Parts A and B

Document Sample
scope of work template
							    APPENDIX B.

SURVEY QUESTIONNAIRE
             ——




                             INSTRUCTIONS


    Thank you for taking the time to complete this questionnaire.
    Directions for filling it out are provided with each question.
    Because not all questions will apply to everyone, you maybe
.   asked to skip certain questions.

       In order to get comparable data, we will be asking you to refer to
       the week of April 15, 1995 (e.g., April 9-15, 1995), when answer-
       ing most questions.

       Follow all “SKIP” instructions AFTER marking a box. If no “SKIP”
       instruction is provided, you should continue to the NEXT question.
                                                                   ,
       Either a pen or pencil maybe used.

       When answering questions that require marking a box, please
       use an “X”.

       If you need to change an answer, please make sure that your
       old answer is either-completely erased or clearly crossed out.

    Thanks again for your help, we really appreciate it.
      PART A - Employment Status
     During the Week of April 15,1995                         A4. Prior to the week of April 15,1995, when did
                                                                           you last work for pay (or profit)?

Al. Were you working for pay (or profit) during                             If never worked for pay (or profit) mark (X) in this
     the week of April 15, 1995? This includes a                            box + u and SKIP to Part D, page 13
     postdoctoral appointment, being self-employed
     or temporarily absent from a job (e.g., illness,                                              Month                  Year
     vacation, or parental leave), even if unpaid.
                                                                            LAST WORKED:           __L_           19_l_
     I•l Yes + SKIP to A 7, page 2

 r   20 N o




A2. (F NO) Did you look for work at any time during
      the four weeks preceding April 15, 1995 (that is,
                                                              A5   q       What kind of work were you doing on this last
      any time between March 19 and April 15, 1995)?
                                                                           job--that is, what was your occupation? please
                                                                           be as specific as possible, including any area of
         I •l Yes
                                                                           specialization.
         20 N o
                                                                           Example: College Professor - Electrical Engineering



A3. What were your reasons for not working
      during the week of April 15?


         Mark (X) all that apply     Year Retired

         1 •l Retired——————+ 19               I

         2 •l On layoff from a job

         3 •l Student

         4 •l Family responsibilities

         5 •l Chronic illness or permanent disability

         6 u Suitable job not available
                                                               A6      s    Using the JOB CATEGORIES LIST (pages
         7 •l Did not need or want to work                                  16-1 7), choose the code that BEST describes
                                                                            the work you were doing on this last job.
         8 u Other - Specify
                                   7                                        CODE
                                                                                            + SKIP to A49, page 8




                                                          1
A7. (IF WORKED DURING WEEK OF APRIL 15TH)                                     Al O. (IF 35 OR MORE HOURS) Although you were
             Counting all jobs held during the week of                               working during the week of April 15, had you
             April 15, 1995, did you USUALLY work . . .                              previously RETIRED from any position?
                                           ——
             I   u A total of 35 or more hours                                        Examples of retirement include mandatory
                                                                                      retirement, early retirement, or voluntary retirement
                        per week * SKIP to A 10




+
 r           2 El Fewer than 35 hours per week
                                                                                     KI
                                                                                     20 N o
                                                                                            Yes-d9      L          Year Retired




                                                                               Please answer the next series of questions for your
A8   m       (IF FEWER THAN 35 HOURS) During the week
                                                                               PRINCIPAL job held during the week of April 15,
             of April 15, did you want to work a full-time
                                                                               1995. A second job, if held, will be covered later.
             work week of 35 or more hours?

