High School Survey 2011
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1. Default Section
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1
. School Identity Number
School Identity Number
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. School
Select One
Alleghany High School
Auburn High School
Bassett High School
Bath County High School
Blacksburg High School
Bland High School
Cave Spring High School
Christiansburg High School
Covington High School
Craig County High School
Eastern Montgomery High School
Floyd County High School
Fort Chiswell High School
Franklin County High School
George Wythe High School
Giles High School
Glenvar High School
Hidden Valley High School
Independence Secondary
James River High School
Lord Botetourt High School
Magna Vista High School
Martinsville High School
Narrows High School
Noel C. Taylor Learning Academy
Northside High School
Patrick County High School
Patrick Henry High School
Pulaski County High School
Radford High School
Rocky Gap High School
Rural Retreat High School
Salem High School
William Byrd High School
William Fleming High School
School Select One
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. Name
Name
First Name
Middle Initial
Last Name
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. Address
Address
Street/Apt.#
City
State
Zip Code
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. Permanent Phone Number (Include area code and Do not use any space or dash(-)
Permanent Phone Number (Include area code and Do not use any space or dash(-)
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. E-mail (address other than school-assigned one, since it will expire soon)
E-mail (address other than school-assigned one, since it will expire soon)
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. Gender
Select One
Male
Female
Gender Select One
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. Age
Select One
15
16
17
18
19
20
Age Select One
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. Race/Ethnicity
Select One
Caucasian/White
African American
Indigenous or Aboriginal Person
Asian/Pacific Islander
Hispanic
Latino
Multiracial
Rather not say
Other (please specify)
Race/Ethnicity Select One
If you selected other, please specify:
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. Number of years at this high school
Select One
1
2
3
4
5
More than 5
Number of years at this high school Select One
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. Full Name of someone (aunt/uncle, neighbor, etc.) who will always know your whereabouts
Full Name of someone (aunt/uncle, neighbor, etc.) who will always know your whereabouts
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. Person's relationship to you (uncle, neighbor, etc.)
Person's relationship to you (uncle, neighbor, etc.)
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. Address of the person who will always know your whereabouts
Address of the person who will always know your whereabouts
Street/Apt.#
City
State
Zip Code
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. Phone number of the person who will always know your whereabouts (Include area code and Do not use any space or dash(-))
Phone number of the person who will always know your whereabouts (Include area code and Do not use any space or dash(-))
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15
. Overall, how satisfied are you with your high school preparation for employment?
Select One
Very satisfied
Satisfied
Dissatisfied
Very dissatisfied
Overall, how satisfied are you with your high school preparation for employment? Select One
Additional comments:
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. Overall, how satisfied are you with your high school preparation for further education?
Select One
Very satisfied
Satisfied
Dissatisfied
Very dissatisfied
Overall, how satisfied are you with your high school preparation for further education? Select One
Additional comments:
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17
. How satisfied are you with school administrators (principals, assistant principals)?
Select One
Very satisfied
Satisfied
Dissatisfied
Very dissatisfied
How satisfied are you with school administrators (principals, assistant principals)? Select One
Additional comments:
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. How satisfied are you with other front office staff (secretaries, attendance specialists, receptionists, bookkeepers, nurses)?
Select One
Very satisfied
Satisfied
Dissatisfied
Very dissatisfied
How satisfied are you with other front office staff (secretaries, attendance specialists, receptionists, bookkeepers, nurses)? Select One
Additional comments:
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. Overall, how satisfied are you with guidance counselors and related services?
Select One
Very satisfied
Satisfied
Dissatisfied
Very dissatisfied
Overall, how satisfied are you with guidance counselors and related services? Select One
Additional comments:
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. Specifically, how satisfied are you with the college planning you received?
Select One
Very satisfied
Satisfied
Dissatisfied
Very dissatisfied
Specifically, how satisfied are you with the college planning you received? Select One
Additional comments:
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. Specifically, how satisfied are you with personal needs counseling you received from the guidance office?
Select One
Very satisfied
Satisfied
Dissatisfied
Very dissatisfied
Specifically, how satisfied are you with personal needs counseling you received from the guidance office? Select One
Additional comments:
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. Specifically, how satisfied are you with career planning you received?
Select One
Very satisfied
Satisfied
Dissatisfied
Very dissatisfied
Specifically, how satisfied are you with career planning you received? Select One
Additional comments:
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. Specifically, how satisfied are you with job placement services you received?
Select One
Very satisfied
Satisfied
Dissatisfied
Very dissatisfied
Specifically, how satisfied are you with job placement services you received? Select One
Additional comments:
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. Satisfaction of education/preparation received - (a) reading?
Select One
Very satisfied
Satisfied
Dissatisfied
Very dissatisfied
Satisfaction of education/preparation received - (a) reading? Select One
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. Satisfaction of education/preparation received - (b) writing?
Select One
Very satisfied
Satisfied
Dissatisfied
Very dissatisfied
Satisfaction of education/preparation received - (b) writing? Select One
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. Satisfaction of education/preparation received - (c) speaking and listening?
Select One
Very satisfied
Satisfied
Dissatisfied
Very dissatisfied
Satisfaction of education/preparation received - (c) speaking and listening? Select One
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. Satisfaction of education/preparation received - (d) social studies?
