Form Approved

OMB No: 0920-0445

Expiration Date: 08/31/2016

Physical Education and Activity

Classroom Questionnaire

School Health Policies and Practices Study 2014

Attn: Alice Roberts, Project Director
530 Gaither Road
Rockville, MD 20850
Tel: (800) 287-1815

Public reporting burden for this collection of information is estimated to average 40 minutes per response, including
the time for reviewing instructions, searching existing data sources, gathering and maintaining the data needed, and
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comments regarding this burden estimate or any other aspect of this collection of information, including suggestions
for reducing this burden to: CDC/ATSDR Reports Clearance Officer, 1600 Clifton Road NE, Mailstop D-74,
Atlanta, GA 30333; Attention PRA (0920-0445).

Physical Education and Activity Classroom Questionnaire—Public Use Version

 Physical Education and Activity
Classroom Questionnaire

Questions
General Course Characteristics and Content ............................................................................1–2
Physical Activities ..................................................................................................................3–12
Teaching and Evaluation Techniques ...................................................................................13–33
Students with Disabilities .....................................................................................................34–36
Respondent Background .......................................................................................................37–49

Physical Education and Activity Classroom Questionnaire—Public Use Version

Special Instructions

NOTE: THROUGHOUT THIS QUESTIONNAIRE, TEXT THAT APPEARS IN ALL

CAPITAL LETTERS WILL NOT BE READ ALOUD TO RESPONDENTS.
THIS QUESTIONNAIRE WILL BE ADMINISTERED USING COMPUTER ASSISTED
PERSONAL INTERVIEW TECHNOLOGY. THE INTERVIEWER WILL READ THE
QUESTIONS ALOUD AND TYPE RESPONSES TO THE QUESTIONS INTO THE LAPTOP
COMPUTER. THE INTERVIEW PROGRAM WILL 1) DISPLAY THE CORRECT TENSE
OF VERBS, 2) PROVIDE ALTERNATE ANSWERS TO QUESTIONS (E.G., NOT
APPLICABLE), 3) NAVIGATE COMPLEX SKIP PATTERNS, AND 4) PERFORM OTHER
USEFUL FUNCTIONS. COMMENTS APPEARING IN THE MARGIN REPRESENT
ASSISTANCE AVAILABLE TO THE RESPONDENT IF ADDITIONAL CLARIFICATION
IS REQUIRED ON THE QUESTION OR THE SPECIFIC TERMINOLOGY USED. WHEN
ASKED, THE INTERVIEWER WILL READ THESE STATEMENTS ALOUD TO THE
RESPONDENT. THE PROGRAMMING SPECIFICATIONS FOR THE INTERVIEW ARE
NOT INCLUDED IN THIS PRINTED VERSION OF THE QUESTIONNAIRE.
NOTE: PRIOR TO THE INTERVIEW, PHYSICAL EDUCATION COURSES, TEACHERS,
AND SECTIONS WERE RANDOMLY SELECTED AT EACH SCHOOL. IN ELEMENTARY
SCHOOLS, THE SCHOOL CONTACT PROVIDED A LIST OF ALL GRADES IN WHICH
PHYSICAL EDUCATION IS REQUIRED. TWO GRADES WERE RANDOMLY SELECTED
FROM THIS LIST (UNLESS THERE WERE ONLY TWO OR FEWER GRADES, IN WHICH
CASE ALL WERE SELECTED). FOR EACH SELECTED GRADE, ONE TEACHER WAS
RANDOMLY SELECTED TO BE INTERVIEWED. WHEN NECESSARY, A SECTION
(E.G., MORNING KINDERGARTEN CLASS) WAS RANDOMLY SELECTED FOR THE
TEACHER TO FOCUS ON THROUGHOUT THE INTERVIEW. IN MIDDLE SCHOOLS
AND HIGH SCHOOLS, THE SCHOOL CONTACT PROVIDED A LIST OF ALL
REQUIRED PHYSICAL EDUCATION COURSES FOR THE 2013-2014 SCHOOL YEAR
WITH A CORRESPONDING LIST OF TEACHERS FOR EACH COURSE. IF THE
NUMBER OF REQUIRED PHYSICAL EDUCATION COURSES WAS TWO OR FEWER,
ALL THE COURSES WERE SELECTED. IF THE NUMBER OF REQUIRED PHYSICAL
EDUCATION COURSES EXCEEDED TWO, TWO COURSES WERE RANDOMLY
SELECTED. FOR EACH SELECTED COURSE, ONE TEACHER WAS RANDOMLY
SELECTED TO BE INTERVIEWED AND ONE SECTION OF THAT TEACHER’S COURSE
(E.G., 2ND PERIOD PHYSICAL EDUCATION 101) WAS RANDOMLY SELECTED FOR
HIM/HER TO FOCUS ON THROUGHOUT THE INTERVIEW.

Physical Education and Activity Classroom Questionnaire—Public Use Version

General Course Characteristics and Content

The first questions I am going to ask you are about the general characteristics and content of a
required physical education course or class that you teach. By “physical education,” I mean class
time that is spent teaching a physical education curriculum. Please do not include instruction on
physical activity topics that are part of health education or any other subject. Also, do not
consider regularly scheduled recess. Throughout this interview, please think about what took
place when you taught _____ section of this course.

