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* 1. What grade are you in?

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* 2. What is your gender?

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* 3. In what areas of the school do you feel SAFE? (mark all that apply)

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* 4. I know the emergency procedures for the following drills...(check all that apply)

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* 5. I think the rules in my school are fairly enforced.

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* 6. I understand the Behavioral Intervention Process (BIC).

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* 7. I think the BIC questions are used fairly.

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* 8. I know the difference between Mean, Rude, and Bullying behavior.

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* 9. I think bullying is a problem in my school.

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* 10. If I am upset, there is at least one adult in the school I can tell why.

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* 11. I feel like I belong here.

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* 12. I feel respected by adults in the building.

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* 13. I feel that I can express any concerns that I have regarding my academic progress.

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* 14. I feel cared about at school.

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* 15. I feel the adults in the building model respectful behavior.

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* 16. I feel that students respect the adults in the building.

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* 17. Students in my school are nice to each other.

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* 18. I feel comfortable asking questions in class.

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* 19. I see myself as a leader.

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* 20. What other thoughts would you like to share about how you and other people are treated in our school?

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* 21. How do you feel about the amount of homework you are assigned?

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* 22. I think my current teachers are preparing me well for next year.

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* 23. I can get extra help when I need it.

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* 24. I am given enough information about what I am expected to learn.

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* 25. How often do you access Skyward to check your grades?

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* 26. I think I can learn.

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* 27. I give up when school work is difficult.

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* 28. I only raise my hand if I am sure of the answer.

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* 29. My teachers think I can learn.

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* 30. How often is it hard to pay attention in class because you are worrying about problems outside of school?

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* 31. I have control over how well I do in school.

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* 32. Mark from this list ALL of the ways that your teachers help your learning. (check all that apply)

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* 33. Some ideas I have for a theme for next year's Reading Month are...

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* 34. Use the text box below to tell us anything else that is important to you or to explain further your thoughts about any of the questions.

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