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© Copyright of UBC and contributors. Copying, distributing, modifying or translating this work is expressly forbidden by the copyright holders. Contact Human Early Learning Partnership at [email protected] to obtain copyright permissions. Version Sep 13, 2019 H18-00507 UNDERSTANDING OUR LIVES MIDDLE YEARS DEVELOPMENT INSTRUMENT 2019–2020 SURVEY OF GRADE 4 STUDENTS BRITISH COLUMBIA INSTRUCTIONAL SURVEY You can preview the survey online at www.mdi.ubc.ca. SAMPLE ONLY NOT FOR USE

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Page 1: SAMPLEearlylearning.ubc.ca/media/mdi_parent_letters_and... · 4 Version Sep 13, 2019 H18-00507 . Please read the Demographic Section of the survey and the instructions with sample

© Copyright of UBC and contributors. Copying, distributing, modifying or translating this work is expressly forbidden by the copyright holders. Contact Human Early Learning Partnership at [email protected] to obtain copyright permissions.

Version Sep 13, 2019

H18-00507

UNDERSTANDING OUR LIVES MIDDLE YEARS DEVELOPMENT INSTRUMENT

2019–2020 SURVEY OF GRADE 4 STUDENTS BRITISH COLUMBIA

INSTRUCTIONAL SURVEY

You can preview the survey online at

www.mdi.ubc.ca. SAMPLE O

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NOT FOR USE

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IMPORTANT REMINDERS!

1. Prior to starting the survey, please read the Student Assent on the next page aloud to your students!

Students must be given the opportunity to decline and not complete the survey. Students can withdraw

anytime by clicking the button at the bottom of every page.

2. Each student has their own login ID and password assigned to them. Students need to know that their

answers are confidential, so that they will feel more comfortable answering the questions honestly. It is

critical that they know this is not a test, and that there are no right or wrong answers.

3. The “Tell us About Yourself” section at the beginning of the survey can be challenging for some

students. Please read this section aloud to make sure everybody understands. You know your students

best and if you are concerned about their reading level, we suggest you read all of the survey questions

aloud to your students.

4. The MDI takes about one to two classroom periods to complete. The “Activities” section is a natural

place to break.

Thank you!

What’s new on the MDI?

1. We have updated questions 5-7 on First Nations, Métis and Inuit identity, and First Nations

languages learned and spoken at home. We have added a list of First Nations and Indigenous

Languages in BC from First Peoples’ Cultural Council at the end of the Instructional Survey for

your reference to assist your students in responding to these questions.

2. We have removed questions on weight and body image and have replaced them with questions

about help-seeking behavior and transportation to and from school – see questions 58-60.

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STUDENT ASSENT SCRIPT

Instruct students to click on

“Start Survey” to begin.

Please read the text below aloud to your students before starting the survey!

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Please read the Demographic Section of the survey and the instructions with

sample questions aloud to your students. After completing the first section

they should be able to continue the survey on their own, although some

might still need your assistance. You know your students best, and if you are

concerned about their reading level, we suggest you read all of the questions

aloud to your students.

Students can click the

check boxes to

confirm they

understand the

Assent Script.

Clicking “Next” saves

student responses and

moves to the next

page.

If your students have

headphones, they can click

on this icon to hear the

question read aloud.

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These questions can be

challenging for some

students. Please read

Questions 1 to 8 aloud to

make sure everybody

understands.

If students ask about “in

another way”, provide a

simple matter-of-fact

response, congruent with

language your school and

school district have been

teaching, such as non-binary,

gender non-conforming, or

two-spirit.

Alternatively, a possible

response is, “Some people

feel like a boy or a girl inside,

so they can check one of

those boxes. But others may

feel differently and want to

describe another way – such

as sometimes I feel like both,

or I feel like neither a boy nor

a girl, or I am not sure.”

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This text box will appear if a

student selects “First Nations.”

Refer to the list at the back of this

guide for if a student asks for

assistance. For example

“Squamish” or “Tsleil-Waututh”.

If a student selects “First Nations

Language” or “Other”, they can type

in the language. Refer to the list at

the back of this guide for a list of First

Nations languages in B.C. if a student

asks for assistance.

