Question Title

* 1. What is your name? (Optional) 

Question Title

* 2. My ethnicity is best described as: Check all that apply.

Question Title

* 3. Choose the best description of your HOME computer situation:

Question Title

* 4. I would like to be given more information about: Check all that apply.

Question Title

* 5. How much support or guidance do you need with any of the following skills?

  Needed Somewhat Needed Not Needed
Speaking up for myself with others.
Learning how to talk to an adult (teacher, counselor, administrator) at school.
Knowing what to do if I or other students are being bullied, mistreated, or are feeling lonely.
Knowing how to manage stress in a positive way without hurting myself or others.

T