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Wetkids 2011

1. SSS

Question Title

* Name

Question Title

* Grade

6

7

8

9

10

11

12

Question Title

* Sex

Male

Female

Question Title

* Race

American Indian

Asian American

Black

Hispanic

White

Other

Question Title

* School

Question Title

* Age

11

12

13

14

15

Question Title

* Are you in special education?

No

Yes

Question Title

* Are you in the gifted or talented program/classes?

No

Yes

Question Title

* Do you have a physical disability?

No

Yes

Question Title

* Do you have a learning disability?

No

Yes

Question Title

* Are you an English language learner?

No

Yes

Question Title

* Do you receive free/reduced lunch?

No

Yes