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* 1. At which school do you teach?

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* 2. What grade level do you currently teach? Check all that apply.

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* 3. How many years have you been teaching?

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* 4. What subject/courses do you teach? Check all that apply.

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* 5. I integrate literacy instruction into my content-area instruction.

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* 6. I believe that our district actively promotes literacy.

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* 7. I believe that our school actively promotes literacy.

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* 8. Teachers at our school use a common language when talking about literacy.

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* 9. Teacher materials related to literacy instruction, such as professional books and journals, are available in the building for teacher use.

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* 10. Grade-level teachers/teams/PLCs collaborate regularly about literacy instruction.

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* 11. I emphasize a love of reading to/with my students.

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* 12. Student work displays such as posters, bulletin boards, book displays, and other evidence of student work demonstrate that reading and writing are valued.

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* 13. I am satisfied with our district-level professional development about literacy.

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* 14. I am satisfied with our school-level professional development about literacy.

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* 15. There has been professional development about literacy for middle school teachers in the past five years.

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* 16. There has been professional development about literacy for high school teachers in the past five years.

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* 17. There is adequate follow-up after professional development about literacy.

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* 18. I would like more professional development specific to literacy instruction.

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* 19. My principal encourages us to grow professionally in literacy instruction.

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* 20. Our staff works together to meet schoolwide goals.

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* 21. Our school staff functions as a professional learning community.

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* 22. The principal is an instructional leader (makes frequent classroom visits, initiates discussions, etc.).

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* 23. I use read-alouds.

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* 24. I use think-alouds.

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* 25. I use Cornell notes.

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* 26. I use graphic organizers.

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* 27. I use exit tickets/tickets out the door.

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* 28. I use quick writes.

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* 29. I use annotation/marking of text.

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* 30. I use summary writing.

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* 31. I use essay writing.

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* 32. I use research writing.

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* 33. I use formal oral presentations.

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* 34. I use informal oral presentations.

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* 35. I use word analysis (breaking words into parts to determine meaning).

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* 36. I use study or discussion of root words.

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* 37. I use study or discussion of prefixes and suffixes.

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* 38. I use self-chosen reading groups/literature circles/book clubs.

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* 39. I use independent reading.

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* 40. I use student-led book talks/videos.

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* 41. I use individual reading conferences.

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* 42. I use peer-to-peer reading conferences.

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* 43. I use journal responses.

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* 44. I use writing workshop.

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* 45. I use individual writing conferences.

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* 46. I use peer revision and/or editing conferences.

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* 47. I use writing minilessons.

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* 48. I use mentor sentences.

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* 49. How often are struggling students supported by/with software programs/apps?

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* 50. How often are struggling students supported by/with small-group work with a teacher?

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* 51. How often are struggling students supported by/with small-group work with a paraprofessional?

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* 52. How often are struggling students supported by/with small group work with a specialist or interventionist?

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* 53. How often are struggling students supported by/with small-group work with a volunteer?

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* 54. How often are struggling students supported by/with individual work with a teacher?

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* 55. How often are struggling students supported by/with individual work with a paraprofessional?

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* 56. How often are struggling students supported by/with individual work with a specialist or interventionist?

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* 57. How often are struggling students supported by/with individual work with a volunteer?

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* 58. Most students enjoy reading.

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* 59. Most students enjoy writing.

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* 60. I use the resources of the school library/media center to support student learning.

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* 61. I use a gradual release of responsibility with students (I do, we do, you do).

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* 62. In what areas would you like to have more professional development? Check all that apply.

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* 63. What else would you like for us to know?

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