                                                                              Al 1 Who was your principal employer during the
                                                                                 q




                                                                                     week of April 15, 1995?
                 10      Yes
             20          No                                                          IF MORE THAN ONE JOB: Record employer
                                                                                     for whom you worked the most hours that week

                                                                                     IF EMPLOYER HAD MORE THAN ONE
                                                                                     LOCATION: Record location where you usually
                                                                                     worked

A9       s       What were your reasons for working a part-                          Employer Name
                 time work week (i.e., less than 35 hours)
                 the week of April 15?
                                                                                     City/Town
                 Mark (X) all that apply                 Year

                 10       Retired or semi-retired~l 9
                                                                                     State/Foreign Country
                 20       Student

                 30       Family responsibilities                                    Zip Code

                 40       Chronic illness or permanent
                          disability        -                   SKIP tt
                                                                 All          A12. Counting all locations where this employer
                 51-J     Suitable full-time work week                               operates, how many people work for your
                          job not available                                          principal employer? Your best estimate is fine.
                                                                                     Mark (X) one                                             .
                 (30      Did not need or want to
                          work full-time                                             I   u Under 10 employees
                          Other - Specify                                            2 u 10-24 employees
                 70
                                            T                                        3 u 25 to 99 employees
                                                                                     4 u 100-499 employees
                                                                                     5 u 500-999 employees
                                                                                     6 u 1,000-4,999 employees
                                                                                     7 u 5,000+ employees


                                                                          2
#-

N 3. Was your principal employer during the week                                 Al 6. What was your faculty rank?
     of April 15 . . .
                                                                                      Mark (X) one
         IF EMPLOYER WAS A SCHOOL: Mark (X) the
                                                                                      I I___J   Not applicable at this institution
         type of organizational chatier (e.g., mark “State
         government” for state schools, most private                                  2 u Not applicable for my position
         schools are ‘private not-for-profit”)
                                                                                      3 u Professor
         Mark (X) one
                                                                                      4 u Associate Professor
         m            A PRIVATE-FOR-PROFIT com any,
                      business or individual, working r wages,
                                                      or
                      salary or commissions ‘                                         5 u Assistant Professor

         ml           A PRIVATE NOT-FOR-PROFIT, tax-exempt,                           6 u Instructor
                      or charitable organization
                                                                                      ~ u Lecturer
         30           SELF-EMPLOYED in own NOT
                      INCORPORATED business, professional
                      practice, or farm                                               8 u Adjunct Faculty

         40           SELF-EMPLOYED in own INCORPORATED                               9 •l Other - Specify
                      business, professional practice, or farm                                                      T

         51’--J       Local GOVERNMENT (city, county, etc.)
         60           State GOVERNMENT
         ml           U.S. military service, active dut or                       Al 7. What was your tenure status?
                                                      b
                      Commissioned Corps (e.g., US HS, NOAA)
                                                                                        Mark (X) one
         80           U.S. GOVERNMENT (civilian employee)
                                                                                        I   •l Not applicable: no tenure system
         90           Other - Specify                                                            at this institution
                                        7
                                                                                       2 •l Not applicable: no tenure system
                                                                                             for my position

A14. Was your principal employer an educational                                         3 •l Tenured
         institution?
                                                                                        4 •l On tenure track but not tenured
         I u Yes
         20 No +SKIPto A18                                                              5 •l Not on tenure track
r
N 5 (IF EDUCATIONAL INSTITUTION) Was this
     q

                                                                                 A18. What kind of work were you doing on your
          educational institution...
                                                                                      principal job held during the week of April 15,
         Mark (X) one                                                                 1995--that is, what was your occupation?
                      A preschool, elementary, or                                     Please be as specific as possible, including any
         ml
                      middle school or system                                         area of specialization.
                                                          SKIP to A 18
                                                  1
         20
         30
                      A secondary school or system
                                                     1
                      A 2-year college, junior college,
                                                                                       Example: College Professor - Electrical engineering


                      or technical institute
                      A 4-year college or university, other
                      than a medical school
                      A medical school (including university-                    A19. Using the JOB CATEGORIES LIST (pages 16-
                      affiliated hospital or medical center)                          17), choose the code that BEST describes the
         60           A university-affiliated research institute                      work you were doing on your principal job
                                                                                      during the week of April 15.
         7’0          Other - Specify
                                        7
                                                                             ,         CODE


