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* 1. I attend:

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* 2. My grade is:

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* 3. Are you a boy or a girl?

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* 4. I eat breakfast

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* 5. When you are learning at home, what does your teacher do to help you feel engaged?  Select all that apply.

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* 6. Grown-ups at my school care about kids.

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* 7. I can find a grown-up to help me when needed.

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* 8. Select the different ways that you have resolved a problem with another student. 
You may choose more than one answer.

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* 9. If you are attending in person, what makes you want to come to school? Select all that apply.

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* 10. I feel comfortable asking my teachers for help.

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* 11. What makes you want to log into your conferences? Select all that apply.

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* 12. Do you feel that you have everything that you need to successfully learn? If not, what other supports could you use?

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* 13. Which grown ups at your school follow the ACT statement the BEST? (You can write more than one name).
(use comment box)

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