identifyi ng information such as nam e and school from survey responses. All contractor staff sign a confidentiality pl edge and all staff with access to study data have received clearance from the U.S. Department of Education and are subject to severe legal consequences for any breach of confidentiality.
 An IRB has reviewed and approved this study
. If yo u have any q uestion s about yo ur rights as a research participant, yo u can contact IRB at 1 - 800 - xxx - xxxx . I have read and I understand the above statements and agree to participate in the survey.**A1. What position**  **do you currently hold at this school?**  MARK ONE ONLY 1 

###  Principal 2 

###  Assistant or vice principal 3 

###  Other (Specify):

________________________________ __________________________ **A2. How long have you served in your current position at this school?** 

MARK ONE ONLY 1  Less than one year.

In what month did you begin serving in your current position?

_______________ 2  One year or more.

How many years have you served in your current position? | | | ye ar(s) **A3. Including this school year, how many years have you served in**  **any administrative**  **position in this school**  **?** 

## | **| |**  YEARS **A4. Including this school year, h**  **ow many years have you served in any**  **administrative position**  **in any school**  **?** Include all schools in this or any other district. 

## | **| |**  YEARS



### A. **PERSONA L**  **AND PROFESSIONA L BA** **CKGROUND A5.**  **How satisfied are you with each of the following aspects of your school this year?**
MARK ONE BOX IN EACH ROW **VERY DISSA**  **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 observations to assess m y skills
................................ 1 

###  2 

###  3 

###  4 

### 
e. Use of student achievement scores to assess m y 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 

### 

**A6. What is the highest level of education you have compl**  **eted?**

MARK ONE ONLY 1 

###  Bachelor’s degree 2 

###  Master’s degree 3 

###  Doctoral degree (Ph. D., Ed. D.) 4 

###  Other (

Specify ):

________________________________ ___________________________ **A7. What is your year of birth?**  

### | 1 | 9 | | |**A8. Are you of Hispanic or Latino origin?**  1 

###  Yes 0 

###  No **A9. Wh**  **at is your race?**

SELECT ALL THAT APPL Y 1 

###  Wh ite 2 

###  Black or African American 3 

###  Asian 4 

###  Native Hawaiian or other Pacific Islander 5 

###  Am erican Indian or Alaska Native **A10. Are you male or female?** 

MARK ONE ONLY 1 

###  Male 2 

###  Fem ale**B1. Which o**  **f the following statements best describes the principal’s role in hiring teachers for this school?**  MARK ONE ONLY 1 

###  Principal has complete autonom y over teacher hiring 2 

###  Principal is part of a school - level team responsible for teacher hiring 3 

###  Princip al receives a set of prescreened candidates from the district office as the pool from which he or she (or a school team) can interview and hire teachers 4 

###  Principal has little or no input in hiring teachers at this school 5 

###  Other (Specify)

________________________________ __________________________ **B2. In fil**  **ling teacher vacancies for the 201 4**  **- 201**  **5 school year, when did your school FIRST**  **begin interviewing potential teachers ?**  MARK ONE ONLY 1 

###  December 201 3 or earlier 2 

###  January 201 4 3 

###  February 201 4 4 

###  March 201 4 5 

###  April 201 4 6 

###  May 20 1 4 7 

###  June 201 4 8 

###  July 201 4 9 

###  August 201 4 10 

###  September 201 4 or later d 

###  Don’t know 11 

###  No vacancies to fill **GO TO**  **QUESTION B5**  **B3. During which period did your school conduct the MOST interviews with potential**  **hires?** Write the number or letter from the list in B2 above (1 through 10 or d ) that corresponds to that period. 

## | **| |** **B4. Please provide the information requested below about teaching positions for the 201**  **2 -** 

**201 3**  **school year, including activities before**  **the st art of the school year.**  **NUMBER** a. Total number of classroom teacher vacancies
............................... 

