Safety Survey (4th and 5th Grade Students) 

Instructions: All questions are about your experience at the school you attend right now. Pick the answer that best matches how you feel.

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* 1. My teachers treat me with respect.

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* 2. I get along well with my teachers.

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* 3. Students treat the teachers with respect. 

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* 4. My teachers tell me what I am doing well. 

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* 5. If I have a problem, I would likely talk to my teacher about it. 

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* 6. I feel safe at school. 

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* 7. I feel safe on the bus or when walking to school. 

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* 8. If there is an emergency at school I know who to go to for help. 

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* 9. I trust most people in this school.

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* 10. Even students who seem different are treated well in this school. 

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* 11. Adults listen to the students when we tell them we are being picked on. 

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* 12. We have a lot of drills and practice so we know what to do in an emergency. 

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* 13. I have been bullied

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* 14. I have had my things stolen. 

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* 15. I have had people treat me bad because they think I'm different 

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* 16. I have had people treat me bad because of my race or color. 

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* 17. I have been hit, punched, or kicked (on purpose) 

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* 18. I have been pushed, grabbed, or shoved (not by someone who was just playing around)

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* 19. I have had someone threaten to hurt me. 

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* 20. I have seen a student with a knife on campus. 

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* 21. I have seen a student with a gun on campus. 

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* 22. I have seen people on campus who make me feel nervous. 

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* 23. When I see someone being treated badly, I tell an adult right away.

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* 24. Please type a response and let us know anything you think is important for us to know about how safe or unsafe you feel at school.

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