Tipton 6th-12th grade Student Survey

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* 2. How many adults at your school do you have a positive relationship with? That means they welcome you to school and you would go to them if you had a problem.

Three or more

One or two

None

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* 3. What adults in your life would you talk to if you needed help? Feel free to list either their title (like pastor, mom, counselor, etc.) or name and write as many as you want.

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* 4. What does our school do that helps all students belong and feel safe?

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* 5. What else would you like our school to do to help all students belong and feel safe?

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* 6. Have you been repeatedly physically and/or verbally harassed, mistreated, or made fun of within the last thirty days?

Yes

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* 7. If you have been repeatedly physically and/or verbally harassed, mistreated, or made fun of within the last thirty days did you tell an adult?

No one treated me badly.

Students treated me badly and I didn't tell an adult.

I told and things got worse.

I told and there was no change.

I told and things got better.

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* 8. If you have been repeatedly physically and/or verbally harassed, mistreated, or made fun of within the last thirty days did you rely on yourself and/or your friends instead of telling an adult?

No one treated me badly.

Students treated me badly and I didn't rely on myself or my friends.

I relied on myself and my friends and things got worse.

I relied on myself and my friends and there was no change.

I relied on myself and my friends and things got better.

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* 9. If another student was mean to you, what did other students do that helped you? What happened when they did that?

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* 10. Have you repeatedly physically and/or verbally harassed, mistreated, or made fun of another student within the last thirty days?

Yes

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* 11. What have you done to help another student whom someone was mean to or who was all alone at school? What happened when you did that?

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* 12. What have you done when you have heard or seen another student being physically and/or verbally harassed, mistreated, or made fun of within the last thirty days?

I have never seen another student being treated badly.

I walked away and ignored it.

I stood and watched.

I helped the person being treated badly in the moment.

I helped the person being treated badly afterwards.

I joined in by also physically and/or verbally harassing, mistreating, or making fun of the person.

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* 13. Are some areas of our school unsafe or is there a place where most bullying takes place? If so, where?

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* 14. Tell us if you agree or disagree with each of the following statements. Also, do you think most other students at your school would agree or disagree with these statements?

Students should NOT tease in a mean way, call others hurtful names, or spread unkind stories about other students.

	Strongly agree	Agree	Disagree	Strongly disagree
My belief	My belief Strongly agree	My belief Agree	My belief Disagree	My belief Strongly disagree
I think most other students would...	I think most other students would... Strongly agree	I think most other students would... Agree	I think most other students would... Disagree	I think most other students would... Strongly disagree

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* 15. Students should NOT shove, kick, hit, trip, or hair pull another student.

	Strongly agree	Agree	Disagree	Strongly disagree
My belief	My belief Strongly agree	My belief Agree	My belief Disagree	My belief Strongly disagree
I think most other students would...	I think most other students would... Strongly agree	I think most other students would... Agree	I think most other students would... Disagree	I think most other students would... Strongly disagree

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* 16. Students should always try to be friendly with students who are different from themselves.

	Strongly agree	Agree	Disagree	Strongly disagree
My belief	My belief Strongly agree	My belief Agree	My belief Disagree	My belief Strongly disagree
I think most other students would...	I think most other students would... Strongly agree	I think most other students would... Agree	I think most other students would... Disagree	I think most other students would... Strongly disagree

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* 17. Who do you think students should tell if they or someone else are being bullied at school? And what would most other students say?
(check all that apply)

	Tell a principal	Tell a teacher or counselor	Tell a friend	Tell a police officer or security person	Tell a parent or another adult relative	Tell a brother, sister, or cousin	Not tell anyone
I think students should	I think students should Tell a principal	I think students should Tell a teacher or counselor	I think students should Tell a friend	I think students should Tell a police officer or security person	I think students should Tell a parent or another adult relative	I think students should Tell a brother, sister, or cousin	I think students should Not tell anyone
Most other students would say	Most other students would say Tell a principal	Most other students would say Tell a teacher or counselor	Most other students would say Tell a friend	Most other students would say Tell a police officer or security person	Most other students would say Tell a parent or another adult relative	Most other students would say Tell a brother, sister, or cousin	Most other students would say Not tell anyone

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* 18. User names and passwords to sites like facebook are private and should NOT be shared with a dating partner.

