Kentucky In-School Transition Survey (Student Survey)

Dear Student,

This survey asks questions about your experiences in high school and your plans for the future. Although you are not required to complete the survey, any information you provide will be used to improve high school programs that prepare students for adult life.

You should mark only one response item to each question unless you are instructed to mark all that apply. If your answer is not listed, mark 'other' and write your answer on the line provided. If you do not understand something, stop and ask for help.

Please note, once you begin the survey, you must complete it. If you leave the survey prior to completion, you will lose all information entered and have to start over!

Your privacy is important and none of your responses can be linked back to you personally. Your name will not be on the survey and results will be collected and analyzed by staff at the Kentucky Post School Outcomes Center. No reports will include any identifying information.

Thank you for taking the time to provide us with this information!

* I understand that my participation in this survey is voluntary, that I can pass on any question I choose to, and that my individual response will only be seen by staff at the Kentucky Post School Outcomes Center.

I Agree

I Disagree

1. Student Identification Number:

2. Gender:

Male

Female

3. Are you married?

Yes

4. Do you have any children?

Yes

5.1. Are you currently employed (earning money) while in high school?

Yes

5.2. If yes, how many hours per week do you usually work?

Less than 5 hours

5-10

11-15

16-20

21 or more

6.1 Do you plan to go to college after high school?

Yes, I plan to attend a 4 year college

Yes, I plan to attend a 2 year college

Yes, I plan to attend vocational technical school (less than 2 years)

No, I don't plan to go to college

I don't know

6.2. If yes, where do you plan to go to college after high school?

7.1. Do you plan to go to work after high school?

Yes, I plan to work full time (35 hours or more per week)

Yes, I plan to work part time (less than 35 hours per week)

I don't know

7.2. If yes, what kind of job do you plan to have after high school?

(If you checked "Yes" on either question 6.1 or 7.1, then please skip this question)

8. If you do not plan to go to college or get a job, what do you plan to do after high school?

Join the Military

Attend a day habilitation program

Care of Home and Family

Work as an unpaid intern, apprentice, missionary

Nothing

I don't know

Other (Please Specify):

9. On a scale of 1 - 5, with 1 being not at all confident and 5 being very confident, how confident are you that you will be successful in achieving your post school plans?

5 (Very Confident)

4 (Confident)

3 (Somewhat Confident)

2 (Little Confident)

1 (Not at all Confident)

10.1. Where, or with whom, do you currently live?

At my family home (with parents, relatives, or guardian)

By myself

With my friends

With my husband or wife

With my foster family

With others in a group home

Homeless shelter

Correctional facility

Military housing

Other (Please specify):

10.2. Where, or with whom, do you plan to live one year after graduation?

At my family home (with parents, relatives, or guardian)

By myself

With my friends

With my husband or wife

With my foster family

With others in a group home

Homeless shelter

Correctional facility

Military housing

Other (Please specify):

11. After high school, what kinds of activities do you think you will do in your free time? (Mark all that apply)

Hanging out with friends

Watching Television

Listening to music

Playing Sports

Doing Hobbies (for example: gardening, collecting baseball cards, video games, etc.)

Going to church or community activities

Going to the mall or movies

Doing outdoor activities (for example: biking, hiking, fishing, etc.)

Surfing the internet

Going to the health club or gym

Reading for pleasure

Others (Please Specify):

12.1 Which of your classes helped you get ready for life after high school? (Mark all that apply)

Academic classes (e.g. English, Math, etc.)

Career and Technical Education classes (e.g. Family Consumer Service, Business and Marketing Career Exploration)

Other elective classes

Special Education classes (e.g. Resource Room, etc)

Cooperative work experience on the job

Community-based instruction or CBI

Extracurricular activities (e.g. clubs, or sports)

None

Others (Please Specify):

12.2. Which of following people talked to you specifically about preparing for life after high school? (Mark all that apply)

General education teacher

Special education teacher

Career and technical education teacher

Teacher Aid/Para-educator

Principal

Assistant Principal

Speech Therapist

School to work or school to Careers coordinator

Transition Teacher or Transition Specialist

Guidance/School Counselor

Social Worker

Job Coach

Rehabilitation Counselor

Mental Health Case Worker

Coaches (for example: school athletic coach, church softball league coach, etc.)

Family (For example: parents, siblings, etc.)

Other Community Members (For example: neighbor, family friend, doctor, youth group, etc.)

Others (Please Specify):

12.3. How much do you agree or disagree with each of the following about your school?
	Agree a Lot	Agree a Little	Neither Agree nor Disagree	Disagree a Little	Disagree a Lot
I'm happy to be at this school
I feel safe at this school
The teachers in my school treat me fairly
I feel like I'm part of this school

13.1. Please rate your involvement in school clubs or other extra-curricular activities (example: chess club, 4H, sports)?

Very involved, spend lot of time at club/activity

Spend some time at the club/activity

Spend time once in a while at the club/activity

Not at all involved, I'm not part of any club/activity

13.2. In the club or extra-curricular activity that you are most involved with, how would you best describe your role?

President or Team Leader

Vice-President

Other Officer (secretary, treasurer, etc.)

Not an officer, but involved in making important decisions about the group

Member, did not make decisions about the activities, but actively participated in most activities

Member, did not make decisions about the activities, but actively participated in few activities

Not at all involved, I'm not part of any club/activity

Other (Please Specify):

(If you are involved in any of the school clubs or other extra-curricular activities, then please skip this question.)

13.3. Why are you not more involved in school clubs or other extra-curricular activities?

I can't find any that fit my interest

I don't get along with other students

My parents of family won't let me

I don't have a reliable transportation

I don't have enough free time

Other (Please Specify):

14.1. To what extent do you make important decisions about your life? (Mark the choice that most closely matches what you think)

I always make decision about my own life

I almost always make decision about my own life

I sometimes make decision about my own life

I never make decision about my own life

14.2. To what extent did you participate in your last IEP meeting? (Mark the choice that most closely matches what you think)

I led the meeting

I helped make decisions and set goals for myself

I attended and made a few comments

I attended but did not participate

I did not attend the meeting

14.3. On a scale of 1 - 5, with 1 being very unhappy and 5 being very happy, how happy are you with your life now?

5 (Very Happy)

4 (Somewhat Happy)

3 (Neither Happy nor Unhappy)

2 (Somewhat Unhappy)

1 (Very Unhappy)

15.1. Were you assisted in completing this survey?

Yes

15.2. If someone assisted you in completing this survey, please indicate who that was:

Parent/Guardian

Teacher

Para-educator/Teaching Assistant

Guidance Counselor

Other (Please specify):

16. Do you have any comments that you would like to make about how your high school experience has prepared you for life after high school?