Tell Me How You Really Feel About School Survey

1. Are you a boy or girl?

Are you a boy or girl? Boy

Girl

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2. How old are you?

How old are you? 6

7

8

9

10

11

12

13

14

15

16

17

18

3. What countries were your mother and father born in?

What countries were your mother and father born in? Argentina Brazil Canada China Costa Rica Dominican Republic Ecuador El Salvador	Guatemala Guatemala Haiti Honduras India Italy Korea Mexico	Panama Poland Puerto Rico Russia Spain Thailand United States
Other (please specify)

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4. Who do you live with?

Who do you live with? Aunt

Brother

Cousin

Father

Friend

Grandma

Grandpa

Mother

Sister

Step Dad

Step Mom

Uncle

Other (please specify)

*
5. What school do you attend?

What school do you attend? GF Neary Elementary

West Haverstraw Elementary

North Garnerville Elementary

Thiells Elementary

Stony Point

Haverstraw Middle

Willow Grove

Farley

Fieldstone

NRHS

Boces

Other (please specify)

*
6. Do you like school?

Do you like school? I hate school.

I don't mind school.

I enjoy school.

I love school.

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7. Do you go to an after school activity or program?

Do you go to an after school activity or program? Yes

No

8. If you said yes to the last question, what kind of after school program is it?

If you said yes to the last question, what kind of after school program is it? Haverstraw Community Center

Sports

Arts/Theater

School related

More than one after school program.

9. How confident are you that you will succeed in school?

How confident are you that you will succeed in school? Not confident at all.

I have a little confidence.

I have confidence that I will succeed.

I know for sure that I will succeed.

10. Do you do your homework?

Do you do your homework? Never

Only when I want to.

I do my homework but, I don't enjoy doing it.

I see the benefit in homework and like to do it.

11. When you walk into a new class, how do you feel?

When you walk into a new class, how do you feel? Shy and embarrassed.

Uncomfortable but ok.

I feel normal.

I feel confident that I am ready for school.

12. Your self-esteem is how you feel about yourself. How do you feel about yourself in school?

Your self-esteem is how you feel about yourself. How do you feel about yourself in school? No self-esteem at all, I feel bad about school.

Very little self-esteem, I could feel better.

I have self-esteem, I feel ok.

I have a lot of self-esteem, I feel great about school.

13. If you are in trouble, who do you ask for help?

If you are in trouble, who do you ask for help? After school teacher

Aunt

Brother

Cousin

Dad

Friend

Mom

Sister

Step Dad

Step Mom

Tutor

Uncle

*
14. How do feel about math?

How do feel about math? I hate math.

Math doesn't bother me.

I like math.

I love math because it challenges me.

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15. How do you feel about reading?

How do you feel about reading? I hate reading.

Reading is just, ok.

I like reading.

I love reading.

16. What is your favorite kind of book to read?

What is your favorite kind of book to read? Both

Real story (non-fiction)

Fake story (fiction)

Other (please specify)

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17. Do you like to write?

Do you like to write? I hate writing?

Writing is just, ok.

I like to write.

I love to write.

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18. Do you like to hang out with your friends after school?

Do you like to hang out with your friends after school? I never hang out with my friends after school.

Sometimes I hang out with my friends after school.

I hang out with my friends after at least 3 times a week.

I always hang out with my friends after school.

19. What do you do when you hang out with friends?

What do you do when you hang out with friends? Play outside.

Play video games.

Something else.

Watch TV.

Work on school work.

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20. Do you get to school late?

Do you get to school late? I'm late almost everyday.

I'm late at least 3 times a week.

I'm late 1 day a week.

I'm never late for school.

21. How do you feel about teachers?

How do you feel about teachers? Teachers want to see me fail.

Teachers don't care if I do well.

Teachers are nice to me.

I get along with my teachers like they are my friends.

22. Do you like your teachers in school?

Do you like your teachers in school? I hate all of my teachers.

