* 1. Teacher Name

* 2. My CAVIAT teacher makes sure that I learn what is taught and that I am a capable learner.

* 3. My CAVIAT teacher motivates me to learn, treats me with respect and is honest with me. 

* 4. My CAVIAT teacher is good at teaching and encourages me to achieve my academic goals.

* 5. My CAVIAT teacher listens to my ideas even if he/she disagrees with me.

* 6. I trust my CAVIAT teacher and he/she does what he/she says he/she will do.

* 7. My CAVIAT teacher celebrates academic achievement.

* 8. I spend extra time on my work to get good grades and try hard to improve on my previous grades.

* 9. Learning is a high priority at my school and my CAVIAT teacher set high standards for academic performance.

* 10. My CAVIAT classroom environment is well structured and I like going to school.

* 11. My CAVIAT teacher really cares about me.

* 12. I am proud of CAVIAT, and what I accomplish there.

* 13. Rules are fairly enforced and I feel safe when I am at my CAVIAT program.

* 14. I can get help from my CAVIAT teacher when I need it.

* 15. This program provides everything I need to accomplish my goals.

* 16. How many Community College credits have you earned while in high school? (Include both dual enrollment and central program credits) If you don't know, leave blank.

* 17. Were counselors helpful in selecting a path towards your Program of Study?

* 18. Were counselors helpful in the selection of a path to follow after graduation?

* 19. Will you be returning in the fall or are you graduating from high school this year?

* 20. What do you plan to pursue immediately after high school? (Mark all that apply)

* 21. What did you like best about your Central Program experience?

* 22. What did you like least about your Central Program experience?

* 23. Overall, how would you rate your experience with CAVIAT?

* 24. Open Feedback: Please use this area to provide written feedback.

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