ANSWER Q1 FOR MIDDLE AND HIGH SCHOOL ONLY. OTHERWISE, SKIP TO Q2.
Comment [Help1]: A combined class is one in
which one grade is given for the combined course.
1. Was this class a combined health education and physical education course? By “health
education,” I mean topics not directly related to physical activity, such as alcohol or
other drug use prevention.
Yes ...........................................................................1
No.............................................................................2

2. At the end of the class, how many students were enrolled in the class?
_____ Students

Physical Education and Activity Classroom Questionnaire—Public Use Version 1

Physical Activities

3. In that class, did you teach…

Yes No

ANSWER A FOR ELEMENTARY SCHOOL ONLY.

OTHERWISE, SKIP TO B.

a. Movement concepts and skills? .................................................. 1 .....................2

b. Individual or paired activities?.................................................... 1 .....................2
c. Group or team activities? ............................................................ 1 .....................2
d. Aquatic activities?.......................................................................1 .....................2
e. Dance activities? .........................................................................1 ..................... 2

ANSWER Q4 IF MOVEMENT CONCEPTS AND SKILLS WERE TAUGHT IN THIS CLASS

(Q3A IS “YES”). OTHERWISE, SKIP TO THE INSTRUCTIONS BEFORE Q5.

SHOW CARD 1

4. How many contact hours did your students spend in this class on…
Number of Hours
a. Space awareness, such as space,
directions, or levels? ....................... 0 ... 1 ... 2 ... 3 ... 4 ... 5 ... 6 ... 7 ... 8 ... 9 ....10... 11 ...12
b. Locomotor skills, such as
walking, skipping, or hopping?....... 0 ... 1 ... 2 ... 3 ... 4 ... 5 ... 6 ... 7 ... 8 ... 9 ....10... 11 ...12
c. Manipulative skills, such as
throwing, catching, kicking,
or striking? ...................................... 0 ... 1 ... 2 ... 3 ... 4 ... 5 ... 6 ... 7 ... 8 ... 9 ....10... 11 ...12
d. Non-locomotor skills, such as
bending, twisting, or rocking? ........ 0 ... 1 ... 2 ... 3 ... 4 ... 5 ... 6 ... 7 ... 8 ... 9 ....10... 11 ...12
e. Combination movement skills,
such as combining traveling,
balancing, and weight transfer? ...... 0 ... 1 ... 2 ... 3 ... 4 ... 5 ... 6 ... 7 ... 8 ... 9 ....10... 11 ...12

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 Physical Activities

ANSWER Q5 IF INDIVIDUAL OR PAIRED ACTIVITIES WERE TAUGHT IN THIS CLASS

(Q3B IS “YES”). OTHERWISE, SKIP TO THE INSTRUCTIONS BEFORE Q6.

SHOW CARD 2

The next questions are about the amount of time spent on individual or paired activities. Please
include any time you spent on lead-up skills, skills specific to the activity, or modified versions
of the activity.

5. How many contact hours did your students spend in this class on…
Number of Hours
a. Aerobics, such as step or low-
impact? ............................................ 0 ... 1 ... 2 ... 3 ... 4 ... 5 ... 6 ... 7 ... 8 ... 9 ....10... 11 ...12
b. Archery? .......................................... 0 ... 1 ... 2 ... 3 ... 4 ... 5 ... 6 ... 7 ... 8 ... 9 ....10... 11 ...12
c. Badminton? ..................................... 0 ... 1 ... 2 ... 3 ... 4 ... 5 ... 6 ... 7 ... 8 ... 9 ....10... 11 ...12
d. Bowling? ......................................... 0 ... 1 ... 2 ... 3 ... 4 ... 5 ... 6 ... 7 ... 8 ... 9 ....10... 11 ...12
e. Canoeing or kayaking? ................... 0 ... 1 ... 2 ... 3 ... 4 ... 5 ... 6 ... 7 ... 8 ... 9 ....10... 11 ...12
f. Cardiovascular exercise
machines, such as rowers,
ski machines, stair climbers,
stationary bikes, or treadmills? ....... 0 ... 1 ... 2 ... 3 ... 4 ... 5 ... 6 ... 7 ... 8 ... 9 ....10... 11 ...12
g. Climbing ropes or wall ladders? ..... 0 ... 1 ... 2 ... 3 ... 4 ... 5 ... 6 ... 7 ... 8 ... 9 ....10... 11 ...12
h. Climbing walls? .............................. 0 ... 1 ... 2 ... 3 ... 4 ... 5 ... 6 ... 7 ... 8 ... 9 ....10... 11 ...12
i. Physical activity or fitness
stations?........................................... 0 ... 1 ... 2 ... 3 ... 4 ... 5 ... 6 ... 7 ... 8 ... 9 ....10... 11 ...12 Comment [Help2]: Physical activity or fitness
stations are designated areas for students to learn and
j. Frisbee or frisbee golf? ................... 0 ... 1 ... 2 ... 3 ... 4 ... 5 ... 6 ... 7 ... 8 ... 9 ....10... 11 ...12 participate in a variety of physical activities. There is
typically equipment such as jump ropes for students
k. Golf? ............................................... 0 ... 1 ... 2 ... 3 ... 4 ... 5 ... 6 ... 7 ... 8 ... 9 ....10... 11 ...12 to use, or signs that include instructions on what type
of physical activity to do. Students move from one
station to the next.
l. Gymnastics? .................................... 0 ... 1 ... 2 ... 3 ... 4 ... 5 ... 6 ... 7 ... 8 ... 9 ....10... 11 ...12
m. Hiking, backpacking,
or orienteering? ............................... 0 ... 1 ... 2 ... 3 ... 4 ... 5 ... 6 ... 7 ... 8 ... 9 ....10... 11 ...12
n. Jumping rope? ................................. 0 ... 1 ... 2 ... 3 ... 4 ... 5 ... 6 ... 7 ... 8 ... 9 ....10... 11 ...12
o. Martial arts? .................................... 0 ... 1 ... 2 ... 3 ... 4 ... 5 ... 6 ... 7 ... 8 ... 9 ....10... 11 ...12
p. Non-stationary bicycling? ............... 0 ... 1 ... 2 ... 3 ... 4 ... 5 ... 6 ... 7 ... 8 ... 9 ....10... 11 ...12
q. Pilates? ............................................ 0 ... 1 ... 2 ... 3 ... 4 ... 5 ... 6 ... 7 ... 8 ... 9 ....10... 11 ...12

