NATIONAL LONGITUDINAL SURVEY OF CHILDREN & YOUTH Cycle 3 Survey Instruments 1998-99

NATIONAL LONGITUDINAL SURVEY OF CHILDREN & YOUTH Cycle 3 Survey Instruments 1998-99
NATIONAL LONGITUDINAL
SURVEY OF CHILDREN & YOUTH
Cycle 3 Survey Instruments 1998-99
Book 2 - Education, 10-11, 12-13, 14-15 year olds
Catalogue no. 89FOO77XIE, no. 3b
Statistics Canada
Statistique Canada
Human Resources
Développement des ressources
Development Canada humaines Canada
1999
For further information on the National Longitudinal Survey of Children and Youth, the contact within Human
Resources Development Canada is:
Susan McKellar
NLSCY Project Coordinator
Human Resources Development Canada
Income Security and Social Development Studies
Applied Research Branch
7th Floor, Narono Building
360 Laurier Avenue
Ottawa, Ontario
K1A OJ9
Telephone: (613) 946-5716
Facsimile: (613) 946-5283
Email: [email protected]
The contacts within Statistics Canada is:
Sylvie Michaud
Special Surveys Division
Statistics Canada
7-C8 Jean Talon Building
Ottawa, Ontario
K1A 0T6
Telephone: (613) 951-9482/ (613) 951-4578
Facsimile: (613) 951-7333
Email: [email protected]
Également disponible en français sous le titre: Enquête longitudinale nationale sur les
enfants et les jeunes, Matériel d'enquête pour la collecte des données de 1998-99 - Cycle 3.
Introduction
This is the second in a set of two documents containing the NLSCY cycle 3 instruments, by which we
mean the various questionnaires used to gather information from parents, children and youth, teachers
and principals. This document includes the teacher, principal and youth self-complete questionnaires
only; the parent questionnaires can be found in Book 1. The questions used in Cycle 3 are quite similar
to those used in Cycle 1 and 2; the reader may also wish to refer to the Cycle 1 and 2 documentation,
available upon request:
Cycle 1
National Longitudinal Survey of Children: Survey Instruments for 1994-95 Data Collection, Cycle 1
National Longitudinal Survey of Children: Overview of Survey Instruments for 1994-95 Data
Collection, Cycle 1
National Longitudinal Survey of Children and Youth: User’s Handbook and Microdata Guide is also
available
Cycle 2
National Longitudinal Survey of Children and Youth: Survey Instruments for 1996-97 Data Collection,
Cycle 2
National Longitudinal Survey of Children and Youth: Overview of Survey Instruments for 1996-97
Data Collection, Cycle 2
These are available on the Statistics Canada website: statcan.ca\Products and Services\Downloadable
Publications (free), scroll down to 89-566-XIE for the article ‘”The intricate family life courses of
Canadian children” and 89F0077XIE and 89F0078XIE for the instruments and overviews.
A series of research papers based on Cycle 1 NLSCY data was presented at a conference sponsored
by Human Resources Development Canada in 1998; refer to the conference web site:
www.hrdc-drhc.gc.ca/arb/conferences/nlscyconf/ .
In addition, a series of articles exploring various aspects of the Cycle 1 data was published under the
title “Growing Up in Canada” and is available from Statistics Canada as Catalogue # 89-550-MPE; the
cost is $25.
Information was collected from teachers, principals and older children and youth using some hard-copy
(paper-and-pencil) questionnaires completed by respondents. The hard-copy questionnaires are
replicated here.
National Longitudinal Survey of Children and Youth - Cycle 3
BOOK 2 - CONTENTS
1.
Teacher’s Questionnaire (For kindergarten teachers) - Document 1
2.
Teacher’s Questionnaire (for a school environment where the child has one
teacher for the basic academic subjects) - Document 2
3.
Mathematics Teacher’s Questionnaire - (For a school environment where a
child/youth has different teachers for the basic academic subjects) - Document 3
Mathematics
4.
Language Arts Teacher’s Questionnaire (For a school environment where a
child/youth has different teachers for the basic academic subjects) - Document
3 Language Arts
5.
Principal’s Questionnaire - Document 4
6.
Questionnaire for 10-11 year olds
7.
Questionnaire for 12-13 year olds
8.
Questionnaire for 14-15 year olds
9.
Informed Consent Form
1.
Teacher’s Questionnaire (For kindergarten
teachers) - Document 1
XXX
Human Resources Development Canada & Statistics Canada
(Special Surveys Division & Centre for Education Statistics)
National Longitudinal Survey of
Children and Youth - Cycle 3
Teacher’s Questionnaire
(For kindergarten teachers)
Document 1
This information is collected under
the authority of the Statistics Act
(RSC. 1985, c. S19)
Confidential when completed
Version française disponible
Instructions
The purpose of this survey is to gather information on various school factors which may influence
the development and education of children. The items in this questionnaire relate to a particular
child who is attending your class and who is identified on this questionnaire. The questionnaire also
includes various school practices and information about yourself.
Under the Statistics Act the information collected in this questionnaire will be kept confidential.
Completion of the questionnaire is completely voluntary. However, to ensure that we have a complete
picture of all the forces which shape this child's development, we strongly encourage you to complete the
questionnaire within the next five days. Please use a black or blue pen when answering the questions.
We would be most happy to answer any questions you might have. Please feel free to call. The telephone
number is 1-800-307-EDUC/1-800-307-3382.
Please place the completed questionnaire in the business reply envelope and mail it directly to us today.
Your responses are confidential; therefore do not show your responses to any other person.
If you have not been provided with a business reply envelope, please call 1-800-307-3382 for instructions or
where to send the completed questionnaire.
THANK YOU FOR YOUR COOPERATION.
8-2200-377.1: 1999-01-06
STC/ECT-180-75020
SECTION 1
This child’s education
The following sections relate to the educational development of this particular
child attending your class.
Please mark only one response by marking the appropriate circle with an ⊗
unless otherwise indicated.
01
In what level is this child?
1
2
3
4
5
02
2
3
4
5
Combination of junior/senior kindergarten
Not in kindergarten
Other (please specify)
Near the top of the class
Above the middle of the class, but not at the top
In the middle of the class
Below the middle of the class, but above the bottom
Near the bottom of the class
How would you rate this child’s general physical development with respect to gross motor
skills (e.g., balance, rhythm, strength, locomotor skills)?
1
2
3
4
5
Page 02
Kindergarten/Senior kindergarten (generally one year preceding Grade 1)
How would you rate this child’s social/emotional development (e.g., adaptability, cooperation,
interaction, responsibility, self-control)?
1
03
Junior kindergarten (generally two years preceding Grade 1)
Near the top of the class
Above the middle of the class, but not at the top
In the middle of the class
Below the middle of the class, but above the bottom
Near the bottom of the class
8-2200-377.1
04
How would you rate this child’s general physical development with respect to fine motor skills
(e.g., manual dexterity, picking up things with thumb and one finger)?
1
2
3
4
5
05
2
3
4
5
In the middle of the class
Below the middle of the class, but above the bottom
Near the bottom of the class
Near the top of the class
Above the middle of the class, but not at the top
In the middle of the class
Below the middle of the class, but above the bottom
Near the bottom of the class
How would you rate this child’s expressive language/communication skills (e.g., using
language effectively, talking with others, ability to communicate ideas)?
1
2
3
4
5
8-2200-377.1
Above the middle of the class, but not at the top
How would you rate this child’s learning skills (e.g., attention, experimentation, observation,
organization, problem-solving)?
1
06
Near the top of the class
Near the top of the class
Above the middle of the class, but not at the top
In the middle of the class
Below the middle of the class, but above the bottom
Near the bottom of the class
Page 03
07
How would you rate this child’s receptive language/communication skills (e.g.,
understanding, interpreting, listening)?
1
2
3
4
5
08
2
3
4
5
6
7
8
In the middle of the class
Below the middle of the class, but above the bottom
Near the bottom of the class
generally interested in books (pictures and print).
interested in reading (inquisitive/curious about the meaning of printed material).
able to read simple words.
able to read complex words.
able to read simple sentences.
unable to read.
uninterested in reading.
It is not possible to assess this child.
Considering writing skills, this child is:
(Mark all that apply.)
1
2
3
4
5
6
7
8
9
Page 04
Above the middle of the class, but not at the top
Considering reading skills, this child is:
(Mark all that apply.)
1
09
Near the top of the class
experimenting with writing tools.
aware of writing directions (left to right, top to bottom).
interested in copying teacher’s printing.
able to write his/her name.
able to write simple words.
able to write simple sentences.
unable to write.
uninterested in writing.
It is not possible to assess this child.
8-2200-377.1
10
Considering mathematical skills, this child is:
(Mark all that apply.)
01
02
03
04
05
06
07
08
09
10
11
able to sort and classify objects.
able to make one-to-one correspondence.
able to count to 20.
able to recognize numbers.
able to compare numbers.
able to recognize geometric shapes.
knowledgeable about time concepts (today, summer, bedtime).
unable to do any of the above.
uninterested in mathematics.
It is not possible to assess this child.
How many minutes per week does this child spend using a computer in class?
1
2
none/week
1 to 30 minutes/week
3
31 to 60 minutes/week
4
more than 60 minutes/week
The next series of questions asks about the length of the school year and the number of
hours of instruction this child receives.
12
How many instructional days does this child receive in a year? (Please report the number of
days the child should be present at school, counting each half-day as one full day)
instructional days
8-2200-377.1
Page 05
13
In what type of program is this child enrolled?
1
2
3
4
5
14
Full-day, every day
Full-day, alternate days
Half-day, every day
Half-day, alternate days
Other (please specify)
On average, how much instruction time in hours per week does this child receive in the
following:
Hours per week
None
a) General communication (First
Language Arts, writing,
reading, phonetics, etc.)
b) Mathematics
Less
than 4
4 to less
than 8
8 to less
than 12
12 or
more
01
02
03
04
05
06
07
08
09
10
Hours per week
None
Less
than 1
1 to less
than 2
2 to less
than 3
3 or
more
c) Non-immersion Second
Language Arts
11
12
13
14
15
d) Second Language Arts
(immersion)¹
16
17
18
19
20
21
22
23
24
25
f) Social and Development
Studies
26
27
28
29
30
g) Music (musical instrument,
singing)
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
e) Science
h) Art
i) Physical Education
j) Computer Skills
k) Other topics
(please specify)
¹ Please report instruction time spent on language arts in the immersion language. Instruction time for other
subjects taken in an immersion language should be reported under that subject.
Page 06
8-2200-377.1
15
What is the main language of instruction in this child’s class?
(Mark the circle corresponding to the predominant language of instruction in this child’s
regular class.)
1
2
3
4
French
English
An equal combination of French and English
Other
The following questions relate to this child’s academic strengths and weaknesses.
16
Does this child receive special/resource help because of a learning disability or a physical,
emotional, behavioural or other problem which limits the kind or amount of school activities
he/she can do?
1
2
17
No Go to QUESTION 19
What type of problem limits this child’s ability to do school activities in a regular classroom?
(Mark all that apply.)
01
02
03
04
05
06
07
08
09
10
8-2200-377.1
Yes
Physical disability
Visual impairment
Hearing impairment
Speech impairment
Learning disability
Emotional or behavioural problem
Mental disability or limitation
Home environment/problems at home
Problems understanding the language spoken at school
Other (please specify)
Page 07
18
Where does this child receive this special/resource help?
1
2
3
4
5
6
Page 08
Exclusively within a regular classroom with existing resources
Exclusively within a regular classroom with a special aide/assistant teacher
Primarily within a regular classroom, but with some time spent in a special
education class or resource room
Exclusively or primarily within a special education class or resource room
within a regular school
Exclusively or primarily within a specialized school
Other
8-2200-377.1
SECTION 2
19
Please provide the approximate percentage of class time this child has missed since
September or the beginning of school in the fall
1
2
3
4
5
6
20
2
3
4
5
2
3
4
5
3% to 4%
5% to 7%
8% to 10%
More than 10%
Always
Often
Sometimes
Rarely
Never
Always
Often
Sometimes
Rarely
Never
This child seems comfortable with the level of difficulty of materials which are presented in
class:
1
2
3
4
5
8-2200-377.1
1% to 2%
This child seems bored in class:
1
22
0%
This child seems to enjoy being in class:
1
21
This child’s behaviour and attendance
Always
Often
Sometimes
Rarely
Never
Page 09
23
In your opinion, how important is it to this child to do well in class?
1
2
3
4
24
Very important
Somewhat important
Of little importance
Don’t know
Since the beginning of the school year in the fall, how often has this child arrived:
Never
a) inadequately dressed
for the weather
conditions
Often
Always
Not
applicable
Don’t
know
02
03
04
05
06
07
08
09
10
11
12
13
14
c) without a lunch/
snacks
15
16
17
18
19
20
21
d) without adequate
nourishment/hungry
22
23
24
25
26
27
28
How often would you say that this child
Never or
not true
Sometimes
or somewhat
true
Often or
very true
Don’t know
a)
shows sympathy to someone
who has made a mistake
001
002
003
004
b)
can’t sit still, is restless or
hyperactive
005
006
007
008
c)
destroys his/her own things
009
010
011
012
d)
will try to help someone who has
been hurt
013
014
015
016
e)
steals
017
018
019
020
f)
seems to be unhappy, sad or
depressed
021
022
023
024
g)
gets into many fights
025
026
027
028
Page 10
Sometimes
01
b) too tired to participate
25
Rarely
8-2200-377.1
25 Continued
How often would you say that this child
Never or
not true
Often or
very true
Don’t know
h)
volunteers to help clear up a
mess someone else has made
029
030
031
032
i)
is easily distracted, has trouble
sticking to any activity
033
034
035
036
j)
when mad at someone, tries to
get others to dislike that person
037
038
039
040
k)
is not as happy as other children
041
042
043
044
l)
destroys things belonging to
others
045
046
047
048
m)
if there is a quarrel or dispute,
will try to stop it
049
050
051
052
n)
fidgets
053
054
055
056
o)
is disobedient at school
057
058
059
060
p)
cannot concentrate, cannot pay
attention for long
061
062
063
064
q)
is too fearful or anxious
065
066
067
068
r)
when mad at someone,
becomes friends with another as
revenge
069
070
071
072
073
074
075
076
077
078
079
080
081
082
083
084
085
086
087
088
089
090
091
092
s)
is impulsive, acts without
thinking
t)
tells lies or cheats
u)
offers to help other children
(friend, brother or sister) who
are having difficulty with a task
v)
is worried
w)
has difficulty waiting for his/her
turn in games or groups
8-2200-377.1
Sometimes
or somewhat
true
Page 11
25 Continued
How often would you say that this child
Never or
not true
x)
when somebody accidentally
hurts him/her, he/she reacts with
anger and fighting
Often or
very true
Don’t know
093
094
095
096
y)
tends to do things on his/her own,
is rather solitary
097
098
099
100
z)
when mad at someone, says bad
things behind the other’s back
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
aa) physically attacks people
bb) comforts a child (friend, brother, or
sister) who is crying or upset
cc)
cries a lot
dd) vandalizes
ee) gives up easily
ff)
threatens people
gg) spontaneously helps to pick up
objects which somebody has
dropped (e.g. pencils, books)
hh) cannot settle down to do
anything for more than a few
moments
ii)
appears miserable, unhappy,
tearful or distressed
137
138
139
140
jj)
is cruel, bullies or is mean to
others
141
142
143
144
kk)
when mad at someone, says to
others: let's not be with him/her
149
150
151
152
ll)
is nervous, high-strung, or
tense
153
154
155
156
157
158
159
160
mm) kicks, bites, hits other children
Page 12
Sometimes
or somewhat
true
8-2200-377.1
25 Concluded
How often would you say that this child
Never or
not true
nn) will invite others to join in a
game
oo) is inattentive
pp) has trouble enjoying
himself/herself
qq) helps other children (friends,
brother or sister) who are feeling
sick
26
Often or
very true
Don’t know
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
rr)
when mad at someone, tells that
person's secrets to a third person
177
178
179
180
ss)
helps those who do not do as
well as he/she does
181
182
183
184
Listed below are various social and personal skills. Please indicate how often this child
demonstrates each of the following:
Never
Rarely
Sometimes
Often
Always
a)
cooperative work with
other children
01
02
03
04
05
b)
cooperative play with
other children
06
07
08
09
10
c)
following rules
11
12
13
14
15
d)
following instructions
16
17
18
19
20
e)
challenging the teacher in
a positive way
21
22
23
24
25
f)
respect for the property of
others
26
27
28
29
30
g)
self-control
31
32
33
34
35
h)
self-confidence
36
37
38
39
40
i)
creativity
41
42
43
44
45
j)
problem-solving ability
46
47
48
49
50
8-2200-377.1
Sometimes
or somewhat
true
Page 13
26 Concluded
Listed below are various social and personal skills. Please indicate how often this child
demonstrates each of the following:
Never
27
Sometimes
Often
Always
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
eagerness to play with a
new toy or game
71
72
73
74
75
eagerness to read or
pretend to read a book
76
77
78
79
80
k)
respect for adults
l)
respect for other children
m)
acceptance of responsibility
for own actions
n)
curiosity about the world
o)
p)
These statements describe work habits. Please indicate how often this child demonstrates
each of these work habits:
Never
Rarely
Sometimes
Often
Always
01
02
03
04
05
follows directions
06
07
08
09
10
c)
completes work on time
11
12
13
14
15
d)
works independently
16
17
18
19
20
e)
takes care of materials
21
22
23
24
25
f)
works neatly and carefully
26
27
28
29
30
g)
puts a lot of effort into work
31
32
33
34
35
a)
listens attentively
b)
Page 14
Rarely
8-2200-377.1
24
28
Does this child have special skills or talents in the following areas?
No
Don’t
know
01
02
03
04
05
06
07
08
09
10
11
12
a)
Sports or athletics
b)
Academic work (e.g.,
numeracy or literacy skills)
c)
Arts
d)
Music
e)
Interpersonal skills (e.g.,
leadership skills)
13
14
15
f)
Other skills
(please specify)
16
17
18
8-2200-377.1
Yes
Page 15
SECTION 3
Involvement of parent(s) and guardian(s)
These next questions concern your impressions of how involved the parent(s)
and/or guardian(s) is (are) with this child’s education. This information will
enable us to determine whether such involvement affects the child’s progress
and development.
29
Since the beginning of the school year in the fall, did a parent/guardian of this child:
Yes
No
01
02
03
b) contact you to discuss this child’s progress or
behaviour
04
05
06
c) return your call to talk about this child’s progress or
behaviour
07
08
09
10
11
12
13
14
15
16
17
18
a) participate in regularly scheduled parent-teacher
meetings, including discussions about report-cards,
(either in person or on the telephone)
d) correspond with you in writing regarding this child’s
progress or behaviour (e.g., through the child’s
agenda or planner)
e) volunteer in your class
f) correspond with you regarding this child’s progress or
behaviour in a manner not listed above
(please specify)
30
In your opinion, how involved is (are) the parent(s)/guardian(s) in this child’s education?
1
2
3
4
Page 16
Not
applicable
Very involved
Somewhat involved
Not involved
I do not know the parent(s)/guardian(s) of this child well enough.
8-2200-377.1
31
In your opinion, how important is school to this child’s parent(s)/guardian(s)?
1
2
3
4
32
Somewhat important
Of little importance
I do not know the parent(s)/guardian(s) of this child well enough.
In your opinion, how strongly does (do) the child’s parent(s)/guardian(s) support your teaching
efforts?
1
2
3
4
8-2200-377.1
Very important
Strongly support
Somewhat support
Does (do) not support
I do not know the parent(s)/guardian(s) of this child well enough.
Page 17
SECTION 4
This child’s class and your teaching practices
This information will help us understand how the classroom may affect
children’s academic and social functioning.
These first few questions gather information about the class in which you teach this child.
33
How many children are enrolled in the class in which you teach this child?
children
34
What is the percentage of total instruction time when a qualified teaching assistant, (including
student teachers) and/or an adult volunteer, is available to the class in which you teach this
child.
Average percentage of total instruction time
Not
available
35
26% to
50%
51% to
75%
More than
75%
a) Qualified Teaching Assistant
01
02
03
04
05
b) Adult Volunteer
06
07
08
09
10
In the class in which you teach this child, how many children have any of the following
long-term problems, including those not officially identified:
(Some children may belong to more than one category.)
a) speech, hearing, vision, mobility or other health
impairment that affects their learning
children
b) emotional or behavioural problem
children
c) learning problem (e.g., a problem with attention, memory,
reasoning or concentration that interferes with learning)
children
Page 18
1% to
25%
8-2200-377.1
36
In the class you teach this child, how many children:
(Some children may belong to both categories.)
a) have a first language other than English or French?
children
b) arrived in Canada within the last year?
children
Now we would like to ask you some questions about the achievement of this child’s class
and your teaching practices.
37
Compared with other classes at the same grade in your school, do you feel that the class you
teach this child generally has:
1
2
3
4
5
38
lower overall ability than other classes
similar overall ability to other classes
higher overall ability than other classes
a greater diversity of abilities than other classes
no other class at the same grade exists in the school.
In the class attended by this child, the children ...
Never
Sometimes
Often
Always
a) move smoothly from one
classroom activity to another
01
02
03
04
05
b) are easily distracted by the
disruptive behaviour of a few
06
07
08
09
10
c) work well together on group
activities
11
12
13
14
15
16
17
18
19
20
d) misbehave when you are
called to the door or must
attend to other interruptions
8-2200-377.1
Rarely
Page 19
39
Please rate the extent to which each of the following meets the needs of the class in which you
teach this child.
Does not
meet the
needs
Adequately
meets the
needs
Completely
meets the
needs
Not
applicable
a) Instructional resources (e.g.,
curriculum documents, books)
01
02
03
04
05
b) School supplies (e.g., paper,
pencils)
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
g) Library or adequate access
to teacher-librarian
31
32
33
34
35
h) Gym equipment (e.g., mats,
balls)
36
37
38
39
40
41
42
43
44
45
j) Adequate access to teaching
assistants/aides, etc.
46
47
48
49
50
k) Audio-visual resources (e.g.
VCR’s, film projectors, etc.)
51
52
53
54
55
l) Computers for course
instruction
56
57
58
59
60
m) Computer software for
course instruction
61
62
63
64
65
n) Access to a large area
network or the internet
66
67
68
69
70
71
72
73
74
75
c) Space within your classroom
d) Science equipment
e) Equipment for mathematics
instruction
f) Special equipment for
physically disabled/
challenged children
i) Outdoor play equipment
o) Specialized human
resources in computers (e.g.,
trained computer instructors)
Page 20
Partially
meets the
needs
8-2200-377.1
40
On average, how many hours per week do you teach this child’s class?
(Please exclude preparation time, correction time, time spent on extra-curricular activities,
etc.)
hours
41
Please indicate the approximate number of minutes per week you spend on the following
non-instructional activities for the class you teach this child:
Minutes per week
none
30 and less
31 to 60
More than
60
01
02
03
04
b) performing routine tasks (e.g., taking
attendance, filling out forms)
05
06
07
08
c) discussing professional issues with
colleagues
09
10
11
12
d) discussing issues with children’s
parent(s)/guardian(s)
13
14
15
16
a) maintaining order and discipline
The next few questions gather information about all the classes you teach, including those
to which this child does not attend.
42
On average, what is the total number of hours you teach per week (i.e., total teaching time to
all grades and subjects excluding preparation, correction time, time spent on extra-curricular
activities, etc.)?
hours
8-2200-377.1
Page 21
43
Please indicate the approximate number of hours per week you spend on the following
non-instructional activities for all the classes which you teach (including those this child
does not attend):
Hours per week
none
a) maintaining order and
discipline
3 to less
than 4
4 or more
02
03
04
05
06
07
08
09
10
c) discussing professional issues
with colleagues
11
12
13
14
15
d) supervising children at
noon/recess
16
17
18
19
20
e) assisting/directing extracurricular activities
21
22
23
24
25
f) discussing issues with
children’s parent(s)/guardian(s)
26
27
28
29
30
The following statements describe various attributes about yourself and the children in all the
classes you teach. Please indicate the extent to which you agree or disagree with each
statement.
Strongly
disagree
a) Among the children I teach, a
large number are not capable
of mastering the curriculum at
their grade.
b) An important aspect of our
program is beginning the
development of academic
skills.
c) An important aspect of our
program is the development of
social skills.
Page 22
2 to less
than 3
01
b) performing routine tasks (e.g.,
taking attendance, filling out
forms)
44
less than 2
Disagree
Neither
agree nor
disagree
Agree
Strongly
agree
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
8-2200-377.1
44 Concluded
The following statements describe various attributes about yourself and the children in all the
classes you teach. Please indicate the extent to which you agree or disagree with each
statement.
Strongly
disagree
d) I have a strong effect on the
academic achievement of the
children I teach.
e) I feel competent in dealing with
children’s behavioural
problems.
f) I feel competent in dealing with
children’s learning problems.
g) I feel children’s success at
school is determined mainly by
their home environment.
h) I have high expectations for the
academic success of the
children I teach.
Neither
agree nor
disagree
Agree
Strongly
agree
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
42
43
44
45
i) I strongly encourage children to
achieve their full academic
41
potential.
8-2200-377.1
Disagree
Page 23
SECTION 5
45
Computers, informatics & communications
technology
Do you use a computer or a terminal connected to a computer at school in the following
ways?
Yes
Not
Not
available applicable
a) in your class, as a teaching tool
for students
01
02
03
04
b) outside the class, as a teaching
tool for students
05
06
07
08
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
c) as a learning/professional development tool for yourself (e.g., education
discussion groups on Internet)?
d) to access the Internet for classroom
instructions
e) Make presentations or give
demonstrations in class (e.g.,
LCD display for overhead
projectors, or electronic
overhead, color projector,
giant screen )
f) Have students use basic
software (e.g., word
processing, drawing)
g) Have students use
telecommunications software
(e.g., send and receive
messages, chat groups,
research and consult,
participate in forums)
h) Have students use selflearning software (e.g., drill and
practice software, tutorials,
web sites, on-line help)
i) Have students use specialized
software while teaching
specific subjects (e.g., music,
advanced drawing)
Page 24
No
8-2200-377.1
SECTION 6
46
Perceptions of your school
Below are a number of statements that may describe the climate of your school. Please
indicate the extent to which you agree or disagree with each statement.
Strongly
disagree
a) The administrative, support
and teaching staff work
together as a team.
b) All staff are involved in
decision-making.
c) School staff know what is
expected of them in terms of
their roles and responsibilities.
d) Staff clearly understand
school policies and
procedures.
e) Teachers have considerable
influence on school policies.
h) The principal and, if applicable,
vice principal(s) provide
support to teachers.
i) Teachers receive positive
feedback from the principal/
vice principal(s).
j) The principal/vice-principal(s)
circulate(s) in the school to talk
to staff.
8-2200-377.1
Neither
agree nor
disagree
Agree
Strongly
agree
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
f) Teachers have a strong
influence on how resources
(e.g., money, staff, instructional 26
materials) are allocated.
g) Children clearly understand
school rules.
Disagree
Page 25
46 Concluded
Below are a number of statements that may describe the climate of your school. Please
indicate the extent to which you agree or disagree with each statement.
Strongly
disagree
k) The principal/vice-principal(s)
spend(s) time getting to know
children.
l) The school provides a positive
working environment for
teachers.
m) The school provides a positive
working environment for
children.
47
Neither
agree nor
disagree
Agree
Strongly
agree
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
Please indicate the extent to which you agree with each of these statements regarding your
school's disciplinary policies.
Strongly
disagree
a) Teachers in this school have
reached a consensus about
how to discipline children
who break rules.
b) All children who break rules
in this school face the same
consequences.
c) Teachers in this school rarely
overlook physical aggression
among children.
d) Teachers in this school rarely
overlook verbal aggression
among children.
e) Teachers feel there is
insufficient support within the
school for managing
disciplinary problems.
Page 26
Disagree
Disagree
Neither
agree nor
disagree
Agree
Strongly
agree
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
8-2200-377.1
SECTION 7
Personal information
Finally, we would like to ask a few questions about yourself and your
experiences.
48
You are:
1
2
49
2
3
4
5
20 to 29
30 to 39
40 to 49
50 to 59
60 or older
How much experience do you have in the following capacities:
(Specify the number of years and months of experience; e.g., 1 year and 5 months.)
a) as a teacher
year(s)
month(s)
None
b) as a teacher at this grade level
year(s)
month(s)
None
c) as a teacher at this school
year(s)
month(s)
None
8-2200-377.1
Male
In which age group do you belong?
1
50
Female
Page 27
51
Please specify the highest level of education you have attained. (Mark all that apply)
01
02
03
04
05
06
07
08
09
10
11
12
13
52
Some course work towards a bachelor’s degree
A teaching certificate, diploma or licence
A Bachelor’s degree
A Bachelor of Education degree
Some post-baccalaureate course work
A post-baccalaureate diploma or certificate
Some course work towards a master’s degree
A Master’s degree
Some coursework towards a doctorate
A Doctorate
Trade/vocational certification (including journeyperson certification)
Other (please specify)
Please indicate the field of study of your highest level of education.
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
Page 28
Early Childhood Education Certificate
Language Arts (e.g., oral communication, grammar and composition in
English as a first language)
Mathematics
Second Language Arts
Science (e.g., physics, chemistry, biology)
Trade/Vocational
Family Studies
Social Studies (e.g., history, geography)
Environmental studies
Music
Art
Physical education
Informatics/computer science
Education
Special education
General (no specialization/concentration, e.g., B.A.General)
Other (please specify)
8-2200-377.1
53
Have you obtained any of the following advanced qualifications in special education?
(Mark all that apply.)
1
2
3
4
5
54
2
3
4
5
2
Other
None of the above
One class in, or part of, a second language program
A certificate in second language education
A graduate degree in second language education
Other
None of the above
Yes (please specify)
No
Statistics Canada is conducting this survey jointly with another federal department, Human
Resources Development Canada. The information collected will be kept confidential and
used only for statistical purposes. Do you agree to share the information collected with
Human Resources Development Canada?
1
2
8-2200-377.1
A graduate degree in special education
Have you obtained advanced qualifications in areas other than your highest level of
education, special education or second language education?
1
56
A special education certificate
Have you obtained any of the following advanced qualifications in second language
education? (Mark all that apply.)
1
55
One class in, or part of, a special education program
Yes
No
Page 29
Do you have any comments about this survey? If so, please use the space below.
Once completed, this questionnaire is confidential and should not be shown to any other
person. It should be sent directly to Statistics Canada by the person who completed the
questionnaire.
Please place the completed questionnaire in the self-addressed business reply envelope
and mail it to us today.
If you do not have the reply envelope, please call 1-800-307-3382 for instructions on where
to send the completed questionnaire.
Thank you for completing this questionnaire
Page 30
8-2200-377.1
2.
Teacher’s Questionnaire (for a school
environment where the child has one teacher
for the basic academic subjects) - Document 2
XXX
Human Resources Development Canada & Statistics Canada
(Special Surveys Division & Centre for Education Statistics)
National Longitudinal Survey of
Children and Youth - Cycle 3
Teacher’s Questionnaire
(For a school environment where the child has
one teacher for the basic academic subjects)
Document 2
This information is collected under
the authority of the Statistics Act
(RSC.1985, c. S19)
Confidential when completed
Version française disponible
Instructions
The purpose of this survey is to gather information on various school factors which may influence
the development and education of children. The items in this questionnaire relate to a particular
student who is attending your class and who is identified on this questionnaire. The questionnaire
also includes various school practices and information about yourself.
