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* 1. What is your current grade.

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* 2. Are you....

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* 3. The primary language spoken in my home is.

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* 4. I feel safe in my classroom.

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* 5. I feel safe in the cafeteria.

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* 6. I feel safe in the hallways.

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* 7. I feel safe on the bus.

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* 8. I feel my school work is relevant and meaningful.

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* 9. I feel teachers do whatever it take to help me succeed.

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* 10. I feel I get the help I need.

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* 11. I feel cared about at school.

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* 12. I feel respected at school.

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* 13. I feel that there is an adult I can talk to in the building regarding my needs.

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* 14. I know that I am going to graduate high school.

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* 15. I feel that I am going to continue my education after high school.  (College, Trade school, etc.)

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* 16. I feel that I am being properly prepared for Career/College readiness upon high school completion.

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* 17. I feel there are plenty of before and after school opportunities offered to me by my school.

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* 18. I feel it is important to attend school everyday.

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* 19. My parents feel it is important for me to attend school everyday.

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* 20. My principal is visible around the building.

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