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 Physical Activities

(Q5 continued)
Number of Hours
r. Racquet sports other than tennis,
such as racquetball, squash,
or paddleball? .................................. 0 ... 1 ... 2 ... 3 ... 4 ... 5 ... 6 ... 7 ... 8 ... 9 ....10... 11 ...12
s. Rock climbing? ............................... 0 ... 1 ... 2 ... 3 ... 4 ... 5 ... 6 ... 7 ... 8 ... 9 ....10... 11 ...12
t. Running or jogging? ....................... 0 ... 1 ... 2 ... 3 ... 4 ... 5 ... 6 ... 7 ... 8 ... 9 ....10... 11 ...12
u. Skating, such as roller, in-line, or
ice skating, or skateboarding? ......... 0 ... 1 ... 2 ... 3 ... 4 ... 5 ... 6 ... 7 ... 8 ... 9 ....10... 11 ...12
v. Skiing, such as cross-country,
downhill, or water skiing?............... 0 ... 1 ... 2 ... 3 ... 4 ... 5 ... 6 ... 7 ... 8 ... 9 ....10... 11 ...12
w. Student-designed games? ................ 0 ... 1 ... 2 ... 3 ... 4 ... 5 ... 6 ... 7 ... 8 ... 9 ....10... 11 ...12
x. Table tennis or Ping-Pong? ............. 0 ... 1 ... 2 ... 3 ... 4 ... 5 ... 6 ... 7 ... 8 ... 9 ....10... 11 ...12
y. Tennis? ............................................ 0 ... 1 ... 2 ... 3 ... 4 ... 5 ... 6 ... 7 ... 8 ... 9 ....10... 11 ...12
z. Track and field? .............................. 0 ... 1 ... 2 ... 3 ... 4 ... 5 ... 6 ... 7 ... 8 ... 9 ....10... 11 ...12
aa. Walking? ......................................... 0 ... 1 ... 2 ... 3 ... 4 ... 5 ... 6 ... 7 ... 8 ... 9 ....10... 11 ...12
bb. Weight training?.............................. 0 ... 1 ... 2 ... 3 ... 4 ... 5 ... 6 ... 7 ... 8 ... 9 ....10... 11 ...12
cc. Wrestling? ....................................... 0 ... 1 ... 2 ... 3 ... 4 ... 5 ... 6 ... 7 ... 8 ... 9 ....10... 11 ...12
dd. Yoga? .............................................. 0 ... 1 ... 2 ... 3 ... 4 ... 5 ... 6 ... 7 ... 8 ... 9 ....10... 11 ...12

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 Physical Activities

ANSWER Q6 IF GROUP OR TEAM ACTIVITIES WERE TAUGHT IN THIS CLASS

(Q3C IS “YES”). OTHERWISE, SKIP TO THE INSTRUCTIONS BEFORE Q8.

SHOW CARD 3

The next questions are about the amount of time spent on group or team activities. Please include
any time you spent on lead-up skills, skills specific to the activity, or modified versions of the
activity.

6. How many contact hours did your students spend in this class on…
Number of Hours
a. Baseball, softball, or
whiffleball? ..................................... 0 ... 1 ... 2 ... 3 ... 4 ... 5 ... 6 ... 7 ... 8 ... 9 ....10... 11 ...12
b. Basketball? ...................................... 0 ... 1 ... 2 ... 3 ... 4 ... 5 ... 6 ... 7 ... 8 ... 9 ....10... 11 ...12
c. Dodgeball or bombardment?........... 0 ... 1 ... 2 ... 3 ... 4 ... 5 ... 6 ... 7 ... 8 ... 9 ....10... 11 ...12
d. Touch or flag football?.................... 0 ... 1 ... 2 ... 3 ... 4 ... 5 ... 6 ... 7 ... 8 ... 9 ....10... 11 ...12
e. Hockey, such as field, floor,
roller, or ice hockey?....................... 0 ... 1 ... 2 ... 3 ... 4 ... 5 ... 6 ... 7 ... 8 ... 9 ....10... 11 ...12
f. Kickball? ......................................... 0 ... 1 ... 2 ... 3 ... 4 ... 5 ... 6 ... 7 ... 8 ... 9 ....10... 11 ...12
g. Lacrosse?......................................... 0 ... 1 ... 2 ... 3 ... 4 ... 5 ... 6 ... 7 ... 8 ... 9 ....10... 11 ...12
h. Soccer? ............................................ 0 ... 1 ... 2 ... 3 ... 4 ... 5 ... 6 ... 7 ... 8 ... 9 ....10... 11 ...12
i. Student-designed games? ................ 0 ... 1 ... 2 ... 3 ... 4 ... 5 ... 6 ... 7 ... 8 ... 9 ....10... 11 ...12
j. Ultimate frisbee? ............................. 0 ... 1 ... 2 ... 3 ... 4 ... 5 ... 6 ... 7 ... 8 ... 9 ....10... 11 ...12
k. Volleyball? ...................................... 0 ... 1 ... 2 ... 3 ... 4 ... 5 ... 6 ... 7 ... 8 ... 9 ....10... 11 ...12

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 Physical Activities

ANSWER Q7 IF THIS SCHOOL IS AN ELEMENTARY SCHOOL AND GROUP OR TEAM

ACTIVITIES WERE TAUGHT IN THIS CLASS (Q3C IS “YES”). OTHERWISE, SKIP TO
THE INSTRUCTIONS BEFORE Q8.