                  —

                                                                         3
A20. Did you record job code”1 41” (manager,                                                    A24. Thinking about the relationship between your
        executive, or administrator) in Al 9? -                                                      work and your education, to what extent was
                                                                                                     your work on your principal job held during the
        I       •l       Yes                                                                         week of April 15 related to your first doctoral
                                                                                                     degree awarded in the U. S.? Was it. . .
        2 El No + SKIP to A?~
                                                                                                     Mark (X) one

                                                                                                     1 u Closely related
                                                                                                                         3 SKIP to A27, page t
                                                                                                     2 •l Somewhat related



A21 (/f YES) Did your duties on this job require
    s




        the technical expertise of a bachelor’s degree
        or higher in -
                                                                                                 r
                                                                                                 +
                                                                                                     3 •l Not related



                                                                                                A25. (/F NOT REUTED) Did these factors influence
                                                                                                     your decision to work in an area OUTSIDE THE
        Mark (X) Yes or No for each                                                                  FIELD OF YOUR FIRST U.S. DOCTORAL DEGREE?
                                                                                 .-    =.            Mark (X) Yes or No for each                                                                                Y e s No
                                                                                 Yes   No
                                                                                  11                                                                                                                             11
        1.           Engineering, computer science,                                                  1   q           Pay, promotion opportunities . . . . . . . . ...1 •l 2 •l
                     math or the-natural sciences . . . . . 1020
                                                                                                     2   q           Working conditions (hours,
        2   q        The social sciences . . . . . . . . . . . . . . . . . . .   1020                                equipment, working environment) . . . . I •l 2 •l

                                                                                                     3               Job location . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   1020
        3            Some other field (for example,
                                                                                                         s

            s




                     health or business) - Spec;fy . 10                                20
                                                  1                                                  4   q           Change in career or
                                                                                                                     professional interests . . . . . . . . . . . . . . . . . . . . ...1 u 2 •l

                                                                                                     5m              Family-related reasons
                                                                                                                     (children, spouse’s job moved) . . . . . . . . . I •l 2 •l

                                                                                                     6   s           Job in doctoral degree field
                                                                                                                     not available . . . . . . . ...0 . . . . . . . . . . . . . . . . . . . . . . . . . .       lD   21-J
A22. During what month and year did you start this
        job (that is, your principal job held during                                                 7   q           Other reason - Speci&                                                     ...........      1020
                                                                                                                                                                                  7
        the week of April 15, 1995)?



        JOB                    STARTED                      I 19
                                               Month                         Year
                                                                                                 A26. Which TWO factors in A25 represent your MOST
                                                                                                             important reasons for working in an area outside
                                                                                                             the field of your first U.S. doctoral degree? Enter
                                                                                                             number of appropriate REASONS from A25 above. .
A23. As of the week of April 15, were you licensed or
        certified in your occupation?
                                                                                                             1   s                                 MOST important reason
        Do NOT include academic degrees (e.g., BA,
        MA, PhD)
                                                                                                             2.                                     SECOND MOST important reason
        I       u        Yes                                                                                                                        (Enter “O” if no second most)
        20 N o



                                                                                            4
                                                                                                                                                                                                                                    \
A27. The next question is about your work activities on                                                                 A29. In A28, did you record “2” or “3’C or ‘Q5’- or *C6rq
     your principal job. Which of the following work                                                                            (applied/basic research or development/
     activities occupied 10 percent or more of your time                                                                        design)?
     during a TYPICAL workweek on this job?
      Mark (XJ Yes or No for each
             .                                                                                             Yes No
                                                                                                                               •l
                                                                                                                          r 2 •l Noyes Skip
                                                                                                                                1
                                                                                                                                    =+                                  toA31
                                                                                                            11
       1. Accounting, finance, contracts . . . . . . . . . I u z u
       2 Applied research - study directed
          q




         toward gaining scientific knowledge
         to meet a recognized need . . . . . . . . . . . . . ..l •l 2 •l                                                A30. (/F YES) In what field was your research-related
                                                                                                                                work being conducted?
       3 Basic research - study directed
          q




         toward gaining scientific knowledge
         primarily forits own sake . . . . . . . . . . . . . . . . ..l u z u                                                    Field:
       4. Computer applications, programming,
          systems development . . . . . . . . . . . . . . . . . . . . . . . I El 2 Cl
       5 9 Development - using knowledge
           gained from research for the
           production of materials, devices . . . . . . . . I u z u                                                     A31 During atypical week on this job, in which, if any,
                                                                                                                            q




       6 Design of equipment, processes,
          q
                                                                                                                                of the following areas or technologies, were you
         structures, models . . . . ...**. . . . . . . . . . . . . . . . . . . . TI                           20                working?

