Student Attendance Questionnaire

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* 1. What school do you attend?

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* 2. What grade are you in

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* 3. What time do you fall asleep on a school night?

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* 4. What time do you usually wake up in the morning on a school day?

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* 5. How do you usually wake up for school in the morning?

I use an alarm clock or the alarm on my cell phone.

A parent or guardian wakes me.

A sibling wakes me.

A friend wakes me.

Other (please specify)

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* 6. How do you usually get to school in the morning?

I ride the school bus.

I get a ride from a parent or guardian.

I get a ride from a sibling.

I get a ride from a friend.

I drive myself.

I walk.

Other (please specify)

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* 7. How long does it usually take you to get to school?

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* 8. What are your top three reasons for coming to school?

I can eat breakfast or lunch at school.

I think education is important.

My parent/guardian encourages me to attend.

My friends encourage me to attend.

Coming to school helps me stay out of trouble.

My classes are interesting.

I want to participate in after-school activities.

Avoid court/truancy charges.

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* 9. Do you know how many unexcused absences you can have before you will receive a letter?

Yes

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* 10. About how often are you late to school?

Never.

1-2 times each week.

3-4 times each week.

Every day.

I don't know.

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* 11. Are there some classes you miss more than others?

Yes

If Yes, why?

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* 12. About how often do you miss an entire day of school?

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* 13. Who notices if you miss school? Please check all that apply.

My teacher(s)

My principal

My guidance counselor

My parent or guardian

Another family member

Friends

Nobody

Other person (please specify below)

Other adult:

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* 14. Do you know how to get make-up assignments for your class if you have been absent?

Yes

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* 15. If you answered "yes" to Question 14...How do you know what to do in class after you have been tardy or absent?

I ask my teachers what I have missed.

My teachers tell me what I need to do to get caught up.

My parent/guardian calls the school to find out what I need to do to get caught up.

Friends or classmates help me get caught up.

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* 16. Do you or your family member(s) receive a phone call from someone at your school when you are tardy or absent?

Yes

I don't know

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* 17. When you miss an entire day (or days) of school, what are the top three reasons?

I cannot wake up in time.

I have difficulty getting to and from school.

I don’t care about getting good grades.

I don’t understand the material.

I have to care for younger sibling or other family member.

I have a job.

I have a doctor’s appointment.

I am sick.

Someone else in my family is ill.

I am concerned about my safety at school.

I am concerned about my safety on my way to school.

I am suspended.

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* 18. Which of the following do you think would be most helpful for students at our school to get here on time or more often?

Having someone to check in with every day.

Using an alarm clock.

Getting a wake-up call from the school.

Caring about grades and graduation.

Having more after-school opportunities.

A later start time to the school day.