Attendance Question Title * 1. Please enter your name OK Question Title * 2. Select your grade level 9th 10th 11th 12th OK Question Title * 3. How many days have you been absent from school this year? 0 days 1-2 days 3-5 days 5-10 days More than 10 days OK Question Title * 4. How do you usually get to school? I walk I drive myself I ride the bus My parent drives me My friend drives me Other (please specify) OK Question Title * 5. When you have been absent, what were the reasons? Please check all that apply. I had an appointment (doctor, dentist, orthodontist, etc.) I had to take care of a family member. I had responsibilities at home. I overslept. I didn't have clean clothes. I was sick. I was out of town. I had transportation problems. I had to work. I was too stressed to come to school I didn't have power at home. I didn't have a place to stay. I had a court date. Other (please specify) OK Question Title * 6. Do you ever choose to miss school (skip) for any of the following reasons? Please check all that apply. My school is too hard. My school is too easy. My school is not safe. My school is too strict. People bully or harass me at school. Teachers or staff are not nice. Teachers or staff don't care about me. Nobody notices if I skip school. My friend(s) was skipping, so I did too. I have never skipped school. OK Question Title * 7. In your own words, why do you miss school? OK Question Title * 8. What can your school do to help you get to school every day? OK DONE