Ontario Child Health Study - Teacher questionnaire (self-complete on paper) - 2014

For Information onlyThis is an electronic survey example for information purposes only. This is not a working questionnaire.

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Table of Contents

Teacher's Questionnaire (TEA)

Teacher's Questionnaire (TEA) - Question identifier:TEA_R00

Statistics Canada ensures the confidentiality of data we collect. We are prohibited by law from releasing any information that could identify you, your school or the student(s). Information collected for the OCHS will be used for statistical and research purposes only and published in aggregated form. Statistics Canada asks that you do not disclose to anyone, including the McMaster University research team, the name(s) of and related information on the child(ren) for whom we are asking you to complete a questionnaire. This is to help ensure that both your right to confidentiality and that of the families who are participating are protected.

Completing this questionnaire

Please complete the questionnaire for the student named on the front cover. When you answer these questions, you can mark your answers like this X , or write a number in the boxes, as in the examples below.

Example 1

Q1: How well do you know this student?

X Very well
0 Moderately well
0 Not well

Example 2

Q2: How many students are enrolled in this student's class?

15 Students (write number of students)

Once finished completing the questionnaire please return it in the addressed envelope provided within fourteen days.

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q01

How many students are enrolled in this student's class?

Min = 0; Max = 99

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q02

How long have you been teaching this student?

  • 1: Less than a month
  • 2: 1-3 months
  • 3: 4-6 months
  • 4: 7 months or more
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q03

How well do you know this student?

  • 1: Very well
  • 2: Moderately well
  • 3: Not well
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q04

What grade is this student in?

  • 01: This student is not assigned to a grade
  • 02: Junior kindergarten/pre-school (generally 2 years before grade 1)
  • 03: Senior kindergarten/primary (generally 1 year before grade 1)
  • 04: Grade 1
  • 05: Grade 2
  • 06: Grade 3
  • 07: Grade 4
  • 08: Grade 5
  • 09: Grade 6
  • 10: Grade 7
  • 11: Grade 8
  • 98: RF
  • 99: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q05

What is the main language of instruction in this student's class?

  • 1: English
  • 2: French
  • 3: An equal combination of French and English
  • 4: Other
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_R06

If you are a teacher working in an English educational system, please go to question 6. (TEA_Q06)

If you are a teacher working in an French educational system, please go to question 9. (TEA_Q09)

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q06

Is this student an English Language Learner currently receiving English as a Second Language Instruction (ESL) or English Literacy Development Instruction (ELD)?

  • 1: Yes, English as a Second Language Instruction
  • 2: Yes, English Literacy Development Instruction
  • 3: No, Go to TEA_Q12A
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q07

How much ESL/ELD instruction does this student receive each week?

  • 1: Less than one hour
  • 2: 1 hour to less than 5 hours
  • 3: 5 hours to less than 10 hours
  • 4: 10 hours to less than 15 hours
  • 5: 15 hours or more
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q08A

Considering this student's age: How well does [he/she] speak English?

  • 1: Not at all
  • 2: Not well
  • 3: Well
  • 4: Very well
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q08B

Considering this student's age: How well does [he/she] understand English?

  • 1: Not at all
  • 2: Not well
  • 3: Well
  • 4: Very well
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q08C

Considering this student's age: How well does [he/she] read English?

  • 1: Not at all
  • 2: Not well
  • 3: Well
  • 4: Very well
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q08D

Considering this student's age: How well does [he/she] write English?

Go to TEA_Q12A

  • 1: Not at all
  • 2: Not well
  • 3: Well
  • 4: Very well
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q09

Does this student currently receive instruction from the program Actualisation linguistique du Français [ALF] or Programme d'appui aux nouveaux arrivants [PANA]?

  • 1: Yes, Actualisation linguistique du Français (ALF)
  • 2: Yes, Programme d'appui aux nouveaux arrivants [PANA]
  • 3: No, Go to TEA_Q12A
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q10

How much PANA/ALF instruction does this student receive each week?

  • 1: Less than one hour
  • 2: 1 hour to less than 5 hours
  • 3: 5 hours to less than 10 hours
  • 4: 10 hours to less than 15 hours
  • 5: 15 hours or more
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q11A

Considering this student's age: How well does [he/she] speak French?

  • 1: Not at all
  • 2: Not well
  • 3: Well
  • 4: Very well
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q11B

Considering this student's age: How well does [he/she] understand French?

  • 1: Not at all
  • 2: Not well
  • 3: Well
  • 4: Very well
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q11C

Considering this student's age: How well does [he/she] read French?

  • 1: Not at all
  • 2: Not well
  • 3: Well
  • 4: Very well
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q11D

Considering this student's age: How well does [he/she] write French?

  • 1: Not at all
  • 2: Not well
  • 3: Well
  • 4: Very well
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q12A

Based on your knowledge of this student's schoolwork, including his/her report cards, what was his/her most recent grade in... Language (including reading, writing and oral communication)?