SHOW CARD 4

7. How many contact hours did your students spend in this class playing…
Number of Hours
a. Duck-duck-goose? .......................... 0 ... 1 ... 2 ... 3 ... 4 ... 5 ... 6 ... 7 ... 8 ... 9 ....10... 11 ...12
b. Elimination tag? .............................. 0 ... 1 ... 2 ... 3 ... 4 ... 5 ... 6 ... 7 ... 8 ... 9 ....10... 11 ...12
c. King of the hill or capture
the flag? ........................................... 0 ... 1 ... 2 ... 3 ... 4 ... 5 ... 6 ... 7 ... 8 ... 9 ....10... 11 ...12
d. Red rover? ....................................... 0 ... 1 ... 2 ... 3 ... 4 ... 5 ... 6 ... 7 ... 8 ... 9 ....10... 11 ...12
e. Relay races? .................................... 0 ... 1 ... 2 ... 3 ... 4 ... 5 ... 6 ... 7 ... 8 ... 9 ....10... 11 ...12

ANSWER Q8 IF DANCE ACTIVITIES WERE TAUGHT IN THIS CLASS (Q3E IS “YES”).

OTHERWISE, SKIP TO Q9.

SHOW CARD 5

The next questions are about the amount of time spent on dance activities. Please include any
time you spent on lead-up skills, skills specific to the activity, or modified versions
of the activity.

8. How many contact hours did your students spend in this class on…
Number of Hours
a. Folk or multicultural dances?.......... 0 ... 1 ... 2 ... 3 ... 4 ... 5 ... 6 ... 7 ... 8 ... 9 ....10... 11 ...12
b. Performing art dances, such as
ballet, jazz, tap, or modern
dances? ............................................ 0 ... 1 ... 2 ... 3 ... 4 ... 5 ... 6 ... 7 ... 8 ... 9 ....10... 11 ...12
c. Social dances, such as ballroom
dances, line dances, hip hop,
or party dances? .............................. 0 ... 1 ... 2 ... 3 ... 4 ... 5 ... 6 ... 7 ... 8 ... 9 ....10... 11 ...12
d. Square dances? ................................ 0 ... 1 ... 2 ... 3 ... 4 ... 5 ... 6 ... 7 ... 8 ... 9 ....10... 11 ...12

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 Physical Activities

9. During a typical class period, how many minutes did you provide for students to…
Minutes
a. Change clothes before class? .................................................. _____
b. Have roll taken, listen to announcements, and
participate in other administrative tasks while
not being physically active? ...................................................._____
c. Do warm-up activities? ........................................................... _____
d. Receive instruction through lecture or demonstration? .......... _____
e. Do skills drills? ....................................................................... _____
f. Participate in games, sports, or dance? ................................... _____
g. Do cool-down activities? ........................................................ _____
h. Shower or change clothes after activities? .............................. _____

SHOW CARD 6

This card lists topics that are taught in physical education. As I read the list of topics on the card,
please tell me if you taught about each one in the class. By “teach,” I mean some advanced
planning on your part was involved; the subject was not just brought up in class.

10. Did you teach about…

Yes No
a. The difference between physical activity, exercise,
and fitness?..................................................................................1 .....................2 Comment [Help3]: Physical activity is any
bodily movement produced by skeletal muscle.
b. The difference between moderate and vigorous Exercise is planned structured activity for the
physical activity? ........................................................................ 1 .....................2 purpose of improving physical fitness. Fitness is the
body’s ability to function efficiently and effectively.
c. The physical, psychological, or social benefits
of physical activity? ....................................................................1 .....................2
d. The role of physical activity in reducing risk for chronic
diseases, such as diabetes, heart disease, or osteoporosis? .........1 .....................2
e. Health-related fitness, that is, cardiovascular endurance,
muscular endurance, muscular strength, flexibility,
and body composition? ...............................................................1 .....................2
f. Skill-related fitness, that is, agility, power, balance, speed,
and coordination? ........................................................................ 1 .....................2
g. Phases of an exercise session, that is warm-up, workout,
and cool down? ...........................................................................1 .....................2
h. How much physical activity is enough, that is, determining
frequency, intensity, duration, and type of physical activity? .... 1 .....................2

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 Physical Activities

(Q10 continued)
Yes No
i. Mechanics of movement, such as the role of muscles
in movement, force absorption, or throwing mechanisms? ........1 .....................2
j. Setting personal goals for physical activity participation? .........1 .....................2

ANSWER K AND L FOR MIDDLE AND HIGH SCHOOL ONLY.

