Please take this survey if you are a 5th grade or an 8th grade student. It has 31 questions and should be given in class. Please be as truthful as you can. Your survey will help us improve the work at your school site.

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* 1. What grade are you in?

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* 2. Please check one of the boxes

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* 3. What school do you go to?

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* 4. I feel proud to be a part of my school.

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* 5. My school campus usually looks clean and well-taken care of.

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* 6. The classrooms I learn in look welcoming and organized.

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* 7. Which classes do you feel challenge you?

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* 8. I feel my teachers have high expectations for my academic success.

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* 9. I feel the rules at my school are consistent and fair to all students.

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* 10. What do you typically do in your Math, Language Arts, Science, and History Classes?

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* 11. Do you get the help you need to learn what you do not understand?

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* 12. In your Math or Language Arts Support class, check all that your teacher does with you:

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* 13. I think students at my school generally get along well with each other.

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* 14. At school, I am treated kindly, even by people who think I am different from them.

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* 15. I do not worry about being hurt at school.

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* 16. I do not worry about someone stealing or breaking my things at school.

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* 17. My teachers let me know when I am doing a good job.

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* 18. The adults on campus listen to what I have to say.

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* 19. At my school, other students and I have opportunities to help decide things like class activities and rules.

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* 20. When you speak to adults on campus, who do you feel listens to you and helps you?

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* 21. Check the people you feel care about you and the other students at your school.

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* 22. Check the people you feel respected by at your school.

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* 23. I feel I learn when I am in my classroom.

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* 24. Check the people YOU trust and respect at your school.

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* 25. I feel that the teachers at my school are generally nice people.

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* 26. I believe that there is at least one adult on campus that I could talk to if I had an emergency and needed help.

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* 27. Check the box that indicates how you feel about traveling to and from school.

  I usually feel safe I usually do not feel safe I do not get to school this way
Dropped off or Picked up
Bus
Walk

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* 28. Check the people who talk to you about preparing for high school, college, and your future career.

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* 29. What do you think about your school breakfast, lunches, and snacks?

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* 30. My school provides opportunities for my parent/guardian to visit and see what i do at school (assemblies, awards ceremonies, plays, sporting events, etc.)?

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* 31. I know what to do if there was an emergency at my school (earthquake, fire, etc.).

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