3.1 Data Gathering Instrument

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TeacherBurnoutSurvey_M-GoogleForms1.docx

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Teacher Burnout Survey

* Required

1. I currently teach at the ________ level. * Mark only one oval.

Elementary

Middle

High

2. I currently have ________ years of experience. Mark only one oval.

0­5 years

6­10 years

11­15 years

16­20 years

20+ years

3. I am _______.

Mark only one oval.

Male

Female

Other:

4. 1. Overall, I am completely satisfied with my position of being a teacher. * Mark only one oval.

1 2 3 4 5

Strongly Disagree

Strongly Agree

5. 2. If I had to do it over again, I would choose teaching as my career. * Mark only one oval.

1 2 3 4 5

Strongly Disagree

Strongly Agree

6 3. In teaching, I am often expected to do tasks that I feel are unreasonable. * Mark only one oval.

1 2 3 4 5

Strongly Disagree Strongly Agree

7 4. The expectations for lesson planning and preparation are difficult to meet. * Mark only one oval.

1 2 3 4 5

Strongly Disagree

Strongly Agree

8. 5. I have enough time to complete all of my expected tasks. * Mark only one oval.

1 2 3 4 5

Strongly Disagree

Strongly Agree

9. 6. The lack of time related to planning and preparation is NOT a potential burnout area for me.

*

Mark only one oval.

Strongly Agree

Strongly Disagree

1 2 3 4 5

Strongly Agree

Strongly Disagree

10. 7. The expectations set forth by the state for evaluations are reachable. * Mark only one oval.

1 2 3 4 5

Strongly Disagree

Strongly Agree

11. 8. I often feel stressed in trying to meet the expectations for evaluations. * Mark only one oval.

1 2 3 4 5

Strongly Disagree

Strongly Agree

12. 9. The expectations for evaluations is NOT a potential burnout area for me. * Mark only one oval.

1 2 3 4 5

13 10. The expectations set forth by the state for standardized testing are reachable. * Mark only one oval.

1 2 3 4 5

Strongly Disagree Strongly Agree

14 11. I often feel stressed in trying to meet the expectations for state standardized testing. * Mark only one oval.

1 2 3 4 5

Strongly Disagree

Strongly Agree

15. 12. The requirements of state standardized is NOT a potential burnout area for me. * Mark only one oval.

1 2 3 4 5

Strongly Agree

Strongly Disagree

16. 13. There is adequate time spent trying to ensure proficiency in in math and reading. * Mark only one oval.

1 2 3 4 5

Strongly Disagree

Strongly Agree

17. 14. It is difficult to meet the demands of proficiency in math and reading. * Mark only one oval.

1 2 3 4 5

Strongly Disagree

Strongly Agree

18. 15. The expectations for student performance is NOT a potential burnout area for me. * Mark only one oval.

1 2 3 4 5

Strongly Agree

Strongly Disagree

19. 16. I have control over the curriculum that I teach. * Mark only one oval.

1 2 3 4 5

Strongly Disagree

Strongly Agree

20 17. I am frustrated with the amount of control I have over the curriculum I teach. * Mark only one oval.

1 2 3 4 5

Strongly Disagree Strongly Agree

21 18. The freedom I have over the curriculum I teach is NOT a potential burnout area for me. * Mark only one oval.

1 2 3 4 5

Strongly Agree

Strongly Disgree

22. 19. I have strong relationships with the parents or guardians of my students. * Mark only one oval.

1 2 3 4 5

Strongly Disagree

Strongly Agree

23. 20. The parents of my students have high involvement in their child’s education. * Mark only one oval.

Strongly Disagree

Strongly Agree

1 2 3 4 5

Strongly Disagree

Strongly Agree

24. 21. I am frustrated with the level of involvement my students’ parents have in their child’s education. * Mark only one oval.

1 2 3 4 5

Strongly Disagree

Strongly Agree

25. 22. I am expected to use technology in my lessons. * Mark only one oval.

1 2 3 4 5

Strongly Disagree

Strongly Agree

26. 23. I receive adequate support for technology integration in my classroom. * Mark only one oval.

1 2 3 4 5

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27 24. I am frustrated with the expectations of technology integration. * Mark only one oval.

1 2 3 4 5

Strongly Disagree Strongly Agree

28. 25. Technology integration is NOT a potential burnout area for me. * Mark only one oval.

1 2 3 4 5

Strongly Agree

Strongly Disagree

29. 26. In my position, I am expected to do too many extra tasks (i.e. bus duty, lunchroom duty, extra meetings, after school supervision). * Mark only one oval.

1 2 3 4 5

Strongly Disagree

Strongly Agree

Strongly Disagree

Strongly Agree

30. 27. The extra tasks (i.e. bus duty, lunchroom duty, extra meetings, after school supervision) I am expected to do lead to disgust for me. * Mark only one oval.

1 2 3 4 5

Strongly Disagree

Strongly Agree

31. 28. The extra tasks (i.e. bus duty, lunchroom duty, extra meetings, after school supervision) I am expected to do is NOT a potential burnout area for me. * Mark only one oval.

1 2 3 4 5

Strongly Agree

Strongly Disagree

32. 29. There are other areas not listed in this survey that are potential burnout or burnout areas for me. *

Mark only one oval.

1 2 3 4 5

33 30. I feel burned out in my profession. * Mark only one oval.

1 2 3 4 5

Strongly Disagree Strongly Agree

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