My teachers are ok.

I like all of my teachers.

All of my teachers are the best.

23. Do you prefer a man or woman teacher?

Do you prefer a man or woman teacher? No Difference

Man

Woman

24. How has the after school homework program made you feel about school?

How has the after school homework program made you feel about school? It has not helped me at all, I still hate school.

It helped me a little but, I still don't like school.

It helped me become a good student and more interested in doing well.

I am now doing great in school and look forward to going in the morning.

Other (please specify)

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25. If you need help in school and you can only ask one person for help, who do you ask?

If you need help in school and you can only ask one person for help, who do you ask? After school teacher

Aunt

Brother

Cousin

Dad

Friend

Mom

Parent + Sibling

Sister

Step Dad

Step Mom

Tutor

Uncle

Other (please specify)

26. Do you want to go to college?

Do you want to go to college? Yes

No

27. Do you think if you do well in school you will...

Do you think if you do well in school you will... Feel good about yourself.

Make a lot of money when you are older.

Have a job that you enjoy.

Choice 1 and 2

Choice 2 and 3

All three choices

Tell Me How You Really Feel About School
Exit this survey

1. Default Section

1. Are you a boy or girl?

*
2. How old are you?

3. What countries were your mother and father born in?

*
4. Who do you live with?

*
5. What school do you attend?

*
6. Do you like school?

*
7. Do you go to an after school activity or program?

8. If you said yes to the last question, what kind of after school program is it?

9. How confident are you that you will succeed in school?

10. Do you do your homework?

11. When you walk into a new class, how do you feel?

12. Your self-esteem is how you feel about yourself. How do you feel about yourself in school?

13. If you are in trouble, who do you ask for help?

*
14. How do feel about math?

*
15. How do you feel about reading?

16. What is your favorite kind of book to read?

*
17. Do you like to write?

*
18. Do you like to hang out with your friends after school?

19. What do you do when you hang out with friends?

*
20. Do you get to school late?

21. How do you feel about teachers?

22. Do you like your teachers in school?

23. Do you prefer a man or woman teacher?

24. How has the after school homework program made you feel about school?

*
25. If you need help in school and you can only ask one person for help, who do you ask?

26. Do you want to go to college?

27. Do you think if you do well in school you will...

Tell Me How You Really Feel About SchoolExit this survey

1. Default Section

1. Are you a boy or girl?

*2. How old are you?

3. What countries were your mother and father born in?

*4. Who do you live with?

*5. What school do you attend?

*6. Do you like school?

*7. Do you go to an after school activity or program?

8. If you said yes to the last question, what kind of after school program is it?

9. How confident are you that you will succeed in school?

10. Do you do your homework?

11. When you walk into a new class, how do you feel?

12. Your self-esteem is how you feel about yourself. How do you feel about yourself in school?

13. If you are in trouble, who do you ask for help?

*14. How do feel about math?

*15. How do you feel about reading?

16. What is your favorite kind of book to read?

*17. Do you like to write?

*18. Do you like to hang out with your friends after school?

19. What do you do when you hang out with friends?

*20. Do you get to school late?

21. How do you feel about teachers?

22. Do you like your teachers in school?

23. Do you prefer a man or woman teacher?

24. How has the after school homework program made you feel about school?

*25. If you need help in school and you can only ask one person for help, who do you ask?

26. Do you want to go to college?

27. Do you think if you do well in school you will...

Tell Me How You Really Feel About School
Exit this survey

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2. How old are you?

*
4. Who do you live with?

*
5. What school do you attend?

*
6. Do you like school?

*
7. Do you go to an after school activity or program?

*
14. How do feel about math?

*
15. How do you feel about reading?

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17. Do you like to write?

*
18. Do you like to hang out with your friends after school?

*
20. Do you get to school late?

*
25. If you need help in school and you can only ask one person for help, who do you ask?