OTHERWISE, SKIP TO M.

k. Developing an individualized physical activity plan? ................1 .....................2

l. Monitoring progress toward reaching goals in
an individualized physical activity plan? ....................................1 .....................2
m. Identifying and overcoming barriers to physical activity? .........1 .....................2
n. Opportunities for physical activity in the community?............... 1 .....................2
o. How to find valid information, services, or products
related to physical activity and fitness? ......................................1 .....................2
p. Balancing food intake and physical activity to maintain
a healthy weight? ........................................................................1 .....................2
q. The importance of healthy eating? ..............................................1 .....................2
r. Preventing injury during physical activity? ................................1 .....................2
s. Weather-related safety, for example avoiding heat stroke,
hypothermia, and sunburn while physically active? ................... 1 .....................2
t. Dangers of using performance-enhancing drugs
and supplements, such as steroids? .............................................1 .....................2

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 Physical Activities

Comment [Help4]: By "use,” I mean, any use

11. When planning to teach or teaching the class, did you use… including planning, teaching, or giving materials to
students.
Yes No
a. Any state-developed curricula or standards for Comment [Help5]: By “curricula,” I mean a
detailed set of lesson plans, learning activities,
physical education? .....................................................................1 .....................2 instructional strategies, and materials to facilitate
student learning and teaching of content.
b. Any district-developed curricula or standards for
Comment [Help6]: Standards might cover
physical education? .....................................................................1 .....................2 student expectations and performance outcomes for
c. Any school-developed curricula or standards for physical education.

physical education? .....................................................................1 .....................2 Comment [Help7]: By “curricula,” I mean a

detailed set of lesson plans, learning activities,
d. Internet resources, such as PE Central or NASPE’s instructional strategies, and materials to facilitate
student learning and teaching of content.
Teacher’s Toolbox? ....................................................................1 .....................2
Comment [Help8]: Standards might cover
e. Any commercially developed curricula? .................................... 1 .....................2 student expectations and performance outcomes for
physical education.
f. A commercially developed student textbook? ............................1 .....................2
Comment [Help9]: By “curricula,” I mean a
g. A commercially developed teacher's guide? ...............................1 .....................2 detailed set of lesson plans, learning activities,
instructional strategies, and materials to facilitate
h. Physical education student performance assessment student learning and teaching of content.
materials? ....................................................................................1 .....................2 Comment [Help10]: Standards might cover
i. Any materials from health organizations, such as student expectations and performance outcomes for
physical education.
the American Heart Association or the American
Comment [Help11]: NASPE is the National
Cancer Society? ..........................................................................1 .....................2 Association for Sport and Physical Education.
j. Any materials from the President’s Council on Fitness, Comment [Help12]: By "commercially-
Sports and Nutrition, such as the Presidential Youth developed curriculum", I mean a curriculum that was
not developed by the state, district, or school.
Fitness Program (PYFP)? ...........................................................1 .....................2 Comment [Help13]: By "commercially-
developed student textbook", I mean a textbook that
was not developed by the state, district, or school.
12. When preparing lessons for a physical education class, what percent of time do you
typically allocate for students to be physically active? Comment [Help14]: By "commercially-
developed teacher’s guide", I mean a guide that was
not developed by the state, district, or school.
0% to 24%................................................................1
25% to 49%..............................................................2
50% to 74%..............................................................3
75% to 100%............................................................4

Physical Education and Activity Classroom Questionnaire—Public Use Version 9

Teaching and Evaluation Techniques

Now, I would like to ask a few more general questions about the class. Please remember to
answer these questions about this class only.

IF ONLINE COURSE, SKIP TO THE INTRODUCTION TO Q15.

SHOW CARD 7

13. When teaching the class, how often did you…

Almost
Some- Always or
Never Rarely times Always N/A
a. Practice active supervision, that is,
observing, listening to students,
anticipating and effectively responding
to unsafe situations, and discouraging
pushing and bullying? ................................. 1 ..............2.............. 3 ..............4
b. Call students by name? ............................... 1 ..............2.............. 3 ..............4
c. Engage in physical activity with
students?...................................................... 1 ..............2.............. 3 ..............4
d. Select team captains? .................................. 1 ..............2.............. 3 ..............4
e. Have team captains choose team
members? .................................................... 1 ..............2.............. 3 ..............4
f. Encourage prosocial behaviors, that is,
cooperation, conflict resolution, and
helping others? ............................................ 1 ..............2.............. 3 ..............4
g. Organize games that eliminated
students?...................................................... 1 ..............2.............. 3 ..............4
h. Use protective clothing and safety gear
that is appropriate to child’s size and
in good shape?............................................. 1 ..............2.............. 3 ..............4................5
i. Have many students stand in line or
on the sidelines watching others and
waiting for a turn? ....................................... 1 ..............2.............. 3 ..............4
j. Use safe, age-appropriate equipment? ........ 1 ..............2.............. 3 ..............4
k. Organize activities in which fewer than
half of the students were physically
active at the same time? .............................. 1 ..............2.............. 3 ..............4
l. Minimize exposure to sun, smog, and
extreme temperatures? ................................ 1 ..............2.............. 3 ..............4

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 Teaching and Evaluation Techniques

(Q13 continued)
Almost
Some- Always or
Never Rarely times Always N/A
m. Allow highly skilled students to
dominate activities and games? .................. 1 ..............2.............. 3 ..............4
n. Offer activities that take into account
gender and cultural differences in
students’ interests? ...................................... 1 ..............2.............. 3 ..............4
o. Provide students with options for
performing physical activities at
varying skill levels? .................................... 1 ..............2.............. 3 ..............4
p. Use infection control practices for
handling blood and other bodily fluids? ..... 1 ..............2.............. 3 ..............4................5

14. When teaching the class, how often did you…

Almost
Some- Always or
Never Rarely times Always
a. Use alternative or modified rules for
traditional games to keep students
active (e.g., have all students run
bases in softball)?........................................... 1 .................. 2 .................. 3 .................. 4
b. Use smaller numbers of students per
team and more teams for traditional
sports games? ................................................. 1 .................. 2 .................. 3 .................. 4
c. Ensure all students have a piece of
physical activity or fitness equipment? .......... 1 .................. 2 .................. 3 .................. 4
d. Keep students active when checking
attendance?..................................................... 1 .................. 2 .................. 3 .................. 4

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 Teaching and Evaluation Techniques

SHOW CARD 8

The next questions ask about the use of various teaching methods.