       79 Employee relations - including                                                                                        Mark (X) Yes or No for each                                                                  Yes   No
          recruiting, personnel development,
          training . . . . . . . . . . . . . ...*... . . . . . . . . . . . . . . . . . . . . . . . . . .   1U2U                                                                                                               11
                                                                                                                                1        Flexible manufacturing, robotics . . . . . . I u z u
       8 Managing and supervising . . . . . . . . . . . . . . . . I (J 2 u
                                                                                                                                    m

          s




       9 Production, operations, maintenance
            q                                                                                                                   2m       Advanced materials . . . . . . . . . . . . . . . . . . . . . . . . . . 1020
         (e.g., truck driving, machine tooling,
         auto/machine repairing) . . . . . . . . . . . . . . . . ...1 u z u                                                     3   q    Biotechnology . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .   1020
      10. Professional services (health
                care, counseling, financial services,                                                                           4.       Micro or opto-electronics,
                legal services, etc.) . . . . . . ...0 . . . . . . . . . . . . . . . . IU2U                                              Semiconductor devices . . . . . . . . . . . . . . . . . . ..l El 2 •l
      11. Sales, purchasing, marketing,                                                                                         5   m    High performance computing . . . . . . . . . . . I •l 2 •l
                customer service, public relations . . . . I •l 2 •l
      12. Quality or productivity management. 1 u 2 •l                                                                          6w       Software producibility . . . . . . . . . . . . . . . . . . . . . ..l •l z •l
      13. Teaching . . . . . . . . . . . . . . ...*.. . . . . . . . . . . . ..*...... . . 10                   20               7.       Sensor and signal processing . . . . . . . . I •l 2 •l
      14. Other - Specify                                           ........................               1E120
                                                        7


                                                                                                                        A32. Since April 1990, how many . . .
                                                                                                                                    If NONE, enter “O”
                                                                                                                                                                                                     Number
A28. On which TWO activities in A27, did you work                                                                                   1.    Papers have you authored or co-
      the MOST hours during a typical week on                                                                                             authored for presentation at regional,
      this job? Enter number of appropriate ACTIVITY                                                                                      national or international conferences?
      from A27 above.
                                                                                                                                          (Do not count presentations of the
                                                                                                                                          same work more than once) . . . . . . . . . . . . . . . ..-
       1.                                        Activity MOST hours
                _l-
                                                                                                                                    2.    Articles that you have authored or
       2.                                        Activity SECOND MOST hours                                                               co-authored have been accepted
                                                 (Enter “O” if no second most)                                                            for publication in a refereed
                                                                                                                                          professional journal? . . . . . . . . . . . . . . . . . . . . . . . . . . . .


                                                                                                                    5
A33. Since April 1990, have you been named as an                                                                         A38. During a typical week on this job, how many
      inventor on any application for a U.S. patent?                                                                          hours did you usually work?




 r    I    Yes
          El                                                                                                                  Number of Hours Per Week
      2 u No =+ SKIP to A35 .
                          —
 +                                                                                                                       A39. Including paid vacation and paid sick leave,
A34. (IF YES) Since April 1990 . . .                                                                                          upon how many weeks per year was your
                                                                                                          Number              salary based?
     1. How many applications for U.S.
         patents have named you as                                                                                            Number of Weeks Per Year
         inventor? . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ...0...
                                                                                                                         A40. During the week of April 15,1995, was any of
     2. How many U.S. patents have been                                                                                       your work on this job supported by
         granted to you as an inventor? . . . . . . . . . . .                                                                 CONTRACTS OR GRANTS from the U.S.
                                                                                                                              government?
     3. How many of the patents recorded
         as GRANTED (recorded in category                                                                                     FEDERAL EMPLOYEES, please answer “No”
         2 above) have resulted in commer-
         cialized products or processes or                                                                                    Mark (X) one
         have been licensed? . . ..0...... . * ...**.... . . . .
                                                                                                                         r
                                                                                                                         I
                                                                                                                               1 •l    Yes