Under the Statistics Act the information collected in this questionnaire will be kept confidential.
Completion of the questionnaire is completely voluntary. However, to ensure that we have a complete
picture of all the forces which shape this student’s development, we strongly encourage you to complete the
questionnaire within the next five days. Please use a black or blue pen when answering the questions.
We would be most happy to answer any questions you might have. Please feel free to call. The telephone
number is 1-800-307-EDUC/1-800-307-3382.
Please place the completed questionnaire in the business reply envelope and mail it directly to us today.
Your responses are confidential; therefore do not show your responses to any other person.
If we have not been provided with a business reply envelope, please call 1-800-307-3382 for instructions on
where to send the completed questionnaire.
THANK YOU FOR YOUR COOPERATION.
8-2200-378.1: 1998-11-02
STC/ECT-180-75020
SECTION 1
This student’s education
The following sections relate to the educational development of this specific
student from your class.
Please mark only one response circle ⊗ per question
unless otherwise indicated.
01
Is this student in a split or multi-grade class?
1
Yes, the class includes the following grades:
Grade¹
2
3
02
to Grade¹
No, the class includes a single grade.
No, the class is ungraded.
Is this student assigned to a grade?
1
Yes, this student is assigned to:
Grade¹
2
No, this student is not assigned to a grade.
¹ In the province of Quebec, grades at the secondary level should be reported as follows: Sec. 1 = S1, Sec. 2 = S2, Sec. 3 = S3,
Sec. 4 = S4, Sec. 5 = S5 and Sec. 6 = S6.
Page 02
8-2200-378.1
The next two questions concern levels of difficulty in different subjects that may be offered
in some schools. The advanced/enriched level includes all programs targeting those with
stronger abilities in their grade and could allow them to progress more rapidly. The general
level includes programs targeting those with average abilities and allows these students to
progress normally. The basic level includes programs targeting those with lower abilities
and allows individuals to accomplish different educational or occupational plans.
03
In your school, are the following levels available in at least one subject for the grade this
student is in?
Yes
No
1
2
3
b) general
4
5
6
c) basic
7
8
9
a) advanced/enriched
Don’t
know
If you responded with
“no” or “don’t know”
to all of the above,
please go to
question 05.
04
To which level is this student assigned in the following subjects?
Advanced /
enriched
a) First Language Arts (e.g.,
English as a first language)
Basic
Student is
in the only
level
available
for this
grade
Subject
not
available
for this
grade
Subject
available
but
student
not
enrolled in
it at this
time
Don’t
know
01
02
03
04
05
06
07
b) Mathematics
08
09
10
11
12
13
14
c) Second Language Arts
15
16
17
18
19
20
21
22
23
24
25
26
27
28
d) Science (e.g., Physics,
Chemistry,Biology)
8-2200-378.1
General
Page 03
04 Concluded
To which level is this student assigned in the following subjects?
Advanced /
enriched
Subject
not
available
for this
grade
Subject
available
but
student
not
enrolled in
it at this
time
Don’t
know
30
31
32
33
34
35
f) Music
36
37
38
39
40
41
42
g) Art
43
44
45
46
47
48
49
h) Physical Education
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
60
Is this student currently repeating his or her grade?
1
2
yes
no
What is the main language of instruction in this student’s class(es)? (Mark the circle
corresponding to the predominant language of instruction in this student’s regular class(es).)
1
2
3
4
Page 04
Student is
in the only
level
available
for this
grade
29
j) Religion/Ethics
06
Basic
e) Environmental Studies
i) Informatics/Computer
Science
05
General
French
English
an equal combination of French and English
other
8-2200-378.1
07
Is this student in a second language immersion program? (An immersion program involves
learning at least one subject in the second language, e.g., math, geography. Learning a
second language only is not an immersion program).
1
2
3
08
no
Go to Question 09
don’t know
What percentage of this student’s time is spent in the immersion language program?
1
2
3
4
5
09
yes
49% or less (partial immersion)
50% (The curriculum is divided so that equal amount of instruction time is
given in English and French)
51% to 75%
more than 75% (full immersion)
I don’t know
How would you rate this student’s current academic achievement in reading?
1
I do not teach reading to this student
2
3
4
5
6
8-2200-378.1
near the top of the class
above the middle of the class, but not at the top
in the middle of the class
below the middle of the class, but above the bottom
near the bottom of the class
Page 05
10
How would you rate this student’s current academic achievement in written work (e.g.,
spelling and composition)?
1
2
3
4
5
6
11
2
3
4
5
6
above the middle of the class, but not at the top
in the middle of the class
below the middle of the class, but above the bottom
near the bottom of the class
I do not teach mathematics/arithmetic to this student
near the top of the class
above the middle of the class, but not at the top
in the middle of the class
below the middle of the class, but above the bottom
near the bottom of the class
How would you rate this student’s current academic achievement in science?
1
2
3
4
5
6
Page 06
near the top of the class
How would you rate this student’s current academic achievement in
mathematics/arithmetic?
1
12
I do not teach spelling or composition to this student
I do not teach science to this student
near the top of the class
above the middle of the class, but not at the top
in the middle of the class
below the middle of the class, but above the bottom
near the bottom of the class
8-2200-378.1
13
How would you rate this student’s current academic achievement across all areas of
instruction?
1
2
3
4
5
14
near the top of the class
above the middle of the class, but not at the top
in the middle of the class
below the middle of the class, but above the bottom
near the bottom of the class
Looking ahead, how far do you expect this student will go in school? Will he/she
1
2
3
4
5
6
7
complete primary/elementary school
complete some secondary or high school
graduate from secondary or high school
learn a trade (e.g., through apprenticeship)
obtain a community college, technical college, vocational college, business
school, or CEGEP certificate or diploma
obtain a university degree
I don’t know
The next series of questions concerns the length of the school year and the number of hours
of instruction this student receives.
15
How many instructional days does this child receive in a year?
(Specify the number of days.)
instructional days
8-2200-378.1
Page 07
16
On average, how much instruction time in hours per week does this student receive in the
following:
Hours per week
None
a) First Language Arts (e.g., oral
communication, grammar,
composition, reading, writing)
b) Mathematics/Arithmetic
Less
than 4
4 to less
than 8
8 to less
than 12
12 or
more
01
02
03
04
05
06
07
08
09
10
Hours per week
None
2 to less
than 3
3 or
more
11
12
13
14
15
d) Second Language Arts
(immersion level) 2
16
17
18
19
20
21
22
23
24
25
f) Trade/Vocational education
26
27
28
29
30
g) Family Studies
31
32
33
34
35
36
37
38
39
40
i) Environmental Studies
41
42
43
44
45
j) Music
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
h) Social Studies (include History,
Geography, etc.)
k) Art (includes Fine Arts, Drama,
Dance)
l) Physical Education/sports
m) Computer Skills
Please report instruction time spent on language arts in the immersion language. Instruction time for other
subjects taken in an immersion language should be reported under that subject.
Page 08
1 to less
than 2
c) Second Language Arts
(non-immersion)
e) Science (include Natural
Sciences, Physics, Chemistry,
etc.)
2
Less
than 1
8-2200-378.1
16 Concluded
On average, how much instruction time in hours per week does this student receive in the
following:
Hours per week
None
n) Religion/moral values/social
and personal skills
o) Health and Hygiene
p) Other topics
(please specify)
17
Less
than 1
1 to less
than 2
2 to less
than 3
3 or
more
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
How many minutes per week does this student spend using a computer in class?
1
2
none/week
1 to 30 minutes/week
3
31 to 60 minutes/week
4
5
more than 60 minutes/week
I do not know
The following questions ask about this student’s academic strengths and weaknesses.
18
Does this student receive enhanced or extra instruction at school because of exceptionally
advanced intellectual, athletic or artistic abilities?
1
2
8-2200-378.1
yes
no Go to QUESTION 20
Page 09
19
Where does this student receive this enhanced or extra instruction?
1
2
3
4
5
6
20
2
primarily within a regular classroom, but with some time spent in a special
education class or resource room
exclusively or primarily within a special education class or resource room
within a regular school
exclusively or primarily within a specialized school
other
yes
no
Does this student receive special/resource help because of a learning disability or a physical,
emotional, behavioural or other problem which limits the kind or amount of school work and
activities he/she can do?
1
2
Page 10
exclusively within a regular classroom with a special aide/assistant teacher
Does this student receive additional or remedial help because he/she is weak in certain
subjects or skills?
1
21
exclusively within a regular classroom with existing resources
yes
no Go to QUESTION 24
8-2200-378.1
22
What type of problem limits this student’s ability to do school work in a regular classroom?
(Mark all that apply.)
01
02
03
04
05
06
07
08
09
10
23
visual impairment
hearing impairment
speech impairment
learning disability
emotional or behavioural problem
mental disability or limitation
home environment/problems at home
problems understanding the language spoken at school
other (please specify)
Where does this student receive this special/resource help (e.g., special education)?
1
2
3
4
5
6
8-2200-378.1
physical disability
exclusively within a regular classroom with existing resources
exclusively within a regular classroom with a special aide/assistant teacher
primarily within a regular classroom, but with some time spent in a special
education class or resource room
exclusively or primarily within a special education class or resource room
within a regular school
exclusively or primarily within a specialized school
other
Page 11
SECTION 2
This student’s behaviour and attendance
The first two questions in this section concern attendance.
24
Approximately how many regular school days has this student been absent since the
beginning of school in the fall?
1
2
3
4
5
6
25
1 to 3 days
4 to 6 days
7 to 10 days
11 to 20 days
more than 20 days
Since the beginning of school in the fall, approximately how many days has this student been
absent from school without a valid reason?
1
2
3
4
5
6
Page 12
none
none
1 to 2 days
3 to 5 days
6 to 10 days
more than 10 days
I don’t know.
8-2200-378.1
26
This student seems to enjoy most classes:
1
2
3
4
5
27
2
3
4
5
sometimes
rarely
never
always
often
sometimes
rarely
never
In your opinion, how important are academic pursuits to this student?
1
2
3
4
8-2200-378.1
often
This student seems bored in most classes:
1
28
always
very important
somewhat important
of little importance
I don’t know
Page 13
29
How often do you talk to this student outside of class?
1
2
3
4
5
30
several times a week
once a week
a few times a month
once every few months
never
Since school started in the fall, how often has this student arrived:
Never
a) without the materials
needed to do his/her school
work (e.g., notebooks,
paper)
Sometimes
Often
Always
Not
applicable
Don’t
know
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
f) without adequate
nourishment/hungry
36
37
38
39
40
41
42
g) without his/her homework
completed
43
44
45
46
47
48
49
50
51
52
53
54
55
56
b) inadequately clothed to
participate in school-related
activities (e.g., gym, sports,
field trips, recess)
c) inadequately dressed for
the weather conditions
d) too tired to do school work
e) without a lunch/snacks
h) late for school
Page 14
Rarely
8-2200-378.1
31
How often would you say that this student:
Never or
not true
Often or
very true
Don’t know
a)
shows sympathy to someone
who has made a mistake
001
002
003
004
b)
cannot sit still, is restless or
hyperactive
005
006
007
008
c)
destroys his/her own things
009
010
011
012
d)
will try to help someone who has
been hurt
013
014
015
016
e)
steals
017
018
019
020
f)
seems to be unhappy, sad or
depressed
021
022
023
024
g)
gets into many fights
025
026
027
028
h)
volunteers to help clear up a
mess someone else has made
029
030
031
032
i)
is easily distracted, has trouble
sticking to any activity
033
034
035
036
j)
when mad at someone, tries to
get others to dislike that person
037
038
039
040
k)
is not as happy as other children
041
042
043
044
l)
destroys things belonging to
others
045
046
047
048
m)
if there is a quarrel or dispute,
will try to stop it
049
050
051
052
n)
fidgets
053
054
055
056
o)
is disobedient at school
057
058
059
060
p)
cannot concentrate, cannot pay
attention for long
061
062
063
064
q)
is too fearful or anxious
065
066
067
068
8-2200-378.1
Sometimes
or somewhat
true
Page 15
31 Continued
How often would you say that this student:
Never or
not true
r)
when mad at someone,
becomes friends with another as
revenge
s)
is impulsive, acts without
thinking
t)
tells lies or cheats
u)
offers to help other children
(friend, brother or sister) who
are having difficulty with a task
v)
is worried
w)
has difficulty waiting for his/her
turn in games or groups
x)
when somebody accidentally
hurts him/her, he/she reacts with
anger and fighting
Often or
very true
Don’t know
069
070
071
072
073
074
075
076
077
078
079
080
081
082
083
084
085
086
087
088
089
090
091
092
093
094
095
096
y)
tends to do things on his/her own,
is rather solitary
097
098
099
100
z)
when mad at someone, says bad
things behind the other’s back
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
dd) vandalizes
117
118
119
120
ee) gives up easily
121
122
123
124
aa) physically attacks people
bb) comforts a child (friend, brother, or
sister) who is crying or upset
cc)
Page 16
Sometimes
or somewhat
true
cries a lot
8-2200-378.1
31 Concluded
How often would you say that this student:
Never or
not true
ff)
threatens people
gg) spontaneously helps to pick up
objects which somebody has
dropped (e.g. pencils, books)
hh) cannot settle down to do
anything for more than a few
moments
Often or
very true
Don’t know
125
126
127
128
129
130
131
132
133
134
135
136
ii)
appears miserable, unhappy,
tearful or distressed
137
138
139
140
jj)
is cruel, bullies or is mean to
others
141
142
143
144
kk)
when mad at someone, says to
others: let’s not be with him/her
149
150
151
152
ll)
is nervous, high-strung, or
tense
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
mm) kicks, bites, hits other children
nn) will invite others to join in a
game
oo) is inattentive
pp) has trouble enjoying
himself/herself
qq) helps other children (friends,
brother or sister) who are feeling
sick
rr)
when mad at someone, tells that
person’s secrets to a third person
177
178
179
180
ss)
helps those who do not do as
well as he/she does
181
182
183
184
8-2200-378.1
Sometimes
or somewhat
true
Page 17
32
Listed below are various social and personal skills. Please indicate how often this student
demonstrates each of the following:
Never
Sometimes
Often
Always
a) cooperative work with other
students
01
02
03
04
05
b) cooperative play with other
students
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
e) challenging the teacher in a
positive way
21
22
23
24
25
f) respect for the property
of others
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
c) following rules
d) following instructions
g) self-control
h) self-confidence
i) creativity
j) problem-solving capacity
k) respect for other adults
l) respect for other youth
m) acceptance of responsibility
for own actions
Page 18
Rarely
8-2200-378.1
33
These statements describe work habits. Please indicate how often this student demonstrates
each of these work habits:
Never
Often
Always
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
f) works neatly and carefully
26
27
28
29
30
g) puts a lot of effort into work
31
32
33
34
35
b) follows directions
c) completes work on time
d) works independently
e) takes care of materials
Does this student have special skills or talents in any of the following areas?
Yes
No
01
02
03
04
05
06
07
08
09
10
11
12
e) Technical skills (e.g., computer skills)
13
14
15
f) Interpersonal skills (e.g., leadership skills)
16
17
18
g) Other skills (please specify)
19
20
21
a) Sports or Athletics
b) Academic work (e.g., numeracy or literacy skills)
c) Arts
d) Music
8-2200-378.1
Sometimes
01
a) listens attentively
34
Rarely
Don’t
know
Page 19
SECTION 3
Involvement of parent(s) and guardian(s)
These next questions concern your impressions of how involved the parent(s)
and/or guardian(s) is (are) with this student’s education. This information will
enable us to determine whether such involvement affects the student's
academic achievement and development.
35
Since the beginning of school last fall, did a parent/guardian of this student:
Yes
No
01
02
03
b) contact you to discuss this student’s academic
performance or behaviour
04
05
06
c) return your call to talk about this student’s academic
performance or behaviour
07
08
09
10
11
12
13
14
15
16
17
18
a) participate in regularly scheduled parent-teacher
conferences including discussions about report
cards (either in person or on the telephone)
d) correspond with you in writing regarding this
student’s academic performance or behaviour
(e.g., through the student’s agenda or planner)
e) volunteer in your class
f) correspond with you regarding this student’s
academic performance or behaviour in a manner
not listed above
(please specify)
36
In your opinion, how involved is (are) the parent(s)/guardian(s) in this student’s education?
1
2
3
4
Page 20
Don’t
know
very involved
somewhat involved
not involved
I do not know the parent(s)/guardian(s) of this student well enough.
8-2200-378.1
37
In your opinion, how important is school to this student’s parent(s)/guardian(s)?
1
2
3
4
38
very important
somewhat important
of little importance
I do not know the parent(s)/guardian(s) well enough.
In your opinion, how strongly does (do) this student’s parent(s)/guardian(s) support your
teaching efforts?
1
2
3
strongly support
somewhat support
does (do) not support
4
I do not know the parent(s)/guardian(s) well enough.
8-2200-378.1
Page 21
SECTION 4
This student’s class(es) and your teaching
practices
This information will help us understand how the classroom may affect
students’ academic and social functioning.
These first few questions gather information about the class(es) that you teach this student.
39
On average, how many students are enrolled in the class(es) that you teach this student?
students
40
Please estimate the percentage of total instruction time when a qualified teaching assistant,
(including student teachers) and/or an adult volunteer, is available in the class(es) that you
teach this student.
Average percentage of total instruction time
Not
available
41
26 to 50%
51 to 75% More than
75%
a) Qualified Teaching Assistant
01
02
03
04
05
b) Adult Volunteer
06
07
08
09
10
In the class(es) that you teach this student, how many students have any of the following
long-term problems, whether or not the problem has been officially identified:
(Some children may belong to more than one category.)
a) a speech, hearing, vision, mobility or other health
impairment that affects their learning
students
b) an emotional or behavioural problem
students
c) a learning problem (e.g., a problem with attention,
memory, reasoning, reading, writing, spelling or
calculation that interferes with learning)
students
Page 22
1 to 25%
8-2200-378.1
42
In the class(es) you teach this student, on average how many students:
(Some students may belong to more than one category.)
a) have a first language other than English or French?
students
b) arrived in Canada within the last year?
students
Now we would like to ask you some questions about the achievement of this student’s
class(es) and your teaching practices.
43
Compared with other class(es) at the same grade in your school, do you feel that the
class(es) you teach this student generally has (have):
1
2
3
4
5
44
similar overall academic ability to the other classes.
higher overall academic ability than the other classes.
a wider range of academic abilities than the other classes.
no other class at the same grade exists in the school.
Do you teach reading to a class attended by this student?
1
2
8-2200-378.1
lower overall academic ability than the other classes.
yes
no Go to QUESTION 46
Page 23
45
How often do you use the following strategies to teach reading to this class?
Never
Always
02
03
04
05
b) organize the class into groups
with similar reading abilities
06
07
08
09
10
11
12
13
14
15
d) allow students to form their
own reading groups
16
17
18
19
20
e) use individualized instruction
plans to teach reading
21
22
23
24
25
f) other (please specify)
26
27
28
29
30
Do you teach writing (composition) to a class attended by this student?
2
yes
no Go to QUESTION 48
How often do you use the following strategies to teach writing (composition) to this class?
Never
Rarely
Sometimes
Often
Always
a) teach writing to the class as
a whole
01
02
03
04
05
b) organize the class into groups
with similar writing abilities
06
07
08
09
10
11
12
13
14
15
c) organize the class into groups
with a mixture of writing
abilities
Page 24
Often
01
1
47
Sometimes
a) teach reading to the class as
a whole
c) organize the class into groups
with a mixture of reading
abilities
46
Rarely
8-2200-378.1
47 Concluded
How often do you use the following strategies to teach writing (composition) to this class?
Never
48
Often
Always
16
17
18
19
20
e) use individualized instruction
plans to teach writing
21
22
23
24
25
f) other (please specify)
26
27
28
29
30
Do you teach mathematics/arithmetic to a class attended by this student?
2
yes
no Go to QUESTION 50
How often do you use the following strategies to teach mathematics to this class?
Never
a) teach mathematics to the
class as a whole
Rarely
Sometimes
Often
Always
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
d) allow students to form their
own mathematics groups
16
17
18
19
20
e) use individualized instruction
plans to teach mathematics
21
22
23
24
25
f) other (please specify)
26
27
28
29
30
b) organize the class into groups
with similar mathematics
abilities
c) organize the class into groups
with a mixture of mathematics
abilities
8-2200-378.1
Sometimes
d) allow students to form their
own writing groups
1
49
Rarely
Page 25
50
Which other subjects do you teach this student? (Mark all that apply.)
01
02
03
04
05
06
07
08
09
10
11
12
51
2
3
4
5
Science (e.g., Physics, Chemistry, Biology)
Social Studies (e.g., History, Geography)
Environmental Studies
Music
Art
Physical Education
Informatics/Computer Science
Religion/Ethics
Health Education
Other (please specify)
5 days/week
3 to 4 days/week
1 to 2 days/week
less than 1 day/week
never Go to QUESTION 55
On the days homework is assigned to the class(es) you teach this student, how much time do
you expect students to spend on all homework you assign?
1
2
3
4
Page 26
Second Language Arts (immersion/non-immersion)
How often do you assign homework to the class(es) in which you teach this student?
(Please also include classroom work made intentionally long for completion out of the
classroom.)
1
52
Language Arts (e.g., aspects of English as a first language other than
reading and writing (composition))
less than 15 minutes a day
15 to 30 minutes a day
31 to 45 minutes a day
more than 45 minutes a day
8-2200-378.1
53
You may give different time frames to complete homework and assignments to this student’s
class(es). Please estimate the proportion of time you expect them to spend on each of the
following:
Average percentage of time spent on different types of
assignments outside of class
Never or
none
assigned
a) homework to be completed for
the next class in that subject
b) assignments which have
longer completion times such
as every second or third class
c) projects which have long
completion times such as a
month or semester
54
26 to 50%
51 to 75% More than
75%
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
For the class(es) in which you teach this student, how often do you monitor homework that you
have assigned by the following:
Never
Rarely
Sometimes
Often
Always
a) keeping a record of who
turned in assignments
01
02
03
04
05
b) returning assignments with
corrections or grades
06
07
08
09
10
c) discussing homework in
class
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
d) having parent(s) or
guardian(s) sign a homework
book, note or agenda
e) students’ self-evaluations or
peer evaluations
8-2200-378.1
1 to 25%
Page 27
55
In your class(es) attended by this student, the students:
Never
Often
Always
01
02
03
04
05
b) are easily distracted by the
disruptive behaviour of a few
06
07
08
09
10
c) work well together on group
activities
11
12
13
14
15
16
17
18
19
20
Please rate the extent to which each of the following meets the needs of the class(es) in
which you teach this student.
Does not
meet the
needs
a) Instructional resources
(e.g., curriculum
documents, books)
b) School supplies (e.g.,
paper, pencils)
c) Space in your classroom
d) Science equipment
e) Equipment for
mathematics instruction
f) Special equipment for
physically disabled/
challenged students
g) Library or availability of
time with a teacherlibrarian
h) Gym equipment (e.g.,
mats, balls)
i) Outdoor play equipment
j) Adequate access to
teaching assistants/aides,
etc.
Page 28
Sometimes
a) move smoothly from one
classroom activity to another
d) misbehave when you are
called to the door or must
attend to other interruptions
56
Rarely
Partially
meets the
needs
Adequately Completely
Not
meets the meets the applicable
needs
needs
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
8-2200-378.1
56 Concluded
Please rate the extent to which each of the following meets the needs of the class(es) in
which you teach this student.
Does not
meet the
needs
Adequately Completely
Not
meets the meets the applicable
needs
needs
k) Audio-visual resources (e.g. 51
VCR’s, film projectors, etc.)
52
53
54
55
l) Computers for course
instruction
56
57
58
59
60
m) Computer software for
course instruction
61
62
63
64
65
n) Access to a large area
network or the internet
66
67
68
69
70
71
72
73
74
75
o) Specialized human
resources in computers
(e.g., trained computer
instructors)
57
Partially
meets the
needs
On average, how many hours per week do you teach this student’s class(es)?
(Please exclude preparation time, correction time, time spent on extra-curricular activities, etc.)
hours
58
Please indicate the approximate number of minutes per week you spend on the following
non-instructional activities for the class(es) in which you teach this student:
Minutes per week
none
31 to 60
More than
60
01
02
03
04
b) performing routine tasks (e.g., taking
attendance, filling out forms)
05
06
07
08
c) discussing professional issues with
colleagues
09
10
11
12
d) discussing issues with students’
parent(s)/guardian(s)
13
14
15
16
a) maintaining order and discipline
8-2200-378.1
30 and less
Page 29
The next few questions gather information about all classes you teach, including those to
which this student does not belong.
59
On average, what is the total number of hours you teach per week (i.e., total teaching time to
all grades and subjects excluding preparation, correction time, time spent on extra-curricular
activities, etc.)?
hours
60
Please indicate the approximate number of hours per week you spend on the following noninstructional activities for all classes which you teach (including those to which this student
does not attend):
Hours per week
none
a) maintaining order and
discipline
2 to less
than 3
3 to less
than 4
4 or more
01
02
03
04
05
06
07
08
09
10
c) discussing professional issues
with colleagues
11
12
13
14
15
d) supervising students at
noon/recess
16
17
18
19
20
e) assisting with or directing
extra-curricular activities
21
22
23
24
25
f) discussing issues with
students’ parent(s)/guardian(s)
26
27
28
29
30
b) performing routine tasks (e.g.,
taking attendance, filling out
forms)
Page 30
less than 2
8-2200-378.1
61
The following statements describe various attributes about yourself and the students in all the
classes you teach. Please indicate the extent to which you agree or disagree with each
statement.
Strongly
disagree
a) Many of the students I teach
are not capable of mastering
the curriculum at their grade.
b) In my classroom the
emphasis is on the development of academic skills.
c) I have a strong effect on the
academic achievement of
the students I teach.
d) I feel competent in dealing
with students’ behavioural
problems.
e) I feel competent in dealing
with students’ learning
problems.
f) I feel students’ success at
school is determined mainly
by their home environment.
g) I have high expectations for
the academic success of my
students.
h) I strongly encourage
students to achieve their full
academic potential.
8-2200-378.1
Disagree
Neither
agree nor
disagree
Agree
Strongly
agree
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
Page 31
SECTION 5
62
Computers, informatics & communications
technology
Do you use a computer or a terminal connected to a computer at school in the following ways:
a) in your class, as a teaching tool for students?
b) outside the class, as a teaching tool for
students?
c) as a learning/professional development tool
for yourself (e.g., education discussion
groups on Internet)?
d) to access the Internet for classroom
instruction
e) make presentations or give demonstrations
in class (e.g., LCD display for overhead
projectors, or electronic overhead, color
projector, giant screen)
f) have students use basic software (e.g., word
processing, spreadsheet, drawing)
g) have students use telecommunications
software (e.g., send and receive messages,
join chat groups, research and consult,
participate in forums)
h) have students use self-learning software
(e.g., drill and practice software, tutorials,
simulations, research, web sites, on-line
help)
i) have students use specialized software while
teaching specific subjects (e.g., music,
design, advanced drawing, data processing,
robotics)
Page 32
Yes
No
Not
Not
available applicable
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
8-2200-378.1
SECTION 6
63
Perceptions of your school
Below are several statements that may describe the climate of your school. Please indicate
the extent to which you agree or disagree with each statement.
Strongly
disagree
a) The administrative, support
and teaching staff work
together as a team.
b) All staff are involved in
decision making.
c) School staff know what is
expected of them in terms of
their roles and responsibilities.
d) Staff clearly understand
school policies and
procedures.
e) Teachers have considerable
influence on school policies.
f) Teachers have a strong
influence on how resources
(e.g., money, staff, instructional
materials) are allocated.
g) Students clearly understand
school rules.
h) The principal and, if applicable,
vice-principal(s) provide(s)
support to teachers.
i) Teachers receive positive
feedback from the principal
and vice-principal(s).
j) The principal/vice-principal(s)
circulate(s) in the school to talk
to staff.
8-2200-378.1
Disagree
Neither
agree nor
disagree
Agree
Strongly
agree
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
Page 33
63 Concluded
Below are several statements that may describe the climate of your school. Please indicate
the extent to which you agree or disagree with each statement.
Strongly
disagree
k) The principal/vice-principal(s)
spend(s) time getting to know
students.
l) The school provides a positive
working environment for
teachers.
m) The school provides a positive
working environment for
students.
64
Neither
agree nor
disagree
Agree
Strongly
agree
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
Please indicate the extent to which you agree with each of these statements regarding your
school's disciplinary policies.
Strongly
disagree
a) Teachers in this school have
reached a consensus about
how to discipline students
who break rules.
b) All students who break rules
in this school face the same
consequences.
c) Teachers in this school rarely
overlook physical aggression
among students.
d) Teachers in this school rarely
overlook verbal aggression
among students.
e) Teachers feel there is
insufficient support within the
school for managing
disciplinary problems.
Page 34
Disagree
Disagree
Neither
agree nor
disagree
Agree
Strongly
agree
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
8-2200-378.1
SECTION 7
Personal information
Finally, we would like to ask a few questions about yourself and your
experiences.
65
You are:
1
2
66
female
male
To which age group do you belong?
1
2
20 to 29
30 to 39
3
40 to 49
4
50 to 59
5
60 or older
67
How much experience do you have in the following capacities:
(Specify the number of years and months of experience; e.g., 1 year and 5 months.)
a) as a teacher
year(s)
month(s)
None
b) as a teacher at the grade level of this
student
year(s)
month(s)
None
c) as a teacher at this school
year(s)
month(s)
None
8-2200-378.1
Page 35
68
Please specify the highest level of education you have attained. (Mark all that apply.)
01
02
03
04
05
06
07
08
09
10
11
12
69
a teaching certificate, diploma or license
a bachelor’s degree
a bachelor of Education degree
some post-baccalaureate course work
a post-baccalaureate diploma or certificate
some course work towards a master’s degree
a master’s degree
some course work towards a doctorate
a doctorate
trade/vocational certification (including journeyperson certification)
other (please specify)
Please indicate the main field of study of your highest level of education.
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
Page 36
some course work towards a bachelor’s degree
Language Arts (e.g., oral communication, grammar and composition in
English as a first language)
Mathematics
Second Language Arts
Science (e.g., Physics, Chemistry, Biology)
Trade/Vocational
Family Studies
Social Studies (e.g., History, Geography)
Environmental Studies
Music
Art
Physical Education
Informatics/Computer Science
Education
Special education
General (no specialization/concentration, e.g., B.A.General)
Other (please specify)
8-2200-378.1
70
Have you obtained any of the following advanced qualifications in special education?
(Mark all that apply.)
1
2
3
4
5
71
2
3
4
5
2
other
none of the above
one class in, or part of, a second language program
a certificate in second language education
a graduate degree in second language education
other
none of the above
yes (please specify)
no
Statistics Canada is conducting this survey jointly with another federal department, Human
Resources Development Canada. The information collected will be kept confidential and
used only for statistical purposes. Do you agree to share the information collected with
Human Resources Development Canada?
1
2
8-2200-378.1
a graduate degree in special education
Have you obtained advanced qualifications in areas other than your highest level of
education, special education or second language education?
1
73
a special education certificate
Have you obtained any of the following advanced qualifications in second language
education? (Mark all that apply.)