15. How often did you use…

Some-
Never Rarely times Often
a. Competitive group activities? ........................ 1 .................. 2 .................. 3 .................. 4
b. Cooperative group activities? ........................ 1 .................. 2 .................. 3 .................. 4
c. Skills drills? ................................................... 1 .................. 2 .................. 3 .................. 4
d. Physical activity or fitness stations? .............. 1 .................. 2 .................. 3 .................. 4 Comment [Help15]: Physical activity or fitness
stations are designated areas for students to learn and
e. Pledges or contracts for behavior change?..... 1 .................. 2 .................. 3 .................. 4 participate in a variety of physical activities. There is
typically equipment such as jump ropes for students
f. Guest speakers?.............................................. 1 .................. 2 .................. 3 .................. 4 to use, or signs that include instructions on what type
of physical activity to do. Students move from one
g. Peer teaching? ................................................ 1 .................. 2 .................. 3 .................. 4 station to the next.
h. Heart rate monitors?....................................... 1 .................. 2 .................. 3 .................. 4
i. Physical activity monitors, such as
pedometers? ................................................... 1 .................. 2 .................. 3 .................. 4
j. The Internet? .................................................. 1 .................. 2 .................. 3 .................. 4
k. Student physical activity logs or journals? .... 1 .................. 2 .................. 3 .................. 4
l. Field trips as a method of instruction? ........... 1 .................. 2 .................. 3 .................. 4

16. Did you ask students to…

Yes No
a. Perform volunteer work with a local physical activity
program or event, for example Little League or a fun run? ........ 1 .....................2
b. Participate in or attend a community health fair? .......................1 .....................2
c. Gather information about physical activity programs
that are available in the community, for example activities
at clubs or parks? ........................................................................ 1 .....................2

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 Teaching and Evaluation Techniques

17. Did you…

Yes No
a. Provide families of all students in the class with
information on the class? ............................................................ 1 .....................2
b. Give students homework or projects that involve
family members?.........................................................................1 .....................2
c. Invite families of all students in the class to attend
the class? ..................................................................................... 1 .....................2
d. Provide strategies to help students promote physical
activity among family members? ................................................1 .....................2
e. Collect suggestions from students about the class? ....................1 .....................2
f. Collect suggestions from students’ families about
the class? ..................................................................................... 1 .....................2

18. Did you invite your principal or other school administrators to observe the class?
Yes ...........................................................................1
No.............................................................................2

19. In this class, did you give…

Yes No
a. Written tests of students’ knowledge related to
physical education? .....................................................................1 .....................2
b. Skill performance tests related to physical education? ............... 1 .....................2
c. Fitness tests? ............................................................................... 1 .....................2

ANSWER Q20–Q25 IF YOU GAVE FITNESS TESTS IN THIS CLASS (Q19C IS “YES”).
OTHERWISE, SKIP TO THE INSTRUCTIONS BEFORE Q26.

20. How many times did you give fitness tests in this class?
Once .........................................................................1
Twice .......................................................................2
Three or more times .................................................3

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 Teaching and Evaluation Techniques

SHOW CARD 9

21. What fitness tests did you use in this class?

MARK ALL THAT APPLY
Fitnessgram, the fitness assessment of the
Presidential Youth Fitness Program .....................1
The Physical Fitness Test, from the
President’s Challenge ...........................................2
Other (Specify) ........................................................3

22. Did you schedule time during class periods for the students in this class to practice for the
fitness tests?
Yes ...........................................................................1
No.............................................................................2

23. Did you compare these students’ fitness test scores with…
Yes No
a. National, state, or local criterion referenced standards?
By this I mean students’ fitness test scores that are
considered to be consistent with good health for their
age and gender. ........................................................................... 1 .....................2
b. National, state, or local normative standards?
By this I mean fitness test scores of students relative to the
performance of children in a reference group. The reference
group may be one from national, state, or local samples,
including those of other students in the class.............................. 1 ..................... 2
c. The students’ prior fitness test scores? .......................................1 .....................2
d. The students’ fitness goals? ........................................................ 1 .....................2

24. Did you provide students with an explanation of what their fitness test scores meant?
Yes ...........................................................................1
No.............................................................................2

25. Did you share the students’ fitness test scores with…
Yes No
a. Students’ parents or guardians? .................................................. 1 .....................2
b. The principal or other school administrators? ............................1 .....................2

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 Teaching and Evaluation Techniques

ANSWER Q26 FOR MIDDLE AND HIGH SCHOOL ONLY. OTHERWISE, SKIP TO Q31.

26. Were students required to develop individualized physical activity plans?

Yes ...........................................................................1
No.............................................................................2 SKIP TO Q31

ANSWER Q27 IF YOU GAVE FITNESS TESTS IN THIS CLASS (Q19C IS “YES”).
OTHERWISE, SKIP TO Q28.