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Please read the INSTRUCTIONS and SAMPLE QUESTIONS aloud to make sure everybody understands.

The sample questions give students practice with both positive and negative questions.

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Students can complete the remaining

questions on their own and can ask for

assistance as needed. You can read all

the questions aloud if you are concerned

with the reading level of your students.

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Please remind your

students to refrain

from using names of

people in the open-

ended text boxes.

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Please remind your

students to refrain

from using names of

people in the open-

ended text boxes.

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This point in the survey is a natural place to break

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Please remind your

students to refrain

from using names of

people in the open-

ended text boxes.

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Suggested clarification: “These questions are trying to ask you what you do during a

normal week. If last week was different than normal – maybe you were sick or

couldn’t go to your regular activities – please answer the questions thinking of the

most recent typical week for yourself.”

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If a student selects that they wish

to do additional activities, they

can list an activity and where

they would like it to be.

Please remind your

students to refrain from

using names of people

in the open-ended text

boxes.

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Please remind your

students to refrain from

using names of people

in the open-ended text

boxes.

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Students click to finish the survey and view the

Student Help Page.

Requests for help will be sent to your district

email address, please follow your school’s

protocol for assisting students.

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First Nations and Indigenous Languages in B.C.

Please use this list to assist your students in responding to Question 5, 6 and 7 in the

Introduction Section. This list references BC First Nations and Indigenous Languages, students

may enter languages and First Nations from outside of BC.

Source: First Peoples’ Cultural Council: http://www.fpcc.ca/language/language-map/

Geography Nation Language

Northeastern BC West Moberly First Nations Nēhiyawēwin / Cree

Fort Nelson First Nation

Blueberry River First Nations

Saulteau First Nations

Northeastern BC Saulteau First Nations Anishnaubemowin / Ojibway / Plains Ojibway

Interior Yekooche First Nation Dakelh / Carrier / Takulie / Takelne / Dakelhne / les Porteurs

Ulkatchot'en (Ulkatcho First Nation)

Tl'azt'en Nation

Stellat'en First Nation

Nazko First Nation

Nadleh Whut'en (Fraser Lake Indian Band)

Lhoosk'uz Dene Nation (Kluskus First Nation)

Cheslatta Carrier Nation

Wet'suwet'en First Nation

Ts'il Kaz Koh / Burns Lake

Takla Lake First Nation

Saik'uz First Nation (Stoney Creek)

Nak'azdli Band

Lhatko Dene Nation (Red Bluff Band)

Lheidli T'enneh Band

Northeastern BC West Moberly First Nations Dane-Zaa / Beaver / Dunne-za / dʌnneza / Dane-zaa Záágéʔ

Prophet River First Nation

Doig River First Nation

Salteau First Nation

Halfway River First Nation

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Geography Nation Language

Blueberry River First Nation

Northeastern BC Laird First Nation Danezāgé’ / Kaska / Kaska Dena

Daylu Dena Council

Dease River First Nation

Northeastern BC Fort Nelson First Nation Dene K'e / Dene / Dene Tha' / Acha'otinne / Slave(y)

Yukon Carcross Taagish First Nation Den k'e / Tagish

South Coast Vancouver Island

Pacheedaht First Nation diiɁdiitidq / Ditidaht / Nitinat

Ditidaht First Nation

Lake Cowichan First Nation

South Coast Sliammon First Nation Éy7á7juuthem / Comox Sliammon / Mainland comox

K'ómoks First Nation

Klahoose First Nation

Homalco First Nation

Interior Sik-edakh (Glen Vowell) Gitsenimx / Gitxsan / Gitxsen / Gitksan / Hazelton

Gitwangak Band Council

Gitanyow (Kitwancool) Band Coucil

Kispiox Band Council

Gitsegukla Band

Gitanmaax Band

Central Coast Kitasoo/Xaixais Nation Hailhzaqvla / Heiltsuk / Bella Bella / Heiltsuk-Oweek'ala