1
72
one class in, or part of, a special education program
yes
no
Page 37
Do you have any comments about this survey? If so, please use the space below.
Once completed, this questionnaire is confidential and should not be shown to any other
person. It should be sent directly to Statistics Canada by the person who completed the
questionnaire.
Please place the completed questionnaire in the self-addressed business reply envelope
and mail it to us today.
If you do not have the reply envelope, please call 1-800-307-3382 for instructions about
where to send the completed questionnaire.
Thank you for completing this questionnaire
Page 38
8-2200-378.1
3.
Teacher’s Questionnaire (For a school
environment where a child/youth has different
teachers for the basic academic subjects)
Document 3 - Language Arts
XXX
Human Resources Development Canada & Statistics Canada
(Special Surveys Division & Centre for Education Statistics)
National Longitudinal Survey of
Children and Youth - Cycle 3
Language Arts Teacher’s Questionnaire
(For a school environment where a child/youth has
different teachers for the basic academic subjects)
Document 3
Language Arts
This information is collected under
the authority of the Statistics Act
(RSC. 1985, c. S19)
Confidential when completed
Version française disponible
Instructions
The purpose of this survey is to gather information on various school factors, and more specifically
within the language arts classes identified on this questionnaire, which may influence the
development and education of children. The items in this questionnaire relate to the student
attending your class and to your language arts class. The questionnaire includes various school
practices and information about yourself.
Under the Statistics Act the information collected in this questionnaire will be kept confidential.
Completion of the questionnaire is completely voluntary. However, to ensure that we have a complete
picture of all the forces which shape this student's development, we strongly encourage you to complete the
questionnaire within the next five days. Please use a black or blue pen when answering the questions.
We would be most happy to answer any questions you might have. Please feel free to call. The telephone
number is 1-800-307-EDUC/1-800-307-3382.
Please place the completed questionnaire in the business reply envelope and mail it directly to us today.
Your responses are confidential; therefore do not show your responses to any other person.
If you have not been provided a business reply envelope, please call 1-800-307-3382 for instructions on
where to send the completed questionnaire.
THANK YOU FOR YOUR COOPERATION.
8-2200-394.1: 1998-11-23
STC/ECT-180-75020
SECTION 1
This student’s education
The following sections relate to the educational development of this specific
student from your language arts class.
Please mark only one response circle ⊗ per question unless
otherwise indicated.
01
Considering your experience, work and activities with this student, how well do you know this
student’s ...
a) behaviour
b) attitude in class
c) attitude outside of class
02
2
3
2
Not well
at all
01
02
03
04
05
06
07
08
09
10
11
12
Yes, the class includes the following grades: Grade¹
to Grade¹
No, the class includes a single grade.
No, the class is ungraded.
Yes, this student is assigned to:
Grade¹
No, this student is not assigned to a grade.
In the province of Quebec, grades at the secondary level should be reported as follows: Sec. 1 = S1, Sec. 2 = S2, Sec. 3 = S3,
Sec. 4 = S4, Sec.5 = S5 and Sec. 6 = S6.
Page 02
Not
too well
Is this student assigned to a grade?
1
¹
Well
Is this student in a split or multi-grade language arts class?
1
03
Very
well
8-2200-394.1
The next two questions concern levels of difficulty in language arts and in other subjects
that may be offered in some schools. The advanced/enriched level includes all programs
targeting those with stronger abilities in language arts than expected for their grade and
could allow these students to progress more rapidly. The general level includes programs
targeting those with average abilities in language arts and allows them to progress
normally. The basic level includes programs targeting those with lower abilities in language
arts and allows individuals to accomplish different educational or occupational plans.
04
In your school, are the following levels of language arts available for the grade this student is
in?
Yes
a) advanced/enriched
b) general
c) basic
05
No
1
2
3
4
5
6
To which language arts level is this student assigned?
1
advanced/enriched
2
3
06
2
3
French
English
other (please specify)
What is the main language of instruction in most of this student’s class(es)? (Mark the circle
corresponding to the predominant language of instruction in this student’s regular class(es).)
1
2
3
4
8-2200-394.1
basic
What is the language of instruction in this language arts class?
1
07
general
French
English
an equal combination of French and English
other (please specify)
Page 03
08
Is this student in a second language immersion program? (An immersion program involves
learning at least one subject in the second language, e.g., math, geography. Learning a
second language only is not an immersion program)
1
2
3
09
2
3
4
5
I don’t know.



Go to Question 10
49% or less (partial immersion)
50% (The curriculum is divided so that equal amount of instruction time is
given in English and French)
51% to 75%
more than 75% (full immersion)
I don’t know.
How would you rate this student’s current academic achievement in non-written
communication (e.g., comprehension and oral presentation)?
1
2
3
4
5
6
11
no
What percentage of this student’s time is spent in the immersion program?
1
10
yes
near the top of the class
above the middle of the class, but not at the top
in the middle of the class
below the middle of the class, but above the bottom
near the bottom of the class
I am unable to make the appropriate evaluation.
How would you rate this student’s current academic achievement in written work (e.g.,
grammar, spelling and composition)?
1
2
3
4
5
near the top of the class
above the middle of the class, but not at the top
in the middle of the class
below the middle of the class, but above the bottom
near the bottom of the class
6
I am unable to make the appropriate evaluation.
Page 04
8-2200-394.1
12
In your school are the following levels available in at least one subject other than language
arts for the grade this student is in?
Yes
No
Don’t
know
a) advanced/enriched
1
2
3
b) general
4
5
6
c) basic
7
8
9
If you responded
“no” or “don’t know”
to all of the above,
please go to
question 14
13
To which level is this student assigned in the following subjects?
Advanced/
enriched
Basic
Student is
in the only
level
available
for this
grade
Subject
not
available
for this
grade
Subject
available
but
student
not
enrolled in
it at this
time
Don’t
know
a) Mathematics
01
02
03
04
05
06
07
b) Second Language Arts
08
09
10
11
12
13
14
15
16
17
18
19
20
21
d) Trade/Vocational
22
23
24
25
26
27
28
e) Family Studies
29
30
31
32
33
34
35
36
37
38
39
40
41
42
g) Environmental Studies
43
44
45
46
47
48
49
h) Music
50
51
52
53
54
55
56
i) Art
57
58
59
60
61
62
63
c) Science (e.g., Physics,
Chemistry, Biology)
f) Social Studies (e.g.,
History, Geography)
8-2200-394.1
General
Page 05
13 Concluded
To which level is this student assigned in the following subjects?
Advanced/
enriched
j) Physical Education
k) Informatics/Computer
Science
14
2
3
Student is
in the only
level
available
for this
grade
Subject
not
available
for this
grade
Subject
available
but
student
not
enrolled in
it at this
time
Don’t
know
64
65
66
67
68
69
70
71
72
73
74
75
76
77
yes
no
I don’t know.



Go to Question 16
Which of the following subjects is this student currently repeating?
01
02
03
04
05
06
07
08
09
10
11
12
13
14
Page 06
Basic
Is this student currently repeating his or her grade in any subject?
1
15
General
First Language Arts (e.g., oral communication, grammar, composition,
reading, writing)
Mathematics
Second Language Arts
Science (e.g., Physics, Chemistry, Biology)
Trade/Vocational
Family Studies
Social Studies (e.g., History, Geography)
Environmental Studies
Music
Art
Physical Education
Informatics/Computer Science
Religion/Ethics
Other (please specify)
8-2200-394.1
16
How would you rate this student’s current academic achievement across all areas of
instruction?
(If you don’t feel confident evaluating this student across all areas of instruction, please ask
the appropriate teachers without showing them this questionnaire. The information you are
providing is confidential. Please refrain from showing the fully or partially completed
questionnaire to other individuals).
1
2
3
4
5
6
17
near the top of the class
above the middle of the class, but not at the top
in the middle of the class
below the middle of the class, but above the bottom
near the bottom of the class
I am unable to make the appropriate evaluation.
Looking ahead, how far do you expect this student will go in school? Will he/she
1
2
3
4
5
6
complete some secondary or high school
graduate from secondary or high school
learn a trade (e.g., through apprenticeship)
obtain a community college, technical college, vocational college, business
school, or CEGEP certificate or diploma
obtain a university degree
I don’t know.
The next series of questions concerns the length of the school year and the number of hours
a week of instruction this student receives.
18
In your school during a normal school year, how many weeks would this student’s grade take
in the following subjects?
14 to 20
weeks
(1 semester)
a) First Language Arts
b) Mathematics
8-2200-394.1
35 to 40
weeks
(2
semesters)
Subject not
available
for this
grade
Don’t
know
01
02
03
04
05
06
07
08
Page 07
18 Concluded
In your school during a normal school year, how many weeks would this student’s grade take
in the following subjects?
14 to 20
weeks
(1 semester)
Subject not
available
for this
grade
Don’t
know
09
10
11
12
d) Second Language2 Arts
(immersion level)
13
14
15
16
e) Science (e.g., Physics,
Chemistry, Biology)
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
45
46
47
48
49
50
51
52
53
c) Second Language Arts
f) Trade/Vocational
g) Family Studies
h) Social Studies (e.g., History,
Geography)
i) Environmental Studies
j) Music
k) Art
l) Physical Education
m) Informatics/Computer Science
19
35 to 40
weeks
(2
semesters)
Over the last three months, how much instruction time in hours a week has this student
received in...
Hours a week
None
Less
than 1
1 to less 2 to less
than 2
than 3
3 or
more
Don't
know
a) First Language Arts
01
02
03
04
05
06
b) Mathematics
07
08
09
10
11
12
c) Second Language Education
13
14
15
16
17
18
19
20
21
22
23
24
d) Language Arts (immersion
level) 3
3. Please report instruction time spent on language arts in the immersion language. Instruction time for other
subjects taken in an immersion language should be reported under that subject.
Page 08
8-2200-394.1
19 Concluded
Over the last three months, how much instruction time in hours a week has this student
received in...
Hours a week
None
e) Science (e.g., Physics,
Chemistry, Biology)
Less
than 1
1 to less 2 to less
than 2
than 3
3 or
more
Don't
know
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46
47
48
i) Environmental Studies
49
50
51
52
53
54
j) Music
55
56
57
58
59
60
61
62
63
64
65
66
l) Physical Education
67
68
69
70
71
72
m) Informatics/Computer Science
73
74
75
76
77
78
79
80
81
82
83
84
f) Trade/Vocational
g) Family Studies
h) Social Studies (e.g., History,
Geography)
k) Art
n) Other
please specify
The following questions ask about this student’s academic strengths and weaknesses.
20
Does this student receive enhanced or extra instruction in language arts because of
exceptionally advanced abilities in language arts?
1
2
3
8-2200-394.1
yes
no
don’t know.



Go to Question 22
Page 09
21
Where does this student receive this enhanced or extra instruction?
1
2
exclusively within a regular classroom with existing resources
exclusively within a regular classroom with a special aide/assistant teacher
3
primarily within a regular classroom but with some time spent in a special
education class or resource room
4
5
6
22
2
3
other
yes
no
I don’t know.
To the best of your knowledge, in subjects other than language arts, during the last three
months, has this student received enhanced or extra instruction at school because of
exceptionally advanced intellectual, athletic or artistic abilities?
1
2
3
Page 10
exclusively or primarily within a specialized school
Does this student receive additional or remedial help because he/she is weak in language
arts?
1
23
exclusively or primarily within a special education class or resource room
within a regular school
yes
no
I don’t know.



Go to Question 26
8-2200-394.1
24
Where does this student receive this this enhanced or extra instruction?
1
2
3
4
5
6
25
exclusively within a regular classroom with existing resources
exclusively within a regular classroom with a special aide/assistant teacher
primarily within a regular classroom but with some time spent in a special
education class or resource room
exclusively or primarily within a special education class or resource room
within a regular school
exclusively or primarily within a specialized school
Other (please specify)
In which of the following subjects does this student receive this enhanced or extra instruction?
(Mark all that apply.)
01
02
03
04
05
Mathematics
Second Language Arts
Second Language Arts (immersion level) 4
Science (e.g., Physics, Chemistry, Biology)
Trade/Vocational
06
Family Studies
07
08
09
10
11
12
13
Social Studies (e.g., History, Geography)
Environmental Studies
Music
Art
Physical Education
Informatics/Computer Science
Other (please specify)
4. Please report instruction time spent on language arts in the immersion language. Instruction time for other
subjects taken in an immersion language should be reported under that subject.
8-2200-394.1
Page 11
26
To the best of your knowledge, for subjects other than language arts, does this student
receive additional or remedial help because he/she is weak in certain subjects or skills?
1
2
3
27
yes
no
don’t know.



Go to Question 28
In which of the following subjects does this student receive or remedial additional help?
(Mark all that apply.)
01
02
Mathematics
Second Language Arts
03
Second Language Arts (immersion level) 4
04
05
Science (e.g., Physics, Chemistry, Biology)
Trade/Vocational
06
Family Studies
07
08
09
10
11
12
13
28
Social Studies (e.g., History, Geography)
Environmental Studies
Music
Art
Physical Education
Informatics/Computer Science
Other (please specify)
Does this student receive special/resource help because of a learning disability or a physical,
emotional, behavioural or other problem which limits the kind or amount of school work
he/she can do?
1
2
3
yes
no
I don’t know.



Go to Question 31
4. Please report instruction time spent on language arts in the immersion language. Instruction time for other
subjects taken in an immersion language should be reported under that subject.
Page 12
8-2200-394.1
29
What type of problem limits this student's ability to do school work in a regular classroom?
(Mark all that apply.)
01
02
03
04
05
physical disability
visual impairment
hearing impairment
speech impairment
learning disability
06
emotional or behavioural problem
07
08
09
10
30
home environment/problems at home
problems understanding the language spoken at school
other (please specify)
Where does this student receive this special/resource help?
1
2
3
4
5
6
8-2200-394.1
mental disability or limitation
exclusively within a regular classroom with existing resources
exclusively within a regular classroom with a special aide/assistant teacher
primarily within a regular classroom but with some time spent in a special
education class or resource room
exclusively or primarily within a special education class or resource room
within a regular school
exclusively or primarily within a specialized school
other (please specify)
Page 13
SECTION 2
31
In the last three months, approximately how many times has this student been absent from
your language arts class?
1
2
3
4
5
32
2
3
4
5
1 or 2 times
3 to 5 times
6 to 10 times
more than 10 times
never
1 or 2 times
3 to 5 times
6 to 10 times
more than 10 times
This student seems to enjoy language arts classes:
1
2
3
4
5
Page 14
never
In the last three months, approximately how many times has this student skipped or was
absent from your language arts class without a valid reason?
1
33
This student’s behaviour and attendance in
your language arts class
always
often
sometimes
rarely
never
8-2200-394.1
34
This student seems bored in language arts classes:
1
2
3
4
5
35
2
3
4
5
2
3
4
5
6
rarely
never
always
often
sometimes
rarely
never
always
often
sometimes
rarely
never
I don’t know
In your opinion, how important are academic pursuits to this student?
1
2
3
4
8-2200-394.1
sometimes
This student seems comfortable with the level of difficulty of materials in most classes:
1
37
often
This student seems comfortable with the level of difficulty of the language arts class material:
1
36
always
very important
somewhat important
of little importance
I don’t know
Page 15
38
How often do you talk to this student outside of class?
1
several times a week
2
once a week
3
4
5
39
a few times a month
once every few months
never
In the last three months, how often has this student arrived in your language arts class:
Never
a) without the materials
needed to do his/her
schoolwork (e.g.,
notebooks, paper)
Often
Always
Don’t
know
02
03
04
05
06
b) too tired to do school
work
07
08
09
10
11
12
c) without his/her homework completed
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
e) without adequate
nourishment/hungry
How often would you say that this student:
Never or
not true
Sometimes
or somewhat true
Often or
very true
Don’t know
a)
shows sympathy to someone
who has made a mistake
001
002
003
004
b)
can’t sit still, is restless or
hyperactive
005
006
007
008
c)
destroys his/her own things
009
010
011
012
d)
will try to help someone who has
been hurt
013
014
015
016
e)
steals
017
018
019
020
Page 16
Sometimes
01
d) late
40
Rarely
8-2200-394.1
40 Continued
How often would you say that this student:
Never or
not true
f)
seems to be unhappy, sad or
depressed
g)
gets into many fights
h)
Often or
very true
Don’t know
021
022
023
024
025
026
027
028
volunteers to help clear up a
mess someone else has made
029
030
031
032
i)
is easily distracted, has trouble
sticking to any activity
033
034
035
036
j)
when mad at someone, tries to
get others to dislike that person
037
038
039
040
k)
is not as happy as other children
041
042
043
044
l)
destroys things belonging to
others
045
046
047
048
m)
if there is a quarrel or dispute,
will try to stop it
049
050
051
052
n)
fidgets
053
054
055
056
o)
is disobedient at school
057
058
059
060
p)
cannot concentrate, cannot pay
attention for long
061
062
063
064
q)
is too fearful or anxious
065
066
067
068
r)
when mad at someone,
becomes friends with another as
revenge
069
070
071
072
073
074
075
076
077
078
079
080
081
082
083
084
085
086
087
088
s)
is impulsive, acts without
thinking
t)
tells lies or cheats
u)
offers to help other children
(friend, brother or sister) who
are having difficulty with a task
v)
8-2200-394.1
Sometimes
or somewhat true
is worried
Page 17
40 Continued
How often would you say that this student:
Never or
not true
w)
has difficulty waiting for his/her
turn in games or groups
x)
when somebody accidentally
hurts him/her, he/she reacts with
anger and fighting
Often or
very true
Don’t know
089
090
091
092
093
094
095
096
y)
tends to do things on his/her own,
is rather solitary
097
098
099
100
z)
when mad at someone, says bad
things behind the other’s back
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
117
118
119
120
121
122
123
124
125
126
127
128
129
130
131
132
133
134
135
136
aa) physically attacks people
bb) comforts a child (friend, brother, or
sister) who is crying or upset
cc)
cries a lot
dd) vandalizes
ee) gives up easily
ff)
threatens people
gg) spontaneously helps to pick up
objects which somebody has
dropped (e.g. pencils, books)
hh) cannot settle down to do
anything for more than a few
moments
ii)
appears miserable, unhappy,
tearful or distressed
137
138
139
140
jj)
is cruel, bullies or is mean to
others
141
142
143
144
kk)
when mad at someone, says to
others: let's not be with him/her
149
150
151
152
ll)
is nervous, high-strung, or
tense
153
154
155
156
Page 18
Sometimes
or somewhat true
8-2200-394.1
40 Concluded
How often would you say that this student:
Never or
not true
mm) kicks, bites, hits other children
nn) will invite others to join in a
game
oo) is inattentive
pp) has trouble enjoying
himself/herself
qq) helps other children (friends,
brother or sister) who are feeling
sick
41
Often or
very true
Don’t know
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
rr)
when mad at someone, tells that
person's secrets to a third person
177
178
179
180
ss)
helps those who do not do as
well as he/she does
181
182
183
184
Listed below are various social and personal skills. Please indicate how often this student
demonstrates each of the following in your language arts class:
Never
a) cooperative work
with other students
b) following rules
c) following instructions
d) challenging the
teacher in a positive
way
e) respect for the
property of others
f) self-control
8-2200-394.1
Sometimes
or somewhat true
Rarely
Sometimes
Often
Always
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Page 19
41 Concluded
Listed below are various social and personal skills. Please indicate how often this student
demonstrates each of the following in your language arts class:
Never
g) self-confidence
h) creativity
i) problem-solving
capacity
j) respect for adults
k) respect for other
youth
l) acceptance of
responsibility for own
actions
42
Sometimes
Often
Always
31
32
33
34
35
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
These statements describe work habits. Please indicate how often this student demonstrates
each of these work habits in your language arts class:
Never
Rarely
Sometimes
Often
Always
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
e) takes care of
materials
21
22
23
24
25
f) works neatly and
carefully
26
27
28
29
30
g) puts a lot of effort into
work
31
32
33
34
35
a) listens attentively
b) follows directions
c) completes work on
time
d) works independently
Page 20
Rarely
8-2200-394.1
43
Does this student have special skills or talents in any of the following areas?
Yes
No
01
02
03
04
05
06
07
08
09
10
11
12
e) technical skills (e.g., computer
skills)
13
14
15
f) interpersonal skills (e.g.,
leadership skills)
16
17
18
g) other skills
(please specify)
19
20
21
a) sports or athletics
b) academic work (e.g.,
numeracy or literacy skills)
c) arts
d) music
8-2200-394.1
Don’t
know
Page 21
SECTION 3
Involvement of parent(s) and guardian(s)
The next questions concern your impressions of how involved the parent(s)
and/or guardian(s) is (are) with this student’s education. This information will
enable us to determine whether such involvement affects the student’s
academic achievement and development.
44
Since the beginning of school in the fall, did a parent/guardian of this student:
a) participate in regularly scheduled parent-teacher
conferences including discussions about report cards
with you (either in person or on the telephone)?
b) contact you to discuss this student’s academic
performance or behaviour in your language arts
class?
c) return your call to talk about this student’s academic
performance or behaviour in your language arts class?
d) correspond with you in writing regarding this student’s
academic performance or behaviour in your language
arts class (e.g., through the student's agenda, or
planner)?
e) volunteer in your class?
Yes
No
Not
applicable
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
f) correspond with you regarding this student’s
academic performance or behaviour in your language
arts class in a manner not listed above?
(please specify)
45
In your opinion, how involved is (are) the parent(s)/guardian(s) in this student’s education?
1
2
3
4
Page 22
very involved
somewhat involved
not involved
don’t know the parent(s)/guardian(s) of this student well enough.
8-2200-394.1
46
In your opinion, how important is school to this student’s parent(s)/guardian(s)?
1
2
3
4
47
somewhat important
of little importance
I don’t know the parent(s)/guardian(s) of this student well enough.
In your opinion, how strongly does (do) this student’s parent(s)/guardian(s) generally support
your school’s teaching efforts?
1
2
3
4
8-2200-394.1
very important
strongly support
somewhat support
does (do) not support
I don’t know the parent(s)/guardian(s) well enough.
Page 23
SECTION 4
This student’s class(es) and your teaching
practices
This information will help us understand how the classroom may affect
students’ academic and social functioning.
These first few questions gather information about the language arts class(es) that you
teach this student.
48
On average, how many students are enrolled in the language arts class(es) that you teach
this student?
students
49
What is the percentage of total instruction time when a qualified teaching assistant, (including
student teachers) and/or an adult volunteer, is available in the language arts class(es) that
you teach this student?
Average percentage of total instruction time
Not
available
50
26% to
50%
51% to
75%
More than
75%
a) Teaching assistant
01
02
03
04
05
b) Adult volunteer
06
07
08
09
10
In the language arts class(es) that you teach this student, how many students have any of the
following long-term problems, whether or not the problem has been officially identified?
(Some students may belong to more than one category.)
a) a speech, hearing, vision, mobility or other health
impairment that affects their learning
students
b) an emotional or behavioural problem
students
c) a learning problem (e.g., a problem with attention,
memory, reasoning, reading, writing, spelling or
calculation that interferes with learning)
students
Page 24
1% to
25%
8-2200-394.1
51
52
In the language arts class(es) you teach this student, on average, how many students:
(Some students may belong to more than one category.)
a) have a first language other than English or French
students
b) arrived in Canada within the last year
students
Other than language arts, which of the following subjects do you teach to this student?
(Mark all that apply.)
01
02
03
04
05
06
07
08
09
10
11
12
13
14
I do not teach this student any other subject
Mathematics
Second Language Arts (immersion)
Science (e.g., Physics, Chemistry, Biology)
Trade/Vocational
Family Studies
Social Studies (e.g., History, Geography)
Environmental Studies
Music
Art
Physical Education
Informatics/Computer Science
Religion/Ethics
Other (please specify)
Now we would like to ask you some questions about the achievement of this student’s
class(es) and your teaching practices.
53
Compared with other language arts classes at the same grade and level (advanced/
enriched, general or basic) in your school, do you feel that the classes you teach this student
generally has (have):
1
2
3
4
5
8-2200-394.1
lower overall academic ability than the other classes
similar overall academic ability to the other classes
higher overall academic ability than other classes
a wider range of academic abilities than the other classes
No other language arts class in the same grade and level exists in this school.
Page 25
54
How often do you use the following strategies to teach language arts to the class(es) you
teach this student?
Never
a) teach to the class(es) as a
whole
Always
03
04
05
06
07
08
09
10
11
12
13
14
15
d) allow students to form their
own groups
16
17
18
19
20
e) use individualized instruction
plans to teach the subject(s)
21
22
23
24
25
26
27
28
29
30
f) other (please specify)
How often do you assign homework, assignments or projects outside class to the language
arts class(es) you teach this student?
(Please include classroom work made intentionally long for completion out of the classroom.)
1
2
3
4
5
every class
every second class
at intervals of three or four classes
every fifth class or more
never Go to Question 59
On the days homework is assigned to the language arts class(es) you teach this student,
approximately how much time do you expect students to spend on the homework you assign?
1
2
3
4
Page 26
Often
02
c) organize the class(es) into
groups with a mixture of
abilities in the subject
56
Sometimes
01
b) organize the class(es) into
groups with similar abilities in
the subject
55
Rarely
15 minutes a day or less
16 to 30 minutes
31 to 60 minutes
more than 60 minutes
8-2200-394.1
57
You may give different time frames to complete homework and assignments to this student’s
language arts class(es). Please estimate the proportion of time you expect them to spend on:
Average percentage of time spent on different types of
assignments outside of class
Never or
none
assigned
a) homework to be completed
for the next language arts
class
b) assignments which have
longer completion times such
as every second or third
class
c) projects which have long
completion times such as a
month or semester
58
26% to
50%
51% to
75%
More than
75%
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
For the language arts class(es) that you teach this student, how often do you monitor
homework that you have assigned by the following:
Never
Rarely
Sometimes
Often
Always
a) keeping a record of who
turned in assignments
01
02
03
04
05
b) returning assignments with
corrections or grades
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
c) discussing homework in class
d) having parent(s)/guardian(s)
sign a homework book, note
or agenda
e) students’ self-evaluations or
peer evaluations
8-2200-394.1
1% to
25%
Page 27
59
In your language arts class(es) attended by this student, the students:
Never
a) move smoothly from
one classroom
activity to another
b) are easily distracted
by the disruptive
behaviour of a few
c) work well together on
group activities
d) misbehave when you
are called to the door
or must attend to
other interruptions
60
Sometimes
Often
Always
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
Please rate the extent to which each of the following meets the needs of the language arts
class(es) that you teach this student.
Does not
meet the
needs
Partially Adequately Completely
Not
meets the meets the meets the applicable
needs
needs
needs
a) Instructional resources (e.g.,
curriculum documents, books)
01
02
03
04
05
b) School supplies (e.g., paper,
pencils)
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
c) Space within your classroom
d) Special equipment for
physically disabled/challenged
students
e) Library or adequate access to
teacher librarian
Page 28
Rarely
8-2200-394.1
61
Please indicate the approximate number of minutes a week you spend on the following
non-instructional activities for the language arts class(es) that you teach this student:
Minutes a week
none
30 or less
31 to 60
More than
60
01
02
03
04
b) performing routine tasks (e.g., taking
attendance, filling out forms)
05
06
07
08
c) discussing professional issues with
colleagues
09
10
11
12
d) discussing issues with students’
parent(s)/guardian(s)
13
14
15
16
a) maintaining order and discipline
The next few questions gather information about all classes you teach, including those to
which this student does not belong.
62
On average, what is the total number of hours per week you teach (i.e., total teaching time
to all grades and subjects excluding preparation, correction time, time spent on extra-curricular
activities, etc.)?
hours
63
Please indicate the approximate number of hours a week you spend on the following
non-instructional activities for all classes which you teach (including those to which this
student does not attend):
Hours a week
none
a) maintaining order and
discipline
b) performing routine tasks (e.g.,
taking attendance, filling out
forms)
c) discussing professional issues
with colleagues
d) preparing lessons, materials
and other pedagogical tools to
teach
e) correcting, marking, exams or
work prepared by students
8-2200-394.1
Less than 2 2 to less
than 3
3 to less
than 4
4 or more
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
16
17
18
19
20
Page 29
63 Concluded
Please indicate the approximate number of hours a week you spend on the following
non-instructional activities for all classes which you teach (including those to which this
student does not belong):
Hours a week
none
64
3 to less
than 4
4 or more
f) supervising students at
noon/recess/spare time
26
27
28
29
30
g) assisting with or directing
extra-curricular activities
31
32
33
34
35
h) discussing issues with
students’ parent(s)/guardian(s)
36
37
38
39
40
The following statements describe various attributes about yourself and the students in all
classes you teach. Please indicate the extent to which you agree or disagree with each
statement.
Strongly
disagree
a) Many of the students I teach
are not capable of mastering
the curriculum at their grade.
Disagree
Neither
agree nor
disagree
Agree
Strongly
agree
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
d) I feel competent in dealing with 16
students’ behavioural problems.
17
18
19
20
e) I feel competent in dealing with
students’ learning problems.
21
22
23
24
25
26
27
28
29
30
32
33
34
35
37
38
39
40
b) In my classroom the emphasis
is on the development of
academic skills.
c) I have a strong effect on the
academic achievement of the
students I teach.
f) I feel students’ success at
school is determined mainly by
their home environment.
g) I have high expectations for the
academic success of my
31
students.
h) I strongly encourage students
to achieve their full academic
potential.
Page 30
Less than 2 2 to less
than 3
36
8-2200-394.1
SECTION 5
65
Computers, informatics & communications
technology
Do you use a computer or a terminal connected to a computer at shcool in the following ways:
Yes
a) in your class, as a teaching tool for students
b) outside the class, as a teaching tool for
students
c) as a learning/professional development tool for yourself (e.g., education
discussion groups on Internet)
d) to access the Internet for classroom
instruction
e) make presentations or give demonstrations
in class (e.g., LCD display for overhead
projectors, or electronic overhead, color
projector, giant screen )
f) have students use basic software (e.g., word
processing, spreadsheet, drawing)
g) have students use telecommunications
software (e.g., send and receive messages,
join chat groups, research and consult,
participate in forums)
h) have students use self-learning software
(e.g., drill and practice software, tutorials,
simulations, research, web sites, on-line
help)
i) have students use specialized software while
teaching specific subjects (e.g., music,
design, advanced drawing, data processing,
robotics)
8-2200-394.1
No
Not
Not
available applicable
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
Page 31
SECTION 6
66
Perceptions of your school
Below are a number of statements that may describe the climate of your school. Please
indicate the extent to which you agree or disagree with each statement.
Strongly
disagree
a) The administrative, support
and teaching staff work
together as a team.
b) All staff are involved in
decision-making.
c) School staff know what is
expected of them in terms of
their roles and responsibilities.
d) Staff clearly understand
school policies and
procedures.
e) Teachers have considerable
influence on school policies.
f) Teachers have a strong
influence on how resources
(e.g., money, staff, instructional materials) are allocated.
g) Students clearly understand
school rules.
h) The principal and, if applicable,
vice principal(s), provide(s)
support to teachers.
i) Teachers receive positive
feed-back from the principal
and vice-principal(s).
Page 32
Disagree
Neither
agree nor
disagree
Agree
Strongly
agree
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
8-2200-394.1
66 Concluded
Below are a number of statements that may describe the climate of your school. Please
indicate the extent to which you agree or disagree with each statement.