## | | | b. Number of applications your school reviewed for the position(s)
... 

## | | | c. Number of applicants your school interviewed
............................... 

## | | | d. Number of offers your school made
................................ ............... 

## | | | e. Number of offers that were accepted
................................ ............. 

## | | |
**B5. How frequently were the following factors about your school used as incentives or**  **benefits when recruiting or interviewing teachers for your school?** MARK ONE BOX I N EACH RO W **NEVER RA**  **RELY SOMETIME**  **S OFTEN**  **AL WA**  **YS** a. Salary
................................ ............................ 1 

###  2 

###  3 

###  4 

###  5 

###  b. Opportunities to earn performance based pay
................................ ...................... 1 

###  2 

###  3 

###  4 

###  5 

###  c. Opportunities for career advancement
.......... 1 

###  2 

###  3 

###  4 

###  5 

###  d. Opportunities for professional developm ent
................................ .................. 1 

###  2 

###  3 

###  4 

###  5 

###  e. The level of teacher involvement in school decision making
................................ 1 

###  2 

###  3 

###  4 

###  5 

###  f. Collegiality of teaching staff
.......................... 1 

###  2 

###  3 

###  4 

###  5 

###  g. The school culture and/or educational philosophy
................................ ..................... 1 

###  2 

###  3 

###  4 

###  5 

###  h. The school’s reputation
................................ 1 

###  2 

###  3 

###  4 

###  5 

###  i. The school’s location or neighborhood
......... 1 

###  2 

###  3 

###  4 

###  5 

###  j. The level of student achievement at the school
................................ ............................ 1 

###  2 

###  3 

###  4 

###  5 

###  k. The **[Program Name]**
................................ 1 

###  2 

###  3 

###  4 

###  5 

###  l. Other factor 1 (Specify)
................................ 1 

###  2 

###  3 

###  4 

###  5 

### 

________________________________ __ m. Other factor 2 (Specify)
................................ 1 

###  2 

###  3 

###  4 

###  5 

### 

________________________________ __**B6. Of the factors in Question B5, please indicate, in order of importance, the THREE that**  **you feel are the most compelling reasons for teachers to accept a position at**  **your school**  **.** a. Most important factor
....... 

## | | b. Second most important
.... 

## | | c. Third most important
....... 

## | | **B7. Of the applicants who DID NOT A**  **CCEPT the offer of a teaching position, do you think any of the factors listed in Question B5 contributed to that dec**  **ision?** 1 

###  Yes. If yes, in the space below, use the list in Question B5 (a - m) above to write those that apply, or write any other factor(s) not on the list. a. Factor one
................................ .... 

## | | b. Factor two
................................ .... 

## | | c. Factor three
................................ .. 

## | | d.

________________________ Other (Specify) 0 

###  N o factors apply ; personal circumstances unrelated to school or position d 

###  Don’t know
n 

###  Not applicable **B8. How frequently**  **did your school use the following criteria when assigning**  **teachers to**  **grade levels or subject areas?** MARK ONE BOX IN EACH R OW **NEVER RA**  **RELY SOMETIMES**  **OFTEN AL**  **WA YS**  a. The teacher’s experience in a grade level or subject area
................................ ............ 1 

###  2 

###  3 

###  4 

###  5 

###  b. The teacher’s seniority
................................ 1 

###  2 

###  3 

###  4 

###  5 

###  c. The teacher’s content knowledge
............... 1 

###  2 

###  3 

###  4 

###  5 

###  d. The teacher’s ability to produce high test scores in grades/classes in which state or federal assessments are administered
....... 1 

###  2 

###  3 

###  4 

###  5 

###  e. The teacher’s ability to work with certain student populations (e.g., ESL, special needs)
................................ ......................... 1 

###  2 

###  3 

###  4 

###  5 

###  f. To balance tea cher experience and expertise in a grade level or subject
........... 1 

###  2 

###  3 

###  4 

###  5 

###  g. Other (Specify

)
................................ ............ 1 

###  2 

###  3 

###  4 

###  5 

### 

________________________________ __**B9. From the list of criteria**  **in Question B8 above**  **(a -**  **g) , please list the top three criteria**  **your school uses when assigning teachers to**  **tested grade levels or subject areas**  **(grades/subject areas annually assessed by district and/or state achievement testing).** a. Criterion one ................................ ..... 