Heiltsuk Nation

Fraser Valley, Lower Mainland, South Coast, Vancouver Island

Yale First Nation Hul’q’umi’num’ / Halq'eméylem / hənqəminəm

xʷməθkʷəyəm (Musqueam)

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Geography Nation Language

Tzeachten First Nation

Tsawwassen First Nation

Stz'uminus First Nation

Soowahlie Indian Band

Snaw-Naw-As First Nation

Skwah First Nation

Skawahlook First Nation

Seabird Island Indian Band

Scia'new (Beecher Bay)

Qayqayt First Nation

Peters Band

Matsqui First Nation

Lyackson First Nation

Lake Cowichan First Nation

Kwaw-kwaw-apilt First Nation

Katzie First Nation

Cowichan Tribes

Cheam First Nation

BOḰEĆEN (Pauquachin)

Yakweakwioose Band

Union Bar Band

Tsleil-Waututh Nation

Sumas First Nation

Squiala First Nation

Snuneymuxw First Nation

Skway First Nation

Skowkale First Nation

Shxw'owhamel First Nation

Scowlitz First Nation

Qualicum First Nation

Popkum First Nation

Penelakut Tribe

MÁLEXEȽ (Malahat)

Leq'á:mel First Nation

Kwikwetlem First Nation

Kwantlen First Nation

Halalt First Nation

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Geography Nation Language

Chehalis Indian Band

Chawathil First Nation

Aitchelitz First Nation

Kootenay region ʔaqam (St. Mary's Band) Ktunaxa / Kootenay / Kootenai

ʔakinkumǂasnuqǂiʔit (Tobacco Plains Band)

ʔakisqnuk First Nation (Akisqnuk First Nation)

yaqan nuʔkiy (Lower Kootenay)

South Coast, Vancouver Island

ʼNamǥis First Nation Kwakwala / Kwakwaka'wakw / Kwakiutl

Wei Wai Kum First Nation

Tłatłasikwala

Kwikwasutinux / Ha'xwa-mis

Kwakiutl Band Council

Gusgimukw (Quatsino First Nation)

Gwa'sala-'Nakwaxda'xw First Nation

Da'naxda'xw / Awaetlala

Ławitʼsis (Tlowitsis)

We Wai Kai First Nation

Mamalilikala / Qwe'Qwa'Sot'Em

Kwiakah First Nation

K'ómoks First Nation

Gwawaʼenuxw

Dzawadaʼenuxw (Tsawataineuk)

Fraser Valley, Lower Mainland, south Coast

Lhéchelesem / Nooksack

Nachako/Stikine Taku River Tlingit First Nation Łingít / Tlingit / Inland Tlingit

Interior, Nachako/Stikine

Witset First Nation Nedut’en / Witsuwit'en

Ts'il Kaz Koh (Burns Lake)

Skin Tyee Nation

Lake Babine Nation

Cheslatta Carrier Nation

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Geography Nation Language

Wet'suwet'en First Nation

Takla Lake First Nation

Nee-Tahi-Buhn Indian Band

Hagwilget Village

South Coast Scia'new (Beecher Bay) Nəxʷsƛayəmúcən / Klallam / S'Klallam / Clallam

North Coast Nisga’a Lisims Government Nisga’a / Nishga / Niska' / Nisk'a'

South Coast / Thompson/Okanagan

Spuzzum First Nation

Nłeʔkepmxcín

Siska Indian Band

Oregon Jack Creek Band

Nicomen Indian Band

Lower Nicola Indian Band

Cook's Ferry

Boston Bar First Nation

Ashcroft Indian Band

Skuppah Indian Band

Shackan

Nooaitch

Lytton First Nation

Kanaka Bar Indian Band

Coldwater

Boothroyd Band

Thompson / Okanagan

Nqlispélišcn / Kalispell

Thompson / Okanagan

Westbank First Nation Nsyilxcən / Okanagan

Upper Nicola Band

Osoyoos Indian Band

Lower Similkameen Indian Band

Upper Similkameen Indian Band

Penticton Indian Band

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Geography Nation Language

Okanagan Indian Band

South Coast Vancouver Island

ʔiiḥatis (Ehattesaht) Nuučaanuɫ / Nuu-chah-nulth / Nootkans / West Coast / Aht

Uchucklesaht Tribe

Toquaht First Nation

Nuchatlaht First Nation

Ka:'yu:'k't'h' / Che:k:tles7et'h'

