* 1. Which school do you attend?

* 2. My classrooms are clean and neat.

* 3. I feel safe telling my teachers about things that don't seem right.

* 4. I feel very safe at this school.

* 5. I feel safe during dismissal at the end of the school day.

* 6. I feel safe during arrival at the beginning of the school day.

* 7. When students have an emergency, they can get help.

* 8. Have you ever reported another student for bullying you or someone else?

* 9. Has anyone ever threatened to hurt you at school?

* 10. Has someone been mean to you because of your skin color or race?

* 11. Has someone been mean to you because they thought you were different?

* 12. Has another student ever made you feel uncomfortable by talking about your body parts?

* 13. Has another student ever made you feel uncomfortable by touching you in your private areas?

* 14. How do you know if a stranger is inside your school building who should not be there?

* 15. Would you let someone inside your school building if they knocked on the door?

* 16. Would you let someone inside your classroom if they knocked on the door?

* 17. Would you leave school with someone you don't know?

* 18. Do you feel safe on your school bus?

* 19. Who do you tell if something bad happens on the school bus or at the bus stop? (check all that apply)

* 20. Do your teachers review the school emergency procedures with you and other students?

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