Strongly
disagree
j) The principal/vice-principal(s)
circulate(s) in the school to
talk to staff.
k) The principal/vice-principal(s)
spend(s) time getting to know
students.
l) The school provides a positive
working environment for
teachers.
m) The school provides a positive
working environment for
students.
67
Neither
agree nor
disagree
Agree
Strongly
agree
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
Please indicate the extent to which you agree with each of these statements regarding your
school’s disciplinary policies.
Strongly
disagree
a) Teachers in this school have
reached a consensus about
ways to discipline students
who break rules.
b) All students who break rules
in this school face the same
consequences.
c) Teachers in this school rarely
overlook physical aggression
among students.
d) Teachers in this school rarely
overlook verbal aggression
among students.
e) Teachers feel there is
insufficient support within the
school for managing
disciplinary problems.
8-2200-394.1
Disagree
Disagree
Neither
agree nor
disagree
Agree
Strongly
agree
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Page 33
SECTION 7
Personal information
Finally, we would like to ask a few questions about you and your experiences.
68
You are:
1
2
69
female
male
To which age group do you belong?
1
2
20 to 29
30 to 39
3
40 to 49
4
50 to 59
5
60 or older
70
How much experience do you have in the following capacities:
(Specify the number of years and months of experience; e.g., 1 year and 5 months.)
a) as a teacher
year(s)
month(s)
none
b) as a teacher in Language Arts at the
grade level of this student
year(s)
month(s)
none
c) as a teacher at this school
year(s)
month(s)
none
d) as a teacher at the grade level of this
student
year(s)
month(s)
none
Page 34
8-2200-394.1
71
Please specify the highest level of education you have attained. (Mark all that apply)
01
02
03
04
05
06
07
08
09
10
11
12
72
a teaching certificate, diploma or licence
a bachelor’s degree
a Bachelor of Education degree
some post-baccalaureate course work
a post-baccalaureate diploma or certificate
some course work towards a master’s degree
a master’s degree
some course work towards a doctorate
a doctorate
trade/vocational certification (including journeyperson certification)
other (please specify)
Please indicate the main field of study of your highest level of education.
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
8-2200-394.1
some coursework towards a bachelor’s degree
Language Arts (e.g., oral communication, grammar and composition in
English as a first language)
Mathematics
Second Language Arts
Science (e.g., Physics, Chemistry, Biology)
Trade/Vocational
Family Studies
Social Studies (e.g., History, Geography)
Environmental Studies
Music
Art
Physical Education
Informatics/Computer Science
Education
Special Education
General (no specialization/concentration, e.g., B.A. General)
Other (please specify)
Page 35
73
Have you obtained any of the following advanced qualifications in special education?
(Mark all that apply.)
1
2
3
4
5
74
2
3
4
5
2
other
none of the above
one class in, or part of, a second language program
a certificate in second language education
a graduate degree in second language education
other
none of the above
yes (please specify)
no
Statistics Canada is conducting this survey jointly with another federal department, Human
Resources Development Canada. The information collected will be kept confidential and
used only for statistical purposes. Do you agree to share the information collected with
Human Resources Development Canada?
1
2
Page 36
a graduate degree in special education
Have you obtained advanced qualifications in areas other than your highest level of
education, special education or second language education?
1
76
a special education certificate
Have you obtained any of the following advanced qualifications in second language
education? (Mark all that apply.)
1
75
one class in, or part of, a special education program
yes
no
8-2200-394.1
Do you have any comments about this survey? If so, please use the space below.
Once completed, this questionnaire is confidential and should not be shown to any other
person. It should be sent directly to Statistics Canada by the person who completed it.
Please place the completed questionnaire in the self-addressed business reply envelope
and mail it to us today.
If you do not have the reply envelope, please call 1-800-307-3382 for instructions about
where to send the completed questionnaire.
Thank you for completing this questionnaire
8-2200-394.1
Page 37
XXX
4.
Mathematics Teacher’s Questionnaire (For a
school environment where a child/youth has
different teachers for the basic academic
subjects) Document 3 - Mathematics
XXX
Human Resources Development Canada & Statistics Canada
(Special Surveys Division & Centre for Education Statistics)
National Longitudinal Survey of
Children and Youth - Cycle 3
Mathematics Teacher’s Questionnaire
Document 3
Mathematics
This information is collected under
the authority of the Statistics Act
(RSC. 1985, c. S19)
Confidential when completed
Version française disponible
Instructions
The purpose of this survey is to gather information on various school factors, and more specifically
within the mathematics class(es) you teach this student, which may influence the development and
education of children. The items in this questionnaire relate to a student who attends your
mathematics class and who is identified on this questionnaire. The questionnaire includes various
school practices, and information about yourself.
Under the Statistics Act the information collected in this questionnaire will be kept confidential.
Completion of the questionnaire is completely voluntary. However, to ensure that we have a complete
picture of all the forces which shape this student's development, we strongly encourage you to complete the
questionnaire within the next five days. Please use a black or blue pen when answering the questions.
We would be most happy to answer any questions you might have. Please feel free to call. The telephone
number is 1-800-307-EDUC/1-800-307-3382.
Please place the completed questionnaire in the business reply envelope and mail it directly to us today.
Your responses are confidential, therefore do not show your responses to any other person.
If we have not provided a business reply envelope, please call 1-800-307-3382 for instructions on where to
send the completed questionnaire.
THANK YOU FOR YOUR COOPERATION.
8-2200-395.1: 1999-01-27
STC/ECT-180-75020
SECTION 1
This student’s education
The following sections relate to the educational development of this specific
student from your mathematics class.
Please mark only one response circle ⊗ per question unless
otherwise indicated.
01
Considering your experience, work and activities with this student, how well do you know this
student’s ...
a) behaviour
b) attitude in class
c) attitude outside of class
02
2
3
2
Not well
at all
01
02
03
04
05
06
07
08
09
10
11
12
Yes, the class includes the following grades: Grade¹
to Grade¹
No, the class includes a single grade.
No, the class is ungraded.
Yes, this student is assigned to:
Grade¹
No, this student is not assigned to a grade.
In the province of Quebec, grades at the secondary level should be reported as follows: Sec. 1 = S1, Sec. 2 = S2, Sec. 3 = S3,
Sec. 4 = S4, Sec.5 = S5 and Sec. 6 = S6.
Page 02
Not
too well
Is this student assigned to a grade?
1
¹
Well
Is this student in a split or multi-grade math class?
1
03
Very
well
8-2200-395.1
The next two questions concern levels of difficulty in mathematics and in other subjects
that may be offered in some schools. The advanced/enriched level includes all programs
targeting those with stronger abilities in mathematics in their grade and could allow these
students to progress more rapidly. The general level includes programs targeting those with
average abilities in mathematics and allows them to progress normally. The basic level
includes programs targeting those with lower abilities in mathematics and allows
individuals to accomplish different educational or occupational plans.
04
In your school, are the following levels of mathematics available for the grade this student
is in?
Yes
a) advanced/enriched
b) general
c) basic
05
No
Don’t
know
1
2
3
4
5
6
7
8
9
This student is assigned to the math level
1
advanced/enriched
2
general
3
basic
06
What is the main language of instruction in this student’s math class(es)?
1
2
3
07
English
other (please specify)
Is this an immersion language for this student?
1
2
3
8-2200-395.1
French
yes
no
I don’t know.
Page 03
08
Is this student currently repeating his or her math course?
1
2
3
09
2
3
4
5
6
I don’t know.
near the top of the class
above the middle of the class, but not at the top
in the middle of the class
below the middle of the class, but above the bottom
near the bottom of the class
I am unable to make the appropriate evaluation.
How would you rate this student’s current academic achievement in other areas of
mathematics (problem solving, concepts and applications)?
1
2
3
4
5
6
Page 04
no
How would you rate this student’s current academic achievement in mathematics
(computation)?
1
10
yes
near the top of the class
above the middle of the class, but not at the top
in the middle of the class
below the middle of the class, but above the bottom
near the bottom of the class
I am unable to make the appropriate evaluation.
8-2200-395.1
11
How would you rate this student’s current academic achievement in science (e.g., physics,
chemistry, biology)?
(If you don’t feel confident evaluating this student in science, please ask the appropriate
teacher without showing her/him this questionnaire. The information you are providing is
confidential. Please refrain from showing this questionnaire to other individuals.)
1
2
3
4
5
6
7
12
above the middle of the class, but not at the top
in the middle of the class
below the middle of the class, but above the bottom
near the bottom of the class
I am unable to make the appropriate evaluation.
This student is not currently enrolled in science.
How would you rate this student’s current academic achievement across all areas of
instruction?
(If you don’t feel confident evaluating this student across all areas of instruction, please ask
the appropriate teachers without showing them this questionnaire. The information you are
providing is confidential. Please refrain from showing this questionnaire to other individuals).
1
2
3
4
5
6
8-2200-395.1
near the top of the class
near the top of the class
above the middle of the class, but not at the top
in the middle of the class
below the middle of the class, but above the bottom
near the bottom of the class
I am unable to make the appropriate evaluation.
Page 05
13
Looking ahead, how far do you expect this student will go in school? Will he/she ...
1
2
3
4
5
6
complete some secondary or high school
graduate from secondary or high school
learn a trade (e.g., through apprenticeship)
obtain a community college, technical college, vocational college, business
school, or CEGEP certificate or diploma
obtain a university degree
I don’t know.
The next series of questions concerns the length of the school year and the number of hours
a week of instruction this student receives.
14
In a normal school year, how many weeks of mathematics does this student’s grade take in
your school?
1
2
3
15
approximately 14 to 20 weeks (1 semester)
other (please specify number of weeks)
Over the last three months, how much instruction time (in hours a week) has this student
received in mathematics?
1
2
3
4
5
Page 06
approximately 35 to 40 weeks (2 semesters)
none
less than 1 hour
1 to less than 2 hours
2 to less than 3 hours
3 or more
8-2200-395.1
The following questions ask about this student’s academic strengths and weaknesses.
16
Does this student receive enhanced or extra instruction in school because of exceptionally
advanced abilities in mathematics?
1
2
3
17
no
I don’t know.



Go to Question 18
Where does this student receive this enhanced or extra instruction?
1
2
3
4
5
6
18
yes
exclusively within a regular classroom with existing resources
exclusively within a regular classroom with an assistant teacher
primarily within a regular classroom but with some time spent in a special
education class or resource room
exclusively or primarily within a special education class or resource room
within a regular school
exclusively or primarily within a specialized school
other
Does this student receive additional or remedial help because he/she is weak in
mathematics?
1
2
yes
no
3
I don’t know.
8-2200-395.1
Page 07
SECTION 2
19
In the last three months, approximately how many times has this student been absent from
your mathematics class?
1
2
3
4
5
20
2
3
4
5
1 or 2 times
3 to 5 times
6 to 10 times
more than 10 times
never
1 or 2 times
3 to 5 times
6 to 10 times
more than 10 times
This student seems to enjoy math classes:
1
2
3
4
5
Page 08
never
In the last three months, approximately how many times has this student skipped your
mathematics class (i.e., was absent without a valid reason)?
1
21
This student’s behaviour and attendance in
your mathematics class
always
often
sometimes
rarely
never
8-2200-395.1
22
This student seems bored in math classes:
1
2
3
4
5
23
2
3
4
5
2
3
4
5
6
rarely
never
always
often
sometimes
rarely
never
always
often
sometimes
rarely
never
I don’t know.
In your opinion, how important are academic pursuits to this student?
1
2
3
4
8-2200-395.1
sometimes
This student seems comfortable with the level of difficulty of materials in most classes:
1
25
often
This student seems comfortable with the level of difficulty of the math class material:
1
24
always
very important
somewhat important
of little importance
I don’t know.
Page 09
26
How often do you talk to this student outside of class?
1
2
3
4
5
27
several times a week
once a week
a few times a month
once every few months
never
In the last three months, how often has this student arrived in your math class:
Never
a) without the materials
needed to do his/her
schoolwork (e.g.,
notebooks, paper)
b) too tired to do school
work
c) without his/her
homework
completed
d) late for class
e) without adequate
nourishment/hungry
28
Rarely
Often
Always
Don’t
know
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
How often would you say that this student:
Never or
not true
Sometimes
or somewhat true
Often or
very true
Don’t know
a) shows sympathy to someone
who has made a mistake
001
002
003
004
b) cannot sit still, is restless or
hyperactive
005
006
007
008
009
010
011
012
013
014
015
016
c) destroys his/her own things
d) will try to help someone who has
been hurt
Page 10
Sometimes
8-2200-395.1
28 Continued
How often would you say that this student:
Never or
not true
Often or
very true
Don’t know
017
018
019
020
021
022
023
024
025
026
027
028
h) volunteers to help clear up a
mess someone else has made
029
030
031
032
i) is distractible, has trouble sticking
to any activity
033
034
035
036
j) when mad with someone tries to
get others to dislike that person
037
038
039
040
k) is not as happy as other children/
youths
041
042
043
044
045
046
047
048
049
050
051
052
053
054
055
056
057
058
059
060
061
062
063
064
065
066
067
068
069
070
071
072
073
074
075
076
077
078
079
080
081
082
083
084
085
086
087
088
e) steals
f) seems to be unhappy, sad or
depressed
g) gets into many fights
l)
destroys things belonging to
others
m) if there is a quarrel or dispute, will
try to stop it
n) fidgets
o) is disobedient at school
p) cannot concentrate, cannot pay
attention for long
q) is usually fearful or anxious
r) when mad with someone,
becomes friends with another as
revenge
s) is impulsive, acts without thinking
t) tells lies or cheats
u) offers to help other children/youths
(friend, brother or sister) who are
having difficulty with a task
v) is worried
8-2200-395.1
Sometimes
or somewhat true
Page 11
28 Continued
How often would you say that this student:
Never or
not true
w)
has difficulty awaiting turn when
in games or groups
x)
when somebody accidentally
hurts her/him, he/she reacts with
anger and fighting
Often or
very true
Don’t know
089
090
091
092
093
094
095
096
y)
tends to do things on his/her
own, is rather solitary
097
098
099
100
z)
when angry with someone, says
bad things behind the other’s back
101
102
103
104
105
106
107
108
109
110
111
112
113
114
115
116
dd) vandalizes
117
118
119
120
ee) gives up easily
121
122
123
124
ff)
125
126
127
128
129
130
131
132
133
134
135
136
aa) physically attacks people
bb) comforts a child/youth (friend,
brother or sister) who is crying or
upset
cc)
cries a lot
threatens people
gg) spontaneously helps to pick up
objects which somebody has
dropped (e.g., pencils, books)
hh) cannot settle to do anything for
more than a few moments
ii)
appears miserable, unhappy,
tearful or distressed
137
138
139
140
jj)
is cruel, bullies or is mean to
others
141
142
143
144
kk)
when angry with someone, says
to others: let’s not be with her/him
145
146
147
148
ll)
is nervous, high-strung, or
tense
149
150
151
152
Page 12
Sometimes
or somewhat true
8-2200-395.1
28 Concluded
How often would you say that this student:
Never or
not true
mm) kicks, bites, hits other children/
youths
nn) will invite others to join in a game
oo) is inattentive
pp) has trouble enjoying self
qq) helps other children/youths
(friend, brother or sister) who
are feeling sick
rr)
ss)
29
when angry with someone, tells
that one’s secrets to a third
person
helps those who do not do as
well as him/her
Often or
very true
Don’t know
153
154
155
156
157
158
159
160
161
162
163
164
165
166
167
168
169
170
171
172
173
174
175
176
177
178
179
180
Listed below are various social and personal skills. Please indicate how often this student
demonstrates each of the following in your math class:
Never
a) cooperative work
with other students
b) following rules
c) following instructions
d) challenging the
teacher in a positive
way
e) respect for the
property of others
f) self-control
g) self-confidence
8-2200-395.1
Sometimes
or somewhat true
Rarely
Sometimes
Often
Always
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
Page 13
29 Concluded
Listed below are various social and personal skills. Please indicate how often this student
demonstrates each of the following in your math class:
Never
h) creativity
i) problem-solving
capacity
j) respect for adults
k) respect for other
youth
l) acceptance of
responsibility for own
actions
30
Sometimes
Often
Always
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
These statements describe work habits. Please indicate how often this student demonstrates
each of these work habits in your math class:
Never
Rarely
Sometimes
Often
Always
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
e) taking care of
materials
21
22
23
24
25
f) working neatly and
carefully
26
27
28
29
30
g) putting a lot of effort
into work
31
32
33
34
35
a) listening attentively
b) following directions
c) completing work on
time
d) working independently
Page 14
Rarely
8-2200-395.1
31
Does this student have special skills or talents in any of the following areas?
Yes
No
01
02
03
04
05
06
07
08
09
10
11
12
e) technical skills (e.g., computer
skills)
13
14
15
f) interpersonal skills (e.g.,
leadership skills)
16
17
18
g) other
(please specify)
19
20
21
a) sports or athletics
b) academic work (e.g.,
numeracy or literacy skills)
c) arts
d) music
8-2200-395.1
Don’t
know
Page 15
SECTION 3
Involvement of parent(s) and guardian(s)
The next question concerns your impressions of how involved the parent(s)
and/or guardian(s) is (are) with this student’s education. This information will
enable us to determine whether such involvement affects the student’s
academic achievement and development.
32
Since the beginning of school in the fall, did a parent/guardian of this student:
Yes
No
01
02
03
b) contact you to discuss this student’s academic
performance or behaviour in your math class?
04
05
06
c) return your call to talk about this student’s academic
performance or behaviour in your math class?
07
08
09
10
11
12
13
14
15
16
17
18
a) participate in regularly scheduled parent/teacher
conferences including discussions about report cards
with you (either in person or on the telephone)?
d) correspond with you in writing regarding this student’s
academic performance or behaviour in your math
class (e.g., through the student's agenda, or
planner)?
e) volunteer in your class?
Not
applicable
f) correspond with you regarding this student’s
academic performance or behaviour in your math
class in a manner not listed above
(please specify)
33
In your opinion, how involved is (are) the parent(s)/guardian(s) in this student’s education?
1
2
3
4
Page 16
very involved
somewhat involved
not involved
I don’t know the parent(s)/guardian(s) of this student well enough.
8-2200-395.1
34
In your opinion, how important is school to this student’s parent(s)/guardian(s)?
1
2
3
4
35
somewhat important
of little importance
I don’t know the parent(s)/guardian(s) of this student well enough.
In your opinion, how strongly does (do) this student’s parent(s)/guardian(s) generally support
your school’s teaching efforts?
1
2
3
4
8-2200-395.1
very important
strongly support
somewhat support
does(do) not support
I don’t know the parent(s)/guardian(s) of this student well enough.
Page 17
SECTION 4
This student’s class(es) and your teaching
practices
This information will help us understand how the classroom may affect
students’ academic and social functioning.
These first few questions gather information about the mathematics class(es) that you teach
this student.
36
On average, how many students are enrolled in the math class(es) that you teach this
student?
students
37
What is the average percentage of total instruction time, when a qualified teaching assistant
(including student teachers and lab demonstrators) and/or an adult volunteer is(are) available
in the math class(es) that you teach this student?
Average percentage of total instruction time
Never
available
38
26% to
50%
51% to
75%
More than
75%
a) Teaching assistant(s)
01
02
03
04
05
b) Adult volunteer(s)
06
07
08
09
10
In the math class(es) that you teach this student, how many students have any of the
following long-term problems, whether or not the problem has been officially identified:
(Some students may belong to more than one category.)
a) a speech, hearing, vision, mobility or other health
impairment that affects their learning
students
b) an emotional or behavioural problem
students
c) a learning problem (e.g., a problem with attention,
memory, reasoning, reading, writing, spelling or
calculation that interferes with learning)
students
Page 18
1% to
25%
8-2200-395.1
39
40
In the math class(es) you teach this student, on average how many students:
(Some students may belong to more than one category.)
a) have a first language other than English or French
students
b) arrived in Canada within the last year
students
Other than math, which of the following subjects do you teach to this student?
(Mark all that apply.)
01
02
03
04
05
06
07
08
09
10
11
12
13
14
No other subjects
Language arts (e.g., English as a first language)
Second language arts (immersion/non-immersion)
Science (e.g., Physics, Chemistry, Biology)
Trade/Vocational
Family studies
Social Studies (e.g., History, Geography)
Environmental Studies
Music
Art
Physical Education
Informatics/Computer Science
Religion/Ethics
Other (please specify)
Now we would like to ask you some questions about the achievement of this student’s class
and your teaching practices.
41
Compared with other math class(es) at the same grade and level (advanced/enriched,
general or basic) in your school, do you feel that the class(es) you teach this student
generally has (have):
1
2
3
4
5
8-2200-395.1
lower overall academic ability than the other classes
similar overall academic ability to the other classes
higher overall academic ability than the other classes
a wider range of academic abilities than the other classes
No other math class in the same grade and level exists in this school
Page 19
42
How often do you use the following strategies to teach math to the class(es) you teach this
student?
Never
a) teach to the class(es) as a
whole
Always
03
04
05
06
07
08
09
10
11
12
13
14
15
d) allow students to form their
own groups
16
17
18
19
20
e) use individualized instruction
plans to teach the subject(s)
21
22
23
24
25
26
27
28
29
30
f) other(please specify)
How often do you assign homework, assignments or projects outside class to the math class
you teach this student?
(Please include classroom work made intentionally long for completion out of the classroom.)
1
2
3
4
5
every class
every second class
at intervals of three or four classes
every fifth class or more
never Go to Question 47
On the days homework is assigned to the math class you teach this student, approximately
how much homework do you assign?
1
2
3
4
Page 20
Often
02
c) organize the class(es) into
groups with a mixture of
abilities in the subject
44
Sometimes
01
b) organize the class(es) into
groups with similar abilities in
the subject
43
Rarely
15 minutes a day or less
16 to 30 minutes a day
31 to 60 minutes a day
more than 60 minutes a day
8-2200-395.1
45
You may give different time frames to complete homework and assignments to this student’s
mathematics class. Please estimate the proportion of time you expect them to spend on each
of the following:
Average percentage of time spent on different types of
assignments outside of class
Never or
none
assigned
a) homework to be completed
for the next math class
b) assignments which have
longer completion times such
as every second or third
class
c) projects which have long
completion times such as a
month or semester
46
26% to
50%
51% to
75%
More than
75%
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
For the math class(es) that you teach this student, how often do you monitor homework that
you have assigned by the following:
Never
Rarely
Sometimes
Often
Always
a) keeping a record of who
turned in assignments
01
02
03
04
05
b) returning assignments with
corrections or grades
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
c) discussing homework in class
d) having parent(s)/guardian(s)
sign a homework book, note
or agenda
e) students’ self-evaluations or
peer evaluations
8-2200-395.1
1% to
25%
Page 21
47
In your math class attended by this student, with what frequency do the students do the
following:
Never
a) move smoothly from
one classroom
activity to another
b) are easily distracted
by the disruptive
behaviour of a few
c) work well together on
group activities
d) misbehave when you
are called to the door
or must attend to
other interruptions
48
Sometimes
Often
Always
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
Please rate the extent to which each of the following meets the needs of the math class that
you teach this student:
Does not
meet the
needs
Partially Adequately Completely
Not
meets the meets the meets the applicable
needs
needs
needs
a) instructional resources (e.g.,
curriculum documents, books)
01
02
03
04
05
b) school supplies (e.g., paper,
pencils)
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
c) space within your classroom
d) special equipment for
physically disabled/challenged
students
e) library or adequate access to
teacher librarian
Page 22
Rarely
8-2200-395.1
49
Please indicate the approximate number of minutes a week you spend on the following
non-instructional activities for the math class that you teach this student:
Minutes a week
none
30 or less
31 to 60
More than
60
01
02
03
04
b) performing routine tasks (e.g., taking
attendance, filling out forms)
05
06
07
08
c) discussing professional issues with
colleagues
09
10
11
12
d) discussing issues with students’
parent(s)/guardian(s)
13
14
15
16
a) maintaining order and discipline
The next few questions gather information about all classes you teach, including those to
which this student does not belong.
50
On average, what is the total number of hours you teach a week (i.e., total teaching time to
all grades and subjects excluding preparation, correction time, time spent on extra-curricular
activities, etc.)?
hours
51
Please indicate the approximate number of hours a week you spend on the following
non-instructional activities for all classes which you teach (including those to which this
student does not belong):
Hours a week
none
a) maintaining order and
discipline
b) performing routine tasks (e.g.,
taking attendance, filling out
forms)
c) discussing professional issues
with colleagues
d) preparing lessons, materials
and other pedagogical tools to
teach
e) correcting or marking, exams
or work prepared by students
8-2200-395.1
Less than 2 2 to less
than 3
3 to less
than 4
4 or more
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Page 23
51 Concluded
Please indicate the approximate number of hours a week you spend on the following
non-instructional activities for all classes which you teach (including those to which this
student does not belong):
Hours a week
none
52
3 to less
than 4
4 or more
f) supervising students at
noon/recess/spares
26
27
28
29
30
g) assisting with or directing
extra-curricular activities
31
32
33
34
35
h) discussing issues with
students' parent(s)/guardian(s)
36
37
38
39
40
The following statements describe various attributes about yourself and the students in all
classes you teach. Please indicate the extent to which you agree or disagree with each
statement.
Strongly
disagree
a) Many of the students I teach
are not capable of mastering
the curriculum at their grade.
Disagree
Neither
agree nor
disagree
Agree
Strongly
agree
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
d) I feel competent in dealing with 16
students’ behavioural problems.
17
18
19
20
e) I feel competent in dealing with
students’ learning problems.
21
22
23
24
25
26
27
28
29
30
32
33
34
35
37
38
39
40
b) In my classroom the emphasis
is on the development of
academic skills.
c) I have a strong effect on the
academic achievement of the
students I teach.
f) I feel students’ success at
school is determined mainly by
their home environment.
g) I have high expectations for the
academic success of my
31
students.
h) I strongly encourage students
to achieve their full academic
potential.
Page 24
Less than 2 2 to less
than 3
36
8-2200-395.1
SECTION 5
53
Computers, informatics & communications
technology
Do you use a computer or a terminal connected to a computer at shcool in the following ways:
Yes
a) in your class, as a teaching tool for students
b) outside the class, as a teaching tool for
students
c) as a learning/professional development tool for yourself (e.g., education
discussion groups on Internet)
d) to access the Internet for classroom
instruction
e) make presentations or give demonstrations
in class (e.g., LCD display for overhead
projectors, or electronic overhead, color
projector, giant screen )
f) have students use basic software (e.g., word
processing, spreadsheet, drawing)
g) have students use telecommunications
software (e.g., send and receive messages,
join chat groups, research and consult,
participate in forums)
h) have students use self-learning software
(e.g., drill and practice software, tutorials,
simulations, research, web sites, on-line
help)
i) have students use specialized software while
teaching specific subjects (e.g., music,
design, advanced drawing, data processing,
robotics)
8-2200-395.1
No
Not
Not
available applicable
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
Page 25
SECTION 6
54
Perceptions of your school
Below are a number of statements that may describe the climate of your school. Please
indicate the extent to which you agree or disagree with each statement.
Strongly
disagree
a) The administrative, support
and teaching staff work
together as a team.
Neither
agree nor
disagree
Agree
Strongly
agree
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
d) Staff clearly understand school
policies and procedures.
16
17
18
19
20
e) Teachers have considerable
influence on school policies.
21
22
23
24
25
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
b) All staff are involved in
decision making.
c) School staff know what is
expected of them in terms of
their roles and responsibilities.
f) Teachers have a strong
influence on how resources
(e.g., money, staff, instructional 26
materials) are allocated.
g) Students clearly understand
school rules.
h) The principal and, if applicable,
vice principal(s), provide(s)
support to teachers.
i) Teachers receive positive
feed-back from the principal/
vice-principal(s).
Page 26
Disagree
8-2200-395.1
54 Concluded
Below are a number of statements which describe the climate of your school. Please indicate
the extent to which you agree or disagree with each statement.
Strongly
disagree
j) The principal/vice-principal(s)
circulate(s) in the school to
talk to staff.
k) The principal/vice-principal(s)
spend(s) time getting to know
students.
l) The school provides a positive
working environment for
teachers.
m) The school provides a positive
working environment for
students.
55
Neither
agree nor
disagree
Agree
Strongly
agree
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
Please indicate the extent to which you agree with each of these statements regarding your
school’s disciplinary policies.
Strongly
disagree
a) Teachers in this school have
reached a consensus about
ways to discipline students
who break rules.
b) All students who break rules
in this school face the same
consequences.
c) Teachers in this school rarely
overlook physical aggression
among students.
d) Teachers in this school rarely
overlook verbal aggression
among students.
e) Teachers feel there is
insufficient support within the
school for managing
disciplinary problems.
8-2200-395.1
Disagree
Disagree
Neither
agree nor
disagree
Agree
Strongly
agree
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
Page 27
SECTION 7
Personal information
Finally, we would like to ask a few questions about yourself and
your experiences.
56
You are:
1
2
57
female
male
To which age group do you belong?
1
2
20 to 29
30 to 39
3
40 to 49
4
5
58
60 or older
How much experience do you have in the following capacities:
(Specify the number of years and months of experience; e.g., 1 year and 5 months.)
a) as a teacher
year(s)
month(s)
none
b) as a teacher at this grade level
year(s)
month(s)
none
c) as a teacher at this school
year(s)
month(s)
none
d) as a math teacher at the grade level of
this student
year(s)
month(s)
none
Page 28
50 to 59
8-2200-395.1
59
Please specify the highest level of education you have attained. (Mark all that apply)
01
02
03
04
05
06
07
08
09
10
11
12
60
a teaching certificate, diploma or licence
a bachelor’s degree
a Bachelor of Education degree
some post-baccalaureate course work
a post-baccalaureate diploma or certificate
some course work towards a master’s degree
a master’s degree
some course work towards a doctorate
a doctorate
trade/vocational certification (including journeyperson certification)
other (please specify)
Please indicate the main field of study of your highest level of education.
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
8-2200-395.1
some coursework towards a bachelor’s degree
Language Arts (e.g., oral communication, grammar and composition in
English as a first language)
Mathematics
Second Language Arts
Science (e.g., Physics, Chemistry, Biology)
Trade/Vocational
Family Studies
Social Studies (e.g., History, Geography)
Environmental Studies
Music
Art
Physical Education
Informatics/Computer Science
Education
Special Education
General (no specialization/concentration, e.g., B.A. General)
Other (please specify)
Page 29
61
Have you obtained any of the following advanced qualifications in special education?
(Mark all that apply.)
1
2
3
4
5
62
2
3
4
5
2
other
none of the above
one class in, or part of, a second language program
a certificate in second language education
a graduate degree in second language education
other
none of the above
yes (please specify)
no
Statistics Canada is conducting this survey jointly with another federal department, Human
Resources Development Canada. The information collected will be kept confidential and
used only for statistical purposes. Do you agree to share the information collected with
Human Resources Development Canada?
1
2
Page 30
a graduate degree in special education
Have you obtained advanced qualifications in areas other than your highest level of
education, special education or second language education?
1
64
a special education certificate
Have you obtained any of the following advanced qualifications in second language
education? (Mark all that apply.)
1
63
one class in, or part of, a special education program
yes
no
8-2200-395.1
Do you have any comments about this survey? If so, please use the space below.
Once completed, this questionnaire is confidential and should not be shown to any other
person. It should be sent directly to Statistics Canada by the person who completed it.
