| Question | Answers | Source | Source Link | Dates Used | |
|---|---|---|---|---|---|
| 1 | Are there children in your household who are in Kindergarten through 12th grade? | • Yes • No | Developed by RAPID Team | NA | 06/02/2022-06/09/2022 |
| 2 | How many school-aged children (K-12) are in your household? | 1-More than 5 children | NA | 06/02/2022-06/09/2022 | |
| 3 | For your K-12th grade child(ren), what options for attending school were provided by your school district for the academic year (2021-2022)? Select all that apply. | • In-person only • Online only • Hybrid (a mis of in-person and online school days) • Not Listed (please specify) • Not applicable (e.g., homeschooled) | NA | 06/02/2022-06/09/2022 | |
| 4 | How has your K-12th grade child(ren) attend school for the academic year (2021-2022)? | • In-person only • Online only • Hybrid (a mis of in-person and online school days) • Not Listed (please specify) • Not applicable (e.g., homeschooled) | NA | 06/02/2022-06/09/2022 | |
| 5 | Have school and/or classroom closures impacted you or your partner's ability to work? | • Yes • No • Not Applicable | NA | 06/02/2022-06/09/2022 | |
| 6 | How have school and/or classroom closures impacted you or your partner's ability to work? | • I or my partner temporarily reduced work hours to be with the child(ren) • I or my partner permanently reduced work hours to be with the child(ren) • I or my partner took paid sick or family leave to be with the child(ren) • I or my partner took unpaid sick or family leave to be with the child(ren) • I or my partner left my/their job to be with the child(ren) | NA | 06/02/2022-06/09/2022 | |
| 7 | How is your oldest child in the K-12 grade range doing in school this academic year? | • Very well • Well • Somewhat well • Not well • Very poorly | NA | 06/02/2022-06/09/2022 | |
| 8 | When you think about your child(ren)'s experiences this academic year, how concerned are you about the following? Remember, think about your oldest child in the K-12 grade range. * Your child's learning of core academic skills * Your child's opportunities to learn advanced (beyond grade level) concepts * Your child's connection to the school community * Your child's ability to maintain existing and form new friendships * Your child's access to extracurricular activities (e.g., sports, music, etc.) * Not Listed (please specify) | • Not at all concerned • Slightly concerned • Somewhat concerned • Moderately concerned • Extremely concerned | NA | 06/02/2022-06/09/2022 | |
| 9 | How is your second child in the K-12 grade range doing in school this academic year? | • Very well • Well • Somewhat well • Not well • Very poorly | NA | 06/02/2022-06/09/2022 | |
| 10 | When you think about your child's experiences this academic year, how concerned are you about the following? Remember, think about your second child in the K-12 grade range. * Your child's learning of core academic skills * Your child's opportunities to learn advanced (beyond grade level) concepts * Your child's connection to the school community * Your child's ability to maintain existing and form new friendships * Your child's access to extracurricular activities (e.g., sports, music, etc.) * Other (please specify) | • Not at all concerned • Slightly concerned • Somewhat concerned • Moderately concerned • Extremely concerned | NA | 06/02/2022-06/09/2022 |