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* 1. I feel safe and welcome at Grant School.

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* 2. Students at school treat me with respect.

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* 3. Other students treat adults with respect at school.

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* 4. I am challenged in school.

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* 5. I feel I can ask teachers or my peers for help.

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* 6. I feel included in school activities.

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* 7. I have ideas that will make Grant School a better place.

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* 8. Some of my ideas are...

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* 9. I am happy at Grant School.

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* 10. This year I have been physically or emotionally hurt, on purpose and more than once by the same person/people at Grant School.

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* 11. If you answered "Yes" to Question #10, tell us what happened:

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* 12. This year I have witnessed other people being physically or emotionally hurt, on purpose and more than once by the same person/people at Grant School.

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* 13. If you answered "Yes" to Question 12, what did you do about what you saw?

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* 14. I am proud to be a student at Grant School.

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* 15. My favorite thing about Grant is...

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* 16. One thing that is not excellent about Grant School is...

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* 17. How many extracurricular activities (GATE, sports, musical, etc.) are you involved in?

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* 18. One activity that I think would be cool to have at Grant is...

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* 19. One thing that the school can do to help me is...

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