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Valley School Student Survey

On the first question please check your current grade.  On the remaining questions, please read each question/statement carefully and reply with the rating most appropriate for your own behavior.  The options are 1. Always, 2. Usually  3. Sometimes, 4. Seldom,  5. Never, 6. N/A  not applicable

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* 1. Check the box that applies to you:  I am in the following grade:

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* 2. I follow directions given to me by Valley School Staff members.

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* 3. I am kind & helpful to friends and other people.

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* 4. I am polite to others.

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* 5. I keep my hands and feet to myself, respecting other's space.

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* 6. I look for ways to be helpful.

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* 7. I walk in the hallways even when staff members aren't present.

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* 8. I walk on the big toy when moving from one spot to the next.

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* 9. I use walking feet from the bus or car in the morning.

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* 10. I walk up & down stairs that are inside.

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* 11. I walk up & down stairs & the ramp that are outside.

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* 12. My eyes are looking forward when I am in line.

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* 13. I use a green level voice in the multi purpose room

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* 14. I follow the rules in the lunch room.

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* 15. I walk to my place to get my lunch and/or breakfast and do not cut in front of others.

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* 16. I say please and thank you to the lunch ladies.

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* 17. I wipe my spot where I ate lunch at.

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* 18. I pick up after myself.

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* 19. I do not eat food in the hallway or outside.

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* 20. I wait my turn for the water fountain quietly and calmly.

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* 21. I do not touch my mouth on the water fountain.

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* 22. I follow the rules while in the bathroom including using a soft voice, flushing the toilet, and not playing around.

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* 23. I wash my hands after using the bathroom.

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* 24. I make safe choices in all parts of the school.

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* 25. I put paper towels in the garbage when done washing my hands.

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* 26. I use the big toy properly.

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* 27. I go down the slide feet first and do not run up the slide.

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* 28. I follow the kickball rules including no stealing bases.

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* 29. I listen to staff members when they talk with me outside.

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* 30. I come in from the playground in a timely manner.

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* 31. I include others in play.

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* 32. I share.

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* 33. I make sure to not bounce or throw balls in the hallways or on the sidewalk.

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