  • 1: 80-100%
  • 2: 70-79%
  • 3: 60-69%
  • 4: <60%
  • 5: Don't know
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q12B

Based on your knowledge of this student's schoolwork, including his/her report cards, what was his/her most recent grade in... Mathematics?

  • 1: 80-100%
  • 2: 70-79%
  • 3: 60-69%
  • 4: <60%
  • 5: Don't know
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q12C

Based on your knowledge of this student's schoolwork, including his/her report cards, what was his/her most recent grade in...On average across all subjects?

  • 1: 80-100%
  • 2: 70-79%
  • 3: 60-69%
  • 4: <60%
  • 5: Don't know
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_R13

These statements describe work habits. Please indicate how often this student demonstrates each of these work habits:

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q13A

Listens attentively

  • 1: Never
  • 2: Rarely
  • 3: Sometimes
  • 4: Often
  • 5: Always
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q13B

Follows directions

  • 1: Never
  • 2: Rarely
  • 3: Sometimes
  • 4: Often
  • 5: Always
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q13C

Completes work on time

  • 1: Never
  • 2: Rarely
  • 3: Sometimes
  • 4: Often
  • 5: Always
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q13D

Takes care of materials

  • 1: Never
  • 2: Rarely
  • 3: Sometimes
  • 4: Often
  • 5: Always
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q13E

Works neatly and carefully

  • 1: Never
  • 2: Rarely
  • 3: Sometimes
  • 4: Often
  • 5: Always
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q13F

Puts a lot of effort into work

  • 1: Never
  • 2: Rarely
  • 3: Sometimes
  • 4: Often
  • 5: Always
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q14

During the past six months, which of the statements best describes how well this student has been doing in school?

  • 1: Very well, excellent student
  • 2: Quite well, good student
  • 3: Pretty well, average student
  • 4: Not too well, below average student
  • 5: Not well at all, poor student
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_R15

Below is a list of statements that describe some of the feelings and behaviours of students. For each statement, please select the response that best describes this student now or within the past six months. Please mark only one of the three circles for each statement.

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q15A

Can't concentrate, can't pay attention for long

  • 1: Never or not true
  • 2: Sometimes or somewhat true
  • 3: Often or very true
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q15B

Can't sit still, restless or hyperactive

  • 1: Never or not true
  • 2: Sometimes or somewhat true
  • 3: Often or very true
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q15C

Cries a lot

  • 1: Never or not true
  • 2: Sometimes or somewhat true
  • 3: Often or very true
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q15D

Cruelty, bullying or meanness to others

  • 1: Never or not true
  • 2: Sometimes or somewhat true
  • 3: Often or very true
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q15E

Cruelty to animals

  • 1: Never or not true
  • 2: Sometimes or somewhat true
  • 3: Often or very true
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q15F

Destroys his/her own things

  • 1: Never or not true
  • 2: Sometimes or somewhat true
  • 3: Often or very true
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q15G

Destroys things belonging to others

  • 1: Never or not true
  • 2: Sometimes or somewhat true
  • 3: Often or very true
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q15H

Disobedient at school

  • 1: Never or not true
  • 2: Sometimes or somewhat true
  • 3: Often or very true
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q15I

Gets in many fights

  • 1: Never or not true
  • 2: Sometimes or somewhat true
  • 3: Often or very true
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q15J

Impulsive or acts without thinking

  • 1: Never or not true
  • 2: Sometimes or somewhat true
  • 3: Often or very true
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q15K

Lying or cheating

  • 1: Never or not true
  • 2: Sometimes or somewhat true
  • 3: Often or very true
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q15L

Nervous, high-strung or tense

  • 1: Never or not true
  • 2: Sometimes or somewhat true
  • 3: Often or very true
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q15M

Too fearful or anxious

  • 1: Never or not true
  • 2: Sometimes or somewhat true
  • 3: Often or very true
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q15N

Physically attacks people

  • 1: Never or not true
  • 2: Sometimes or somewhat true
  • 3: Often or very true
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q15O

Runs away from home

  • 1: Never or not true
  • 2: Sometimes or somewhat true
  • 3: Often or very true
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q15P

Sets fires

  • 1: Never or not true
  • 2: Sometimes or somewhat true
  • 3: Often or very true
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q15Q

Steals

  • 1: Never or not true
  • 2: Sometimes or somewhat true
  • 3: Often or very true
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q15R

Threatens people

  • 1: Never or not true
  • 2: Sometimes or somewhat true
  • 3: Often or very true
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q15S

Truancy or unexplained absences

  • 1: Never or not true
  • 2: Sometimes or somewhat true
  • 3: Often or very true
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q15T

