Teacher Demographic Survey

IRB Consent
1. Consent:
I have read the NAU Human Subject Consent Form and agree to participate in this
research.
I have read the NAU Human Subject Consent Form and decline to participate in this
research.

Demographic Information
2. What is your name? (This will only be used for data collection; all responses are completely
confidential.)

3. What is your gender?

Female
Male

4. What year were you born?

5. What is your email address? (This information will only be used for communication for the
purposes of this study and will not be shared.)

6. Where can I send/deliver your check?

Teaching Background
7. Are you now certified to teach in Arizona?
Yes
No

8. Are you now teaching in an Arizona public school?

Yes
No

9. How many years have you taught in total?

10. In which school district(s) and/or geographic region(s) have you taught?

11. In which district do you currently teach?

12. What grade(s) do you currently teach?

13. What subject(s) do you currently teach?

14. How many years have you taught your current grade/subject?

15. What subjects and grade levels have you taught in the past?

16. What language(s) do you currently teach in?

17. In which languages have you taught in the past?

18. Is there anything you would like to add regarding your teaching background?

Educational Background
19. What is your highest level of education?
Bachelor's Degree
Master's Degree
Doctoral Degree
Other

20. What is/are your degree(s) in?

21. Please list any teaching credentials/certificates/awards you hold.

Geographic and Language Background

22. Have you always lived in the US?
Yes
No

23. If you answered "No" to the previous question, at what age did you come to the US?

24. If you answered "No," how long have you lived in the US?

25. What is your first/native language?

26. Do you speak any additional languages besides English and your first language (if different
than English)?

27. I speak English *

Select all that apply.
with family members
with friends
in public
for leisure activities (i.e., radio, music, TV, magazines, books, the internet)
other

28. I speak another language

Select all that apply.
with family members
with friends
in public
for leisure activities (i.e., newspapers, books, radios, music, TV, the internet)
other

29. If you chose options for Question 32, which language do you speak in these capacities?

30. Is there anything else you would like to add?