* 1. What is your gender?

* 2. What grade are you in?

* 3. Please select the best description of your current status:

* 4. If you are a PSEO student, please select the top 1 or 2 reasons you chose PSEO

* 5. Students in my school treat each other (check all that apply):

* 6. Do you understand school rules?

* 7. I know what behaviors are expected of me in the following areas (check all that apply):

* 8. I feel safe in these areas (check all that apply):

* 9. What behaviors are the biggest problems at school? (choose the top 3)

* 10. KHS teachers have the same expectations of all students

  1 2 3 4 5
(1 = not at all, 5 = always)

* 11. What incentives would motivate you to participate in our school reward system (check all that apply)?

* 12. If I knew that another student was involved in something illegal or dangerous (to that person or to someone else), I would tell an adult (teacher, counselor or principal) at school.

* 13. The adults at school are helpful to students.

  1 2 3 4 5
1=not at all, 5 = always

* 14. The adults at school let students know when they are doing something right.

  1 2 3 4 5
(1 = not at all, 5 = always)

* 15. If I have a problem I can't solve on my own, I am confident that I can go to an adult at this school (e.g., teacher, counselor, or principal) for help.

  1 2 3 4 5
(1 = not at all, 5 = always)

* 16. I have been taught the rules and expectations for the hallways in the past year.

* 17. With 1 being out of control and 10 being perfect, on a scale of 1-10, behavior in the hallway ranks:

  1 2 3 4 5 6 7 8 9 10
rank

* 18. I have been taught the rules and expectations for REC/Lunch behavior in the past year

* 19. With 1 being out of control and 10 being perfect, on a scale of 1-10, behavior at REC/Lunch ranks:

  1 2 3 4 5 6 7 8 9 10
rank

* 20. I have been taught the rules and expectations for appropriate behavior in the restrooms in the past year.

* 21. I have been taught the rules and expectations for appropriate behavior when riding the bus (or walking) to and from school in the past year

* 22. I look forward to coming to school.

* 23. I believe that the work I do in this school is important.

* 24. I am proud to be part of this school.

* 25. In the last year, were you threatened by a student (or students)?

* 26. In the last year, were you teased in a mean way by a student (or students)?

* 27. In the past year, I have received inappropriate picture texts on my device at school or school-related events

* 28. In the past year, I have been upset by mean and/or inappropriate things communicated to me via the following social media (check all that apply):

* 29. I am confident that I know what to do if I receive an inappropriate picture from someone on my phone or other device. On a scale of 1-10 (1 = not confident at all to 10 = extremely confident), my confidence level is:

  1 2 3 4 5 6 7 8 9 10
confidence

* 30. If I received an inappropriate picture or dangerous message from another student, I would (check all that apply):

* 31. Please feel free to write about your school experience and to share how you feel about any aspect of school from this past year.

Report a problem

T