2016 Official Student Exit Survey

Instructions: For each question, please select the answer that best fits you. Some questions may require you to type in an answer, some may be multiple choice, and some may allow you to provide multiple answers. When you reach the end of each section, click next to proceed. This survey is completely anonymous, and all information will be kept strictly confidential.

School Information

Question Title

* 1. Please enter the following information about your high school.

School Name

City

State/Province:

Zip Code

Student Information

Question Title

* 2. Age

Under 16

19 or older

Question Title

* 3. Grade Level

9th

10th

11th

12th

Question Title

* 4. If you answered "Yes" to the previous question, what other language is spoken?

Question Title

* 5. Overall GPA

Under 2.0 (Less than 60 on a 100 point scale)

2.0-2.49 (60 - 69 on a 100 point scale)

2.5-2.99 ( 70 - 79 on a 100 point scale)

3.0-3.49 (80 - 89 on a 100 point scale)

3.5-4.0 (90 - 100 on a 100 point scale)

Question Title

* 6. Gender

Male

Female

Question Title

* 7. Which best describes your race/ethnicity? (Check all that apply)

American Indian or Alaskan Native

Asian or Pacific Islander

Hispanic, regardless of nationality

Black, not of Hispanic origin

White, not of Hispanic origin

Two or more races

Other (please specify)

Question Title

* 8. Are you an English Language Learner?

Yes

Question Title

* 9. Do you or your parents speak a language other than English at home?

Yes