## | | b. Criterion two
................................ ..... 

## | |
c. Criterion three
................................ ... 

## | |**For questions in this section, please t hink about all policies and programs in effect at your school,**  **and not just the [Program Name].** NOTE : For questions C1 to C5 , please consider only instances of formal observations conducted in a classroom. Form al observations are standardized by using a ru bric or checklist and are usually given at regular intervals. ( Informal observations do not use a standardized rubric or checklist and are not conducted on any set schedule.) **C1. Are formal classroom observations being conducted or planned to evaluate teac**  **her**

**performance in your school?** 1 

###  Yes 0 

###  No **GO TO QUESTION C6 C2.**  **For each type of school staff listed below, mark Yes or No to indicate if someone in that position conducts formal classroom observations to evaluate teacher**  **performance this year**  **.** If a listed position is not relevant to your school, mark ’not applicable’. MARK ONE BOX IN EACH RO W **YES NO**  **NOT**

**AP PLICA**  **BLE** a. Principal
................................ ................................ ................................ ..... 1 

###  0 

###  9 

###  b. Other administrator (e.g., assistant or vice principal, department head)
................................ ................................ ................................ ......... 1 

###  0 

###  9 

###  c. Mentor, m aster, or lead teacher at your school
................................ ........ 1 

###  0 

###  9 

###  d. Mentor, master, or lead teacher from a different school
........................... 1 

###  0 

###  9 

###  e. Content specialist
................................ ................................ ...................... 1 

###  0 

###  9 

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

###  0 

###  9 

### 

________________________________ _________________________ **C3. How often are formal observations conducted for cla**  **ssroom teachers during the school year?**  A classroom teacher is typically observed 

## | | | TIMES DURING THE SCH OOL YEAR . **C4. Do teachers have the opportunity to review the instrument or rubric so that they can**  **be informed about the criteria on which t hey are being assessed?**  1 

###  Yes 0 

###  No **C5. Is each teacher shown his or her ratings after the classroom observation?** 

1 

###  Yes 0 

###  No 

### C. **TE AC**  **HER EVA LUA**  **TION AND COMPENSA**  **TION AT**  **YOUR SCHOOL C6**  **. For which of**  **the following roles or activities can teachers**  **at your school earn**  **additional pay this school year**  **?** For each Yes answer, indicate in Column B the maximum amount that a teacher could receive
. **Roles and Responsibilities A**  **. CA**  **N EA RN**  **AD DITIONA**  **L PA**  **Y ?**  **B .**  **MA XIMU**  **M A MOUNT**  **POSSIBLE**
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 scho ol - wide committee or task force
................................ 1 

###  Yes
0 

###  No $ 

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

________________________________ 1 

###  Yes
0 

###  No $ 

### | | |,| | | | **Other A ctivities**  g . Teaching in a hard - to - staff schoo l (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 $ 

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

###  Yes
0 

###  No $ 

### | | |,| | | |The next series of questions focus es on criteria used to measure the performance of teachers (in

tested grades and subject s) at your school and to determine performance - based bonuses. Perform ance - based bonuses refer to bonuses based on measured effectiveness and do not include additional pay for roles /responsibilities and activities (such as those listed in Question C6)
. **C7. Is it possible for teachers in**  **tested grades and subjects at your sch**  **ool to earn a bonus based**  **solely on their performance for the 2014**  **- 2015 school year**  **?** 1 

###  Yes  **GO TO C8**  0 

###  No  **GO TO C9**  **C8 .**  **What is the maximum possible performance -**  **based bonus amount that a teacher in a tested grade and subject**  **at y our school can earn this school year? (If you are not sure,**  **please provide your best estimate.)** Round to the nearest $100. 

