Sample Survey Questions - US Department of Education



Sample Survey Questions[1]

Surveys are valuable tools when seeking to understand the range of perspectives within large group. For maximum effectiveness, surveys should be designed to target both a particular audience and specific information.

Sample Survey 1: Staff

|Observation |Yes |No |Don’t Know |

|The goals and objectives of our magnet theme have been clearly articulated by | | | |

|program/school leaders. | | | |

|I believe our magnet theme positively impacts teaching and learning at our school. | | | |

|I believe our program/school has successfully integrated the magnet theme into a | | | |

|rigorous and relevant curriculum. | | | |

|I believe our program/school is in the process of integrating the magnet theme into a | | | |

|rigorous and relevant curriculum. | | | |

|I believe I am supported in integrating the magnet theme into my lessons. | | | |

|I make efforts to display or reinforce the magnet theme in my classroom. | | | |

Additional Comments

Thank you for your thoughtful responses!

Sample Survey 2: Student

|Observation |Yes |No |Don’t Know |

|I know our school’s magnet theme. | | | |

|I know our school’s magnet motto. | | | |

|I see our school’s magnet theme/motto in my classrooms. | | | |

|I see our school’s magnet theme/motto in the hallways. | | | |

|I believe our school’s magnet theme makes our school unique. | | | |

|I make efforts to display or reinforce the magnet theme in my classroom. | | | |

Additional Comments

Is there anything else about our school’s theme you would like to share?

Thank you for your thoughtful responses!

Sample Survey 3: Parent

|Observation |Yes |No |Don’t Know |

|I know our school’s magnet theme and motto. | | | |

|I know our magnet mission. | | | |

|I believe our magnet theme has a positive impact on teaching and learning at our | | | |

|school. | | | |

|I believe our magnet theme is aligned to the values and goals of the community. | | | |

|There are various opportunities to visit the school and see student work. | | | |

Additional Comments

Is there anything else about our school’s theme you would like to share?

Thank you for your thoughtful responses!

Sample Survey 4: Community

|Observation |Yes |No |Don’t Know |

|I know SCHOOL’s theme and motto. | | | |

|I know SCHOOL’s mission. | | | |

|I believe SCHOOL’s theme has a positive impact on teaching and learning at the school.| | | |

|I have seen information on SCHOOL in the community (shops, local paper, library, etc.)| | | |

|I believe SCHOOL’s theme is aligned to the values and goals of the community. | | | |

Additional Comments

Is there anything else about SCHOOL’s theme you would like to share?

Thank you for your thoughtful responses!

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[1] Module: Facilitating Magnet Theme Integration

This document is offered as a suggested tool and can be modified to best serve the needs of the individual program or school.

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Sample Survey Questions

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