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* 1. Please indicate which school you attend:

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* 2. Do you like your school?

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* 3. Do you feel that your teacher(s) and administrator(s) care about you?

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* 4. Do your administrator(s) visit your classroom?

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* 5. Do you see our administrator(s) throughout the building daily?

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* 6. Do adults at school help you when you don't understand something?

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* 7. Do you know what you are supposed to be learning in class?

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* 8. Do you feel that your schoolwork has been engaging whether it's face-to-face or virtual?

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* 9. Do you think that your teacher believes you can learn?

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* 10. Do you think that your teacher expects you to do your best?

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* 11. Do you feel that students at your school are nice?

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* 12. Do you know when you do a good job at school?

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* 13. Do you believe that all students are treated fairly at your school?

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* 14. Do you feel safe at school?

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* 15. Does your school celebrate your successes?

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* 16. Do you feel you are academically prepared for the next grade and/or state testing?

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* 17. Do you feel most of the students follow the rules?

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* 18. Do you feel participating in extra-curricular activities are important?

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* 19. Do you feel the PBIS program at your school is effective?

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* 20. Do you feel you benefited from after school and/or summer school?

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* 21. Do you feel your teachers are organized and prepared for each day's lesson?

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* 22. Do you feel that you have all the necessary resources you need to be successful in class?

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* 23. Do your teacher give you personal encouragement on your schoolwork?

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* 24. Do you have have access to technology in your classroom and/or school?

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* 25. Do you feel technology is used to enhance student learning?

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* 26. Do you feel your school is well maintained and provides a pleasant environment for learning?

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* 27. Do your parents help you with homework, studying and/or projects?

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* 28. Do your parents attend school activities (PTA, concerts, games, programs, conferences, etc...)?

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* 29. Do you feel there are multiple opportunities for students to achieve academically (extra time in class, before school tutoring, after school, etc.)?

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* 30. Do you feel your school is doing everything possible to help reduce the risks associated with COVID-19?

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* 31. What is your favorite subject? Please mark one.

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* 32. What is your least favorite subject?

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* 33. What are some things you would like to see at your school that would improve student achievement and/or the overall climate and culture? Please list them below.

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