* 1. What middle school do you attend?

* 2. How old are you?

* 3. What is your gender?

* 4. What grade are you in?

* 5. During the past 12 months, how would you describe the grades you mostly received in school?

* 6. Do you plan to go to college or some other school after high school?

* 7. I feel close to people at this school.

* 8. I am happy to be at this school.

* 9. I feel like I am part of this school.

* 10. The teachers at this school treat students fairly.

* 11. I feel safe in my school.

* 12. I try hard at school because I am interested in my work.

* 13. I am always trying to do better in my schoolwork.

* 14. At my school, there is a teacher or some other adult who really cares about me.

* 15. At my school, there is a teacher or some other adult who tells me when I do a good job.

* 16. At school, I do things that make a difference.

* 17. How safe do you feel when you are at school?

* 18. During the past year, how many times have you hit or pushed other kids at school when you were not playing around?

* 19. Do other kids hit or push you at school when they are not just playing around?

* 20. Do other kids at school spread mean rumors or lies about you on the internet (I.E. Facebook, MySpace, email, instant message)?

* 21. Do you think you are underweight, about right, or overweight?

* 22. Have other kids at school ever teased you about what your body looks like?

* 23. How many days each week do you exercise, dance, or play sports?

* 24. Yesterday, how much time did you spend watching TV or playing video games?

* 25. Did you eat breakfast today?

* 26. On average, how would you rate the lunch from the school cafeteria?

* 27. How would you improve the school lunch meals?

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