A35. Did you supervise the work of others as part
      of your principal job held during the week of
      April 15, 1995?
                                                                                                                         4
      Answer “YES” if you assigned duties to workers                                                                     A41. (/F YES) Which Federal agencies or department:
      AND recommended or initiated personnel actions                                                                           were supporting your work?
      such as hiring, firing, or promoting
                                                                                                                               Mark (X) all that apply ‘
          TEACHERS: Do NOT count students




r
                                                                                                                               10       Agency for International Development (AID)
      1    El        Yes                                                                                                       20       Agriculture Department
      2 u No + SKIP to A37                                                                                                     30       Commerce Department
                                                                                                                               40       Defense Department (DOD)
A36. (/F YES) How many people did you typically . . .                                                                          50       Department of Education (include NCES,
      IF NONE, enter “0”                                                                                Number                          OERI, FIPSE, FIRST)
                                                                                                       supervised              60       Energy Department (DOE)
      1. supervise DIRECTLY?..                                                                                                 70       Environmental Protection Agency (EPA)
                                                                                                                               80       Health and Human Services Department
      2. supervise through
                                                                                                                                        (EXCLUDING NIH)
          subordinate supervisors?
                                                                                                                               90       Interior Department
                                                                                                                              10CI      National Aeronautics and Space
A37. Before deductions, what was your basic                                                                                                                                          .
                                                                                                                                        Administration (NASA)
       ANNUAL salary on this job as of the week of
       April 15, 1995? (Do NOT include bonuses,                                                                                Mu       National Institutes of Health (NIH)
       overtime, or additional compensation for                                                                                120      National Science Foundation (NSF)
     ‘ summertime teaching or research)
                                                                                                                               130      Transportation Department (DOT)
      IF NOT SALARIED, please estimate your earned                                                                             140      Other - Specify
      income, excluding business expenses.                                                                                                                7


          $                                                                                                 m   00
                              Basic Annual Salary/Earned Income                                                                15 •l   DON’T KNOW SOURCE AGENCY


                                                                                                                     6
     The following 3 questions provide information                 ~45. During the week of April 15,1995, were you
           for the U.S. Department of Energy                            working for pay (or profit) at a second job (or
                                                                        business), including part-time, evening, or
A42. From the following list of selected areas,                         weekend work?
       indicate the ONE area, if any, to which you
       devoted the MOST hours during a typical week




                                                                    I
       on this job.                                                         2 u NO + SKIP to A49, page 8

       Mark (X) one




 r     I

       2
       3
           El Energy or Fuel
            u Environment
                              q
            u Food or Agriculture
                                                                   A46 (/F YES) What kind of work were you doing at
                                                                        s




                                                                            your second job during the week of April 15--
                                                                            that is, what was your occupation? Please be




 I
       4 •l Health or Safety
                                               SKIP to A45                  as specific as possible, including any area of
       5 u National Defense                                                 specialization.
       6 u Transportation
       7 •l NONE OF THE ABOVE
                                         J                                  Example: College professor - Electrical engineering

A43. (/f ENERGY OR FUEL) From the following list,                           IF YOU HAD MORE THAN TWO JOBS that week
       indicate the ONE ENERGY SOURCE that                                  answer for the job where you worked the second
       involved the largest proportion of your energy-                      most hours
       related work during the past year.
                                      *
       Mark (X) one

       1   •l   Coal
       2 •l Petroleum and natural gas
       3 El Nuclear fission
       4 El Nuclear fusion
       5 •l     Hydroenergy
       6    u Other renewable (such as solar,
             biomass, wind, geothermal)
                                                                   A47. Using the JOB CATEGORIES LIST (pages 16-17:
                                                                            choose the code that BEST describes the work
       7 •l Other energy source - Specify
                                              T                             you were doing on your second job during the
                                                                            week of April 15.