	Strongly agree	Agree	Disagree	Strongly disagree
My belief	My belief Strongly agree	My belief Agree	My belief Disagree	My belief Strongly disagree
I think most other students would...	I think most other students would... Strongly agree	I think most other students would... Agree	I think most other students would... Disagree	I think most other students would... Strongly disagree

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* 19. If a friend tells you about being hurt or controlled by their dating partner and asks that you keep it a secret you should STILL find a way to help them.

	Strongly agree	Agree	Disagree	Strongly disagree
My belief	My belief Strongly agree	My belief Agree	My belief Disagree	My belief Strongly disagree
I think most other students would...	I think most other students would... Strongly agree	I think most other students would... Agree	I think most other students would... Disagree	I think most other students would... Strongly disagree

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* 20. What could you do for a friend that was being mistreated by a dating partner?

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* 21. Within the last thirty days have you experienced any of the following with a dating partner? (check all that apply)

I have not been in a dating relationship within the last thirty days

Said something to hurt your feelings

Insulted you in front of others

Would not let you do things with other people

Made you describe where you were every minute of the day

Threatened to harm you

Slapped or scratched you

Physically twisted your arm or bent your fingers back

Pushed, grabbed, shoved, or kicked you

Hit you with their fist or with something else hard

Beat you up

I have not experienced any of these things in the last thirty days

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* 22. What grade are you in?

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* 23. Are you male or female?

Male

Female

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* 24. What is your race?

Black/African American

Hispanic/Latino

Asian

White/Caucasian

American Indian/Alaskan

Multiracial

Race not listed? (please specify)

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* 25. Who do you live with most during the school year?

Mom

Dad

Mom and Dad

Grandparent(s)

Other

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* 26. Do you have an IEP, or have accommodations such as testing in small groups, having a test read to you, or are given extra time to complete a test?

Yes

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* 1. Do you believe that discipline at our school is fair?

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* 2. How many adults at your school do you have a positive relationship with? That means they welcome you to school and you would go to them if you had a problem.

Question Title

* 3. What adults in your life would you talk to if you needed help? Feel free to list either their title (like pastor, mom, counselor, etc.) or name and write as many as you want.

Question Title

* 4. What does our school do that helps all students belong and feel safe?

Question Title

* 5. What else would you like our school to do to help all students belong and feel safe?

Question Title

* 6. Have you been repeatedly physically and/or verbally harassed, mistreated, or made fun of within the last thirty days?

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* 7. If you have been repeatedly physically and/or verbally harassed, mistreated, or made fun of within the last thirty days did you tell an adult?

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* 8. If you have been repeatedly physically and/or verbally harassed, mistreated, or made fun of within the last thirty days did you rely on yourself and/or your friends instead of telling an adult?

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* 9. If another student was mean to you, what did other students do that helped you? What happened when they did that?

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* 10. Have you repeatedly physically and/or verbally harassed, mistreated, or made fun of another student within the last thirty days?

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* 11. What have you done to help another student whom someone was mean to or who was all alone at school? What happened when you did that?

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* 12. What have you done when you have heard or seen another student being physically and/or verbally harassed, mistreated, or made fun of within the last thirty days?

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* 13. Are some areas of our school unsafe or is there a place where most bullying takes place? If so, where?

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* 14. Tell us if you agree or disagree with each of the following statements. Also, do you think most other students at your school would agree or disagree with these statements?Students should NOT tease in a mean way, call others hurtful names, or spread unkind stories about other students.

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* 15. Students should NOT shove, kick, hit, trip, or hair pull another student.

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* 16. Students should always try to be friendly with students who are different from themselves.

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* 17. Who do you think students should tell if they or someone else are being bullied at school? And what would most other students say?(check all that apply)

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* 18. User names and passwords to sites like facebook are private and should NOT be shared with a dating partner.

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* 19. If a friend tells you about being hurt or controlled by their dating partner and asks that you keep it a secret you should STILL find a way to help them.

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* 20. What could you do for a friend that was being mistreated by a dating partner?

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* 21. Within the last thirty days have you experienced any of the following with a dating partner? (check all that apply)

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* 22. What grade are you in?

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* 23. Are you male or female?

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* 24. What is your race?

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* 25. Who do you live with most during the school year?

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* 26. Do you have an IEP, or have accommodations such as testing in small groups, having a test read to you, or are given extra time to complete a test?

* 14. Tell us if you agree or disagree with each of the following statements. Also, do you think most other students at your school would agree or disagree with these statements?

Students should NOT tease in a mean way, call others hurtful names, or spread unkind stories about other students.

* 17. Who do you think students should tell if they or someone else are being bullied at school? And what would most other students say?
(check all that apply)