The following is a series of questions about your school

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* 1. I feel safe at my school.

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* 2. I trust the teachers.

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* 3. My parents/guardians want me to go to school.

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* 4. An adult in my family (or someone that is taking care of me) visits my school often.

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* 5. At my school, teachers respect the students.

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* 6. Even people who are different are respected.

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* 7. I look forward to coming to school most days.

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* 8. My teachers want me to be successful.

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* 9. The school rules are fair and enforced.

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* 10. I feel safe in the classroom.

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* 11. I feel safe during lunch.

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* 12. I feel safe in the bathrooms.

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* 13. I feel safe in the hallway when I go to another classroom.

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* 14. I feel safe in the gym.

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* 15. I feel safe at after school activities.

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* 16. I feel safe at the school entrances and/or exits.

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* 17. I feel safe on the bus.

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* 18. I feel safe on the school grounds before and after school.

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* 19. I am comfortable talking to a teacher about my problems.

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* 20. Teachers are able to stop someone from being a bully.

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* 21. Students at my school fight a lot.

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* 22. I am bullied/harassed during the school day.

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* 23. Some children carry guns or knives in my school.

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* 24. Inappropriate/bad language at my school offends me.

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* 25. I will tell a school employee about a problem to help prevent school violence?

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* 26. How many times have you missed school because of fear of being hurt or bullied by others students?

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* 27. Comments and suggestions. Thank you!

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