Please place the completed questionnaire in the self-addressed business reply envelope
and mail it to us today.
If you do not have the reply envelope, please call 1-800-307-3382 for instructions about
where to send the completed questionnaire.
Thank you for completing this questionnaire
8-2200-395.1
Page 31
XXX
5.
Principal’s Questionnaire
XXX
Human Resources Development Canada & Statistics Canada
(Special Surveys Division & Centre for Education Statistics)
National Longitudinal Survey of
Children and Youth – Cycle 3
Principal’s Questionnaire
Document 4
This information is collected under
the authority of the Statistics Act
(RSC. 1985, c. S19)
Confidential when completed
Version française disponible
Instructions
The purpose of this survey is to gather information on various school factors which may influence
the development and education of children. The items in this questionnaire relate to various school
practices, the availability of resources, and the overall social climate of the school.
Under the Statistics Act, the information collected in this questionnaire will be kept confidential.
Completion of the questionnaire is voluntary. To ensure that we have a complete picture of all the forces
which shape the student’s development, we strongly encourage you to complete the questionnaire within the
next five days. Please use a black or blue pen when answering the questions.
Please place the completed questionnaire in the business reply envelope and mail it directly to us today.
We would be most happy to answer any questions you might have. Please feel free to call. The telephone
number is 1-800-307-EDUC/1-800-307-3382.
If you have not been provided with a business reply envelope, please call 1-800-307-3382 for instructions
about where to send the completed questionnaire.
THANK YOU FOR YOUR COOPERATION.
8-2200-379.1: 1998-11-02
STC/ECT-180-75020
SECTION 1
The students in your school
Please mark only one response circle ⊗ per question
unless otherwise indicated
As this section refers to different levels not necessarily present in all institutions, please
ensure that you answer all appropriate questions for your school.
01
Are there students in your school who are enrolled in primary/elementary grades? (Please
include students enrolled in kindergarten/pre-Grade 1, junior kindergarten, primary, nursery,
early childhood services, or first year of primary.)
1
2
02
no Go to QUESTION 04
Does your school contain a sufficient number of students enrolled in primary/elementary
grades to form more than one class per grade? (Please include students enrolled in
kindergarten/pre-Grade 1, junior kindergarten, primary, nursery, early childhood services, or
first year of primary.)
1
2
Page 02
yes
yes
no Go to QUESTION 04
8-2200-379.1
03
In general, how often do you use the following ways to assign students to classrooms for
primary/elementary grades? (Please include kindergarten/pre-Grade 1 classes, junior
kindergarten, primary, nursery, early childhood services, or first year of primary.)
Never
a) Students are grouped more or
less at random.
b) Students are grouped
according to similar ability
levels.
c) Students are grouped so that
classes contain a mixture of
ability levels.
d) Students are assigned to
classes according to the
special expertise of teachers.
e) Students are assigned to
classes composed of
students of similar ages.
f) Groupings are based on
social considerations (e.g.,
friendships, siblings, rivalries).
g) Parents’/guardians’ requests
are considered.
h) Teachers’ input is considered.
04
Sometimes
Often
Always
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
Are there students in your school who are enrolled in the intermediate or middle levels
(i.e., grades between primary/elementary and secondary/high school)?
1
2
8-2200-379.1
Rarely
yes
no Go to QUESTION 07
Page 03
05
Does your school contain a sufficient number of students in the intermediate or middle levels
(grades between primary/elementary and secondary/high school) to form more than one class
per grade?
1
2
06
yes
no Go to QUESTION 07
In general, how often do you use the following ways to assign students to classrooms for the
intermediate or middle levels (i.e. grades between primary/elementary and secondary/high
school)?
Never
a) Students are grouped more or
less at random.
b) Students are grouped
according to similar ability
levels.
c) Students are grouped so that
classes contain a mixture of
ability levels.
d) Students are assigned to
classes according to the
special expertise of teachers.
e) Students are assigned to
classes composed of
students of similar ages.
f) Groupings are based on
social considerations (e.g.,
friendships, siblings, rivalries).
g) Parents’/guardians’ requests
are considered.
h) Teachers’ input is considered.
Page 04
Rarely
Sometimes
Often
Always
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
8-2200-379.1
07
Are there students in your school who are enrolled in the secondary/high school levels?
1
2
08
no Go to QUESTION 10
Does your school contain a sufficient number of students in the secondary/high school levels
to form more than one class per grade?
1
2
09
yes
yes
no Go to QUESTION 10
In general, how often do you use the following ways to assign students to classrooms for the
secondary/high school levels:
Never
a) Students are grouped more or
less at random.
Sometimes
Often
Always
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
g) Parents’/guardians’ requests
are considered.
31
32
33
34
35
h) Teachers’ input is considered
when grouping students.
36
37
38
39
40
b) Students are grouped
according to similar ability
levels.
c) Students are grouped so that
classes contain a mixture of
ability levels.
d) Students are assigned to
classes according to the
special expertise of teachers.
e) Students are assigned to
classes composed of
students of similar ages.
f) Groupings are based on
social considerations (e.g.,
friendships, siblings, rivalries).
8-2200-379.1
Rarely
Page 05
10
How would you describe the economic background of the students attending your school?
(Specify the approximate percentage of families in each category.)
None
5%
to
10%
11%
to
30%
31%
to
60%
Over
60%
01
02
03
04
05
06
b) family income between $50,000 and
$60,000 per year
07
08
09
10
11
12
c) family income between $40,000 and
$50,000 per year
13
14
15
16
17
18
d) family income between $30,000 and
$40,000 per year
19
20
21
22
23
24
25
26
27
28
29
30
a) family income above $60,000 per year
e) family income below $30,000 per year
11
Less
than
5%
What was the total enrollment of your school at the beginning of this academic year?
students
12
13
Including those who have not been officially identified as having the following long-term
problems, how many students attending your school have the following:
(Some students may belong to more than one category.)
a) a speech, hearing, vision, mobility or other health
impairment that affects their learning
students
b) an emotional or behavioural problem
students
c) a learning problem (e.g., a problem with attention,
memory, reasoning, reading, writing, spelling or
calculation which interferes with learning)
students
How many students attending your school:
(Some students may belong to more than one category.)
a) have a first language other than English or French
students
b) have arrived in Canada within the last year
students
c) are from a rural or farm setting
students
Page 06
8-2200-379.1
14
Approximately what percentage of your student population would belong to the following
groups?
None
5%
to
10%
11%
to
30%
31%
to
60%
Over
60%
01
02
03
04
05
06
b) South Asian (e.g., East Indian,
Pakistani, Punjabi, Sri Lankan)
07
08
09
10
11
12
c) Black (e.g., African, Haitian, Jamaican,
Somalian)
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
f) South East Asian (e.g., Cambodian,
Laotian, Indonesian, Vietnamese)
31
32
33
34
35
36
g) Latin American (e.g., Central and South
American)
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
a) Chinese
d) Arab/West Asian (e.g., Armenian,
Egyptian, Iranian, Lebanese,
Moroccan)
e) Filipino
h) White
i) Japanese
j) Korean
k) Native/Aboriginal people (e.g., North
American Indian, Métis, Inuit/Eskimo)
l) other (please specify)
15
Less
than
5%
How many students have registered as new students during the course of the school year?
(Do not include students registering for the first time at your school as part of the regular
progression through the school system.)
students
16
How many students have left this school during the course of the school year?
(Do not include students who have left your school as part of the regular progression through
the school system.)
students
8-2200-379.1
Page 07
17
On average, what is the percentage of students absent from your school during any given
school day? (Please only include students who are absent for a full school day.)
1
2
3
4
5
6
7
8
18
1% to 2%
3% to 5%
6% to 10%
11% to 15%
16% to 20%
more than 20%
I don’t know.
Approximately what percentage of students are chronically late for school? (By “chronically
late” we mean that a student is late for the start of school two or more times each week.)
1
Page 08
less than 1%
less than 1%
2
1% to 2%
3
3% to 5%
4
6% to 10%
5
11% to 15%
6
16% to 20%
7
more than 20%
8
I don’t know
8-2200-379.1
19
Listed below are a number of different disciplinary problems that may occur in a school. How
often do you have to discipline students because of the following:
Never
Sometimes
Often
Always
a) verbal conflicts among
students
01
02
03
04
05
b) physical conflicts among
students
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
h) verbal abuse of a staff
member
36
37
38
39
40
i) physical assault of a staff
member
41
42
43
44
45
j) harassment of certain students by groups of students
46
47
48
49
50
k) sexual harassment among
students
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
c) vandalism of school property
d) theft of student belongings
e) theft of staff belongings
f) smoking on school property
g) use of drugs on school
property (including alcohol
and glue)
l) conflicts among students of
differing racial or ethnic
backgrounds
m) students possessing weapons
(e.g., pocket knife, gun)
8-2200-379.1
Rarely
Page 09
SECTION 2
Involvement of parents and guardians
These next questions concern your views regarding how the involvement of
parents and/or guardians at your school.
20
What percentage of the students’ parents/guardians volunteer to help with the following:
none
a) school events (e.g., sports,
plays)
b) fundraising activities
c) field trips
d) classroom activities
e) supervision of students (e.g.,
at recess or lunch time)
f) the parent school council/
association or school/parent
liaison committee or parent
advisory committee
21
1 to
5%
6 to
10 %
11 to
15 %
16 to
20 %
21 %
or
more
Not
applicable
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
In your opinion, how strongly do parents/guardians support the efforts of the school’s staff?
1
2
3
4
5
strongly support the efforts of the school’s staff
support the efforts of the school’s staff
support some of the efforts of the school’s staff
oppose the efforts of the school’s staff
strongly oppose the efforts of the school’s staff
6
I don’t know the parents/guardians well enough.
Page 10
8-2200-379.1
22
In your school, how active is the parent school council/association, the school/parent liaison
committee or the parent advisory committee?
1
2
3
4
5
6
very active
active
somewhat active
not very active
not at all active
There is no such council/association/committee
at this school.
Go to QUESTION 24
23
How much influence do these councils, associations, or committees, have on school policies
or practices?
1
2
3
4
5
8-2200-379.1
very strong influence
strong influence
some influence
little influence
no influence
Page 11
SECTION 3
24
Characteristics of your school
What type of school is your institution?
Public school (funded by a provincial government)
1
2
non-sectarian (no religious affiliation)
sectarian/separate (with religious affiliation, e.g., Anglican, Roman
Catholic, Mennonite, etc.)
Private school (charges tuition fees but may also receive some provincial support)
3
4
25
2
3
4
mentally/emotionally disabled student only
both of the above
none of the above
1
to Grade¹
In the province of Quebec, grades at the secondary level should be reported as follows: Sec. 1 = S1, Sec. 2 = S2, Sec. 3 = S3,
Sec. 4 = S4, Sec.5 = S5 and Sec. 6 = S6.
Page 12
physically impaired students only
Which grades are taught in your school, e.g., junior kindergarten to Grade 8? (For schools
containing junior kindergarten and/or kindergarten/pre-Grade 1 classes please use “JK” to
indicate junior kindergarten and “KN” to indicate kindergarten/pre-grade one classes.)
Grade¹
¹
sectarian with religious affiliation (e.g., private school directed by a religious
order or with a mandate to provide religious teaching e.g. Christian, Islamic,
Jewish)
Is your school reserved for:
1
26
non-sectarian (no religious affiliation)
8-2200-379.1
27
Please indicate whether the following programs exist in your school and rate the extent to
which these programs benefit the students and your school.
Not
available
a) before and after school, child
care program
Extent to which programs benefit
the students and the school
A great Some
Very
Not at Don't
deal
little
all
know
01
02
03
04
05
06
07
08
09
10
11
12
c) after school enrichment
program
13
14
15
16
17
18
d) reading programs led by
parents/volunteers
19
20
21
22
23
24
25
26
27
28
29
30
f) fund-raising events
31
32
33
34
35
36
g) book and toy sales
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
b) breakfast program
e) parent/volunteers involvement
in playground activities or
supervision
h) other (please specify)
i) other (please specify)
j) other (please specify)
8-2200-379.1
Page 13
If your school includes grades normally assigned to the intermediate and/or
high school levels (e.g., grade 7 to grade 12), please answer questions 28 to
40; otherwise, go to question 41.
28
Does your school offer programs which require enrolled students to spend time with an
employer for credit(s) (e.g., co-op, work education)?
1
yes
2
29
no Go to QUESTION 30
What is the percentage of students at your school who, in the last three months, were
enrolled in a program which required them to spend time with an employer for credit(s)?
%
30
How are students selected for these programs which require that time be spent with an
employer for credit(s)?
(Mark all that apply).
01
02
03
04
05
06
07
08
09
10
11
Page 14
open to anyone who applies
on a first come, first serve basis
by random selection
participation is mandatory
by evaluation of application
according to marks and grades
according to year of study
by staff recommendation or selection
by acceptable attendance records
according to identification of a higher dropout risk
other, (please specify)
8-2200-379.1
31
Does your school offer programs or courses where students are required to do volunteer
work?
1
yes
2
32
no Go to QUESTION 33
What is the percentage of students at your school who, in the last three months, were
enrolled in a program or course involving volunteer work?
%
33
How are students selected to participate in a program or course involving volunteer work?
(Mark all that apply).
01
02
03
04
05
06
07
08
09
10
11
34
on a first come, first serve basis
by random selection
participation is mandatory
by evaluation of application
according to marks and grades
according to year of study
by staff recommendation or selection
by acceptable attendance records
according to identification of a higher dropout risk for the student
other, (please specify)
Does your school offer programs where students specialize in vocational or work-oriented
programs/classes?
1
2
8-2200-379.1
open to anyone who applies
yes
no Go to QUESTION 37
Page 15
35
What is the percentage of students at your school who, in the last three months, were
enrolled in vocational or work oriented programs/classes?
%
36
How are students selected for specialization in vocational or work-oriented programs/classes?
01
02
03
04
05
06
07
08
09
10
11
37
on a first come, first serve basis
by random selection
participation is mandatory
by evaluation of application
according to marks and grades
according to year of study
by staff recommendation or selection
by acceptable attendance records
according to identification of a higher dropout risk
other (please specify)
Does your school only offer or mainly offer the following types of programs?
1
2
3
4
5
6
7
Page 16
open to anyone who applies
programs targeting the arts (e.g., dance, theater, visual arts)
trade/vocational programs
programs for special needs other than the hearing and visual impairment
(e.g., special education, learning difficulties)
alternative programs (e.g., programs flexible enough to accommodate
students returning to school, pregnant teenagers, adults, etc.)
programs targeting gifted students (e.g., scientifically advanced programs)
other similar types of programs (please specify)
My school mostly offers regular types of programs; however, some of the
above programs are also available.
8-2200-379.1
38
Does your school have an ongoing partnership with a business/company?
1
2
39
no Go to QUESTION 39
What is the nature of this partnership? The business provides:
1
2
3
4
5
6
7
40
yes
learning materials (books, charts, etc)
technology (e.g. computers)
work experience opportunities for students
curriculum input
funding
scholarships or rewards
other (please specify)
Approximately what percentage of last year’s high school graduates went on to:
None
a) university
b) college
c) other postsecondary
programs
d) work or looking for work
e) other (please specify)
8-2200-379.1
Less
than 5%
5% to
10%
11% to
30%
31% to
60%
Over
60%
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
Page 17
41
Please report your current number of full-time equivalent positions for the following
categories, as well as the number of full-time and part-time individuals staffed in these
positions. (Please exclude support services available at the school board level, e.g.,
psychiatrist, audiologist, nurse, occupational therapist. Additionally, if a full-time equivalent
position is not available or if a position is not staffed by full-time or part-time individuals,
please leave the appropriate space blank.)
Number of full-time
equivalent positions
a) principal
.
b) vice-principals/assistant principals
.
c) department heads
.
d) classroom teachers
.
e) physical education teachers
.
f) arts teachers (e.g., music, painting)
.
g) teaching assistants/student
assistants/teacher's aides
.
h) librarians
.
i) resource teachers (e.g.,
special ed. teachers, educational
therapists physical educators for
special needs students)
.
j) guidance counselors
.
k) secretaries, custodians, and other
non-certified, non-teaching staff
.
Number of indv. staffed
in the position
full-time
part-time
l) other (please specify)
.
Total at this school
Page 18
.
8-2200-379.1
42
How many classrooms are there in your school?
classrooms
or
1
43
As the principal of this school, do your regular duties include teaching?
1
2
44
not on a classroom or similar system
yes
no
Since September 1998, approximately how many days have been taught by supply/
substitute teachers because regular teachers were unavailable to teach?
(Specify total number of teaching days, e.g., please count 2 days if two teachers were
unavailable on the same day.)
approximately
45
teaching days offered by supply/substitute teachers
How many volunteers are working directly with students on a regular basis?
1
volunteers
46
How many of the teachers, teaching assistants, student assistants and teacher’s aides at your
school have:
(Some teachers may belong to more than one category.)
a) a first language other than English or
French?
teacher(s), or
b) a speech, hearing, visual, mobility or other
health impairment?
teacher(s), or
8-2200-379.1
none
1
2
none
none
Page 19
47
Listed below are several types of support services available to some schools. Please
indicate whether the service is available to your school, and if it is, how many full-time
equivalent days the service is expected to be used in your school during this school year
(normally September 1998 to June 1999).
(For example, a community health nurse who spends one full day and one half day each
month at your school would be recorded as 15 full-time days.)
Full-time equivalent
days expected to be
used this year
Available
No
a) school psychologist
01
02
b) psychiatrist
03
04
c) speech and language therapist
05
06
d) audiologist
07
08
e) occupational therapist
09
10
f) physical therapist
11
12
g) social worker
13
14
h) community health nurse
15
16
17
18
j) instructor in cultural awareness
19
20
k) police officer
21
22
l) other (please specify)
23
24
i) instructor in Aboriginal peoples’
culture
Page 20
Yes
8-2200-379.1
48
Below are a number of different resources which may be available to your school. Please
rate the extent to which each resource currently meets the needs of your school. (Please
consider resources regardless of whether they were provided by parents, students or the
school staff.)
Not
Partially Adequately Completely
Does not
meets my meets my meets my applicable
meet my
school’s
school’s
school’s
school’s
needs
needs
needs
needs
a) qualified human resources
in teaching (e.g., teachers,
teaching assistants/
teacher's aides)
01
02
03
04
05
06
07
08
09
10
c) school supplies (e.g., paper,
pencils)
11
12
13
14
15
d) instructional space (e.g.,
classroom size)
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
g) school buildings
31
32
33
34
35
h) school grounds
36
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
56
57
58
59
60
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
76
77
78
79
80
81
82
83
84
85
b) instructional resources
(e.g., curriculum
documents, books)
e) library materials
f) office space (e.g., for the
administration, for teachers)
i) heating and lighting
j) science equipment
k) equipment for mathematics
instruction (e.g., counting
blocks, calculators)
l) budget for consumables
m) special equipment for
physically disabled/
challenged students
n) gymnasium
o) gym equipment (e.g., mats,
balls)
p) outdoor play equipment
q) other (please specify)
8-2200-379.1
Page 21
SECTION 4
49
Computers, informatics & communications
technology
Do you use a computer or a terminal connected to a computer at school in the following ways:
Yes
No
Not
Not
applicable available
a) as a learning/professional development
tool for yourself
01
02
03
04
b) as a learning/professional development
tool for your staff
05
06
07
08
09
10
11
12
c) as an administrative tool (e.g., to assist
in preparing budgets or for word
processing)
If you responded with “no”,
“not applicable” or “not
available” to all of the above,
please go to question 54.
50
Below are a number of different resources which may be available to your school. Please rate
the extent to which each resource currently meets the needs of your school. (Please consider
resources regardless of whether they were provided by parents, students or the school.)
Does not
meet my
school’s
needs
a) computers for course
instruction
01
02
03
04
05
b) computer software for
course instruction
06
07
08
09
10
c) access to a large area
network (e.g., Internet)
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
d) access to a local area
network (e.g., your LAN
system)
e) audio-visual resources
(e.g., VCRs, film
projectors)
f) access to specialized
human resources in
computers (e.g., trained
computer instructors)
Page 22
Partially Adequately Completely
Not
meets my meets my meets my applicable
school’s
school’s
school’s
needs
needs
needs
8-2200-379.1
51
What proportion of classrooms in your school have computers available to students?
%
52
What proportion of classrooms in your school have access to a large area network (e.g.,
Internet)?
%
8-2200-379.1
Page 23
SECTION 5
53
Perceptions of your school
Below are a number of statements which describe different aspects of schooling. Please
indicate how strongly you agree or disagree with each of the following statements.
Strongly
disagree
a) I find my professional role
satisfying.
b) If I had to do it again, I would
remain a teacher rather than
become a principal.
c) I feel good about continuing
my career in this school
district.
d) I feel competent in dealing
with students’ behavioural
problems.
e) I have a considerable influence
on my school’s policies.
f) I have little influence on how
money is allocated for school
resources at the school.
g) The emphasis in my school is
on the development of
academic skills.
j) I feel students’ success at
school is determined mainly by
their home environments.
k) I feel sufficient academic
resources are available to
students and teachers in this
school.
Page 24
Neither
agree nor
disagree
Agree
Strongly
agree
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
37
38
39
40
41
42
43
44
45
46
47
48
49
50
51
52
53
54
55
h) I have high expectations for the
academic success of students 36
attending this school.
i) I try to ensure that students are
encouraged to achieve their full
academic potential.
Disagree
8-2200-379.1
SECTION 6
54
You are:
1
2
55
Personal information
female?
male?
To which age group do you belong?
1
2
20 to 29
30 to 39
3
40 to 49
4
50 to 59
5
60 or older
56
How much experience do you have in the following capacities:
(Specify the number of years and months of experience; e.g., 1 year and 5 months.)
a) principal
years and
months
b) principal at this school
years and
months
c) vice-principal / assistant principal
years and
months or
None
d) vice-principal / assistant principal at this
school
years and
months or
None
e) teacher
years and
months or
None
f) teacher at this school
years and
months or
None
8-2200-379.1
Page 25
57
Please specify the highest level of education you have attained. (Mark all that apply)
01
02
03
04
05
06
07
08
09
10
11
58
a teaching certificate, diploma or licence
a bachelor’s degree
a bachelor of education degree
some post-baccalaureate course work
a post-baccalaureate diploma or certificate
some course work towards a master’s degree
a master’s degree
some course work towards a doctorate
a doctorate
other (please specify)
Please indicate the main field of study of your highest level of education.
01
02
03
04
05
06
07
08
09
10
11
12
13
Page 26
some course work towards a bachelor’s degree
language arts (e.g., oral communication, grammar and composition in
English as a first language)
mathematics
second language programs
science (e.g., physics, chemistry, biology)
social studies (e.g., history, geography)
environmental studies
music
arts
physical education
informatics/computer science
education
school/educational administration
other (please specify)
8-2200-379.1
59
Have you obtained any of the following advanced qualifications?
(Mark all that apply)
1
2
3
4
60
staff development
school administration/policy
curriculum development
other related areas (please specify)
Statistics Canada is conducting this survey jointly with another federal department, Human
Resources Development Canada. The information collected will be kept confidential and
used only for statistical purposes. Do you agree to share this information with Human
Resources Development Canada?
1
2
yes
no
Do you have any comments about this survey? If so, please use the space below.
Once completed this questionnaire is confidential and should not be shown to any other
person. It should be sent directly to Statistics Canada by the person who completed it.
Please place the completed questionnaire in the self-addressed business reply envelope
and mail it to us today.
If we have not provided a business reply envelope, please call 1-800-307-3382 for
instructions about where to send the completed questionnaire.
Thank you for completing this questionnaire
8-2200-379.1
Page 27
XXX
6.
Questionnaire for 10-11 year olds
XXX
National Longitudinal Survey
of Children and Youth
Cycle 3
10-11
Please read instructions on next page before beginning.
For office use only
Person ID
–
–
–
–
First Name
Assignment Number
8-5300-6020.1: 1998-08-29 STC/ENM-040-75020
Questionnaire No.
I NST RUCTIONS
This is a survey with questions about you, your family, friends, how you feel and what you
like to do. Your answers will help the government to plan programs and services for young
people like yourself.
This is not a test and there are no right or wrong answers. Some questions may seem
personal and some are about things which not everybody does. Take your time and please
be sure to answer each question based on what you really think. You can choose whether
or not to fill out this questionnaire. If you need help with any questions, you may ask the
interviewer.
When you answer these questions, you can mark your answers like this ⊗ or fill in
the circle
, or write a number in the boxes, as in the examples below. When you
write your answers, make sure you press hard with your pencil.
Example 1
B1
Example 2
How do you feel about school?
0
1
2
3
4
A6
How many close friends do you
have?
I like school very much.
93
X
None
I like school quite a bit.
I like school a bit.
I don't like school very much.
OR
0
3
number of close friends
I hate school.
Remember that the KIDS HELP PHONE is available to help you at any time if
you feel like you would like to talk to someone about a problem.
1-(800) 668-6868
Statistics Canada will keep your answers PRIVATE.
No one from your home or your school will see what you write.
THANK YOU FOR YOUR HELP!
Page
02
8-5300-6020.1
:
Please indicate your starting time.
SECTION A
Friends and Family
Please answer the following
statements about your friends
and others your age.
A1
I have many friends.
A2
I get along easily with others
my age.
A3
Others my age want me to be their
friend.
A4
Most others my age like me.
Sometimes true /
Sometimes false
Mostly
false
False
Mostly
true
True
0
1
2
3
4
5
6
7
8
9
0
1
2
3
4
5
6
7
8
9
For the rest of this questionnaire, by "close friends", we mean the people that you trust and confide in.
They are friends that you see or hang out with at school or outside school.
A5
About how many days a week do you do
things with close friends outside of school
hours?
0
Never
1
Less than once a week
2
1 day a week
3
2-3 days a week
4
4-5 days a week
5
A6
How many close friends do you have?
6-7 days a week
None
Number of close friends
93
A7
Other than your close friends, do you have
anyone else in particular you can talk to about
yourself or your problems?
1
2
A8
What is their relationship to you?
(Mark everyone you feel you can talk to
about yourself or your problems.)
01
02
03
04
05
06
Yes
Go to question A8
No Go to question A9
Mother
Father
Stepmother
Stepfather
Brother
Sister
07
Grandparent
08
Other relative
09
10
A friend of the family or a friend's parent
Sitter or babysitter
11
Parent's boyfriend/girlfriend
12
Teacher
13
Coach or leader (e.g. Scout, Guide or church
leader)
14
OR
Other (e.g. family doctor)
Statistics Canada will keep your answers PRIVATE.
No one from your home or your school will see what you write.
8-5300-6020.1
Page
03
A9
During the past 6 months, how well have you
gotten along with other young people such as
friends or classmates?
15
Very well, no problems
16
Quite well, hardly any problems
17
A10 During the past 6 months, how well have you
gotten along with your mother, step mother,
or foster mother?
(Answer about the mother you spend the
most time with.)
A11 During the past 6 months, how well have you
gotten along with your father, step father, or
foster father?
(Answer about the father you spend the
most time with.)
A12 During the past 6 months, how well have you
gotten along with your brothers and sisters,
step brothers and sisters, or foster brothers
and sisters?
(Answer about the ones you spend the
most time with.)
Page
Pretty well, some problems
18
Not too well, many problems
19
Not well at all, constant problems
20
Very well, no problems
21
Quite well, hardly any problems
22
Pretty well, some problems
23
Not too well, many problems
24
Not well at all, constant problems
25
I am not in touch with my mother
26
I don't have a mother
27
Very well, no problems
28
Quite well, hardly any problems
29
Pretty well, some problems
30
Not too well, many problems
31
Not well at all, constant problems
32
Not well at all, constant problems
33
I don't have a father
34
Very well, no problems
35
Quite well, hardly any problems
36
Pretty well, some problems
37
Not too well, many problems
38
Not well at all, constant problems
39
I am not in touch with my brothers and sisters
40
I don't have brothers and sisters
Statistics Canada will keep your answers PRIVATE.
No one from your home or your school will see what you write.
04
8-5300-6020.1
SECTION B
B1
School
How do you feel about school?
B2
How well do you think you are doing in your
school work?
B3
How important is it to you to get good grades
in school?
B4
How do you like the following
subjects:
a. Math
b. English
c.
B5
French
Read the following statements
and choose the answer that
best describes how you feel.
a. I feel safe at school.
b. I feel safe on my way to
and from school.
c.
Other young people say
mean things to me
at school.
I
hate it
0
I like school very much
1
I like school quite a bit
2
I like school a bit
3
I don't like school very much
4
I hate school
5
Very well
6
Well
7
Average
8
Poorly
9
Very poorly
1
Very important
2
Somewhat important
3
Not very important
4
Not important at all
I don't like
it very much
I like it
a little
I like it
a lot
I don't
take it
5
6
7
8
9
0
1
2
3
4
5
6
7
8
9
All the
time
Most of
the time
Some of
the time
Rarely
Never
0
1
2
3
4
5
6
7
8
9
0
1
2
3
4
5
6
7
8
9
0
1
2
3
4
5
6
7
8
9
d. I am bullied in school.
e. I am bullied on my way to
and from school.
f.
I feel like an outsider
(or left out of things)
at my school.
Statistics Canada will keep your answers PRIVATE.
No one from your home or your school will see what you write.
8-5300-6020.1
Page
05
About my teacher and homework.
B6
All the
time
a. In general my teachers treat
me fairly.
00
Most of
the time
01
Some of
the time
02
Rarely
03
Never
04
Don't
need
help
b. If I need extra help, my
teachers give it to me.
05
06
07
08
09
10
No
homework
c. I have a place at home to do
homework or study.
d. When my teachers give me
homework, I do it.
B7
00
01
02
03
04
05
06
07
08
09
10
11
In the next statements, parents include guardians. They are the ones who live with you at home
and influence your life.
All the
time
a. If I have problems at school,
my parents are ready to help.
Page
Most of
the time
Some
of the
time
Rarely
Never
00
01
02
03
04
b. My parents encourage me to
do well at school.
06
07
08
09
10
c. My parents expect too much
of me at school.
00
01
02
03
04
Statistics Canada will keep your answers PRIVATE.
No one from your home or your school will see what you write.
06
No
problems
at
school
05
8-5300-6020.1
SECTION C
C1
About Me
Choose the answer that best
describes how you feel.
False
Mostly
false
Sometimes
false/
Sometimes
true
Mostly
true
True
a.
In general, I like the
way I am.
0
1
2
3
4
b.
Overall I have a lot to be
proud of.
5
6
7
8
9
c.
A lot of things about me are
good.
0
1
2
3
4
d.
When I do something, I do it
well.
5
6
7
8
9
e.
I like the way I look.
0
1
2
3
4
Statistics Canada will keep your answers PRIVATE.
No one from your home or your school will see what you write.
8-5300-6020.1
Page
07
SECTION D
D1
Feelings and Behaviours
Read the following statements and choose the
answer that best describes you.
Never
or
not true
a. I show sympathy to (I feel sorry for) someone
who has made a mistake.
2
3
4
5
6
7
8
9
1
2
3
4
5
6
7
8
9
1
2
3
4
5
6
i. I am easily distracted. I have trouble sticking to
any activity.
7
8
9
j. When I am mad at someone, I try to get others
to dislike him/her.