A44. From the following list, indicate the ONE
           ENERGY-RELATED ACTIVITY that involved the
           largest proportion of your energy-related work
           during the past year.
           Mark (X) one
                                                                   A48. To what extent was your work on this second
           10   Exploration and extraction                                  job related to your first doctoral degree
           20   Manufacture of energy-related equipment                     awarded in the U. S.? Was it -
           30   Fuel processing (include refining and
                                                                             Mark (X) one
                enriching)
           40   Electric power generation and transmission
           50   Transportation and distribution of fuel                      I •l Closely related
           60   Waste management or decommissioning                          2 •l Somewhat related
           70   Conservation, utilization, management or
                storage of energy or fuel                                    3   u Not related
           80   Environment, health, and safety
           90   Other energy-related activity - Specify
                                                          7’




                                                               7
                                                                                 PART B - Past Employment
  Questions A49-A51 ask about your work
                                                            The next few questions will help us better understand
         for pay (or profit) in 1994
                                                            employment changes over time.

A49. Turning now to 1994;including paid vacation            B1   q   Were you working for pay (or profit) during BOTH
     and paid sick leave, how many weeks did you                     of these time periods--the week of April 15, 1993
     work in 1994?                                                   AND the week of April 15, 1995?
                                                                     If you were a STUDENT: Do NOT count financial
     IF NONE, MARK (X) THIS BOX ~ u                                  aid awards with no work requirement.
     AND SKIP TO BI
                                                                     I       u      Yes
     Number of Weeks Worked
                                                                     2       u No ~ SKIP to Part C, page 9
                                                            F




                                                            B2   m   (/f YES) During these two time periods--the
                                                                     week of April 15, 1993 and the week of April
                                                                     15, 1995--were you working for. . .
                                                                     Mark (X) one
                                                                     m              Same employer AND same job ~ SWP to
A50. During the weeks you worked in 1994, how                                                               Part C, page 9
     many hours a week did you usually work?
                                                                 r   ml
                                                                     30
                                                                                    Same employer BUT different job
                                                                                    Different employer BUT same job
     Number of Hours Worked                                   1      4 0             Different employer AND different job

                                                                     (/f D/fFERENT) Why did you change your
                                                                     employer or yo-ur job? -
                                                                         Mark (X) Yes or No for each
                                                                                                                                                                                                 No
                                                                                                                                                                                                  1
                                                                         1   q   Pay, promotion opportunities . . . . . . . ...1 u                                                               20

A51. Counting all jobs held, what was your TOTAL                         2   s   Working conditions (hours,
      EARNED income, BEFORE deductions, for 1994?                                equipment, working environment).. I •l                                                                          20

      Include all wages, salaries, bonuses, overtime,                    3   q   Job location . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .                 lo           20
      commissions, consulting fees, net income from
      business, summertime teaching or research, post                    4s      Change in career or
      doctoral appointment, or other work associated                             professional interests . . . . . . . . . . . . . . . . . . ...1 •l
      with scholarships.                                                 5   q   Family-related reasons (e.g.,
                                                                                 children, spouse’s job moved) . . . . . . . I •l                                                                20

      $                                        m   00                    6m      School-related reasons (e.g.,
                                                                                 returned to school, completed
                   Total 1994 Earned Income
                                                                                 a degree) . . . . . . . . . . . . . ...0... . . . . . . . . . . . . . . . . . . .                   10          20

                                                                         7.      Laid off or job terminated (includes
          IF YOU HAD NO EARNED                                                   company closings, mergers,
          INCOME IN 1994, MARK (X) THIS BOX ~ •l                                 buyouts) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ~cl                  20
                                                                         8   q   Retired . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .       10          20


                                                                         9 9 Other - Speci~’~                                                     . . . . . . . . . . . . . . . . . . . . . la




                                                        8

						
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