Unhappy, sad or depressed

  • 1: Never or not true
  • 2: Sometimes or somewhat true
  • 3: Often or very true
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q15U

Vandalism

  • 1: Never or not true
  • 2: Sometimes or somewhat true
  • 3: Often or very true
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q15V

Worrying

  • 1: Never or not true
  • 2: Sometimes or somewhat true
  • 3: Often or very true
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q15W

Not as happy as other children

  • 1: Never or not true
  • 2: Sometimes or somewhat true
  • 3: Often or very true
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q15X

Distractible, has trouble sticking to any activity

  • 1: Never or not true
  • 2: Sometimes or somewhat true
  • 3: Often or very true
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q15Y

Has trouble enjoying self

  • 1: Never or not true
  • 2: Sometimes or somewhat true
  • 3: Often or very true
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q15Z

Has difficulty awaiting turn in games or groups

  • 1: Never or not true
  • 2: Sometimes or somewhat true
  • 3: Often or very true
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q15AA

Fidgets

  • 1: Never or not true
  • 2: Sometimes or somewhat true
  • 3: Often or very true
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q15BB

Has been physically cruel to others

  • 1: Never or not true
  • 2: Sometimes or somewhat true
  • 3: Often or very true
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q15CC

Angry and resentful

  • 1: Never or not true
  • 2: Sometimes or somewhat true
  • 3: Often or very true
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q15DD

Anxious or on edge

  • 1: Never or not true
  • 2: Sometimes or somewhat true
  • 3: Often or very true
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q15EE

Can't stay seated when required to do so

  • 1: Never or not true
  • 2: Sometimes or somewhat true
  • 3: Often or very true
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q15FF

Feels worthless or inferior

  • 1: Never or not true
  • 2: Sometimes or somewhat true
  • 3: Often or very true
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q15GG

Moody or irritable

  • 1: Never or not true
  • 2: Sometimes or somewhat true
  • 3: Often or very true
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q15HH

Doesn't like to be with people he/she doesn't know

  • 1: Never or not true
  • 2: Sometimes or somewhat true
  • 3: Often or very true
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q15II

Gets no pleasure from usual activities

  • 1: Never or not true
  • 2: Sometimes or somewhat true
  • 3: Often or very true
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q15JJ

Loses temper

  • 1: Never or not true
  • 2: Sometimes or somewhat true
  • 3: Often or very true
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q15KK

Fails to finish things he/she starts

  • 1: Never or not true
  • 2: Sometimes or somewhat true
  • 3: Often or very true
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q15LL

Uses weapons when fighting

  • 1: Never or not true
  • 2: Sometimes or somewhat true
  • 3: Often or very true
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q15MM

When anxious, his/her mind goes blank

  • 1: Never or not true
  • 2: Sometimes or somewhat true
  • 3: Often or very true
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q15NN

Gets anxious about meeting new people

  • 1: Never or not true
  • 2: Sometimes or somewhat true
  • 3: Often or very true
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q15OO

Has difficulty making decisions

  • 1: Never or not true
  • 2: Sometimes or somewhat true
  • 3: Often or very true
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q15PP

Blames others for own mistakes

  • 1: Never or not true
  • 2: Sometimes or somewhat true
  • 3: Often or very true
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q15QQ

Feels he/she has to be perfect

  • 1: Never or not true
  • 2: Sometimes or somewhat true
  • 3: Often or very true
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q15RR

Repeats certain actions over and over; compulsions

  • 1: Never or not true
  • 2: Sometimes or somewhat true
  • 3: Often or very true
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q15SS

Afraid of doing things in front of others

  • 1: Never or not true
  • 2: Sometimes or somewhat true
  • 3: Often or very true
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q15TT

Defiant, talks back to staff

  • 1: Never or not true
  • 2: Sometimes or somewhat true
  • 3: Often or very true
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q15UU

Too concerned with neatness or cleanliness

  • 1: Never or not true
  • 2: Sometimes or somewhat true
  • 3: Often or very true
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q15VV

Can't get his/her mind off certain thoughts, obsessions

  • 1: Never or not true
  • 2: Sometimes or somewhat true
  • 3: Often or very true
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q15WW

Argues a lot with adults

  • 1: Never or not true
  • 2: Sometimes or somewhat true
  • 3: Often or very true
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q15XX

Trouble sleeping

  • 1: Never or not true
  • 2: Sometimes or somewhat true
  • 3: Often or very true
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q15YY

Worries about doing better at things

  • 1: Never or not true
  • 2: Sometimes or somewhat true
  • 3: Often or very true
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q15ZA

Easily annoyed by others

  • 1: Never or not true
  • 2: Sometimes or somewhat true
  • 3: Often or very true
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q15ZB

Is nervous with people he/she doesn't know

  • 1: Never or not true
  • 2: Sometimes or somewhat true
  • 3: Often or very true
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q15ZC

