2015-2016 Upchurch Elementary School-Safety Survey for Parent

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* 1. What is your child's racial/ethnic identification?

African American

Caucasian/white

American Indian

Asian

Native Hawaiian or Other Pacific Islander

Other race, please specify__________

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* 2. Does your child's teacher keep you informed about your child's progress in school?

Yes

Other (please specify)

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* 3. Concerning academic instruction, do you feel that:

my child is given challenging material to learn

my child's teachers involve my child in classroom activities

my child's teachers provide useful feedback on assignments, tests, and homework

my child's teachers use technology during classroom instruction

information about my child's standardized academic tests is explained to me when needed

Other (please specify)

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* 4. Concerning the school atmosphere, is it:

an iniviting and welcoming place

an atmosphere of open communication

an atmosphere of trust in the school

a place where individuals are treated with respect

Other (please specify)

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* 5. In regards to school staff/student relationships, do you feel that:

my child is comfortable talking with his/her teachers

my child feels comfortable sharing his/her ideas in class

my child's teachers care about my child as a person

there is an adult at my child's school that he/she can discuss personal problems

Other (please specify)

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* 6. Regarding student recognition, do you feel that:

my child's teachers recognized students for putting forth their best efforts in the classroom

students are recognized for their academic achievements

students are recognized for their athletic achievements

students are recognized for their positive and social behaviors

Other (please specify)

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* 7. Regarding citizenship, do you feel that:

the staff teach students about ways to get along with others

the staff encourage students to respect the rights of other students

the staff teach students to take responsibility for their own behavior

the staff encourage students to respect each other

Other (please specify)

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* 8. Regarding school safety and discipline, do you feel:

that your child is safe at school

the school does a good job of making sure visitors sign-in at the front office

the school is safe during after-school and evening activities.

the school has a clear set of expectations/rules for students to follow

Other (please specify)

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* 9. Regarding physical environment, do you feel that:

the outside of the school is kept clean

the inside of the school is kept clean

the bathrooms in this school are kept clean

the school cafeteria is kept clean

my child's classrooms has enough work space for students

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* 10. This school year, has someone physically threatened, attacked, or hurt your child at school?

Yes

Other (please specify)

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* 11. This school year, has someone verbally threatened your child at school?

Yes

Other (please specify)

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* 12. Is there a process in place for students to report safety concerns?

Yes

Other (please specify)

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* 13. Does school personnel follow up on reports of safety concerns?

Yes

Other (please specify)

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* 14. Do you think your child feels safe on the bus?

Yes

Other (please specify)

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* 15. Have you reviewed our school's handbook?

Yes

Other (please specify)