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* 1. I am a

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* 2. I am on the

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* 3. The gender to which I most identify

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* 4. The primary language spoken in my home is

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* 5. I am

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* 6. Coming to school is important to me.

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* 7. In general, I feel safe at school.

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* 8. I feel safe

  Strongly agree Somewhat agree Somewhat disagree Strongly disagree
In my classroom
In the hallways
In the cafeteria
In the restrooms
On the playground
During after-school activities (Leave blank if you don't participate in after-school activities)

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* 9. I feel safe riding the school bus.

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* 10. I feel safe walking to and from school.

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* 11. The subjects I'm learning at school are important for my future.

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* 12. I have a college or career plan for my future.

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* 13. I know where to get help for school work.

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* 14. I have friends at school.

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* 15. I feel good when I do things to help.

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* 16. I do things that make school a better place.

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* 17. I would like more opportunities to help or be involved at school (7th grade only)

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* 18. I feel accepted and respected by adults at my school.

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* 19. I feel like my culture is respected at CMS.

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* 20. I know an adult at my school that I trust and can go to for help.

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* 21. I know an adult at school who cares about me.

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* 22. I feel accepted and respected by other students.

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* 23. I like being at school.

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* 24. I am learning about different jobs, careers and colleges while at school.

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* 25. Some challenges I have in middle school are:

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* 26. I feel prepared for next year.

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* 27. Graduating from high school is important to me.

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* 28. I think about going to college.

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* 29. I believe I can go to college if I choose to.

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* 30. I think about getting a job.

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* 31. I think about joining the military.

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* 32. Grades matter to me.

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* 33. Attendance matters to me.

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* 34. Sometimes I miss school because:

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* 35. I am part of an organization or group, such as a sport's team or club.

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* 36. About how many PAWS tickets have you received this year?

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* 37. Do you like getting PAWS tickets?

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* 38. What do you do with your PAWS tickets?

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* 39. My teachers are available for extra help. (Leave blank if you did not need extra help.)

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* 40. I know who my school counselor is.

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* 41. When I request to see my school counselor she responds in a reasonable amount of time. (Leave blank if you did not need to meet with your counselor).

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* 42. My school counselor is helpful.

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* 43. I can recognize the warning signs of suicide.

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* 44. I know how to get help for a friend if I think he/she may be thinking about suicide.

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* 45. If I am depressed and/or have thoughts of suicide, I know how to get help for myself.

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* 46. I know what bullying is, I can recognize it.

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* 47. If a friend is being bullied, I know how to get help.

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* 48. If I am being bullied, I know how to get help.

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* 49. I know a responsible adult to report bullying to.

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* 50. What would make CMS a better school?

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* 51. I participated in a SUN program this year.

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* 52. 8TH GRADE ONLY: I know what classes I need to complete my freshman year of high school.

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