### $ 

## | | | , 

## | | | |**C9. Which of the following performance criteria are used to evaluate teachers in**  **tested gra des** 

**and subjects at your school or to determine their performance**  **- based bonus?**  In column A , indicate whether the performance criterion is used to evaluate teachers’ performance at your school. In column B, indicate whether the performance criterion helps determine whether teachers at your school may receive a performance - based bonus or the amount of the bonus they may receive. If it is not possible for teachers at your school to earn performance - based bonuses, 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 TEACHERS**  

### ’ **PERFORMANCE** 

### ? **B** 

### . **DOES CRITERION AFFECT**  **TEACHERS** 

### ’ **PERFORMANCE** 

### - **BASED BONUS**  **ES** 

### ? **STUDENT ACHIEVEMENT YES**  **NO YES**  **NO N**  **/ A**  a. Student test scores at a poi nt in time (e.g., average scores, proficiency rates, or Adequate Yearly Progress – AYP based on 2014 - 2015 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 - add ed, 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 curr ent and prior school year(s) in teachers’ individual classes
................................ ................................ .......... 1 

###  0 

###  1 

###  0 

###  9 

### 
**DIRECT OBSERVATION** 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 

### 
**ATTENDANCE** g. Teacher attendance
................................ ...................... 1 

###  0 

###  1 

###  0 

###  9 

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

###  0 

###  1 

###  0 

###  9 

###  **STAKEHOLDER 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 

### **C10 .**  **Are teachers at**  **your school eligible for non -**  **monetary benefits in recognition of their performance or added responsibilities?**  1 

###  Yes 0 

###  No **GO TO SECTION D C11**  **. Which of the follo**  **wing non -**  **monetary benefits are available to teachers at your school**  **?** MARK ONE BOX IN EACH ROW **YES NO**  a. Release from classroom teaching for mentoring or other leadership activities
................................ ................................ ................................ ... 1 

###  0 

###  b. Decision making authority on issues such as hiring staff or adopting curriculum
................................ ................................ ................................ 1 

###  0 

###  c. Priority in teaching assignments (e.g., grade level or subject area)
....... 1 

###  0 

###  d. Priority in student assignment
................................ ................................ . 1 

###  0 

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

###  0 

### 

**________________________________ ______________________________** 
**C1 2.**  **How much do you agree or disagree with each of the fol lowing statements?** 
MARK ONE BOX IN EACH ROW **STRONGLY DISA** **GREE DISA** **GREE AG**  **REE STRONGLY**  **AG REE**  a. The district’s teacher performance me asures are an accurate measure of individual teacher performance
...............................................

.... .. 1 

###  2 

###  3 

###  4 

###  b . I use the district’s performance measures to inform decisions about staffing and providing additional support to teachers ( e.g. , staff assignments and professional development needs)
.................................... ..... ......

.... 1 

###  2 

###  3 

###  4 

### NO TE: For the questions in this section, please think about all policies and programs in effect at your school, and not just the [Program Name]. **D1 .**  **Have you been (or expect to be) observed by a trained observer this year**  **?**

1 

###  Yes **GO TO D2**  0 

###  No **GO TO D3** 
**D2 .**  **How many times during this school year have you been (or expect to be) observed by**  **a trained observer to evaluate your performance**  **?** 

## | | | OBSERVATION ( S ) THIS SCHOOL YEAR TO DATE 

## | | | MORE OBSERVATION ( S ) EXPECTED BY THE END O F THE SCHOOL YEAR **D3 .**  **For which of the following roles or activities**  **can you**  **earn additional pay this school**  **year ?**  For each Yes answer, indicate in Column B the maximum amount that you could receive , and in Column C, the amount you expect to receive
. **Ro les and Responsibilities**  **A .**  **CA N EA**  **RN AD**  **DITIONA L**  **PA Y**  **? B**  **. MA** 

**XIMU M A** **MOUNT POSSIBLE**  **C .**  **AM OUNT YOU EXPECT**  **TO RECEIVE** a. Additional roles or responsibilities in the school or district
................................ 1 

###  Yes
0 

###  No $ 

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

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

###  Yes
0 

###  No $ 

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

### | | |,| | | |

c. Att ending professional development activities or enrolling in graduate level courses (exclude tuition)
........................ 1 

###  Yes
0 

###  No $ 

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

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

________________________________ 1 

###  Yes
0 

###  No $ 

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

### | | |,| | | | **D .**  **AD MINISTRA** 

**TOR EVA LUA** 

**TION A ND COMPENSA**  **TION A T YOUR SCHOOL** The next series of questions focus es on criteria used to measure your performance and to determine

performance - based bonuses. Performance - based bonuses refer t o bonuses based on measured effectiveness and do not include additional pay for roles /responsibilities and activities (such as those listed in Question D3). **D4. Is it possible for you to earn a bonus based**  **solely on your performance for the 2014**  **- 2015 schoo**  **l year ?**  1 

###  Yes **GO TO D5**  0 

###  No **GO TO D7**  **D5 .**  **W hat do you think is the maximum**  **performance -**  **based bonus that**  **someone in your position could possibly earn**  **for this school year?** Round to the nearest $100. 