27. Did students use their fitness test scores to help develop individualized
physical activity plans?
Yes ...........................................................................1
No.............................................................................2

28. Did you provide students with individual feedback on their physical activity plans?
Yes ...........................................................................1
No.............................................................................2

29. Did you provide students with instruction on how to monitor adherence to their
physical activity plans?
Yes ...........................................................................1
No.............................................................................2

30. Did you require that students’ plans include…

Yes No
a. Physical activity goals? ............................................................... 1 .....................2
b. Fitness goals? .............................................................................. 1 .....................2
c. Specific rewards for meeting goals? ...........................................1 .....................2
d. Scheduled times for engaging in physical activity? .................... 1 .....................2
e. A process for assessing progress toward goals,
such as self-monitoring or self-management? ............................ 1 ..................... 2
f. Identification of barriers to physical activity and
strategies to overcome them? ...................................................... 1 .....................2

31. Did you require that students keep a log of the physical activities they engaged in outside
of the class?
Yes ...........................................................................1
No.............................................................................2

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 Teaching and Evaluation Techniques

SHOW CARD 10

As I read the list of assessment criteria on this card, please tell me if you used them to assess
your students in physical education.

32. Did you assess students based on…

Yes No
a. Attendance?.................................................................................1 .....................2
b. Wearing appropriate clothing for physical activity?...................1 ..................... 2
c. Level of participation? ................................................................1 .....................2
d. Attitude?......................................................................................1 .....................2
e. Knowledge tests? ........................................................................1 .....................2
f. Movement skills performance tests?...........................................1 .....................2
g. Level of physical activity outside of physical education
class, as measured by physical activity logs, pedometers,
or other measures? ......................................................................1 .....................2

ANSWER H IF YOU GAVE FITNESS TESTS IN THIS CLASS (Q19C IS “YES”).

OTHERWISE, SKIP TO THE INSTRUCTIONS BEFORE Q33.

h. Physical fitness test scores? ........................................................1 .....................2

ANSWER Q33 IF YOU REQUIRED STUDENTS TO DEVELOP INDIVIDUALIZED

PHYSICAL ACTIVITY PLANS IN THIS CLASS (Q26 IS “YES”). OTHERWISE, SKIP TO
THE INTRODUCTION TO Q34.

33. Did you assess students based on the quality of their individualized physical activity plans?
Yes ...........................................................................1
No.............................................................................2

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Students with Disabilities

My next questions ask about teaching students with long-term physical, medical, or cognitive
disabilities, such as Down syndrome or conditions that require permanent use of a wheelchair.
Comment [Help16]: By "long-term," I mean
ongoing, not a temporary disability like a broken
34. Were there any students with long-term physical, medical, or cognitive disabilities bone.
in the class?
Yes ...........................................................................1
No.............................................................................2 SKIP TO THE
INTRODUCTION TO Q37

35. Was there…

Yes No
a. An adapted physical education teacher or specialist
who taught students with disabilities? ........................................ 1 .....................2
b. A special education teacher with whom you coordinated
activities for students with disabilities? ...................................... 1 .....................2
c. A physical or occupational therapist who came in to assist
students with disabilities? ........................................................... 1 .....................2
d. A teacher or aide who came in to assist students
with disabilities? ......................................................................... 1 .....................2

36. In teaching these students, did you use…

Yes No
a. Simplified instructional content or variations in the
amount or difficulty of material taught? ..................................... 1 .....................2
b. More skill modeling, practice, or repetition? .............................. 1 .....................2
c. Modified equipment or facilities? ............................................... 1 .....................2
d. Modified instructional strategies? ...............................................1 .....................2
e. Modified assessment? ................................................................. 1 .....................2
f. Peer teaching or coaching? ......................................................... 1 .....................2

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Respondent Background

My last set of questions asks about your teaching experience and educational background.

37. Counting this year as a full year and including years spent teaching physical education at
any other schools, how many years of experience do you have teaching physical education?
_____ Years

IF THIS IS AN ONLINE PHYSICAL EDUCATION CLASS, SKIP TO Q39.

38. Have you ever taught an online or distance physical education class for any of
grades K–12?
Yes ...........................................................................1
No.............................................................................2

39. Do you coach an interscholastic sport?

Yes ...........................................................................1
No.............................................................................2

40. Do you have an undergraduate degree?

Yes ...........................................................................1
No.............................................................................2 SKIP TO Q46

41. What did you major in?

MARK ALL THAT APPLY
Physical education ...................................................1
Health education ......................................................2
Other education ........................................................3
Kinesiology, exercise physiology,
or exercise science ................................................4
Other (Specify) ........................................................5

42. Did you have an undergraduate minor?

Yes ...........................................................................1
No.............................................................................2 SKIP TO Q44

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 Respondent Background

43. What did you minor in?

MARK ALL THAT APPLY
Physical education ...................................................1
Health education ......................................................2
Other education ........................................................3
Kinesiology, exercise physiology,
or exercise science ................................................4
Other (Specify) ........................................................5

44. Do you have a graduate degree?

Yes ...........................................................................1
No.............................................................................2 SKIP TO Q46

45. In what area or areas was your graduate work?

MARK ALL THAT APPLY
Physical education ...................................................1
Health education ......................................................2
Other education ........................................................3
Kinesiology, exercise physiology,
or exercise science ................................................4
Other (Specify) ........................................................5

46. Currently, are you certified, endorsed, or licensed by the state to teach physical
education in…
State does not
offer certification,
licensure, or
endorsement
to teach physical
education
Yes No at this level
a. Elementary school? .............................................1......................2......................3
b. Middle school? ....................................................1......................2......................3
c. High school? .......................................................1......................2......................3

Physical Education and Activity Classroom Questionnaire—Public Use Version 19

 Respondent Background

My next questions are about professional development, which might include workshops,
conferences, continuing education, graduate courses, or any other kind of in-service.

SHOW CARD 11

As I read the list of topics on this card, please tell me if you received any professional
development on each one during the past two years.

