Student UH Questionnaire – English

Instructions

In this questionnaire you will find questions about the following topics:

  • You, your family, and your home
  • Your School
  • Language learning in school
  • Your view on reading

Please read each question carefully and answer as accurately as you can.

In this questionnaire, there are no right or wrong answers. Your answers should be the ones that are right for yourself.

You may ask for help if you do not understand something or are not sure how to answer a question.

Some questions relate to reading.

Please note that the forward button used to proceed to the next question is located at the bottom right hand corner of your screen. In some instances you may need to scroll down to the bottom of your screen to access this forward button.

Your answers will be combined with answers from other students to calculate totals and averages. All information (or responses) you provide may only be used for statistical purposes and may not be disclosed, or used, in identifiable form for any other purpose except as required by law [Education Science Reform Act of 2002 (ESRA 2002), 20 U.S. Code, Section 9573].

According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless such collection displays a valid OMB control number. The valid OMB control number for this voluntary survey is 1850-0755. The time required to complete this survey is estimated to average 30 minutes per response, including the time to review instructions. If you have any comments concerning the accuracy of the time estimate, suggestions for improving this survey, or any comments or concerns regarding the status of your individual submission of this survey, please write to: Program for International Student Assessment (PISA), National Center for Education Statistics, Potomac Center Plaza, 550 12th Street, SW, Washington, DC 20202.

You, Your Family, and Your Home

ST001

What grade are you in?

(Please select from the drop-down menu to answer the question.)

Grade (7 – 12)

ST003

When were you born?

(Please select the month, day, and year from the drop-down menus to answer the question.)

Month (January – December)

Day (1 – 31)

Year (2000 –2003)

ST004

Are you female or male?

(Please select one response.)

radio button unchecked Female

radio button unchecked Male

ST800

Which best describes you?

(Please select one response.)

radio button unchecked I am Hispanic or Latino

radio button unchecked I am not Hispanic or Latino

ST801

Which of these categories best describes your race?

(Please select one or more responses.)

checkbox unchecked White

checkbox unchecked Black or African American

checkbox unchecked Asian

checkbox unchecked American Indian or Alaska Native

checkbox unchecked Native Hawaiian or Other Pacific Islander

ST005

What is the highest level of schooling (not including college) completed by your mother?

If you are not sure which circle to choose, please ask the test administrator for help.

(Please select one response.)

radio button unchecked She completed grade 12 (high school diploma or GED).

radio button unchecked She completed grade 9.

radio button unchecked She completed grade 6.

radio button unchecked She did not complete grade 6.

ST006

Does your mother have any of the following degrees, certificates, or diplomas?

If you are not sure how to answer this question, please ask the test administrator for help.

(Please select one response in each row.)

  Yes No
Master’s, doctoral, or professional degree such as medicine or law radio button unchecked radio button unchecked
Bachelor’s degree (4-year college degree) radio button unchecked radio button unchecked
Associate’s degree (2-year degree from a community college) radio button unchecked radio button unchecked
Vocational or technical certificate/diploma after high school (such as cosmetology or auto mechanics) radio button unchecked radio button unchecked

ST007

What is the highest level of schooling (not including college) completed by your father?

If you are not sure which circle to choose, please ask the test administrator for help.

(Please select one response.)

radio button unchecked He completed grade 12 (high school diploma or GED).

radio button unchecked He completed grade 9.

radio button unchecked He completed grade 6.

radio button unchecked He did not complete grade 6.

ST008

Does your father have any of the following degrees, certificates, or diplomas?

If you are not sure how to answer this question, please ask the test administrator for help.

(Please select one response in each row.)

  Yes No
Master’s, doctoral, or professional degree such as medicine or law radio button unchecked radio button unchecked
Bachelor’s degree (4-year college degree) radio button unchecked radio button unchecked
Associate’s degree (2-year degree from a community college) radio button unchecked radio button unchecked
Vocational or technical certificate/diploma after high school (such as cosmetology or auto mechanics) radio button unchecked radio button unchecked

ST011

Which of the following are in your home?

(Please select one response in each row.)

  Yes No
A desk to study at radio button unchecked radio button unchecked
A room of your own radio button unchecked radio button unchecked
A quiet place to study radio button unchecked radio button unchecked
A computer you can use for school work radio button unchecked radio button unchecked
Educational software radio button unchecked radio button unchecked
A link to the Internet radio button unchecked radio button unchecked
Classic literature (e.g., Shakespeare) radio button unchecked radio button unchecked
Books of poetry radio button unchecked radio button unchecked
Works of art (e.g., paintings) radio button unchecked radio button unchecked
Books to help with your school work radio button unchecked radio button unchecked
Technical reference books or manuals radio button unchecked radio button unchecked
A dictionary radio button unchecked radio button unchecked
Books on art, music, or design radio button unchecked radio button unchecked
A guest room radio button unchecked radio button unchecked
A high-speed Internet connection radio button unchecked radio button unchecked
A musical instrument radio button unchecked radio button unchecked

ST012

How many of these are there at your home?

(Please select one response in each row.)