### $ 

## | | | , 

## | | | | **D6 .**  **What is your best estimate of the actual amount of performance**  **- based bonus**  **that you will receive?**  Round to the nearest $100
. 

### $ 

## | | | , 

## | | | |

**D7 .**  **Did you receive a bonus based solely**  **on your performance last year**  **?**

1 

###  Yes 0 

###  No**D8. How much do you agree or disagree with the following statements about the**  **performance -**  **based bonuses that were distributed based on measured performance last year?**  MARK ONE BOX IN EACH ROW **STRONGLY DISA** **GREE DISA** **GREE AG**  **REE STRONGL**  **Y AG**  **REE** a. It was explained why I did (or did not) receive a performance - based bonus
....................... 1 

###  2 

###  3 

###  4 

###  b. I understand how the amounts of the performance - based bonuses were determined
................................ ....................... 1 

###  2 

###  3 

###  4 

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

###  2 

###  3 

###  4 

###  d. I feel the perfo rm ance - based bonus payouts were fair
................................ .............. 1 

###  2 

###  3 

###  4 

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

###  2 

###  3 

###  4 

### **D9. Which of the following performance criteria are used to evaluate yo**  **ur 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 USE**  **D 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 20 14 - 2015 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 

### 
**DIRECT OBSERVA**

**TION** d. O bservations by

trained observers
............................... 1 

###  0 

###  1 

###  0 

###  9 

###  **INPUT FROM STA KEHOLD**  **ERS** e . Teacher assessments
................................ ................... 1 

###  0 

###  1 

###  0 

###  9 

###  f. Parent input
................................ ................................ 1 

###  0 

###  1 

###  0 

###  9 

###  **OTHER MEA**

**SURES** g. Other measure 1 (Specify)
................................ ........... 1  0  1  0  9  h
. Other me asure 2 (Specify)
................................ ........... 1  0  1  0  9 **D10 .**  **W hat is your academic**  **- year base**  **administrative salary**  **for the current scho ol year**  **?** Do not include the value of potential performance - based bonuses. Please report your before tax earnings from July 1, 201 4 to June 30, 201 5
. Round to the nearest $100. 

### $ 

## | | | | , | | 0 | 0 |

**D11 .**  **Does your base administrat**  **ive salary include additional**  **pay for any roles**  **or activities you may have performed**  **this year?**  1  Yes **GO TO D10** 0  No **GO TO Section E**  **D12 .**  **Please indicate the amount of your base administrative salary that is due to additional pay for**  **performing roles or activities.** Round to the nearest $100
. 

### $ 

## | | | , 

## | | | | **D13 .**  **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 RE**  **E** a . The district’s principal performance me asures are an accurate measure of my performance
................................ ..................... 1 

###  2 

###  3 

###  4 

### 
b
. The district’s principal performance me asures are fair
................................ ............. 1 

###  2 

###  3 

###  4 

###  c. The district’s principal performance me asures are used to supp ort principal im provement.
.... 1 

###  2 

###  3 

###  4 

### **E1 .**  **Has the**  **[Program Name] affected your choice of where to work as a school administrator?**  1 

###  Yes 0 

###  No 

### GO TO QUESTION **E 3**  **E2 .**  **How has the**  **[Program Name] affected your choice of where to work as a school**  **administrator?** MARK ONE ONLY 1 

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

###  I came to m y school to get into the **[Program Name]** 

### E. THE [PROGRA **M NA ME]** **E3 .**  **Tell us about the professional development activities in which teachers at your school participated**  **during the 2014 -**  **2015 school year .**  **For each topic listed, indicate the following: A:**  **Was the topic the focus of professional development (PD) in which teachers participated?**  **B: If yes, approximately what percentage of teachers at your school received PD i**  **n the topic?**  **C: In general, to what extent do you feel the PD was beneficial to the participants?**  IN EACH ROW