47. During the past two years, did you receive any professional development on…
Yes No
a. Methods to increase the amount of class time students
are engaged in moderate-to-vigorous physical activity? ............1 ..................... 2
b. Methods to promote gender equity in physical education
and sports? ..................................................................................1 .....................2
c. Using technology such as computers or video cameras
for physical education? ...............................................................1 ..................... 2
d. Using physical activity monitoring devices, such as
pedometers or heart rate monitors for physical education? ........ 1 ..................... 2
e. Encouraging family involvement in physical activity? ..............1 ..................... 2
f. Administering or using fitness tests? ..........................................1 .....................2
g. Helping students develop individualized physical
activity plans? .............................................................................1 ..................... 2
h. Injury prevention and first aid? ...................................................1 ..................... 2
i. How to prevent, recognize, and respond to concussions
among students? .......................................................................... 1 .....................2
j. Teaching physical education to students with long-term Comment [Help17]: By "long-term," I mean
ongoing, not a temporary disability like a broken
physical, medical, or cognitive disabilities? ...............................1 .....................2 bone.

k. Teaching individual or paired activities or sports? ..................... 1 .....................2

l. Teaching team or group activities or sports? .............................. 1 .....................2
m. Teaching movement skills and concepts? ................................... 1 ..................... 2
n. Assessing or evaluating student performance in
physical education? ..................................................................... 1 .....................2
o. Developing and using student portfolios for
physical education? ..................................................................... 1 .....................2
p. Teaching methods to promote inclusion and active
participation of overweight and obese children during
physical education? ..................................................................... 1 .....................2

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 Respondent Background

(Q47 continued)
Yes No
q. Chronic health conditions, for example asthma or
diabetes, including recognizing and responding to
severe symptoms or reducing triggers?....................................... 1 ..................... 2
r. Methods for developing, implementing, and evaluating
physical activity clubs or intramural sports programs? .............. 1 ..................... 2
s. Developing, implementing, and evaluating a comprehensive
school physical activity program? ..............................................1 .....................2 Comment [Help18]: A comprehensive school
physical activity program (CSPAP) encompasses
t. Establishing walking or biking to school programs? .................. 1 ..................... 2 physical activity programming before, during, and
after the school day and should include quality
u. Assessing student weight status using body mass index, physical education; school-based physical activity
skinfolds, or bioelectric impedance?........................................... 1 ..................... 2 opportunities (e.g., recess, classroom-based physical
activity); physical activity clubs or intramural sports;
v. Aligning physical education standards to curriculum, and interscholastic sports.
instruction, or student assessment? ............................................. 1 ..................... 2 Comment [Help19]: Bioelectric impedance
estimates body composition using a portable device.
w. Teaching online or distance education courses? .........................1 ..................... 2 One such device resembles a bathroom scale;
another device requires students to squeeze handles
x. Helping classroom teachers integrate physical activity on a handgrip while extending their arms.
into their classrooms? ................................................................. 1 ..................... 2

SHOW CARD 12

48. Which of these topics would you like to receive further professional development on?
MARK ALL THAT APPLY
Methods to increase the amount of class time
students are engaged in moderate-to-vigorous
physical activity ....................................................1
Methods to promote gender equity in physical
education and sports .............................................2
Using technology such as computers or video
cameras for physical education.............................3
Using physical activity monitoring devices,
such as pedometers or heart rate monitors
for physical education ...........................................4
Encouraging family involvement
in physical activity ................................................5
Administering or using fitness tests .........................6
Helping students develop individualized
physical activity plans...........................................7
Injury prevention and first aid .................................8

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 Respondent Background

(Q48 continued)
How to prevent, recognize, and respond
to concussions among students .............................9
Teaching physical education to students
with long-term physical, medical, Comment [Help20]: By “long-term,” I mean
ongoing, not a temporary disability like a broken
or cognitive disabilities .......................................10 bone.
Teaching individual or paired activities
or sports ..............................................................11
Teaching team or group activities or sports ...........12
Teaching movement skills and concepts ...............13
Assessing or evaluating student performance
in physical education ..........................................14
Developing and using student portfolios
for physical education .........................................15
Teaching methods to promote inclusion
and active participation of overweight and
obese children during physical education ...........16
Chronic health conditions, for example
asthma or diabetes, including recognizing
and responding to severe symptoms or
reducing triggers .................................................17
Methods for developing, implementing,
and evaluating physical activity clubs or
intramural sports programs .................................18
Developing, implementing, and evaluating
a comprehensive school physical
activity program ..................................................19 Comment [Help21]: A comprehensive school
physical activity program (CSPAP) encompasses
Establishing walking or biking to physical activity programming before, during, and
school programs ..................................................20 after the school day and should include quality
physical education; school-based physical activity
Assessing student weight status using opportunities (e.g., recess, classroom-based physical
activity); physical activity clubs or intramural sports;
body mass index, skinfolds, and interscholastic sports.
or bioelectric impedance .....................................21 Comment [Help22]: Bioelectric impedance
Aligning physical education standards estimates body composition using a portable device.
One such device resembles a bathroom scale;
to curriculum, instruction, or student another device requires students to squeeze handles
assessment...........................................................22 on a handgrip while extending their arms.

Teaching online or distance education

courses ................................................................23
Helping classroom teachers integrate
physical activity into their classrooms................24
None of these .........................................................25

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 Respondent Background

49. My supervisor may wish to call you to ask about how I conducted this interview.
Would you please tell me a telephone number where we might reach you starting with the
area code?
( ) -
1) Daytime or
2) Evening/Weekend

Thank you very much for taking the time to complete this interview.

Physical Education and Activity Classroom Questionnaire—Public Use Version 23