Programme for International Student Assessment (PISA) for Development
PISA School Questionnaire
Which of the following definitions best describes the community in which your school is located?  (Please tick only one box.) *
Required
Which of the following levels of education does your school provide? (Please select all that apply.) *
Required
As of September 1, 2016, what was the total school enrolment(number of students)? (Please write a number for boys, for girls. Write “0” (zero) if there are none.) *
How many full-time and part-time teachers are on the staffof your school?A full-time teacher is employed at least 90% of the time as a teacher for the full school year. All other teachers should be considered part-time. (Please write a number in each space provided. Write “0” (zero) if there are none.)
Full-time teachers in TOTAL *
Part-time teachers in TOTAL *
What is the average size of classes for 15-year-olds in your school? (Please tick only one box.) *
Required
Is your school a public or a private school? *
Required
What kind of organisation runs your school?
About what percentage of your total funding for a typicalschool year comes from the following sources?(Please write a number on each line. Write “0” (zero) if no funding comes from that source.)
Government (includes departments, local, regional, state and national) *
Student fees or school charges paid by parents *
Benefactors, donations, bequests, sponsorships, parent fundraising *
Other
In which of the following type of building is your school located? *
Required
Is your school located near one of the following ? (Please tick one box in each row.) *
Yes
No
Highway or Freeway
Busy roads or intersections
A neighbourhood with a high rate of crime
A dump or waste land
A geologically unstable area
An industrial district
Factories
Does your school have the following features, and if so, in what condition are they? (Please tick one box in each row.) *
No, Not available
Yes, but in poor condition
Yes, but in need of minor repairs
Yes, in good condition
Roofs
Walls
Floors
Building entrance
Doors
Windows
Hallways
Classrooms
Does your school have the following features, and if so, in what condition are they? (Please tick one box in each row.) *
No, not available
Yes, but in poor condition
Yes, but in need of minor repairs
Yes, in good condition
Flush toilets
Other types of toilets (e.g. latrines, squat holes, pit toilets)
Kitchen
Place with drinkable water
Running water
Electricity
Indoor plumbing
First aid room
Immunization or health care room
Cafeteria
Sports area or playground
Fence or hedge on the school borders
Access ramp
Fans
Lights
Regarding toilets for students and staff, does your school have the following? (Please tick one box in each row.) *
No, not available or inaccessible
Yes, but in poor condition
Yes, but in need of minor repairs
Yes, in good condition
Separate toilets for girls and boys
Separate toilets for school staff and students
Do students in your school have textbooks for instruction in english language? *
Required
Do students in your school have textbooks for mathematics instruction? *
Required
Are the following meals or snacks offered in your school? (Please tick one box in each row.) *
Yes, Free for all students
Yes, Free for some students
Yes, for a fee
No, not offered
Breakfast
Lunch
Dinner
Do the following statements regarding students’ meals apply to your school? (Please tick one box in each row.) *
Yes
No
Our school provides free meals for all students.
Our school provides free meals for students of certain grades.
Our school provides free meals only for students in need.
Our school provides meals to students for a charge.
Do community members or organizations contribute to the school by doing the following?(Please tick one box in each row.) *
Yes
No
Build school facilities such as classrooms or teacher houses.
Maintain school facilities such as classrooms or teachers’ houses.
Maintain school grounds and fences or hedges around them.
Construct, maintain or repair furniture or equipment.
Teach when teachers are absent.
Assist teachers in addressing the needs of students with disabilities.
Organise sport activities or school trips.
Assist with preparation and distribution of school meals
Do parents or parental organizations contribute to the school by doing the following? (Please tick one box in each row.) *
Yes
No
Build school facilities such as classrooms or teacher houses.
Maintain school facilities such as classrooms or teachers’ houses.
Maintain school grounds and fences or hedges around them.
Construct, maintain or repair furniture or equipment.
Teach when teachers are absent.
Assist teachers in addressing the needs of students with disabilities.
Organise sport activities or school trips.
Assist with preparation and distribution of school meals
During the last month of school, how often was the school confronted with the following teacher behaviours? (Please tick one box in each row.) *
Never
Once or twice
Every Week
Arriving late at school
Absenteeism (i.e., unjustified absence)
Skipping classes
Intimidation or bullying of students
Sexual harassment of other teachers
Sexual harassment of students
Use of abusive language
Drug use or possession
Alcohol use or possession
Health problems
Physical aggression against colleagues
Physical aggression against students
On approximately how many instructional days in the last 12 months was your school closed or deviated from the regular curriculum for the following reasons? (Please write a number on each line. Write “0” (zero) if there are none.)
