Worldwide

HIGH SCHOOL EXIT SURVEY

Information About Me
INSTRUCTIONS: This survey contains a series of items about you, your experiences during high school, and
your future plans. Please try to respond to each item honestly, as your opinions are valuable to us. If you cannot
respond to an item, mark "Not Applicable" or leave it blank. The information you provide on this survey will be
kept completely confidential. Thank you in advance for your time and responses.
PLEASE USE NO. 2 PENCIL
Please use a pencil to fill in the circles
Name of School:
6. The overall value of education at my high school
7. English language arts classes
8. Mathematics classes
9. Science classes
10. Social science classes
11. Foreign language classes
12. Visual and performing arts classes such as art, music, drama
13. Physical education classes
14. Technical or vocational classes
15. Preparation for education after high school
16. Preparation for employment
Please rate the value of your high school education in the following areas:
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PRINTED 08-2007 TRH01 OVER 1
Extra Help
1. Special education or IEP
2. Basic academic skills
3. English as a second language learner (ESL or ELL)
4. Other
I received extra help during high school with:
Yes No
Yes No
Yes No
Yes No
School-sponsored Activities
5. During my years at this school,
I participated in after-school
activities:
Yes No
Value of My Education
17. The length of time I need to graduate from high school
is: (choose one)
Four years
Less than four years
More than four years
I have doubts that I will
finish high school
Graduation Pace Program of Study
18. The program of study I followed in high school
was: (choose one)
College preparation
General education
Technical or vocational education
Don't know
My gender:
Male Female
My ethnic background: (choose one)
African-American
Asian/Pacific Islander
Hispanic
Multi-Racial
Native American
The grade that I first entered this
high school: (choose one)
9th Grade
10th Grade
11th Grade
12th Grade
For School Use Only -
Do not mark unless told to do so.
White
Other
The year I am attending 12th grade:
(choose one)
2007-2008
2008-2009
2009-2010
2010-2011
2011-2012
The number of hours per week I worked
outside of school to earn income during
this past school year was:
Did not work or worked occasionally
Worked less than 20 hours per week
Worked 20 or more hours per week
A Survey for 12th Grade Students
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E G F P VP
E G F P VP
E G F P VP
E G F P VP
E G F P VP
E G F P VP
E G F P VP
E G F P VP
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NA
NA
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NA
NA
NA
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E G F P VP
NA
NA
A
B

19. Classes required for graduation
20. Challenging classes in a subject area
21. Elective classes
22. Classes to gain work experience
23. After-school activities that matched my interest
Please rate the level of opportunities provided by your high school:
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2
Opportunities Provided by My High School
29. My grades in high school are generally: (choose one)
A's A's and B's B's B's and C's C's C's and D's D's
24. Advice and counseling that made me aware of appropriate careers
25. Advice and counseling that gave me support for my personal needs
26. Advice and counseling that made me aware of my strengths and limitations
27. Selecting and applying to a college or university after high school
28. Choosing a major area of study in my education after high school
Please rate the level of support you received in high school:
High School Advice and Counseling
Grades
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30. Overall academic skills
31. English language arts
32. Reading
33. Writing
34. Mathematics
35. Science
36. Social science
Please rate the level of skills you developed at high school in the following areas:
Academic Skills
N
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48. My future career goal is: (choose one, or leave blank if undecided)
Science and Technology, Professional, such as medical doctor, chemist, systems analyst
Science and Technology, Skilled, such as computer programmer, lab technician
Consumer Economics/Home Economics, such as dietitian, chef, baker, merchandiser
Business, Professional, such as accountant, attorney, manager
Career
Business, Skilled, such as salesperson, customer service, retailer, clerical
Communication, such as copywriter, librarian, paralegal, announcer
Arts, Professional, such as actor, jeweler, interior designer
Arts, Skilled, such as graphic designer, photographer, floral designer
Service, Professional, such as teacher, social worker, nurse, recreational director
Service, Skilled, such as police, firefighter, mail carrier, military
37. Problem solving
38. Making good decisions
39. Technology, such as using computers
40. Practicing good citizenship
41. Time management
42. Making healthy lifestyle choices
43. Career awareness
44. Teamwork
45. Employability
Please rate the level of ability
you developed at high school
in the following areas:
Abilities
46. Immediately after I leave high school, I plan to: (choose one)
Enter a GED program
Enter a local community college intending to transfer to a four-year college
Enter a local community college and work toward a degree
Enter a technical or vocational school
Enter a program that offers a specialized certificate
Enter a four-year college or university
Enter the military
Become employed full-time
Become a homemaker
Other
47. The highest degree that I would like to complete is: (choose one)
No plans for further education
A high school diploma or equivalent (GED)
Academic Degrees
Some college-level courses
A specialized certificate from a technical or vocational school
After High School
An associate's degree
A bachelor's degree
A master's degree
A doctorate or other professional degree
3 OVER
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VP
VP
VP
VP
VP
V
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P
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E G F P NA
E G F P NA
E G F P NA
VP
VP
VP
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4
Additional School-specific Items
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OFFICE USE ONLY
49. What I liked most about my high school:
Open-ended Items
Please PRINT a brief response to each of the following statements. (Use a separate sheet if more space is needed)
50. What I liked least about my high school:
51. My high school could better prepare students for their future by:
A D B C E H F G J I
A D B C E H F G J I
A D B C E H F G J I
A D B C E H F G J I
A D B C E H F G J I
A D B C E H F G J I
A D B C E H F G J I
A D B C E H F G J I
A D B C E H F G J I
A D B C E H F G J I
If you have been provided with additional items, please respond in this area.
52.
53.
54.
55.
56.
57.
58.
59.
60.
61.