Select One
Very satisfied
Satisfied
Dissatisfied
Very dissatisfied
Satisfaction of education/preparation received - (d) social studies? Select One
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. Satisfaction of education/preparation received - (e) mathematics?
Select One
Very satisfied
Satisfied
Dissatisfied
Very dissatisfied
Satisfaction of education/preparation received - (e) mathematics? Select One
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. Satisfaction of education/preparation received - (f) science?
Select One
Very satisfied
Satisfied
Dissatisfied
Very dissatisfied
Satisfaction of education/preparation received - (f) science? Select One
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. Satisfaction of education/preparation received - (g) computer-related skills?
Select One
Very satisfied
Satisfied
Dissatisfied
Very dissatisfied
Satisfaction of education/preparation received - (g) computer-related skills? Select One
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. Satisfaction of education/preparation received - (h) interpersonal communication/teamwork (ability to work with others)?
Select One
Very satisfied
Satisfied
Dissatisfied
Very dissatisfied
Satisfaction of education/preparation received - (h) interpersonal communication/teamwork (ability to work with others)? Select One
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. Satisfaction of education/preparation received - (i) reasoning/problem-solving/decision-making?
Select One
Very satisfied
Satisfied
Dissatisfied
Very dissatisfied
Satisfaction of education/preparation received - (i) reasoning/problem-solving/decision-making? Select One
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. Satisfaction of education/preparation received - (j) opportunities to earn college credit (dual enrollment, AP/IB courses)?
Select One
Very satisfied
Satisfied
Dissatisfied
Very dissatisfied
Satisfaction of education/preparation received - (j) opportunities to earn college credit (dual enrollment, AP/IB courses)? Select One
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. Satisfaction of education/preparation received - (k) foreign languages?
Select One
Very satisfied
Satisfied
Dissatisfied
Very dissatisfied
Satisfaction of education/preparation received - (k) foreign languages? Select One
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. Satisfaction of education/preparation received - (l) fine arts (drama, choral music, instrumental music, art)?
Select One
Very satisfied
Satisfied
Dissatisfied
Very dissatisfied
Satisfaction of education/preparation received - (l) fine arts (drama, choral music, instrumental music, art)? Select One
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. Satisfaction of education/preparation received - (m) career/technical education?
Select One
Very satisfied
Satisfied
Dissatisfied
Very dissatisfied
Satisfaction of education/preparation received - (m) career/technical education? Select One
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. Overall, how satisfied are you with the extracurricular activities/opportunities (sports, drama, band) offered after school hours?
Select One
Very satisfied
Satisfied
Dissatisfied
Very dissatisfied
Overall, how satisfied are you with the extracurricular activities/opportunities (sports, drama, band) offered after school hours? Select One
Additional comments:
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. Overall, how satisfied are you with the co-curricular activities/opportunities offered (clubs, field trips associated with a particular course...often during the school day)?
Select One
Very satisfied
Satisfied
Dissatisfied
Very dissatisfied
Overall, how satisfied are you with the co-curricular activities/opportunities offered (clubs, field trips associated with a particular course...often during the school day)? Select One
Additional comments:
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. Overall, how satisfied are you with health/physical education and activities that lead to fitness/lifelong recreation and leisure activities you gained during high school?
Select One
Very satisfied
Satisfied
Dissatisfied
Very dissatisfied
Overall, how satisfied are you with health/physical education and activities that lead to fitness/lifelong recreation and leisure activities you gained during high school? Select One
Additional comments:
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. Overall, how satisfied are you with library/media services and resources available during high school?
Select One
Very satisfied
Satisfied
Dissatisfied
Very dissatisfied
Overall, how satisfied are you with library/media services and resources available during high school? Select One
Additional comments:
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41
. Overall, how satisfied are you with school safety?
Select One
Very satisfied
Satisfied
Dissatisfied
Very dissatisfied
Overall, how satisfied are you with school safety? Select One
Additional comments:
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42
. Overall, how satisfied are you with the variety of classes offered?
Select One
Very satisfied
Satisfied
Dissatisfied
Very dissatisfied
Overall, how satisfied are you with the variety of classes offered? Select One
Additional comments:
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. Overall, how satisfied are you with how students treat other students?
Select One
Very satisfied
Satisfied
Dissatisfied
Very dissatisfied
Overall, how satisfied are you with how students treat other students? Select One
Additional comments:
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. What do you plan to do following high school?
Select One
Continue my education full-time
Work full-time
Become a stay-at-home parent
Work and go to school
Enter the military
Other (please specify)
What do you plan to do following high school? Select One
If you selected other, please specify:
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. Check all the types of further education you plan to pursue following high school:
Check all the types of further education you plan to pursue following high school:
Community college
Four-year college/university
Technical school/college
Occupational/Technical training through local schools (adult education)
Business/industry training through employer
Enter the military
None
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. Type of Diploma You will Receive:
Select One
Advanced Studies
Modified Standard
Standard
Other (please specify)
Type of Diploma You will Receive: Select One
If you selected other, please specify:
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. Additional Comments:
Additional Comments:
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