, MARK ONE BOX IN C OLUMN A. IF Y ES, COMPLETE COLUMNS B AND C. **A .**  **FOCUS OF PD ?**  **B .**  **PERCENT OF**  **TE AC**  **HERS C**  **. PERCEIVED BENEFIT OF**  **THE PD YES**  **NO N**  **OT AT**  **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 fe edback based upon individual performance ratings as measured by the [ **Program Name**  ]
................................ .......... 1  0  

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

### | | | | 1  2  3  4  e. Instruct ion al techniques and strategies
................................ ..... 1  0  

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

### | | | | 1  2  3  4 **E4 .**  **Please indicate the extent to which you agree or disagree with each statement abo ut**  **the [Program Name]**  **at yo**  **ur school.** MARK ONE BOX IN EACH ROW **STRONGLY DISA** **GREE DISA** **GREE AG**  **REE STRONGLY**  **AG REE**  a. The **[Program Name]** has been clearly communicated to me
................................ ................................ 1 

###  2 

###  3 

###  4 

###  b. This school has less chance of earning a bonus because of the characteristics of our student population
................................ ................................ ................... 1 

###  2 

###  3 

###  4 

###  c. The evaluation system omits important aspects of school administration that should be considered
....................... 1 

###  2 

###  3 

###  4 

###  d. The **[Program Name]** contributes to greater collegiality and professionalism am ong the staff at this school
................................ ................................ .................. 1 

###  2 

###  3 

###  4 

###  e. Teachers at this school are more comfortable with formal observations of their teaching because of the **[Program Name]**
................................ ................................ 1 

###  2 

###  3 

###  4 

###  f. Parents and the school community believe the **[Program Name]** is im portant
................................ .................... 1 

###  2 

###  3 

###  4 

###  g. The **[Program Name]** is likely to continue for the foreseeable future
................................ ................................ 1 

###  2 

###  3 

###  4 

###  h. I played an important role in implementing the **[Program Name]** at m y school
................................ .................. 1 

###  2 

###  3 

###  4 

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

# □ 0 

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

# □ 0 

# □ c . Based on performance measured 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 taking on additional roles or responsibilities in the school or district
................................ ................................ ................................ ......... 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** **G REE**  **AG REE**  **STRONGLY AG**  **REE** a. The district should provide additional pay based on principal performance in 2015 - 16
................ 1 

###  2 

###  3 

###  4 

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

###  2 

###  3 

###  4 

###  c. The district should use multiple observations to measure principal performance in 2015 - 16..... 1 

###  2 

###  3 

###  4 

###  **F .**  **THE [PROGRA M NA**  **ME]/ PERFORMA**  **NCE E**  **VA LUA**  **TION in 2015**  **- 16** **F 3**  **. How much do you agree or disagree with each of the following statements?**  MARK ONE BOX IN EACH ROW **STRONGLY DISA** **GREE DI**  **SA 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 multiple observations to measure teacher performance in 2015 - 16...... 1 

###  2 

###  3 

###  4 

### 

**F4 .**  **If you have any additional thoughts you would like to share about the**  **[Program Name] or clarifications on your responses**  **, pleas e use the space below.** **G 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 addre**  **ss other than your school address**  **. Providing this information is voluntary.**  Name:______________________________________________________________________ Street address:______________________________________________________________ Cit y:________________ ____________ State:___________________ Zip Code:_________ Home Telephone: | | | | - | | | | - | | | | |

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

Area Code Numb er Wo rkem ail:_________________________________________________________________ Home email:_________________________________________________________________ Best time to reach you by phone : Day: ______________________ Time: ________ ________ **G 2.**  **A fol**  **low -**  **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 N am e:

________________________________ ______________________________ Relationship to you:

________________________________ ___________________________ Street addr ess:

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

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

Area Code Number Em ail:

________________________________ ________________________________ _____ **Thank you for completin g this questionnaire.**  

### G **. CONTA** **CT INFORMA TI**  **ON**