Vacations and holidays *
National or local elections *
Teacher conferences or professional development activities *
School events and activities such as field trips, school dance, sporting events *
Regional or local problems such as weather (e.g. storm, heat) or hazards (e. g. epidemics, fire, floods, or landslides) *
Regional or local demonstrations such as manifestations, strikes, riots, protests or aggressive conflicts *
Safety concerns related to school infrastructural issues *
Safety concerns related to violence or delinquency in the school *
When a teacher is absent for a week or more, how often do you take the following actions in your school? (Please tick one box in each row.) *
Never
Sometimes
Always
Send the pupils home.
Leave the pupils to learn on their own.
Combine the class with another class.
Reallocate pupils to several other classes.
Assign a senior pupil to supervise the class.
Substitute the absent teacher with a parent.
Substitute the absent teacher with a community member.
Substitute the absent teacher with another qualified teacher.
Substitute the absent teacher with a qualified <relief teacher>.
Substitute the absent teacher with an unqualified <relief teacher>.
Substitute the absent teacher with the
Which policies regarding <grade repetition> are implemented in your school? (Please tick one box in each row.) *
Yes
No
Grade repetition is possible on a voluntary basis, i.e. with request or permission from the parents.
If a student fails the minimum achievement standards at the end of the school year, he or she has to repeat the grade.
Individual courses can be repeated without repeating a whole grade.
After repeating grades a certain number of times, students are expected to leave the school.
Grade repetition is prohibited by <state or district> regulations.
Grade repetition is prohibited by school policies.
Which of the following measures are implemented in your school to support students at risk of academic failure? (Please tick one box in each row.) *
Yes
No
Our school has a professional counsellor for students at risk of academic failure.
Our school provides mandatory <remedial courses> during the school year.
Our school offers <remedial courses> during the school year.
Our school offers <remedial courses> during the
Our school offers students <remedial education> while repeating.
Our school has guide teachers assigned to students deemed to be at risk.
How often are the following factors considered when students are admitted to your school?(Please tick one box in each row.) *
Never
Sometimes
Always
Student’s record of academic performance (including placement tests).
Recommendation of feeder schools
Parents’ endorsement of the instructional or religious philosophy of the school
Whether the student requires or is interested in a special programme.
Preference given to family members of current or former students.
Residence in a particular area.
Student’s disciplinary record in this or another school.
Student’s criminal record.
Student’s parental status or pregnancy.
Student’s working status.
Student’s cultural or ethnic background.
Some schools organise instruction differently for students with different abilities.What is your school’s policy about this for students in Grade 9 (Please tick one box in each row.) *
For all subjects
For some subjects
Not for any subjects
Students are grouped by ability into different classes.
Students are grouped by ability within their classes
Row 3
Please estimate the percentage of students in your school who have the following characteristics. (Please consider that students may fall into multiple categories.) (Please tick one box for the estimated percentage in each line.) *
Less than 1%
Between 1 and 5%
Between 6 and 10%
Between 11 and 20%
Between 21 and 30%
More than 30%
Students whose heritage language is different from test language
Students from very poor homes
Students who are orphans
Students who are not living with their parents
Students who are pregnant
Students who have children
Students who have disciplinary problems or show delinquent behaviours
Students who work for formal pay
Students who work informally or for their families
Students with physical disabilities (e.g. serious hearing or sight difficulties, or impaired mobility)
Students with learning disabilities
Think about what happens in your school when students need extra support. To what extent do you agree with the following statements? (Please tick one box in each row.) *
Strongly Disagree
Disagree
Agree
Strongly Agree
Many of the students who are behind should have been held back.
Students who repeat one or more grades will eventually leave school before they graduate.
After students have repeated a grade, they are still unprepared for the next grade.
Students who have repeated a grade learn that they must try harder to succeed.
Teachers should try to teach the curriculum, even to students who do not have the basic reading and numeracy skills.
Students with disabilities should be taught in <special schools>.
We need more special classes for students who lag behind.
Teachers are able to teach classes with students with differing levels of ability
A student should never have to repeat more than one grade.
A student should never have to repeat the same grade twice.
Because students learn at different rates, school programs should be ungraded.
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