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* 1. Which school do you attend?

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* 2. Grade

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* 3. Gender

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* 4. I feel safe at school.

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* 5. I feel safe on the bus.

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* 6. Most days I enjoy coming to school.

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* 7. My teachers notice when I'm doing a good job and let me know about it.

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* 8. Teachers at my school treat students with respect.

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* 9. Playground/Lunchroom adults treat students with respect.

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* 10. My teachers care about me.

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* 11. My school counselor has met with me when I asked to see her.

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* 12. Guidance lessons help me (Feelings, Problem Solving, Friendship, Careers).

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* 13. My parents/guardians show an interest in my schoolwork and school day.

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* 14. Students treat other students with respect at my school.

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* 15. I have at least one friend at school.

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* 16. In the past month, I was teased or picked on in a mean way by another student while I was at school.

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* 17. In the past month, I teased or picked on another student in a mean way while I was at school.

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* 18. I usually do something to help when I see someone getting teased or picked on in a mean way at my school.

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* 19. I feel proud to be a member of my school.

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* 20. I can name two adults at school that I can go to for help.

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