  None One Two Three or more
Televisions radio button unchecked radio button unchecked radio button unchecked radio button unchecked
Cars radio button unchecked radio button unchecked radio button unchecked radio button unchecked
Bathrooms with a bathtub or shower radio button unchecked radio button unchecked radio button unchecked radio button unchecked
Cell phones with Internet access (e.g., smartphones) radio button unchecked radio button unchecked radio button unchecked radio button unchecked
Computers (desktop computer, portable laptop, or notebook) radio button unchecked radio button unchecked radio button unchecked radio button unchecked
Tablet computers (e.g., iPad®, Samsung Galaxy®) radio button unchecked radio button unchecked radio button unchecked radio button unchecked
E-book readers (e.g., Kindle™, Nook) radio button unchecked radio button unchecked radio button unchecked radio button unchecked
Musical instruments (e.g., guitar, piano) radio button unchecked radio button unchecked radio button unchecked radio button unchecked

ST013

How many books are there in your home?

There are usually about 15 books per foot of shelving. Do not include magazines, newspapers, or your schoolbooks.

(Please select one response.)

radio button unchecked 0-10 books

radio button unchecked 11-25 books

radio button unchecked 26-100 books

radio button unchecked 101-200 books

radio button unchecked 201-500 books

radio button unchecked More than 500 books

ST014

The following two questions concern your mother’s job:

(If she is not working now, please tell us her last main job.)

text entry areaWhat is your mother’s main job? (e.g., school teacher, cook, sales manager)
Please type in the job title.

text entry areaWhat does your mother do in her main job? (e.g., teaches high school students, helps prepare meals in a restaurant, manages a sales team)
Please use a sentence to describe the kind of work she does or did in that job.

ST015

The following two questions concern your father’s job:

(If he is not working now, please tell us his last main job.)

text entry areaWhat is your father’s main job? (e.g., school teacher, cook, sales manager)
Please type in the job title.

text entry areaWhat does your father do in his main job? (e.g., teaches high school students, helps prepare meals in a restaurant, manages a sales team)
Please use a sentence to describe the kind of work he does or did in that job.

ST019

In what country were you and your parents born?

(Please select one response in each column.)

  You Mother Father
United States* radio button unchecked radio button unchecked radio button unchecked
Other country radio button unchecked radio button unchecked radio button unchecked

* NOTE: The “United States” refers to the 50 states, District of Columbia, and U.S. military bases abroad.

ST021

How old were you when you arrived in the United States*?
* NOTE: The “United States” refers to the 50 states, District of Columbia, and U.S. military bases abroad.

(Please select from the drop-down menu to answer the question. If you were less than 12 months old, please select “age 0-1” (age zero to one).)

select from 0 to age 16Years

ST022

What language do you speak at home most of the time?

(Please select one response.)

radio button unchecked English

radio button unchecked Spanish

radio button unchecked Other language

ST125

How old were you when you started pre-school?

(Please choose from the drop-down menu to answer the question.)

Years

ST126

How old were you when you started first grade?

(Please choose from the drop-down menu to answer the question.)

Years old

Your English/Language Arts Learning

ST097

How often do these things happen in your English/Language Arts classes?

(Please select one response in each row.)

  Every class Most classes Some classes Never or hardly ever
Students don’t listen to what the teacher says. radio button unchecked radio button unchecked radio button unchecked radio button unchecked
There is noise and disorder. radio button unchecked radio button unchecked radio button unchecked radio button unchecked
The teacher has to wait a long time for students to quiet down. radio button unchecked radio button unchecked radio button unchecked radio button unchecked
Students cannot work well. radio button unchecked radio button unchecked radio button unchecked radio button unchecked
Students don’t start working for a long time after the lesson begins. radio button unchecked radio button unchecked radio button unchecked radio button unchecked

ST100

How often do these things happen in your English/Language Arts classes?

(Please select one response in each row.)

  Every class Most classes Some classes Never or hardly ever
The teacher shows an interest in every student’s learning. radio button unchecked radio button unchecked radio button unchecked radio button unchecked
The teacher gives extra help when students need it. radio button unchecked radio button unchecked radio button unchecked radio button unchecked
The teacher helps students with their learning. radio button unchecked radio button unchecked radio button unchecked radio button unchecked
The teacher continues teaching until the students understand. radio button unchecked radio button unchecked radio button unchecked radio button unchecked

ST160

How much do you agree or disagree with these statements about reading?

(Please take into account diverse kinds of reading material, such as books, magazines, newspapers, websites, blogs, emails...)

(Please select one response in each row.)

  Strongly disagree Disagree Agree Strongly agree
I read only if I have to. radio button unchecked radio button unchecked radio button unchecked radio button unchecked
Reading is one of my favorite hobbies. radio button unchecked radio button unchecked radio button unchecked radio button unchecked
I like talking about books with other people. radio button unchecked radio button unchecked radio button unchecked radio button unchecked
For me, reading is a waste of time. radio button unchecked radio button unchecked radio button unchecked radio button unchecked
I read only to get information that I need. radio button unchecked radio button unchecked radio button unchecked radio button unchecked

ST175

About how much time do you usually spend reading for enjoyment?

(Please take into account diverse kinds of reading, such as books, magazines, newspapers, websites, blogs, emails...)

(Please select one response.)

radio button unchecked I do not read for enjoyment

radio button unchecked 30 minutes or less a day

radio button unchecked More than 30 minutes to less than 60 minutes a day

radio button unchecked 1 to 2 hours a day

radio button unchecked More than 2 hours a day

Thank you very much for your cooperation in completing this questionnaire!

Back to top