Avoids social situations

  • 1: Never or not true
  • 2: Sometimes or somewhat true
  • 3: Often or very true
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q15ZD

Gets back at people

  • 1: Never or not true
  • 2: Sometimes or somewhat true
  • 3: Often or very true
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q15ZE

Shy or timid

  • 1: Never or not true
  • 2: Sometimes or somewhat true
  • 3: Often or very true
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q15ZF

Afraid of making mistakes

  • 1: Never or not true
  • 2: Sometimes or somewhat true
  • 3: Often or very true
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q15ZG

Makes careless mistakes

  • 1: Never or not true
  • 2: Sometimes or somewhat true
  • 3: Often or very true
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q15ZH

Finds it hard to stop worrying

  • 1: Never or not true
  • 2: Sometimes or somewhat true
  • 3: Often or very true
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q15ZI

Overtired or lacks energy

  • 1: Never or not true
  • 2: Sometimes or somewhat true
  • 3: Often or very true
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q16

Does this student receive enriched instruction at school because of exceptionally advanced intellectual, athletic or artistic abilities?

  • 1: Yes
  • 2: No - Go to TEA_Q18
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q17

Where does this student receive this enriched or extra instruction?

  • 1: Exclusively within a regular classroom with existing resources
  • 2: Exclusively within a regular classroom with an educational assistant
  • 3: Primarily within a regular classroom, but with some time spent in a special education class or resource room
  • 4: Exclusively or primarily within a special education class or resource room within a regular school
  • 5: Exclusively or primarily within a specialized school
  • 6: Other
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q18

Does this student receive special education or resource help because of a learning disability or a physical, emotional, behavioural or other problem?

  • 1: Yes
  • 2: No - Go to TEA_Q21
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q19

What type(s) of problem(s) limits this student's ability to do school work in a regular classroom? Mark all that apply

  • 01: Behaviour or emotional problem
  • 02: Autism
  • 03: Deaf or hard of hearing
  • 04: Language impairment or speech impairment
  • 05: Learning disability
  • 06: Mild intellectual disability or developmental disability
  • 07: Physical disability or blind/low vision
  • 08: Other - please specify
  • 98: RF
  • 99: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q20

Where does this student receive this special/resource help (e.g., special education)?

  • 1: Exclusively within a regular classroom with existing resources
  • 2: Exclusively within a regular classroom with an educational assistant
  • 3: Primarily within a regular classroom, but with some time spent in a special education class or resource room
  • 4: Exclusively or primarily within a special education class or resource room within a regular school
  • 5: Exclusively or primarily within a specialized school
  • 6: Other
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q21

Does this student currently have an Individual Education Plan (IEP)?

  • 1: Yes
  • 2: No, Go to TEA_Q23
  • 3: In process, Go to TEA_Q23
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q22

What category or categories of IEP exceptionality does this student currently have? Mark all that apply

  • 01: Behaviour or emotional problem
  • 02: Autism
  • 03: Deaf or hard of hearing
  • 04: Language impairment or speech impairment
  • 05: Learning disability
  • 06: Mild intellectual disability or developmental disability
  • 07: Physical disability or blind/low vision
  • 08: Other - please specify
  • 98: RF
  • 99: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q23

During the past 6 months, how well has this student gotten along with other kids such as friends or classmates?

  • 1: Very well, no problems
  • 2: Quite well, hardly any problems
  • 3: Pretty well, occasional problems
  • 4: Not too well, frequent problems
  • 5: Not well at all, constant problems
  • 6: Don't know
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q24

During the past 6 months, how well has this student gotten along with his/her teacher(s) at school?

  • 1: Very well, no problems
  • 2: Quite well, hardly any problems
  • 3: Pretty well, occasional problems
  • 4: Not too well, frequent problems
  • 5: Not well at all, constant problems
  • 6: Don't know
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q25

During the past 6 months, do you think that this student has had any emotional or behavioural problems?

  • 1: Yes
  • 2: No, Go to TEA_Q28
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q26

During that time, did this student tend to have more emotional or behavioural problems than other boys/girls of his/her age?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q27

Do you think that the student needs or needed any professional help with these problems?

  • 1: Yes
  • 2: No
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q28

Are you...

  • 1: Male
  • 2: Female
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q29A

How much experience do you have in the following capacities? As a teacher:

  • 1: Less than 1 year
  • 2: 1-2 years
  • 3: 3-5 years
  • 4: 6-10 years
  • 5: Over 10 years
  • 8: RF
  • 9: DK

Teacher's Questionnaire (TEA) - Question identifier:TEA_Q29B

How much experience do you have in the following capacities? As a teacher at this school:

  • 1: Less than 1 year
  • 2: 1-2 years
  • 3: 3-5 years
  • 4: 6-10 years
  • 5: Over 10 years
  • 8: RF
  • 9: DK
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