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* 1. What Is Your Current Grade?

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* 2. What is your Home Room?

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* 3. What Is Your Gender?

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* 4. How Old Are You? (type the number only)

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* 5. What are the WOLCS school-wide expectations (STAR's)?

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* 6. If students are STAR's, what does this mean?

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* 7. Tell us some of the behaviors that make you a STAR student and that can earn you Dojo points?

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* 8. Did anyone teach you how to behave in order to follow the expectations?

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* 9. I can be a STAR student and earn Dojo points at WOLCS? 

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* 10. Have you participated in Olympic Day this year?

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* 11. Have you earned enough STAR Dojo points to participate in olympic days this school year, if so how many times?

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* 12. What are some incentives and rewards for being a STAR student and earning Dojo points?

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* 13. What are your favorite Dojo incentives? 

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* 14. Are there any Dojo incentives you would like to add?

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* 15. Tell us how often these things happen at WOLCS?

  Never Once In A While Pretty Often All The Time Not Sure
I tease, pick-on or call other students names.
My friends tease, pick-on or call other students names.
I get hit or pushed around by other students.
I get into fights with other students.
Students call me names or make fun of me in other ways.
I see students hitting or pushing other students around.
I see students teasing, picking-on or calling other students names.
I see staff teasing, picking-on or calling other students names.

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* 16. Do you Agree or Disagree with the statements below?

  Definitely Agree  Sort of Agree Sort of Disagree Definitely Disagree Not Sure
I like being a student at WOLCS
I like making new friends
I like helping others at school
I get along with the students in my class
I am popular with the other students in my class
I like it when I can show other people I'm the boss
Students should tell teachers or adults if they are bullied
I get along with students on the bus
I get along with students in the cafeteria 
I get along with students at recess
I get along with students during PE, Health, and Computer

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* 17. Name students you know are being teased or picked on?

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* 18. Name students who you know are teasing and or picking on others?

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* 19. Do you need any help with bullying right now?

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* 20. Do you Agree or Disagree with the statements below?

  Definitely Agree  Sort of Agree Sort of Disagree Definitely Disagree Not Sure
I know what bullying is
My teacher explained to me and my class why it is wrong to bully others
My teacher explained to me and my class what to do if we are bullied
My teacher explained to me and my class what to do if we see others being bullied
My teacher explained to me and my class how to stand up for our classmates if they are bullied
My class did fun activities to learn more about bullying
I know what to do if I see bullying
I know what to do if I am being bullied

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* 21. What do you think WOLCS should do to stop bullying?

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* 22. What can you do to stop bullying?

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* 23. Do you do any of these things to talk about things going on in school? (check all that apply)

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* 24. I pledge to....

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