1
2
3
4
5
6
7
8
9
1
2
3
4
5
6
7
8
9
1
2
3
4
5
6
7
8
9
1
2
3
c. I destroy my own things.
d. I try to help someone who has been hurt.
e. I steal at home.
f. I am unhappy, sad or depressed.
g. I get into many fights.
h. I offer to help clear up a mess
someone else has made.
k. I am not as happy as other people my age.
l. I destroy things belonging to my family or other
young people.
m. If there is an argument, I try to stop it.
n. I fidget.
o. I am disobedient at school.
p. I can't concentrate, I can't pay attention.
q. I am too fearful or anxious.
r. When I am mad at someone, I become friends
with another as revenge.
s. I am impulsive, I act without thinking.
Page
Often or
very true
1
b. I can't sit still, I am restless.
Sometimes
or
somewhat true
Statistics Canada will keep your answers PRIVATE.
No one from your home or your school will see what you write.
08
8-5300-6020.1
D1
Read the following statements and choose the
answer that best describes you.
Never
or
not true
Sometimes
or
somewhat true
Often or
very true
4
5
6
7
8
9
1
2
3
w. I have difficulty waiting for my turn in games or
group activities.
4
5
6
x. When another kid accidentally hurts me, I
assume that the other kid meant to do it, and I
react with anger and fighting.
7
8
9
1
2
3
4
5
6
7
8
9
1
2
3
4
5
6
7
8
9
1
2
3
4
5
6
7
8
9
1
2
3
4
5
6
7
8
9
1
2
3
4
5
6
t. I tell lies or cheat.
u. I offer to help other young people (friend,
brother or sister) who are having difficulty
with a task.
v. I worry a lot.
y. I tend to do things on my own. I am rather
solitary.
z. When I am mad at someone, I say bad things
behind his/her back.
aa. I physically attack people.
bb. I comfort another young person (friend, brother
or sister) who is crying or upset.
cc. I cry a lot.
dd. I vandalize.
ee. I give up easily.
ff. I threaten people.
gg. I help to pick up things which another young
person has dropped.
hh. I cannot settle to anything for more than a few
moments.
ii. I feel miserable, unhappy, tearful, or distressed.
jj. I am cruel. I bully or am mean to others.
kk. I stare into space.
ll. When I am mad at someone, I say to others:
let's not be with him/her.
Statistics Canada will keep your answers PRIVATE.
No one from your home or your school will see what you write.
8-5300-6020.1
Page
09
D1
Read the following statements and choose the
answer that best describes you.
Never
or
not true
Sometimes
or
somewhat true
7
8
9
1
2
3
4
5
6
7
8
9
1
2
3
4
5
6
ss. I help other people my age (friends, brother or
sister) who are feeling sick.
7
8
9
tt. When I am mad at someone, I tell that person's
secrets to a third person.
1
2
3
4
5
6
mm. I am nervous, highstrung or tense.
nn. I kick, bite, hit other people my age.
oo. When I am playing with others, I invite
bystanders to join in a game.
pp. I steal outside my home.
qq. I am inattentive, I have difficulty paying attention
to someone.
rr. I have trouble enjoying myself.
uu. I encourage other people my age who cannot
do things as well as I can.
D2
In the past year, about how many times ...
Never
5 times
or more
2
3
4
b. did you stay out all night without
permission?
5
6
7
8
c. did you skip a day of school without
permission?
1
2
3
4
5
6
7
8
1
2
3
4
5
6
7
8
f. did you run away from home?
In the past 12 months were you part of a group
that did bad things?
1
Yes
2
Page
3 or 4
times
1
e. were you questioned by the police about
anything you might have done such as
stealing, damaging property or anything
else?
Once or
twice
a. did you stay out later than your parents
said you should?
d. did you get drunk?
D3
Often or
very true
No
Statistics Canada will keep your answers PRIVATE.
No one from your home or your school will see what you write.
10
8-5300-6020.1
SECTION E
My Parent(s) and Me
My mother
E1
Think of the mother you spend the
most time with. Is she ...
(Mark one only.)
01
your biological mother?
02
your adoptive mother?
03
your stepmother?
04
your foster mother?
05
another person?
OR
06
07
E2
Go to
question E4
I don't have a mother
Go to
question E4
Thinking of the mother you have
identified in the previous question:
A great
deal
E3
I am not in touch with
my mother
Some
Very
little
I am not in
touch with
my mother
I don't
have a
mother
a. How well do you feel that your
mother understands you?
0
1
2
3
4
b. How much fairness do you
receive from your mother?
5
6
7
8
9
c. How much affection do you
receive from your mother?
0
1
2
3
4
Overall, how would you describe your
relationship with your mother?
05
Very close
06
Somewhat close
07
Not very close
08
I am not in touch with my mother
09
I don't have a mother
01
your biological father?
02
your adoptive father?
My Father
E4
Now think of the father you spend the most
time with. Is he ...
(Mark one only.)
03
your stepfather?
04
your foster father?
05
another person?
OR
06
07
I am not in touch
with my father
Go to
question E7
I don't have a father
Go to
question E7
Statistics Canada will keep your answers PRIVATE.
No one from your home or your school will see what you write.
8-5300-6020.1
Page
11
E5
Thinking about the father you have
identified in the previous question:
A great
deal
E6
Some
Very little
I am not in
touch with
my father
I don't
have a
father
a. How well do you feel that your
father understands you?
0
1
2
3
4
b. How much fairness do you
receive from your father?
5
6
7
8
9
c. How much affection do you
receive from your father?
0
1
2
3
4
Overall, how would you describe your
relationship with your father?
5
Very close
6
Somewhat close
7
Not very close
8
I am not in touch with my father
9
I don't have a father
Answer the following questions thinking of the father and mother you have identified in the previous
questions.
E7
How well do you think your parents
get along with each other?
0
Very well
1
Fairly well
2
Not very well
3
Not applicable
E8
a.
b.
E9
How often do your parents
disagree about how to deal
with the children in your
family?
How often do your parents
get upset with one another,
including times when they are
mad but don't say much?
Never
Rarely
Sometimes
Often
01
02
03
04
05
06
07
08
09
10
11
12
Always
Not
applicable
For each of the following statements, use the choice that best describes the way your parents (or stepparents,
foster parents or guardians) in general have acted toward you during the last 6 months.
My parents ...
Never
a. smile at me.
b. want to know exactly where
I am and what I am doing.
c.
soon forget a rule
they have made.
d. praise me.
e. let me go out any
evening I want.
Page
Rarely
Sometimes
Always
5
6
7
8
9
0
1
2
3
4
5
6
7
8
9
0
1
2
3
4
5
6
7
8
9
Statistics Canada will keep your answers PRIVATE.
No one from your home or your school will see what you write.
12
Often
8-5300-6020.1
E9
For each of the following statements, use the choice that best describes the way your parents (or
stepparents, foster parents or guardians) in general have acted toward you during the last 6 months.
My parents ...
Never
f.
tell me what time to be
home when I go out.
Sometimes
Often
Always
0
1
2
3
4
g. nag me about little things.
5
6
7
8
9
h. listen to my ideas and opinions.
0
1
2
3
4
5
6
7
8
9
0
1
2
3
4
i.
and I solve a problem together
whenever we disagree
about something.
j.
only keep rules when it suits them.
k.
get angry and yell at me.
5
6
7
8
9
l.
make sure I know I am appreciated.
0
1
2
3
4
m. threaten punishment more
often than they use it.
5
6
7
8
9
n. speak of the good things I do.
0
1
2
3
4
o. find out about my misbehaviour.
5
6
7
8
9
0
1
2
3
4
5
6
7
8
9
0
1
2
3
4
p. enforce a rule or do not enforce
a rule depending upon their mood.
q. hit me or threaten to do so.
r.
seem proud of the things I do.
s.
seem too busy to spend as
much time with me as I'd like.
5
6
7
8
9
t.
take an interest in where I am
going and who I am with.
0
1
2
3
4
E10 How often do your parents
let you decide ...
Rarely
Almost
never
Sometimes
Often
Always
a.
the time you go to bed on
weeknights?
5
6
7
8
b.
the people you hang around
with?
0
1
2
3
c.
how much television you
watch?
5
6
7
8
Statistics Canada will keep your answers PRIVATE.
No one from your home or your school will see what you write.
8-5300-6020.1
Page
13
SECTION F
Puberty
We know that the following questions might be difficult, but would appreciate you answering them as well as
you can. Changes in young people's bodies can affect many different aspects of their lives.
F1
Would you say that your body hair ("body hair"
means underarm and pubic hair) has begun to
grow?
1
2
3
4
Has not yet started growing
Has barely started growing
Growth of body hair is definitely underway
Growth of body hair seems completed
Boys go to question F4
For girls only
F2
Have your breasts begun to grow?
5
6
7
8
F3
Have you begun to menstruate (your monthly
periods)?
1
2
Have not yet started growing
Have barely started growing
Breast growth is definitely underway
Breast growth seems completed
Yes
No
Girls go to section G
For boys only
F4
Have you noticed a deepening of your voice?
1
2
3
4
F5
Have you begun to grow hair on your face?
5
6
7
8
Page
Has not yet started changing
Has barely started changing
Voice is definitely changing
Voice change seems completed
Has not yet started growing
Has barely started growing
Facial hair growth is definitely underway
Facial hair growth seems completed
Statistics Canada will keep your answers PRIVATE.
No one from your home or your school will see what you write.
14
8-5300-6020.1
SECTION G
Smoking, Drinking and Drugs
In this section, we would like to ask you some questions about your experiences with smoking, drinking and
drugs. Many of the questions will apply to you even if you have not smoked, had a drink or used drugs.
Be as honest as you can - your answers are private and Statistics Canada will make sure no one will find out
who filled out each questionnaire.
G1 Have you ever tried cigarette smoking, even
just a few puffs?
1
2
Yes
Go to question G2
No
If No, which of the following are the
most important reasons why you
have never tried smoking?
01
Most of my friends do not
smoke
02
My parents do not smoke
03
I think it might be bad for my
health
04
I think I might not be
able to stop
05
06
07
It is against the law for me to
smoke
I would get into trouble with my
parents or teachers
I would get into trouble with the
police
08
I cannot get cigarettes or afford
them
09
I have other things I enjoy
doing
10
Some other reason
Go to question G5
G2 Do you still smoke cigarettes?
11
I have never smoked
Go to
question G5
OR
12
Yes
Go to question G3
No
Go to question G4
13
G3 How often do you smoke cigarettes?
(Mark one only.)
I have never smoked
Go to
question G5
I only tried once or
twice
to
Go
question G5
I do not smoke now
to
Go
question G5
0
1
2
OR
3
4
5
6
7
A few times a year
About once or twice a month
About once or twice a week
About 3-5 times a week
Every day
Statistics Canada will keep your answers PRIVATE.
No one from your home or your school will see what you write.
8-5300-6020.1
Page
15
G4 If you have smoked one or more cigarettes
every day for at least 7 days in a row, how old
were you when you first did so?
(Mark one only.)
98
I have never done this
OR
years old
I was
G5 How many of your close friends smoke
cigarettes?
1
2
3
4
None
A few
Most
All
The next questions are about drinking alcohol.
A drink of alcohol is:
one bottle of beer or wine cooler, or
one glass of wine, or
one shot of liquor.
G6
Have you ever had a drink of alcohol?
7
8
9
Yes, at least one drink
Go to
question G7
I have only had a few sips
No
to
Go
question G8
Go to question G8
G7 If you have ever had a drink of alcohol, how
old were you when you first did this?
(Mark one only.)
98
I have never had a drink of alcohol
OR
99
I have only had a few sips
OR
I first had a drink of alcohol when
I was
years old
G8 How many of your close friends drink alcohol?
1
2
3
4
Page
None
A few
Most
All
Statistics Canada will keep your answers PRIVATE.
No one from your home or your school will see what you write.
16
8-5300-6020.1
G9
Have you ever tried drugs or sniffed
glue or solvents?
(Drugs include marijuana, hash,
cocaine, crack, acid, LSD, etc.)
8
8
Yes
Go to question G10
No
Go to question G11
G10 If you have used drugs (marijuana, glue,
solvents, cocaine, etc.), how old were you
when you first did so?
(Mark one only.)
99
I have never used drugs
OR
I first used drugs when
I was
G11 How many of your close friends have tried
drugs or sniffed glue or solvents?
1
2
3
4
years old
None
A few
Most
All
Statistics Canada will keep your answers PRIVATE.
No one from your home or your school will see what you write.
8-5300-6020.1
Page
17
SECTION H
H1
Activities
In the last 12 months, how often
have you...
a. played sports or done physical
activities WITHOUT a coach or an
instructor (e.g. biking,
skateboarding, etc.)?
4
5
6
7
8
1
2
3
4
5
6
7
8
1
2
3
4
5
6
7
8
g. played computer or
video games?
1
2
3
4
h. done odd jobs (a paper route,
babysitting, etc.)?
5
6
7
8
taken part in dance, gymnastics,
karate or other groups or lessons,
other than in gym class?
e. taken part in clubs or groups such
as Guides or Scouts, 4-H club,
community, church or other
religious groups?
f.
done a hobby or craft (drawing,
model building, etc.)?
On average, about how many hours a day do
you watch TV or videos?
01
02
03
04
05
06
How often do you read for fun (not for school)?
07
08
09
10
11
12
Do you have access to a computer at home?
01
02
I don't watch TV or videos
Less than one hour a day
1 to 2 hours a day
3 to 4 hours a day
5 to 6 hours a day
7 or more hours a day
Every day
A few times a week
Once a week
A few times a month
Less than once a month
Almost never
Yes
No
Please indicate your ending time to complete this questionnaire.
Page
4 or more
times a
week
3
d. taken part in art, drama or music
groups, clubs or lessons
outside of class?
H4
1 to 3
times a
week
2
c.
H3
Less than
once a
week
1
b. played sports WITH a coach or
instructor, other than in gym class
(swimming lessons,
baseball, hockey, etc.)?
H2
Never
Statistics Canada will keep your answers PRIVATE.
No one from your home or your school will see what you write.
18
:
8-5300-6020.1
SECTION I
I1
Help us to improve this questionnaire! Tell us what you think of it.
1
Overall, how easy did you find the
questionnaire to read and understand?
2
3
4
I2
What about the length of the questionnaire?
5
6
7
8
I3
Not at all easy
Not very easy
Fairly easy
Very easy
Much too long
A bit too long
About right
Too short
Do you have other comments?
Thank you very much for helping us.
Your comments are important.
When you finish this survey:
Put this questionnaire in the envelope.
Return it to the interviewer.
Statistics Canada will keep your answers PRIVATE.
No one from your home or your school will see what you write.
8-5300-6020.1
Page
19
XXX
7.
Questionnaire for 12-13 year olds
XXX
National Longitudinal Survey
of Children and Youth
Cycle 3
12-13
Please read instructions on next page before beginning.
For office use only
Person ID
–
–
–
–
First Name
Assignment Number
8-5300-330.1: 1998-08-27 STC/ENM-040-75020
Questionnaire No.
I NST RUCTIONS
This is a survey with questions about you, your family, friends, how you feel and what you
like to do. Your answers will help the government to plan programs and services for young
people like yourself.
This is not a test and there are no right or wrong answers. Some questions may seem
personal and some are about things which not everybody does. Take your time and please
be sure to answer each question based on what you really think. You can choose whether
or not to fill out this questionnaire. If you need help with any questions, you may ask the
interviewer.
When you answer these questions, you can mark your answers like this ⊗ or fill in
the circle
, or write a number in the boxes, as in the examples below. When you
write your answers, make sure you press hard with your pencil.
Example 1
B1
Example 2
How do you feel about school?
0
1
2
3
4
I like school very much.
X
I like school quite a bit.
I like school a bit.
A6
How many of your close friends are
girls?
93
None
OR
0
3
number of girls
I don't like school very much.
I hate school.
Remember that the KIDS HELP PHONE is available to help you at any time if
you feel like you would like to talk to someone about a problem.
1-(800) 668-6868
Statistics Canada will keep your answers PRIVATE.
No one from your home or your school will see what you write.
THANK YOU FOR YOUR HELP!
Page
02
8-5300-330.1
:
Please indicate your starting time.
SECTION A
Friends and Family
Please answer the following
statements about your friends and
others your age.
A1
I have many friends.
A2
I get along easily with others my
age.
A3
Others my age want me to be
their friend.
A4
Most others my age like me.
Mostly
false
False
Sometimes true/
Sometimes false
Mostly
true
True
0
1
2
3
4
5
6
7
8
9
0
1
2
3
4
5
6
7
8
9
For the rest of this questionnaire, by "close friends", we mean the people that you trust and confide in.
They are friends that you see or hang out with at school or outside school.
A5
About how many days a week do you do
things with close friends outside of school
hours?
0
Never
1
Less than once a week
2
1 day a week
3
2 or 3 days a week
4
4 or 5 days a week
5
6 or 7 days a week
How many of your close friends are:
None
A6
... girls?
A7
... boys?
A8
How often do you share your secrets and
private feelings with your close friends?
Number
93
OR
94
OR
0
All the time
1
Most of the time
2
Some of the time
3
Rarely
4
Never
Statistics Canada will keep your answers PRIVATE.
No one from your home or your school will see what you write.
8-5300-330.1
Page
03
A9
Other than your close friends, do you have
anyone else in particular you can talk to about
yourself or your problems?
5
6
A10 What is their relationship to you?
(Mark everyone you feel you can talk to
about yourself or your problems.)
01
02
03
04
05
06
07
08
Yes
Go to question A10
No
Go to question A11
Mother
Father
Stepmother
Stepfather
Brother
Sister
Grandparents
Other relative
09
A friend of the family or a friend's parent
10
11
12
13
Sitter or babysitter
Parent's boyfriend/girlfriend
Teacher
Coach or leader (e.g. Scout, Guide or church
leader)
14
Other (e.g. family doctor)
A11 During the past 6 months, how well have you
gotten along with other young people such as
friends or classmates?
A12 During the past 6 months, how well have you
gotten along with your mother, step mother,
or foster mother?
(Answer about the mother you spend the
most time with.)
Page
5
Very well, no problems
6
Quite well, hardly any problems
7
Pretty well, some problems
8
Not too well, many problems
9
Not well at all, constant problems
10
Very well, no problems
11
Quite well, hardly any problems
12
Pretty well, some problems
13
Not too well, many problems
14
Not well at all, constant problems
15
I am not in touch with my mother
16
I don't have a mother
Statistics Canada will keep your answers PRIVATE.
No one from your home or your school will see what you write.
04
8-5300-330.1
A13 During the past 6 months, how well have you
gotten along with your father, step father, or
foster father?
(Answer about the father you spend the
most time with.)
A14 During the past 6 months, how well have you
gotten along with your brothers and sisters,
step brothers and sisters, or foster brothers
and sisters?
(Answer about the ones you spend the
most time with.)
17
Very well, no problems
18
Quite well, hardly any problems
19
Pretty well, some problems
20
Not too well, many problems
21
Not well at all, constant problems
22
I am not in touch with my father
23
I don't have a father
24
Very well, no problems
25
Quite well, hardly any problems
26
Pretty well, some problems
27
Not too well, many problems
28
Not well at all, constant problems
29
I am not in touch with my brothers and sisters
30
I don't have brothers and sisters
Statistics Canada will keep your answers PRIVATE.
No one from your home or your school will see what you write.
8-5300-330.1
Page
05
SECTION B
B1
School
How do you feel about school?
0
1
2
3
4
B2
9
For your most recent change in schools, why
did you change schools?
(Please mark all that apply.)
1
2
3
4
5
6
B4
I like school quite a bit
I like school a bit
I don't like school very much
I hate school
Are you in the same school that you were in
two years ago?
8
B3
I like school very much
What did you find hard to get used to about
your new school?
(Please mark all that apply.)
01
Yes
Go to question B5
No Go to question B3
I changed from elementary school to middle school
or junior high
I changed from elementary school to high school
I changed from middle school or junior high to
high school
I moved
I was expelled
Other reason
I did not find it hard to get used to my new school
02
Organizing homework
03
New teachers
04
Changing classes
05
Having to make new friends
06
Finding my way around
07
Taking the bus to a new school
08
Other
B5
How well do you think you are doing in your
school work?
09
10
11
12
13
Page
Very well
Well
Average
Poorly
Very poorly
Statistics Canada will keep your answers PRIVATE.
No one from your home or your school will see what you write.
06
8-5300-330.1
B6
How important is it to you to
do the following in school:
Very
important
a. make friends?
b. get good grades?
c.
participate in extracurricular activities?
d. always show up
for class on time?
e. learn new things?
f.
express your opinion in class?
g. take part in student council or
other similar groups?
B7
How do you like the following
subjects:
a. Math
b. Science
c.
English
d. French
e. Gym/Phys. Ed.
f.
B8
Fine Arts
(music, drama)
Somewhat
important
2
3
4
5
6
7
8
1
2
3
4
5
6
7
8
1
2
3
4
5
6
7
8
1
2
3
4
I hate
it
I don't
like it
very much
I like it
a little
I like
it a lot
I don't
take it
01
02
03
04
05
06
07
08
09
10
01
02
03
04
05
06
07
08
09
10
01
02
03
04
05
06
07
08
09
10
I feel like an outsider (or left out of things) at
my school.
5
7
During the past month, how often did you cut
or skip a class, WITHOUT permission?
All the time
Most of the time
Some of the time
8
Rarely
9
Never
01
Never
02
03
04
Not
important
at all
1
6
B9
Not very
important
Once or twice
3 or 4 times
5 times or more
Statistics Canada will keep your answers PRIVATE.
No one from your home or your school will see what you write.
8-5300-330.1
Page
07
B10 Since the beginning of this
school year, how many
times have you ...
Once or
twice
Never
a. skipped a day of school
WITHOUT permission?
b. been suspended from school?
3 or 4
times
5 times
or more
1
2
3
4
5
6
7
8
B11 The next statements are about
teachers and homework.
All the
time
a. In general, my teachers treat
me fairly.
00
Most of
the time
01
Some of
the time
02
Rarely
03
Never
04
Don't
need
help
b. If I need extra help, my
teachers give it to me.
05
06
07
08
09
10
No
homework
c. I have a place at home to do
homework or study.
d. When my teachers give me
homework, I do it.
B12
00
01
02
03
04
05
06
07
08
09
10
11
In the next statements, parents include guardians. They are the ones who live with you at home
and influence your life.
All the
time
a. If I have problems at school,
my parents are ready to help.
Most
of the time
Some of
the time
Rarely
Never
00
01
02
03
04
b. My parents encourage me to
do well at school.
06
07
08
09
10
c. My parents expect too much
of me at school.
00
01
02
03
04
B13 How far do you hope to go in school?
I hope to complete ...
3
No
problems
at school
05
Middle school/junior high
4
High school
5
College or CEGEP
6
A university degree
7
More than one university degree
8
I don't know
9
Other
Page
Statistics Canada will keep your answers PRIVATE.
No one from your home or your school will see what you write.
08
8-5300-330.1
SECTION C
C1
About me
Choose the answer that best
describes how you feel.
False
C2
Mostly
false
Mostly
true
True
a.
In general, I like the
way I am.
00
01
02
03
04
b.
Overall I have a lot to
be proud of.
05
06
07
08
09
c.
A lot of things about
me are good.
00
01
02
03
04
d.
When I do something,
I do it well.
05
06
07
08
09
e.
I like the way I look.
00
01
02
03
04
In general, I am happy with how things are for
me in my life now.
1
2
C3
Sometimes
false/
Sometimes
true
The next five years look good to me.
Strongly disagree
Disagree
3
Agree
4
Strongly agree
5
6
7
8
Strongly disagree
Disagree
Agree
Strongly agree
During the last 12 months, how many times did someone ...
C4
C5
C6
say something personal about you that
made you feel extremely
uncomfortable?
Never
Once or
twice
3 or
4 times
5 times
or more
a. While at school or on a
school bus.
01
02
03
04
b. Elsewhere (including at home).
05
06
07
08
10
11
12
threaten to hurt you but not actually
hurt you?
a. While at school or
on a school bus.
09
b. Elsewhere (including at home).
13
14
15
16
a. While at school or
on a school bus.
17
18
19
20
b. Elsewhere (including at home).
21
22
23
24
physically attack or assault you?
Statistics Canada will keep your answers PRIVATE.
No one from your home or your school will see what you write.
8-5300-330.1
Page
09
SECTION D
D1
Feelings and Behaviours
Read the following statements and choose the
answer that best describes you.
a. I show sympathy to (I feel sorry for)
someone who has made a mistake.
Often or
very true
2
3
4
5
6
7
8
9
1
2
3
4
5
6
7
8
9
1
2
3
4
5
6
i. I am easily distracted, I have trouble
sticking to any activity.
7
8
9
j. When I am mad at someone, I try to
get others to dislike him/her.
1
2
3
4
5
6
7
8
9
1
2
3
4
5
6
7
8
9
1
2
3
4
5
6
7
8
9
1
2
3
c. I destroy my own things.
d. I try to help someone who has been hurt.
e. I steal at home.
f. I am unhappy, sad or depressed.
g. I get into many fights.
h. I offer to help clear up a mess
someone else has made.
k. I am not as happy as other people
may age.
l. I destroy things belonging to my
family or other young people.
m. If there is an argument, I try to stop it.
n. I fidget.
o. I am disobedient at school.
p. I can't concentrate, I can't pay
attention.
q. I am too fearful or anxious.
r. When I am mad at someone,
I become friends with another
as revenge.
s. I am impulsive, I act without thinking.
Page
Sometimes
or
somewhat true
1
b. I can't sit still, I am restless.
Never
or
not true
Statistics Canada will keep your answers PRIVATE.
No one from your home or your school will see what you write.
10
8-5300-330.1
D1
Read the following statements and choose the
answer that best describes you.
Sometimes
or
somewhat true
Often or
very true
4
5
6
7
8
9
1
2
3
4
5
6
7
8
9
y. I tend to do things on my own,
I am rather solitary.
1
2
3
z. When I am mad at someone, I say
bad things behind his/her back.
4
5
6
7
8
9
1
2
3
4
5
6
7
8
9
1
2
3
4
5
6
7
8
9
1
2
3
ii. I feel miserable, unhappy, tearful,
or distressed.
4
5
6
jj. I am cruel, I bully or am mean
to others.
7
8
9
1
2
3
4
5
6
t. I tell lies or cheat.
u. I offer to help other young people
(friend, brother or sister) who are
having difficulty with a task.
v. I worry a lot.
w. I have difficulty waiting for my turn
in games or group activities.
x. When another young person
accidentally hurts me, I assume
that he/she meant to do it, and
I react with anger and fighting.
aa. I physically attack people.
bb. I comfort another young person (friend,
brother or sister) who is crying or upset.
cc. I cry a lot.
dd. I vandalize.
ee. I give up easily.
ff. I threaten people.
gg. I help to pick up things which another
young person has dropped.
hh. I cannot settle to anything for more
than a few moments.
kk. I stare into space.
ll. When I am mad at someone,
I say to others: let's not be
with him/her.
Never
or
not true
Statistics Canada will keep your answers PRIVATE.
No one from your home or your school will see what you write.
8-5300-330.1
Page
11
D1
Read the following statements and choose the
answer that best describes you.
Never
or
not true
Sometimes
or
somewhat true
Often or
very true
7
8
9
1
2
3
4
5
6
7
8
9
1
2
3
4
5
6
ss. I help other people my age (friends,
brother or sister) who are feeling sick.
7
8
9
tt. When I am mad at someone, I tell
that person's secrets to a third person.
1
2
3
4
5
6
mm. I am nervous, highstrung or tense.
nn. I kick, bite, hit other people my age.
oo. When I am playing with others, I invite
bystanders to join in a game.
pp. I steal outside my home.
qq. I am inattentive, I have difficulty
paying attention to someone.
rr. I have trouble enjoying myself.
uu. I encourage other people my age
who cannot do things as well as
I can.
The following questions are about suicide. Some of them might be hard for you to answer, but please
answer them as well as you can. These questions will help us learn about young people.
Remember to ask your interviewer any questions you might have. If you feel like you need support, we
encourage you to talk to your family doctor or nurse, or use the resources provided to you by the
interviewer.
D2
D3
D4
Has anyone in your school committed
suicide?
Has anyone that you knew personally
committed suicide?
During the past 12 months, did you seriously
consider attempting suicide?
0
Yes, within the last year
1
Yes, more than a year ago
2
No, never
3
I don't know
4
Yes, within the last year
5
Yes, more than a year ago
6
No, never
7
I don't know
1
Yes
2
No
Page
Go to question D7
Statistics Canada will keep your answers PRIVATE.
No one from your home or your school will see what you write.
12
8-5300-330.1
D5
During the past 12 months, how many times
did you attempt suicide?
3
4
5
D6
D7
If you attempted suicide during the
past 12 months, did you have to be
treated by a doctor, nurse or other
health professional (for a physical
injury or counselling)?
Go to question D7
Once
More than once
6
I did not attempt suicide within the
past 12 months
7
Yes
8
No
During the past 12 months, about
how many times ...
Never
Once or
twice
3 or 4
times
5 times
or more
a. have you stayed out later than your
parents said you should?
1
2
3
4
b. have you stayed out all night
without permission?
5
6
7
8
1
2
3
4
5
6
7
8
1
2
3
4
5
6
7
8
1
2
3
4
5
6
7
8
1
2
3
4
5
6
7
8
1
2
3
4
c. were you questioned by the police
about anything that they thought
you did?
d. were you questioned by a security
guard, a teacher or a principal
about anything that they thought
you did such as stealing, damaging
property or anything else?
e. have you run away from home?
f. have you stolen something from a
store or school?
g. have you taken money from your
parents without their permission?
h. have you broken into, or snuck
into, a house or building with the
idea of stealing something?
i. have you used or bought or tried
to sell something you knew was
stolen?
j. have you damaged or destroyed
anything that didn't belong to you
(for example, damaged a bicycle,
car, school furniture, broken
windows or written graffiti)?
k. have you fought with someone to the
point where they needed care for their
injuries (for example, because they were
bleeding, or had broken bones)?
Never/
none
Statistics Canada will keep your answers PRIVATE.
No one from your home or your school will see what you write.
8-5300-330.1
Page
13
D7
In the past 12 months, about how
many times ...
Once or
twice
Never
l. have you been in a fight where you
hit someone with something other
than your hands (for example,
a stick, club, knife, or rock)?
6
7
8
1
2
3
4
n. have you carried a gun other than
for hunting or target shooting?
5
6
7
8
o. have you carried any other weapon
such as a stick or a club?
1
2
3
4
p. have you threatened someone in
order to get their money or things?
5
6
7
8
1
2
3
4
5
6
7
8
s. have you tried to force someone
into having sex with you?
1
2
3
4
t. have you taken a car, motorbike,
or motorboat without permission?
5
6
7
8
1
2
3
4
q.
have you sold any drugs?
r. have you attempted to touch the
private parts of another person's
body (while knowing that they
would probably object to this)?
u. have you set fire on purpose to a
building, a car, or something else
not belonging to you?
Page
5 times
or more
5
m. have you carried a knife for the
purpose of defending yourself
or using it in a fight?
D8
3 or 4
times
In the past 12 months, were you part of a
gang that broke the law by stealing, hurting
someone, damaging property, etc.?
5
Yes
6
No
Statistics Canada will keep your answers PRIVATE.
No one from your home or your school will see what you write.
14
8-5300-330.1
SECTION E
E1
Activities
In the last 12 months, how often
have you ...
a. played sports or done physical
activities WITHOUT a coach or
an instructor (e.g. biking, skateboarding, etc.)?
b. played sports WITH a coach or
instructor, other than in gym class?