Hupacasath

Ahousaht

Ucluelet First Nation

Tseshaht First Nation

Tla-o-qui-aht First Nation

Mowachaht / Muchalaht

Huu-ay-aht

Hesquiaht

Central Coast Nuxalk Nation Nuxalk / Bella Coola / Nass

Central Coast Wuikinuxv Nation Oowekyala/’Uikala / Oweekeno / Oweek'ala / Heiltsuk-Oweek'ala

South Coast Vancouver Island

K'ómoks First Nation Pəntl’áč / Pentlatch

Interior Kootenay Region, Thompson/Okanagan

Xats'ull (Soda Creek) Secwepemctsín / Shuswap / Secwepemc

Tk'emlups (Kamloops)

St'uxwtéws (Bonaparte)

Skwlax (Little Shuswap)

Simpcw

Pellt'iq't (Whispering Pines/Clinton)

Llenlleney'ten (High Bar)

Esketemc

Tsq'escenemc (Canim Lake)

T'exelcemc (Williams Lake)

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Geography Nation Language

Splats'in

Skeetchestn

Sexqeltqín (Adams Lake)

Neskonlith

Kenpesq't (Shuswap)

Canoe Creek

South Coast WSIKEM (Tseycum) SENĆOŦEN / Malchosen / Lekwungen / Semiahmoo / T’Sou-ke / Northern Straits Salish

T'Sou-ke Nation

SXIMEȽEȽ (Esquimalt)

SEMYOME (Semiahmoo)

MÁLEXEȽ (Malahat)

WJOȽEȽP (Tsartlip)

SȾÁUTW (Tsawout)

Songhees Nation

Scia'new (Beecher Bay)

BOḰEĆEN (Pauquachin)

South Coast Sechelt Indian Band She shashishalhem

Central Coast Kitasoo / Xaixais Nation Sgüüxs / Klemtu / Southern simshian / Ski:xs

Lower Mainland, South Coast

Tsleil-Waututh Nation Skwxwú7mesh sníchim / Squamish

Squamish Nation

North Coast Gitxaala Nation Smalgyax / Coast Tsimshian / Tsimshian

Gitga'at Nation

Kitselas First Nation

Kitsumkalum Band

Lax Kw'alaams Band

Metlakatla Band Council

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Geography Nation Language

South Coast, Thompson Okanagan

Xaxli'p First Nation Státimcets / Lillooet / Statimc / St'atl'imx / Stl'atl'imc / Sƛ’aƛ’imxǝc / Stlatliumh / Slatlemuk

Tsal'álh (Seton Lake)

Skatin Nations

Samahquam Nation

N'Quatqua

Douglas First Nation

T’ít’q’et First Nation

Ts'kw'aylaxw

Sekw’el’wás (Cayoose Creek)

Nxwísten (Bridge River)

Lil'wat Nation

Nachako / Stikine Tahltan Nation Tāłtān / Tahltan / Nahanni

Iskut Nation

Northeastern BC Kwadacha Tse’khene Sekani / Tsek'ehne / Tsek'hene / tθek'ehne

McLeod Lake

Tsay Keh Dene

Interior ʔEsdilagh (Alexandria Indian Band) Tsilhqot'in / Chilcotin / Tzilkotin

Xeni Gwet'in (Nemiah Valley Indian Band)

Tsi Del Del (Alexis Creek Indian Band)

Tl'etinqox-T'in Government Office

Yunesit'in (Stone First Nation)

Ulkatchot'en (Ulkatcho First Nation)

Tl’esqox Toosey Indian Band)

Nachako / Stikine Yukon Tutchone

Skidegate Band Council Xaad Kil / Xaaydaa Kil (Haida)

North Coast Old Masset Village Council

North Coast Haisla Xenaksialakala / Xa'’islakala / Haisla / Kitimat / Kitlope / Northern Kwakiutl

Kitamaat Village Council

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