(swimming lessons, baseball, hockey,
etc.)?
c. taken part in dance, gymnastics,
karate or other groups or lessons,
other than in gym class?
d. taken part in art, drama or music
groups, clubs or lessons, outside
of class?
e. taken part in clubs or groups such
as Guides or Scouts, 4-H club,
community, church or other
religious groups?
f. done a hobby or craft (drawing,
model building, etc.)?
E2
In any of your activities, do you have special
responsibilities, such as team
leader, captain, secretary, etc.?
How often do you read for fun
(not for school)?
4 or more
times a
week
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
1
Yes
No
01
Every day
02
A few times a week
03
1 to 3
times a
week
01
2
E3
Less than
once a
week
Never
Once a week
04
A few times a month
05
Less than once a month
06
Almost never
Statistics Canada will keep your answers PRIVATE.
No one from your home or your school will see what you write.
8-5300-330.1
Page
15
E4
In the past year (the last 12 months),
have you helped without pay by ...
(Mark all that apply.)
1
doing activities at school (yearbook committee,
school patrol, student council, etc.)
2
supporting a cause (food bank, environmental
group, etc.)
3
4
5
6
7
E5
On average, about how many hours a
day do you watch TV or videos?
Do you have access to a computer at home?
helping in your community (hospital volunteering,
etc.)
helping neighbours or relatives (cutting
grass, babysitting or shovelling snow for a
neighbour, etc.)
doing another volunteer activity (without pay)
I have not done any of these activities without
pay.
01
I don't watch TV or videos
02
Less than 1 hour a day
03
E6
fund raising (a charity, school trips, etc.)
1 to 2 hours a day
04
3 to 4 hours a day
05
5 to 6 hours a day
06
7 or more hours a day
1
Yes
2
No
E7
Do you have access to a large area network
(e.g. Internet ) at home?
3
4
E8 On average, how much time in a day
do you spend at home looking after
a younger brother or sister while your
parents are not home?
02
I don't spend any time at home looking after
a younger brother or sister while my parents
are not home
1 to 2 hours a day
3 to 4 hours a day
06
5 to 6 hours a day
07
7 or more hours a day
08
I don't spend time alone while nobody
else is home
10
Less than 1 hour a day
1 to 2 hours a day
11
3 to 4 hours a day
12
5 to 6 hours a day
13
Page
Less than 1 hour a day
05
09
No
I don't have a brother or sister
04
do you spend alone at home while
nobody else is home?
Yes
01
03
E9 On average, how much time in a day
Go to question E8
7 or more hours a day
Statistics Canada will keep your answers PRIVATE.
No one from your home or your school will see what you write.
16
8-5300-330.1
SECTION F
Smoking, Drinking and Drugs
In this section, we would like to ask you some questions about your experiences with smoking, drinking and
drugs. Many of the questions will apply to you even if you have not smoked, had a drink or used drugs.
Be as honest as you can – your answers are private and Statistics Canada will make sure no one will find out
who filled out each questionnaire.
F1
Have you ever tried cigarette smoking,
even just a few puffs?
01
02
F2
Do you still smoke cigarettes?
03
04
F3
How often do you smoke cigarettes?
(Mark one only.)
05
06
07
Yes
Go to question F2
No
Go to question F6
Yes
Go to question F3
No
Go to question F5
I have never
smoked
to
Go
question F6
I only tried
once or
twice
Go to
question F6
to
Go
question F5
I do not
smoke now
OR
08
09
10
11
12
F4
On the days that you smoke, about how
many cigarettes do you usually smoke?
(Mark one only.)
93
A few times a year
About once or twice a month
About once or twice a week
About 3 to 5 times a week
Every day
I do not smoke
OR
number of cigarettes
F5
If you have smoked one or more cigarettes
every day for at least 7 days in a row, how
old were you when you first did so?
(Mark one only.)
94
I have never done this
OR
I was
F6
How many of your close friends smoke
cigarettes?
1
None
2
A few
3
Most
4
All
years old
Statistics Canada will keep your answers PRIVATE.
No one from your home or your school will see what you write.
8-5300-330.1
Page
17
The next questions are about drinking alcohol.
A drink of alcohol is:
one bottle of beer or wine cooler, or
one glass of wine, or
one shot of liquor.
F7
Have you ever had a drink or alcohol?
5
Yes, at least
one drink
Go to
question F8
I have only had
a few sips
Go to
question F14
No
Go to
question F14
6
7
F8
If you have ever had a drink of alcohol,
how old were you when you first did this?
(Mark one only.)
98
I have never had a drink of alcohol
OR
99
I have only had a few sips
OR
I first had a drink when
years old
I was
F9
Do you still drink alcohol?
95
I have never had a drink of alcohol
OR
96
Yes, I still drink alcohol
OR
97
No, I do not drink
alcohol anymore
Go to
question F11
0
I have never had
a drink of alcohol
Go to
question F14
F10 If you drink alcohol, how often
do you do so?
1
2
I only tried once or twice
I do not drink alcohol anymore
OR
3
4
5
6
7
Page
A few times a year
About once or twice a month
About once or twice a week
About 3 to 5 times a week
Every day
Statistics Canada will keep your answers PRIVATE.
No one from your home or your school will see what you write.
18
8-5300-330.1
F11 Have you ever been drunk?
8
9
F12 How old were you when you were
93
drunk for the first time?
(Mark one only.)
Yes
Go to question F12
No
Go to question F14
I have never been drunk
OR
I was first drunk when
I was
F13 In the past 12 months, how often
94
were you drunk?
years old
Never
OR
times
F14 How many of your close friends
0
drink alcohol?
1
2
3
None
A few
Most
All
The next questions are about drug use. Please answer even if you do not use drugs.
F15
How old were you when you did the
following drugs for the first time?
I don't
know
what that
drug is
a. Marijuana and cannabis
products (also known as joint,
pot, grass, hash).
b. Glue or solvents (such as paint
thinner, gasoline, etc.).
c. Other drugs (heroin, speed,
PCP, crack/cocaine, LSD, acid,
ecstasy, etc.).
98
96
98
I first
did it when
I was ...
I have
never
done it
OR
OR
OR
97
95
97
OR
years
old
OR
years
old
OR
years
old
Statistics Canada will keep your answers PRIVATE.
No one from your home or your school will see what you write.
8-5300-330.1
Page
19
F16 In the last 12 months
how often did you do ...
a. marijuana and
cannabis products
(joint, pot, grass,
hash).
b. glue or solvents
(paint thinner,
gasoline, etc.).
c. other drugs
(heroin, speed,
PCP, crack/
cocaine, LSD, acid,
ecstasy, etc.).
I have
not
done
it in the
last 12
months
or
I have
never
done
it
I only
tried
once
or
twice
A few
times
a
year
About
once
or
twice
a month
About
once
or
twice
a week
About
3 or 5
times
a week
Every
day
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
F17 How many of your close friends
have tried the following drugs?
Page
None
A few
Most
All
a. Marijuana and cannabis products
(joint, pot, grass, hash).
1
2
3
4
b. Glue or solvents
(paint thinner, gasoline, etc.).
5
6
7
8
c. Other drugs (heroin, speed, PCP, crack/
cocaine, LSD, acid, ecstasy, etc.).
1
2
3
4
Statistics Canada will keep your answers PRIVATE.
No one from your home or your school will see what you write.
20
8-5300-330.1
SECTION G
My Parent(s) and Me
My mother
G1 Think of the mother you spend the
01
most time with. Is she ...
(Mark only one.)
02
03
04
05
your biological mother?
your adoptive mother?
your stepmother?
your foster mother?
another person?
OR
06
07
I am not in touch with my
mother
Go to
question G4
I don't have a mother
to
Go
question G4
G2 Thinking of the mother you have
identified in the previous questions:
A great
deal
Some
I don't
have a
mother
a. How well do you feel that your
mother understands you?
0
1
2
3
4
b. How much fairness do you receive
from your mother?
5
6
7
8
9
c. How much affection do you receive
from your mother?
0
1
2
3
4
G3 Overall, how would you describe your
relationship with your mother?
5
6
7
8
9
Very little
I am not
in touch
with my
mother
Very close
Somewhat close
Not very close
I am not in touch with my mother
I don't have a mother
Statistics Canada will keep your answers PRIVATE.
No one from your home or your school will see what you write.
8-5300-330.1
Page
21
My Father
G4 Now think of the father you spend the
01
most time with. Is he ...
(Mark only one.)
02
03
04
05
your biological father?
your adoptive father?
your stepfather?
your foster father?
another person?
OR
06
07
I am not in touch with my
father
Go to
question G7
I don't have a father
to
Go
question G7
G5 Thinking about the father you have
identified in the previous question:
A great
deal
Some
Very
little
I am not
in touch
with my
father
I don't
have a
father
a. How well do you feel that your father
understands you?
0
1
2
3
4
b. How much fairness do you receive
from your father?
5
6
7
8
9
c. How much affection do you receive
from your father?
0
1
2
3
4
G6 Overall, how would you describe your
relationship with your father?
5
6
7
8
9
Very close
Somewhat close
Not very close
I am not in touch with my father
I don't have a father
Answer the following questions thinking of the father and mother you have identified in the previous
questions.
G7 How well do you think your parents get along
with each other?
0
1
2
3
Page
Very well
Fairly well
Not very well
Not applicable
Statistics Canada will keep your answers PRIVATE.
No one from your home or your school will see what you write.
22
8-5300-330.1
G8
Never
a. How often do your parents disagree
about how to deal with the children
in your family?
b. How often do your parents get upset
with one another, including times
when they are mad but don't say
much?
Rarely
Sometimes
Often
Always
Not
applicable
01
02
03
04
05
06
07
08
09
10
11
12
G9 For each of the following statements, use the choice that best describes the way your parents (or stepparents,
foster parents or guardians) in general have acted towards you during the last 6 months.
My parents ...
Never
Rarely
Sometimes
Often
Always
5
6
7
8
9
b. want to know exactly where I am
and what I am doing.
0
1
2
3
4
c. soon forget a rule they have
made.
5
6
7
8
9
0
1
2
3
4
5
6
7
8
9
0
1
2
3
4
5
6
7
8
9
0
1
2
3
4
i. and I solve a problem together
whenever we disagree about
something.
5
6
7
8
9
j. only keep rules when it suits
them.
0
1
2
3
4
5
6
7
8
9
0
1
2
3
4
5
6
7
8
9
0
1
2
3
4
o. find out about my
misbehaviour.
5
6
7
8
9
p. enforce a rule or do not enforce a
rule depending upon their mood.
0
1
2
3
4
5
6
7
8
9
0
1
2
3
4
5
6
7
8
9
0
1
2
3
4
a. smile at me.
d. praise me.
e. let me go out any evening I want.
f. tell me what time to be home
when I go out.
g. nag me about little things.
h. listen to my ideas and opinions.
k. get angry and yell at me.
l. make sure I know I am
appreciated.
m. threaten punishment more
often than they use it.
n. speak of the good things I do.
q. hit me or threaten to do so.
r. seem proud of the things I do.
s. seem too busy to spend
as much time with me
as I'd like.
t. take an interest in where
I am going and who I am with.
Statistics Canada will keep your answers PRIVATE.
No one from your home or your school will see what you write.
8-5300-330.1
Page
23
G10 Your parents let you decide...
Almost
never
a. the time you go to bed on
weeknights.
b. the people you hang around with.
Sometimes
Often
Always
5
6
7
8
1
2
3
4
5
6
7
8
c. how much television you watch.
Page
Statistics Canada will keep your answers PRIVATE.
No one from your home or your school will see what you write.
24
8-5300-330.1
SECTION H
H1
Health
1
In general, would you say your
health is ...
excellent?
2
very good?
3
good?
4
fair?
5
H2
How tall are you?
(Please estimate if you are
not sure.)
poor?
6
7
Inches
Feet
OR
8
9
Metre
H3
How much do you weigh?
(Please estimate if you are
not sure.)
Centimetres
1
Pounds
OR
2
Kilograms
Young people sometimes experience health problems that may or may not be related to stress, and may
affect other areas in their life. Your answers to the following questions will help build a picture of your
general health.
H4
In the last 6 months, how often have
you had or felt the following?
a. Headache.
b. Stomach ache.
c. Backache.
d. Difficulties in getting to sleep.
H5
How often do you use a seat belt when
you ride in a car?
About
once a
month
Seldom
or never
About
once a
week
More
than
once a
week
Most
days
5
6
7
8
9
0
1
2
3
4
5
6
7
8
9
0
1
2
3
4
5
Always
6
Often
7
Sometimes
8
Seldom or never
9
Usually there is no seat belt where I sit
H6
How often do you wear a helmet when
you ride your bicycle?
0
1
2
3
4
Always
Often
Sometimes
Seldom or never
I do not ride a bicycle
Statistics Canada will keep your answers PRIVATE.
No one from your home or your school will see what you write.
8-5300-330.1
Page
25
H7
During school weeks, how many times a
week do you eat breakfast?
5
Never
6
1 or 2 times a week
7
3 or 4 times a week
8
Every day
H8
Which of the following are you trying to
do?
1
2
3
4
Lose weight
Gain weight
Stay the same weight
I'm not trying to do anything about my
weight
Puberty
We know that the following questions might be difficult, but would appreciate you answering them as well as
you can. Changes in young people's bodies can affect many different aspects of their lives.
H9
Would you say that your body hair ("body
hair" means underarm and pubic hair) has
begun to grow?
5
Has not yet started growing
6
Has barely started growing
7
Growth of body hair is definitely underway
8
Growth of body hair seems completed
Boys go to question H12
For girls only
H10 Have your breasts begun to grow?
1
2
Have not yet started growing
Have barely started growing
3
Breast growth is definitely underway
4
Breast growth seems completed
H11 Have you begun to menstruate
5
Yes
(your monthly periods)?
6
No
Girls go to question H14
Page
Statistics Canada will keep your answers PRIVATE.
No one from your home or your school will see what you write.
26
8-5300-330.1
For boys only
H12 Have you noticed a deepening of
1
Has not yet started changing
your voice?
2
Has barely started changing
3
Voice is definitely changing
4
Voice change seems completed
H13 Have you begun to grow hair on
5
Has not yet started growing
your face?
6
Has barely started growing
7
Facial hair growth is definitely underway
8
Facial hair growth seems completed
Dating
H14 How old were you when you had your
93
I've never had a
boyfriend/girlfriend
first boyfriend/girlfriend?
Go to section I
OR
years old
I was
H15 Do you have a boyfriend/girlfriend right
now?
8
Yes
Go to question H16
No
Go to question H17
9
H16 Outside of school hours, about how
many days a week do you see your
boyfriend/girlfriend?
0
1
I've never had a boyfriend/girlfriend
I don't have a boyfriend/girlfriend now
OR
2
Never
3
Less than once a week
4
One day a week
5
6
7
2 or 3 days a week
4 or 5 days a week
6 or 7 days a week
Statistics Canada will keep your answers PRIVATE.
No one from your home or your school will see what you write
8-5300-330.1
Page
27
H17 When you go out on dates, do you always
0
go out with the same person?
1
I have not yet gone out on dates
I do not date now
OR
2
3
Yes, with the same person
No, with different people
H18 How often have you had the
following experiences with a
boyfriend/girlfriend?
Never
Once
A few
times
Often
1
2
3
4
5
6
7
8
1
2
3
4
5
6
7
8
a. Kissing.
b. Petting above the waist.
c. Petting below the waist.
d. Sexual intercourse (going all the way).
Page
Statistics Canada will keep your answers PRIVATE.
No one from your home or your school will see what you write
28
8-5300-330.1
SECTION I
I1
I2
Work and Money
Since September, on average, how
many hours per week have you
worked for pay?
1
I have not worked since September
2
1 to 4 hours a week
3
5 to 9 hours a week
4
10 to 14 hours a week
5
15 or more hours a week
Last week, how much money
did you receive from ...
No
money
$1 - $10
$11 - $20
$21 - $30
$31 - $40
More
than
$40
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
a. your parents?
b. working for employer(s)?
c. doing odd jobs (babysitting,
delivering flyers, etc.)?
d. other sources (gifts from
relatives, etc.)?
I3
How do you usually spend your money?
(You can mark more than one answer.)
25
Meals, snacks or junk food
26
Public transportation (bus, subway)
27
Clothes, shoes
28
Cigarettes, alcohol or drugs
29
Other things for myself (make-up, CD's,
lottery tickets, magazines, etc.)
30
Activities or equipment (school supplies
or school trips, music or sports lessons,
computer supplies, etc.)
31
Going out (movies, arcades, parties, etc.)
32
Gifts for family or friends
33
Family expenses (groceries, etc.)
34
Savings
35
Other. Specify:
Please indicate your ending time to complete
this questionnaire.
:
Statistics Canada will keep your answers PRIVATE.
No one from your home or your school will see what you write
8-5300-330.1
Page
29
SECTION J
J1
Help us to improve this questionnaire! Tell us what you think of it.
1
Overall, how easy did you find the
questionnaire to read and understand?
2
3
4
J2
5
What about the length of the
questionnaire?
6
7
8
J3
Not at all easy
Not very easy
Fairly easy
Very easy
Much too long
A bit too long
About right
Too short
Do you have other comments?
Thank you very much for helping us.
Your comments are important.
When you finish this survey:
Page
Put this questionnaire in the envelope.
Return it to the Interviewer.
Statistics Canada will keep your answers PRIVATE.
No one from your home or your school will see what you write
30
8-5300-330.1
8.
Questionnaire for 14-15 year olds
XXX
National Longitudinal Survey
of Children and Youth
Cycle 3
14- 15
Please read instructions on next page before beginning.
For office use only
Person ID
–
–
–
–
First Name
Assignment Number
8-5300-352.1: 1998-08-15 STC/HLD-040-75020
Questionnaire No.
I NST RUCTIONS
This is a survey with questions about you, your family, friends, how you feel and what you
like to do. Your answers will help the government to plan programs and services for young
people like yourself.
This is not a test and there are no right or wrong answers. Some questions may seem
personal and some are about things which not everybody does. Take your time and please
be sure to answer each question based on what you really think. You can choose whether
or not to fill out this questionnaire. If you need help with any questions, you may ask the
interviewer.
When you answer these questions, you can mark your answers like this ⊗ or fill in
the circle
, or write a number in the boxes, as in the examples below. When you
write your answers, make sure you press hard with your pencil.
Example 2
Example 1
B1
How do you feel about school?
0
1
2
3
4
I13
In a typical week, how many hours
did you work?
I like school very much.
X
I like school quite a bit.
0
8
I like school a bit.
OR
I don't like school very much.
94
I hate school.
hours
I did not work last summer.
Remember that the KIDS HELP PHONE is available to help you at any time if
you feel like you would like to talk to someone about a problem.
1-(800) 668-6868
Statistics Canada will keep your answers PRIVATE.
No one from your home or your school will see what you write.
THANK YOU FOR YOUR HELP!
Page
02
8-5300-352.1
:
Please indicate your starting time.
SECTION A
Friends
Please answer the following
statements about your friends and
others your age.
A1
I have many friends.
A2
I get along easily with others my
age.
A3
Others my age want me to be
their friend.
A4
Most others my age like me.
False
Mostly
false
Sometimes true/
Sometimes false
Mostly
true
True
0
1
2
3
4
5
6
7
8
9
0
1
2
3
4
5
6
7
8
9
For the rest of this questionnaire, by "close friends", we mean the people that you trust and confide in.
They are friends that you see or hang out with at school or outside school.
A5
A6
I feel that my close friends really know who I
am.
About how many days a week do you do
things with close friends outside of school
hours?
0
False
1
Mostly false
2
Sometimes false/Sometimes true
3
Mostly true
4
True
01
02
03
04
05
06
Never
Less than once a week
1 day a week
2-3 days a week
4-5 days a week
6-7 days a week
How many of your close friends are:
None
A7
... girls?
99
Number
OR
... boys?
98
A8
OR
Statistics Canada will keep your answers PRIVATE.
No one from your home or your school will see what you write.
8-5300-352.1
Page
03
A9
How often do you share your secrets and
private feelings with your close friends?
1
All the time
2
Most of the time
3
Some of the time
4
Rarely
5
Never
A10 How many of your close
friends do the following:
None
A few
Most
All
a. smoke cigarettes?
0
1
2
3
b. drink alcohol?
4
5
6
7
c.
0
1
2
3
4
5
6
7
0
1
2
3
break the law?
d. have tried marijuana?
e. have tried drugs other than
marijuana?
A11 During this school year, how
many of your close friends
have done the following:
a. worked for an employer or at odd jobs?
b. cut or skipped a day at school
without permission?
c.
been suspended from school?
d. dropped out of school for
more than one week?
None
A few
Most
All
4
5
6
7
0
1
2
3
4
5
6
7
0
1
2
3
A12 For each of the following
statements, mark the circle that
best corresponds to your
situation with your close
friends.
Mostly true
Mostly false
False
a. My close friends push me to succeed
and to do interesting things that
I would not do by myself.
4
5
6
7
b. When I make a decision, I take my
close friends' opinion into account.
0
1
2
3
4
5
6
7
c.
Page
True
My close friends sometimes push
me to do foolish or stupid things.
Statistics Canada will keep your answers PRIVATE.
No one from your home or your school will see what you write.
04
8-5300-352.1
A13 Other than your close friends, do you have
anyone else in particular you can talk to about
yourself or your problems?
A14 What is their relationship to you?
(Mark everyone you feel you can talk to
about yourself or your problems.)
0
Yes Go to question A14
1
No Go to Section B
01
02
03
04
05
06
07
08
Mother
Father
Stepmother
Stepfather
Brother
Sister
Grandparent
Other relative
09
A friend of the family or a friend's parent
10
11
12
Parent's boyfriend/girlfriend
Teacher
Coach or leader (e.g. Scout, Guide or church
leader)
13
Other (e.g. family doctor)
Statistics Canada will keep your answers PRIVATE.
No one from your home or your school will see what you write.
8-5300-352.1
Page
05
SECTION B
B1
School
How do you feel about school?
0
1
2
3
4
B2
B3
I like school quite a bit
I like school a bit
I don't like school very much
I hate school
Are you in the same school that you were in
two years ago?
For your most recent change in schools, why
did you change schools?
(Please mark all that apply.)
01
Yes Go to question B5
02
No Go to question B3
1
2
3
4
B4
I like school very much
What did you find hard to get used to about
your new school?
(Please mark all that apply.)
I changed from elementary school to middle school
or junior high
I changed from elementary school to high school
I changed from middle school or junior high to
high school
I moved
5
I was expelled
6
Other reason
01
I did not find it hard to get used to my new school
02
Organizing homework
03
New teachers
04
Changing classes
05
Having to make new friends
06
Finding my way around
07
Taking the bus to a new school
08
Other
B5
How well do you think you are doing in your
school work?
1
2
3
4
5
Page
Very well
Well
Average
Poorly
Very poorly
Statistics Canada will keep your answers PRIVATE.
No one from your home or your school will see what you write.
06
8-5300-352.1
B6
How important is it to you to
do the following in school:
Very
important
a. make friends?
b. get good grades?
c.
participate in extra-curricular
activities?
d. always show up for class on time?
e. learn new things?
f.
express your opinion in class?
g. take part in student council or other
similar groups?
B7
How do you like the following
subjects:
a. Math
b. Science
c.
English
d. French
e. Gym/Phys. Ed.
f.
B8
Fine Arts (art, music,
drama)
I hate
it
Somewhat
important
Not very
important
Not important
at all
1
2
3
4
5
6
7
8
1
2
3
4
5
6
7
8
1
2
3
4
5
6
7
8
1
2
3
4
I don't like
it very
much
I like it
a little
I like
it a lot
I don't
take it
01
02
03
04
05
06
07
08
09
10
01
02
03
04
05
06
07
08
09
10
01
02
03
04
05
06
07
08
09
10
How much school spirit does your school
have?
0
1
2
Almost all students have a lot of school spirit
Most students have a lot of school spirit
Some students have a lot of school spirit
3
Very few students have a lot of school spirit
B9
How much school spirit do you have?
01
A great deal
02
03
04
Some
Very little
None
Statistics Canada will keep your answers PRIVATE.
No one from your home or your school will see what you write.
8-5300-352.1
Page
07
B10 How often do you feel like an outsider (or left out
of things) at your school?
0
1
2
3
4
All the time
Most of the time
Some of the time
Rarely
Never
B11 In the last 3 months, how often have
you taken part in the following
school-based activities (other than in
class)?
Less than
once a
week
Never
1 to 3
times a
week
4 or more
times a
week
a. Played sports or done physical activities
WITHOUT a coach or an instructor
(e.g., softball during recess)?
01
02
03
04
b. Played sports WITH a coach or instructor,
other than for gym class
(e.g., school teams)?
05
06
07
08
09
10
11
12
02
03
04
06
07
08
c.
Taken part in dance, gymnastics, karate
or other groups or lessons, other
than in gym class?
d. Taken part in art, drama or music groups,
clubs or lessons, outside of class?
e. Taken part in a school club or group such
as yearbook club, photography club
or student council?
B12 During the past month, how often did you cut
or skip a class WITHOUT permission?
01
05
01
Never
02
Once or twice
03
3 or 4 times
04
5 times or more
B13 Since the beginning of this
school year, how many
times have you ...
a. skipped a day of school
WITHOUT permission?
b. been suspended from school?
Page
Never
Once or
twice
3 or
4 times
1
2
3
4
5
6
7
8
Statistics Canada will keep your answers PRIVATE.
No one from your home or your school will see what you write.
08
5 times or
more
8-5300-352.1
B14 Have you ever dropped out of school for more
than a week?
01
02
B15 The last time you dropped out of school, how
Yes
Go to question B15
No
Go to question B16
0
I have never dropped out of school
long was it for?
1
Less than a month
2
1-3 months
3
4-6 months
4
More than 6 months
B16 The next statements are about teachers and
homework.
All the
time
a. In general my teachers treat
me fairly.
00
Most of
the time
01
Some of
the time
02
Rarely
03
Never
04
Don't
need
extra
help
b. If I need extra help, my
teachers give it to me.
05
06
07
08
09
10
No
homework
c. I have a place at home to do
homework or study.
d. When my teachers give me
homework, I do it.
00
01
02
03
04
05
06
07
08
09
10
11
B17 How often do you talk to a teacher outside of
class?
0
Every day
1
A few times a week
2
Once a week
3
A few times a month
4
Less than once a month
5
Almost never
Statistics Canada will keep your answers PRIVATE.
No one from your home or your school will see what you write.
8-5300-352.1
Page
09
B18
In the next statements, parents include guardians. They are the ones who live with you at
home and influence your life.
All the
time
a. If I have problems at school,
my parents are ready to help.
Most of
the time
Some of
the time
Rarely
Never
00
01
02
03
04
b. My parents encourage me to
do well at school.
06
07
08
09
10
c. My parents expect too much
of me at school.
00
01
02
03
04
B19 How far do you hope to go in school? I hope
to complete ...
0
No
problems
at school
05
Middle school/junior high
1
High school
2
College or CEGEP
3
A university degree
4
More than one university degree
5
I don't know
6
Other
Page
Statistics Canada will keep your answers PRIVATE.
No one from your home or your school will see what you write.
10
8-5300-352.1
SECTION C
About me
Choose the answer that best
describes how you feel.
C1
False
Mostly
false
Sometimes
false/
Sometimes
true
Mostly
true
True
00
01
02
03
04
Overall I have a lot to be proud of.
05
06
07
08
09
c.
A lot of things about me are good.
00
01
02
03
04
d.
When I do something, I do it well.
05
06
07
08
09
e.
I like the way I look.
00
01
02
03
04
a.
In general, I like the way I am.
b.
C2
In general, I am happy with how things are for
me in my life now.
1
2
C3
The next five years look good to me.
Strongly disagree
Disagree
3
Agree
4
Strongly agree
5
6
7
8
Strongly disagree
Disagree
Agree
Strongly agree
C4 The following is a series of events that
may directly affect youths. Have you
personally been through these events?
Yes
a. A painful break-up with your boyfriend/girlfriend.
b. A serious problem in school.
c.
A pregnancy or an abortion.
d. The death of someone close to you.
e. Another difficult event; specify:
No
1
2
3
4
1
2
3
4
1
2
Statistics Canada will keep your answers PRIVATE.
No one from your home or your school will see what you write.
8-5300-352.1
Page
11
C5
In the past 12 months, have
you been treated unfairly
because of ...
Yes
a. your sex/gender?
b. your race, skin colour, or ethnic group?
c.
your religion?
d. another reason?
No
Don't know
01
02
03
04
05
06
01
02
03
04
05
06
During the last 12 months, how many times did someone ...
C6
C7
C8
say something personal about you that
made you feel extremely
uncomfortable?
3 or 4
times
5 times
or more
01
02
03
04
b. Elsewhere (including at home).
05
06
07
08
10
11
12
threaten to hurt you but not actually
hurt you?
a. While at school or on a school bus.
09
b. Elsewhere (including at home).
13
14
15
16
17
18
19
20
21
22
23
24
physically attack or assault you?
b. Elsewhere (including at home).
Page
Once or
twice
a. While at school or on a school bus.
a. While at school or on a school bus.
Never
Statistics Canada will keep your answers PRIVATE.
No one from your home or your school will see what you write.
12
8-5300-352.1
SECTION D
D1
Feelings and Behaviours
Read the following statements and choose the
answer that best describes you.
Never
or
not true
a. I show sympathy to (I feel sorry for) someone
who has made a mistake.
Often or
very true
1
2
3
4
5
6
7
8
9
1
2
3
4
5
6
7
8
9
1
2
3
4
5
6
i. I am easily distracted. I have trouble sticking to
any activity.
7
8
9
j. When I am mad at someone, I try to get others
to dislike him/her.
1
2
3
4
5
6
7
8
9
1
2
3
4
5
6
7
8
9
1
2
3
4
5
6
7
8
9
1
2
3
b. I can't sit still, I am restless.
c. I destroy my own things.
d. I try to help someone who has been hurt.
e. I steal at home.
f. I am unhappy, sad or depressed.
g. I get into many fights.
h. I offer to help clear up a mess
someone else has made.
k. I am not as happy as other people my age.
l. I destroy things belonging to my family or other
young people.
m. If there is an argument, I try to stop it.
n. I fidget.
o. I am disobedient at school.
p. I can't concentrate, I can't pay attention.
q. I am too fearful or anxious.
r. When I am mad at someone, I become friends
with another as revenge.
s. I am impulsive, I act without thinking.
Sometimes
or
somewhat true
Statistics Canada will keep your answers PRIVATE.
No one from your home or your school will see what you write.
8-5300-352.1
Page
13
D1
Read the following statements and choose the
answer that best describes you.
Never
or
not true
Sometimes
or
somewhat true
Often or
very true
4
5
6
7
8
9
1
2
3
w. I have difficulty waiting for my turn in games or
group activities.
4
5
6
x. When another kid accidentally hurts me, I
assume that the other kid meant to do it, and I
react with anger and fighting.
7
8
9
1
2
3
4
5
6
7
8
9
1
2
3
4
5
6
7
8
9
1
2
3
4
5
6
7
8
9
1
2
3
4
5
6
7
8
9
1
2
3
4
5
6
t. I tell lies or cheat.
u. I offer to help other young people (friend,
brother or sister) who are having difficulty
with a task.
v. I worry a lot.
y. I tend to do things on my own. I am rather
solitary.
z. When I am mad at someone, I say bad things
behind his/her back.
aa. I physically attack people.
bb. I comfort another young person (friend, brother
or sister) who is crying or upset.
cc. I cry a lot.
dd. I vandalize.
ee. I give up easily.
ff. I threaten people.
gg. I help to pick up things which another young
person has dropped.
hh. I cannot settle to anything for more than a few
moments.
ii. I feel miserable, unhappy, tearful, or distressed.
jj. I am cruel. I bully or am mean to others.
kk. I stare into space.
ll. When I am mad at someone, I say to others:
let's not be with him/her.
Page
Statistics Canada will keep your answers PRIVATE.
No one from your home or your school will see what you write.
14
8-5300-352.1
D1
Read the following statements and choose the
answer that best describes you.
Never
or
not true
Sometimes
or
somewhat true
Often or
very true
7
8
9
1
2
3
4
5
6
7
8
9
1
2
3
4
5
6
ss. I help other people my age (friends, brother or
sister) who are feeling sick.
7
8
9
tt. When I am mad at someone, I tell that person's
secrets to a third person.
1
2
3
4
5
6
mm. I am nervous, highstrung or tense.
nn. I kick, bite, hit other people my age.
oo. When I am playing with others, I invite
bystanders to join in a game.
pp. I steal outside my home.
qq. I am inattentive, I have difficulty paying attention
to someone.
rr. I have trouble enjoying myself.
uu. I encourage other people my age who cannot
do things as well as I can.
The following questions are about suicide. Some of them might be hard for you to answer, but please
answer them as well as you can. These questions will help us learn about young people.
Remember to ask your interviewer any questions you might have. If you feel like you need support, we
encourage you to talk to your family doctor or nurse, or use the resources provided to you by the
interviewer.
D2
D3
D4
Has anyone in your school committed suicide?
Has anyone that you know personally
committed suicide?
During the past 12 months, did you seriously
consider attempting suicide?
0
Yes, within the last year
1
Yes, more than a year ago
2
No, never
3
I don't know
4
Yes, within the last year
5
Yes, more than a year ago
6
No, never
7
I don't know
1
Yes
2
No
Go to question D7
Statistics Canada will keep your answers PRIVATE.
No one from your home or your school will see what you write.
8-5300-352.1
Page
15
D5
During the past 12 months, how many times
did you attempt suicide?
3
4
5
D6
D7
If you attempted suicide during the past 12
months, did you have to be treated by a
doctor, nurse or other health professional (for
a physical injury or counselling)?
In the past 12 months, about how
many times ...
Once
More than once
6
I did not attempt suicide within the past
12 months
7
Yes
8
No
Never
Once or
twice
3 or
4 times
5 times or
more
1
2
3
4
b. have you stayed out all night without
permission?
5
6
7
8
c. were you questioned by the police about
anything that they thought you did?
1
2
3
4
5
6
7
8
1
2
3
4
5
6
7
8
1
2
3
4
5
6
7
8
1
2
3
4
5
6
7
8
1
2
3
4
e. have you run away from home?
f. have you stolen something from a store or
school?
g. have you taken money from your parents
without their permission?
h. have you broken into, or snuck into, a
house or building with the idea of stealing
something?
i. have you used or bought or tried to sell
something you knew was stolen?
j. have you damaged or destroyed anything
that didn't belong to you (for example,
damaged a bicycle, car, school furniture,
broken windows or written graffiti)?
k. have you fought with someone to the point
where they needed care for their injuries
(for example, because they were
bleeding, or had broken bones)?
Page
Go to question D7
a. have you stayed out later than your
parents said you should?
d. were you questioned by a security guard,
a teacher or a principal about anything that
they thought you did such as stealing,
damaging property or anything else?
Never/
none
Statistics Canada will keep your answers PRIVATE.
No one from your home or your school will see what you write.
16
8-5300-352.1
D7
In the past 12 months, about how
many times ...
l. have you been in a fight where you hit
someone with something other than your
hands (for example, a stick, club, knife, or
rock)?
Once or
twice
Never
3 or 4
times
5 times
or more
5
6
7
8
1
2
3
4
5
6
7
8
o. have you carried any other weapon such
as a stick or a club?
1
2
3
4
p. have you threatened someone in order to
get their money or things?
5
6
7
8
1
2
3
4
5
6
7
8
s. have you tried to force someone into
having sex with you?
1
2
3
4
t. have you taken a car, motorbike, or
motorboat without permission?
5
6
7
8
1
2
3
4
m. have you carried a knife for the purpose of
defending yourself or using it in a fight?
n. have you carried a gun other than for
hunting or target shooting?
q. have you sold any drugs?
r. have you attempted to touch the private
parts of another person's body (while
knowing that they would probably object to
this)?
u. have you set fire on purpose to a building,
a car, or something else not belonging to
you?
D8
In the past 12 months, were you part of a gang
that broke the law by stealing, hurting
someone, damaging property, etc.?
1
Yes
2
No
Statistics Canada will keep your answers PRIVATE.
No one from your home or your school will see what you write.
8-5300-352.1
Page
17
SECTION E
E1
Activities
OUTSIDE OF SCHOOL, in the last
12 months, how often have you ...
Less than
once a
week
Never
a. played sports or done physical activities
WITHOUT a coach or an instructor (e.g.
biking, skateboarding, etc.?
E3
4 or more
times a
week
01
02
03
04
b. played sports WITH a coach or instructor
(swimming lessons, baseball, hockey,
etc.)?
05
06
07
08
c. taken part in dance, gymnastics, karate or
other groups or lessons (always organized
outside of school)?
09
10
11
12
d. taken part in art, drama or music groups,
clubs or lessons (again outside of school)?
13
14
15
16
e. taken part in clubs or groups such as
Guides or Scouts, 4-H club, community,
church or other religious groups?
17
18
19
20
21
22
23
24
f. done a hobby or craft (drawing, model
building, etc.)?
E2
1 to 3
times a
week
In any of your activities, at school or outside
school, do you have special responsibilities
such as team leader, captain, secretary, etc.?
Excluding for school or for work,
how often do you ...
Daily
1
Yes
2
No
Weekly
Monthly
Several
times a
year
Never
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
a. use a public library?
b. write letters, poetry, stories,
journals, etc.?
c. read newspapers or
magazines?
d. read books?
Page
Statistics Canada will keep your answers PRIVATE.
No one from your home or your school will see what you write.
18
8-5300-352.1
E4
In the last 12 months, have you helped
without pay by ...
(Mark all that apply.)
1
2
3
4
5
E5
On average, about how many hours a day do
you watch TV or videos?
E7
Helping in your community (hospital volunteering,
etc.)
Helping neighbours or relatives (cutting grass,
babysitting or shovelling snow for a neighbour,
etc.)
Doing another volunteer activity (without pay)
I have not done any of these activities
without pay
01
I don't watch TV or videos
02
Less than 1 hour a day
1 or 2 hours a day
04
3 or 4 hours a day
05
5 or 6 hours a day
06
7 or more hours a day
Do you have access to a computer at home?
Do you have access to a large area network
(e.g. Internet) at home?
1
Yes
2
No
3
Yes
4
Fund raising (a charity, school trips, etc.)
6
03
E6
Supporting a course (food bank, environmental
group, etc.)
Go to Section F
No
Statistics Canada will keep your answers PRIVATE.
No one from your home or your school will see what you write.
8-5300-352.1
Page
19
SECTION F
Smoking, Drinking and Drugs
In this section, we would like to ask you some questions about your experiences with smoking, drinking and
drugs.
Many of the questions will apply to you even if you have not smoked, had a drink or used drugs.
Be as honest as you can - your answers are private and Statistics Canada will make sure no one will find out
who filled out each questionnaire.
F1
Have you ever tried cigarette smoking, even
just a few puffs?
1
2
F2
Do you still smoke cigarettes?
3
4
F3
How often do you smoke cigarettes?
(Mark one only.)
0
1
2
Yes
Go to question F2
No
Go to question F6
Yes
Go to question F3
No
Go to question F5
Go to
question F6
I have never
smoked
I only tried
once or
twice
Go to
question F6
Go to
question F5
I do not
smoke now
OR
3
4
5
6
7
F4
On the days that you smoke, about how many
cigarettes do you usually smoke?
(Mark one only.)
99
A few times a year
About once or twice a month
About once or twice a week
About 3-5 times a week
Every day
I do not smoke
OR
number of cigarettes
F5
If you have smoked one or more cigarettes
every day for at least 7 days in a row, how old
were you when you first did so?
(Mark one only.)
98
I have never done this
OR
I was
Page
Statistics Canada will keep your answers PRIVATE.
No one from your home or your school will see what you write.
20
years old
8-5300-352.1
The next questions are about drinking alcohol.
A drink of alcohol is:
one bottle of beer or
one glass of wine, or
one shot of liquor.
F6
Have you ever had a drink of alcohol?
0
1
2
F7
If you have ever had a drink of alcohol, how
old were you when you first did this?
(Mark one only.)
98
Yes, at least
one drink
Go to
question F7
I have only
had a few sips
Go to
question F13
No
Go to
question F13
I have never had a drink of alcohol
OR
99
I have only had a few sips
OR
I first had a drink
years old
when I was
F8
Do you still drink alcohol?
95
I have never had a drink of alcohol
OR
96
Yes, I still drink alcohol
OR
97
F9
No, I do not drink
alcohol anymore
Go to
question F10
I have never
had a drink of
alcohol
Go to
question F13
If you drink alcohol, how often do you do so?
0
1
2
I only tried once or twice
I do not drink alcohol anymore
OR
3
4
5
6
7
A few times a year
About once or twice a month
About once or twice a week
About 3-5 times a week
Every day
Statistics Canada will keep your answers PRIVATE.
No one from your home or your school will see what you write.
8-5300-352.1
Page
21
F10 Have you ever been drunk?
8
9
F11 How old were you when you were drunk for
94
the first time?
(Mark one only.)
Yes
Go to question F11
No
Go to question F13
I have never been drunk
OR
I was first drunk
when I was
F12 In the past 12 months, how often were you
99
drunk?
years old
Never
OR
times
The next questions are about drug use. Please answer even if you do not use drugs
F13 How old were you when you did the
following drugs for the first time?
I don't
know
what that
drug is
a. Marijuana and cannabis products
(also known as joint, pot, grass,
hash).
98
b. Hallucinogens (like LSD, acid, magic
mushrooms, "mesc" or PCP ("Angel
Dust", etc.).
96
c. Glue or solvents (such as paint
thinner, gasoline, etc.).
98
d. Drugs without a prescription or advice
from a doctor: downers (seconal,
Amytal, etc.); stimulants ("uppers",
"Beans", "Christmas Trees", "Black
Beauties", diet pills, etc.); tranquilizers
(Valium, Librium, Serax, "5/10s", etc.).
e. Other drugs like crack, cocaine, speed
or ecstasy
Page
96
98
OR
OR
OR
OR
OR
97
95
97
95
97
Statistics Canada will keep your answers PRIVATE.
No one from your home or your school will see what you write.
22
I first
did it when
I was ...
I have
never
done it
OR
years
old
OR
years
old
OR
years
old
OR
years
old
OR
years
old
8-5300-352.1
F14
In the last 12 months, how often did
you do marijuana and cannabis
product (also known as joint, pot,
grass or hash)?
1
2
I don't know what that drug is
I haven't done it in the last 12 months or I have
never done it
OR
3
4
5
6
7
8
F15
A few times a year
About once or twice a month
About once or twice a week
About 3-5 times a week
Every day
In the last 12 months, how often did
you do ...
I don't
know
what that
drug is
a.
hallucinogens like LSD, acid,
magic mushrooms, "mesc" or
PCP ("Angel Dust", etc.).
b.
glue or solvents (paint
thinner, gasoline, etc.).
c.
drugs without a prescription
or advice from a doctor:
downers (seconal, Amytal,
etc.); stimulants ("uppers",
"Beans", "Christmas
Trees", "Black Beauties",
diet pills, etc.); tranquilizers
(Valium, Librium, Serax,
"5/10s", etc.).
d.
Once or twice
other drugs like crack,
cocaine, heroin, speed or
ecstasy, etc.
I have not
done it in
the last 12
months
or
I have
never
done it
1 or 2
times
3 to 5
times
6 to 9
times
10 times
or more
01
02
03
04
05
06
07
08
09
10
11
12
01
02
03
04
05
06
07
08
09
10
11
12
Statistics Canada will keep your answers PRIVATE.
No one from your home or your school will see what you write.
8-5300-352.1
Page
23
SECTION G
My Parent(s) and Me
My mother
G1 Think of the mother you spend the
01
most time with. Is she ...
(Mark one only.)
02
03
04
05
your biological mother?
your adoptive mother?
your stepmother?
your foster mother?
another person?
OR
06
07
Go to
question G4
I am not in touch with my
mother
I don't have a mother
Go to
question G4
G2 Thinking of the mother you have
identified in the previous questions:
A great deal
Some
I don't
have a
mother
0
1
2
3
4
b. How much fairness do you receive
from your mother?
5
6
7
8
9
c. How much affection do you receive
from your mother?
0
1
2
3
4
relationship with your mother?
5
6
7
8
9
Page
I am not in
touch with
my mother
a. How well do you feel that your
mother understands you?
G3 Overall, how would you describe your
Very little
Very close
Somewhat close
Not very close
I am not in touch with my mother
I don't have a mother
Statistics Canada will keep your answers PRIVATE.
No one from your home or your school will see what you write.
24
8-5300-3521
My Father
G4 Now think of the father you spend the
01
most time with. Is he ...
(Mark one only.)
02
03
04
05
your biological father?
your adoptive father?
your stepfather?
your foster father?
another person?
OR
06
07
I am not in touch
with my father
Go to
question G7
I don't have a father
Go to
question G7
G5 Thinking about the father you have
identified in the previous question:
A great
deal
Some
Very little
I am not in
touch with
my father
I don't
have a
father
a. How well do you feel that your father
understands you?
0
1
2
3
4
b. How much fairness do you receive
from your father?
5
6
7
8
9
c. How much affection do you receive
from your father?
0
1
2
3
4
G6 Overall, how would you describe your
relationship with your father?
5
6
7
8
9
Very close
Somewhat close
Not very close
I am not in touch with my father
I don't have a father
Answer the following questions thinking of the father and mother you have identified in the previous
questions.
G7 How well do you think your parents get along
with each other?
0
1
2
3
Very well
Fairly well
Not very well
Not applicable
Statistics Canada will keep your answers PRIVATE.
No one from your home or your school will see what you write.
8-5300-352.1
Page
25
G8
Never
a. How often do your parents disagree
about how to deal with the children
in your family?
b. How often do your parents get upset
with one another, including times
when they are mad but don't say
much?
Rarely
Sometimes
Often
Always
Not
applicable
01
02
03
04
05
06
07
08
09
10
11
12
G9 For each of the following statements, use the choice that best describes the way your parents (or stepparents,
foster parents or guardians) in general have acted toward you during the last 6 months.
My parents ...
Never
Rarely
Sometimes
Often
Always
5
6
7
8
9
0
1
2
3
4
5
6
7
8
9
0
1
2
3
4
5
6
7
8
9
0
1
2
3
4
5
6
7
8
9
0
1
2
3
4
5
6
7
8
9
0
1
2
3
4
5
6
7
8
9
0
1
2
3
4
5
6
7
8
9
0
1
2
3
4
5
6
7
8
9
0
1
2
3
4
5
6
7
8
9
0
1
2
3
4
5
6
7
8
9
0
1
2
3
4
a. smile at me.
b. want to know exactly where I am
and what I am doing.
c. soon forget a rule they have made.
d. praise me.
e. let me go out any evening I want.
f. tell me what time to be home when I
go out.
g. nag me about little things.
h. listen to my ideas and opinions.
i. and I solve a problem together
whenever we disagree about
something.
j. only keep rules when it suits them.
k. get angry and yell at me.
l. make sure I know I am appreciated.
m. threaten punishment more often than
they use it.
n. speak of the good things I do.
o. find out about my misbehaviour.
p. enforce a rule or do not enforce a
rule depending upon their mood.
q. hit me or threaten to do so.
r. seem proud of the things I do.
s. seem too busy to spend as much
time with me as I'd like.
Page
t. take an interest in where I am going
and who I am with.
Statistics Canada will keep your answers PRIVATE.
No one from your home or your school will see what you write.
26
8-5300-352.1
SECTION H
H1
Health
In general, would you say your health is ...
5
excellent?
6
very good?
7
good?
8
fair?
9
H2
How tall are you?
(Please estimate if you are not sure.)
poor?
6
5
Inches
Feet
OR
7
8
Metre
H3
How much do you weigh?
(Please estimate if you are not sure.)
Centimetres
1
Pounds
OR
2
Kilograms
Young people sometimes experience health problems that may or may not be related to stress, and may
affect other areas in their life. Your answers to the following questions will help build a picture of your
general health.
H4
In the last 6 months, how often have
you had or felt the following?
a. Headache.
b. Stomach ache.
c. Backache.
d. Difficulties in getting to sleep.
H5
During school weeks, how many times a
week do you eat breakfast?
About
once a
month
Seldom
or never
About
once a
week
More
than
once a
week
Most
days
0
1
2
3
4
5
6
7
8
9
0
1
2
3
4
5
6
7
8
9
1
Never
2
1 or 2 times a week
3
3 or 4 times a week
4
Every day
H6
Which of the following are you trying to
do?
5
6
7
8
Lose weight
Gain weight
Stay the same weight
I'm not trying to do anything about my
weight
Statistics Canada will keep your answers PRIVATE.
No one from your home or your school will see what you write.
8-5300-352.1
Page
27
Puberty
We know that the following questions might be difficult, but would appreciate you answering them as well as
you can. Changes in young people's bodies can affect many different aspects of their lives.
H7
Would you say that your body hair ("body
hair" means underarm and pubic hair) has
begun to grow?
1
Has not yet started growing
2
Has barely started growing
3
Growth of body hair is definitely underway
4
Growth of body hair seems completed
Boys go to
question H10
For girls only
H8
Have your breasts begun to grow?
5
Have not yet started growing
6
Have barely started growing
7
Breast growth is definitely underway
8
Breast growth seems completed
H9
If you have begun to menstruate (your monthly
periods), at what age did you start?
I was
years
and
months old.
OR
99
Have not yet started
Girls go to
question H12
For boys only
H10 Have you noticed a deepening of your voice?
5
Has not yet started changing
6
Has barely started changing
7
Voice is definitely changing
8
Voice change seems completed
Page
Statistics Canada will keep your answers PRIVATE.
No one from your home or your school will see what you write.
28
8-5300-352.1
H11 Have you begun to grow hair on your face?
1
Has not yet started growing
2
Has barely started growing
3
Facial hair growth is definitely underway
4
Facial hair growth seems completed
Dating
H12 How old were you when you had your first
boyfriend/girlfriend?
99
I've never had a
boyfriend/girlfriend
Go to
question H17
OR
years old
I was
H13 Do you have a boyfriend/girlfriend right now?
1
2
H14 How long have you been dating him/her?
Yes
Go to question H14
No
Go to question H16
01
I've never had a boyfriend/girlfriend
02
I don't have a boyfriend/girlfriend now
OR
03
04
05
06
Less than 1 month
1 to 5 months
6 months to a year
Over a year
H15 Outside of school hours, about how many days
a week do you see your boyfriend/girlfriend?
07
I've never had a boyfriend/girlfriend
08
I don't have a boyfriend/girlfriend now
OR
09
Never
10
Less than once a week
11
12
13
14
One day a week
2 or 3 days a week
4 or 5 days a week
6 or 7 days a week
Statistics Canada will keep your answers PRIVATE.
No one from your home or your school will see what you write.
8-5300-352.1
Page 29
H16 In the past 12 months, how many different
15
boyfriends/girlfriends have you had?
I've never had a boyfriend/girlfriend
OR
16
None in the past 12 months
17
1
18
2 or 3
19
4 or 5
20
H17 When you go out on dates, do you always go
6 or more
0
I have not yet gone out on dates
out with the same person?
1
I do not date now
OR
2
3
Yes, with the same person
No, with different people
H18 Have you ever had sexual intercourse?
4
Yes
Go to question H19
No
Go to section I
5
H19 How old were you when you first had sexual
98
intercourse?
I have not yet had sexual intercourse
OR
I was
H20 How old was the partner with whom you first
had sexual intercourse?
99
years old
I have not yet had sexual intercourse
OR
He or she was
H21 Did you or your partner use a condom the last
time you had sexual intercourse?
1
2
years old
I have not yet had sexual intercourse
Yes
3
No
H22 Did you or your partner use other methods of
birth control (birth control pills, diaphragm,
etc.) the last time you had sexual intercourse?
4
5
I have not yet had sexual intercourse
Yes
6
No
7
Page
I don't know
Statistics Canada will keep your answers PRIVATE.
No one from your home or your school will see what you write.
30
8-5300-352.1
SECTION I
Work and Money
Often, young people earn money by doing odd jobs such as babysitting, mowing lawns and raking leaves, or
by having more regular jobs for employers (part-time or full-time), such as helper or cook in a restaurant.
Most times, they get paid for that work but sometimes they work without pay. The following questions are
about all types of work, paid or unpaid.
Work during this School Year
I1
Since the beginning of this school year, have you done
any work ...
Yes
No
a. for pay for an employer (e.g., at a store
or restaurant)?
01
02
b. for pay at odd jobs (babysitting, mowing
a neighbour's lawn or delivering flyers)?
03
04
05
06
07
08
c.
at your family's farm or business
(with or without pay)?
d. without pay excluding work at your family's
farm or business?
If you have not worked since the beginning of this school year
I2
Go to question I8
Last week, did you do any work ...
Yes
No
a. for pay for an employer (e.g., at a store
or restaurant)?
09
10
b. for pay at odd jobs (babysitting, mowing
a neighbour's lawn or delivering flyers)?
11
12
13
14
15
16
c.
at your family's farm or business
(with or without pay)?
d. without pay excluding work at your family's
farm or business?
If you did not work at all last week
I3
Go to question I6
Think of the job at which you worked the
most time last week: what type of work were
you doing? (Mark one only.)
1
I did not work last week
OR
2
Working in a restaurant or fast food outlet, etc.
3
Working in a store (convenience store, grocery
store, gas station, clothing or shoe store, etc.)
4
Working in another type of service (e.g.
construction, hospital, office, arena, etc.)
5
Doing odd jobs (babysitting, mowing a
neighbour's lawn or delivering flyers), etc.)
6
Working at my family's business or farm
7
Other type of work. Specify:
Statistics Canada will keep your answers PRIVATE.
No one from your home or your school will see what you write.
8-5300-352.1
Page 31
I4
Thinking of the same job, how many hours did you work last week ...
None
a. Monday to Friday?
95
b. Saturday and Sunday?
97
I5
I did not work
last week
Number of hours
OR
OR
OR
OR
96
98
At this job, approximately how much did you make last week? (Answer one category only.)
2
$
3
¢
.
per hour
OR
4
$ per week
OR
I worked but did not make any
money last week
5
OR
I did not work last week
6
I6
Now think of all the jobs you do in a typical school week. How many hours in total do you
usually work?
None
a. Monday to Friday?
95
b. Saturday and Sunday?
97
I7
I usually do
not work
Number of hours
OR
OR
OR
OR
96
98
Does this work cause you to study less or do less
school work than you would like?
3
Yes, a great deal less
4
Yes, somewhat less
5
No, not at all less
6
I do not go to school anymore
Money
I8
Last week, how much money did
you receive from ...
No
money
$1 to 20
$21 to 40
$41 to 60
$61 to 100
More than
$100
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
a. your parents?
b. working for employer(s)?
c. doing odd jobs?
d. other sources (gifts from
relatives, etc.)?
Page
Statistics Canada will keep your answers PRIVATE.
No one from your home or your school will see what you write.
32
8-5300-352.1
I9
How do you usually spend your money?
(You can mark more than one answer.)
01
Meals, snacks or junk food
02
Public transportation (bus, subway)
03
Clothes, shoes
04
Cigarettes, alcohol or drugs
05
Other things for myself (make-up,
CD's, lottery tickets, magazines,
etc.)
06
Activities or equipment (school supplies or school
trips, music or sports lessons, computer supplies,
etc.)
07
Going out (movies, arcades, parties, etc.)
08
Gifts for family or friends
09
Family expenses (groceries, etc.)
10
Savings
11
Other. Specify:
Summer Work
Yes
I10 Last summer, did you do any work ...
No
a. for pay for an employer
(e.g. at a store or restaurant)?
12
13
b. for pay at odd jobs (e.g. babysitting,
mowing a neighbour's lawn or delivering flyers)?
14
15
16
17
18
19
c.
at your family's farm or business
(with or without pay)?
d. without pay excluding work at your
family's farm or business?
If you did not work last summer
I11
Go to section J
Think of all the jobs you had last summer;
what types of work did you do?
(Mark all that apply.)
0
I did not work last summer
OR
1
Working in a restaurant or fast food outlet, etc.
2
Working in a store (grocery or convenience
store, clothing or shoe store, etc.)
3
Working in a gas station
4
Working in a camp
5
Working in another type of service (e.g. hospital,
office, arena, etc.)
6
Working in construction, landscaping or
painting
7
Doing odd jobs (cutting grass, house-sitting,
babysitting, delivery flyers, newspapers,
running errands, etc.)
8
Working at my family business or farm
9
Other type of work. Specify:
Statistics Canada will keep your answers PRIVATE.
No one from your home or your school will see what you write.
8-5300-352.1
Page
33
I12 Thinking of all the jobs you had last summer, how many weeks did you work?
weeks
OR
93
I did not work last summer
I13 In a typical week, how many hours did you work?
hours
OR
94
Please indicate your ending time
to complete this questionnaire.
Page
I did not work last summer
:
Statistics Canada will keep your answers PRIVATE.
No one from your home or your school will see what you write.
34
8-5300-352.1
SECTION J
J1
Help us to improve this questionnaire! Tell us what you think of it.
1
Overall, how easy did you find the
questionnaire to read and understand?
2
3
4
J2
What about the length of the questionnaire?
5
6
7
8
J3
Not at all easy
Not very easy
Fairly easy
Very easy
Much too long
A bit too long
About right
Too short
Do you have other comments?
Thank you very much for helping us.
Your comments are important.
When you finish this survey:
put this questionnaire in the envelope.
return it to the interviewer.
Statistics Canada will keep your answers PRIVATE.
No one from your home or your school will see what you write.
8-5300-352.1
Page
35
XXX
9.
Informed Consent Form
XXX
Informed Consent
Consentement éclairé
National Longitudinal
Survey of Children and Youth
Enquête longitudinale nationale
sur les enfants et les jeunes
Confidential when completed
Confidentiel une fois rempli
Sequence No.
N° de séquence
To be completed by Interviewer - À être rempli par l'intervieweur
Person ID.
N° de la personne
–
–
–
–
Assignment No.
N° de tâche
Date (Month-day-year)
Date (Mois-jour-année)
–
–
Child's First Name
Prénom de l'enfant
Child's Surname
Nom de famille de l'enfant
Parent/Legal Guardian's Full Name
Nom du parent ou du tuteur légal
First name / Prénom
Last name / Nom de famille
Yes / Oui
Consent to Contact Teacher(s)
Consentement à communiquer
avec le(s) professeur(s)
No / Non
N/A – S/O
1
2
Consent to Administer Math Test
3
4
5
Consent to Administer Reading Test
Consentement à administrer le test de lecture
6
7
8
9
Consent obtained over the telephone – Consentement obtenu au téléphone
To be signed by parent or legal guardian - À faire signer par le parent ou le tuteur légal
I understand that this is a voluntary survey and that the
information my child's teacher provides will be kept strictly
confidential under the Statistics Act. This means that my name
and my child's name will not be associated in any way with the
results of the survey.
Je comprends que la participation à cette enquête est volontaire
et que les renseignements fournis par le professeur de mon
enfant resteront strictement confidentiels en vertu de la Loi sur
la Statistique. Cela veut dire que mon nom et le nom de mon
enfant ne seront reliés d'aucune façon aux résultats de
l'enquête.
X
Signature of Parent or Legal Guardian – Signature du parent ou du tuteur légal
7-5030-429: 1998-07-17
STC/HLD-040-75020
SQC/ENM-040-75020
White: Regional Office
Blanche : Bureau régional
Yellow: Parent
Jaune : Parent
Informed Consent Form
Formulaire de consentement éclairé
I understand that this consent form is part of the National
Longitudinal Survey of Children and Youth. Statistics
Canada is carrying out this national study on behalf of Human
Resources Development Canada.
Je comprends que ce formulaire fait partie de l'Enquête
longitudinale nationale sur les enfants et les jeunes.
Statistique Canada mène cette enquête au nom de
Développement des ressources humaines Canada.
I understand that this survey is voluntary and that any
information that Statistics Canada collects from me, my child
and my child's teacher will remain strictly confidential under the
Statistics Act.
Je comprends que la participation à cette enquête est volontaire
et que tous les renseignements obtenus par Statistique Canada
de moi, de mon enfant et du professeur de mon enfant resteront
strictement confidentiels en vertu de la Loi sur la statistique.
What is the National Longitudinal Survey of Children and
Youth?
Qu'est-ce que l'Enquête nationale longitudinale sur les
enfants et les jeunes?
The National Longitudinal Survey of Children and Youth has
been developed jointly by Statistics Canada and Human
Resources Development Canada. The purpose of the survey is
to collect information that will help us understand the factors
affecting the development of children in Canada. These findings
will improve the prospects and conditions for all children.
L'Enquête longitudinale nationale sur les enfants et les
jeunes a été élaborée conjointement par Statistique Canada et
par Développement des ressources humaines Canada. Son but
est de recueillir des renseignements qui nous aideront à mieux
comprendre les facteurs qui influencent le développement des
enfants au Canada. Ces connaissances serviront à élaborer
des programmes efficaces qui amélioreront les possibilités
d'avenir de tous les enfants.
Why does my child's teacher need to be contacted?
Pourquoi le professeur de mon enfant doit-il être contacté?
Children spend much of their time at school. Your child's teacher
will provide us with valuable information regarding your child's
school experiences.
Les enfants passent une grande partie de leur temps à l'école.
Le professeur de votre enfant fournira d'importants renseignements se rapportant à la vie de votre enfant à l'école.
What does my consent mean?
Qu'est-ce que mon consentement veut dire?
Your consent to contact the teacher means that your child's
teacher will receive a questionnaire that will ask questions about
your child's school achievement and behaviour, and about
his/her classroom.
Par votre consentement à communiquer avec le professeur,
vous acceptez que le professeur de votre enfant reçoive un
questionnaire portant sur le rendement scolaire de votre enfant,
sur son comportement à l'école et sur sa classe.
Your consent to the tests means that your child's principal will be
asked to give your child a short test in math and reading skills.
Par votre consentement aux tests, vous acceptez que l'on
demande au directeur de l'école de votre enfant de lui
administrer un court test de mathématiques et de lecture.
What happens to the survey information I have provided if I
do not consent?
Que se passe-t-il si je décide de ne pas signer le formulaire
de consentement éclairé?
The information you have provided in the interview is very
valuable on its own. It will still permit important research to be
conducted and influence future policies and programs.
Les renseignements que vous avez déjà fournis lors de
l'interview sont très importants. Ils permettront quand même de
faire d'importantes recherches et d'influencer les politiques et
les programmes futurs.
Was this manual useful for you? yes no
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