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* 1. My high school is safe for:

  Strongly Disagree Disagree Agree Strongly Agree
Guys who are not as “masculine” as other guys. 
Girls who are not as “feminine” as other girls. 
Students who are lesbian, gay, bisexual, transgender, queer or questioning (LGBTQ). 
Straight allies (people who are supportive of LGBTQ people).

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* 2. During the past 12 months, how many times on high school property were you harassed?

  0 Times 1 Time 2-3 Times 4 or More Times
Because you are lesbian, gay, bisexual, transgender, or queer or questioning or someone thought you were. 
Because you aren’t as “masculine” as other guys or because you are not as “feminine” as other girls. 
Because you have LGBTQ friends or because someone thought they were LGBTQ.

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* 3. How often do you hear other students make negative comments or use slurs (including in a language other than English) based on:

  Never Rarely Sometimes Often
Sex (male or female)?
Sexual orientation (gay, lesbian, bisexual, queer, or straight) (e.g., when someone says “that’s so gay” to mean something bad)?
Gender identity or expression (transgender, or not being “feminine” or “masculine” enough) (e.g., when someone says “he is so girly” to mean something bad)?
Having LGBTQ friends?

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* 4. If applicable, how often do you see or hear teachers or school staff STOP others from making negative comments or using slurs (including in a language other than English) based on the following characteristics? Mark “Not Applicable” if you have never observed a situation where teachers or other school staff had the opportunity to intervene to stop this type of conduct.

  Not Applicable Never Stop Rarely Stop Sometimes Stop Often Stop
Sex (male or female)?
Sexual orientation (gay, lesbian, bisexual, queer, or straight) (e.g., when someone says “that’s so gay” to mean something bad)?
Gender identity or expression (transgender, or not being “feminine” or “masculine” enough) (e.g., when someone says “he is so girly” to mean something bad)?

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* 5. How much do you agree with the following statement?

  Strongly Disagree Disagree Agree Strongly Agree
Students who are bullied or teased mostly deserve it.
Bullying is sometimes fun to do.

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* 6. If you wanted information and support from your high school about sexual orientation, gender identity, or LGBTQ issues, would you know where to go?

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* 7. If you wanted information and support about sexual orientation, gender identity, or LGBTQ issues, how likely is that you would go to one of the following individuals at your high school:

  Not At All LIkely A Little LIkely Very LIkely
A Counselor or Psychologist?
A Teacher?
A Principal or Assistant Principal? 
Other adults (e.g., the Custodian, Hallway Monitor, or Parent Volunteer)?

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* 8. Does your high school have a policy that prohibits staff and students from harassing someone based on:

  Yes No Don't Know
Sex (male or female)?
Sexual orientation (gay, lesbian, bisexual, queer, or straight)?
Gender identity or expression (transgender, or not being “feminine” or “masculine” enough)?

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* 9. Does your high school have a process for reporting a complaint for:

  Yes No Don't Know
Harassment or bullying based on sex?
Harassment or bullying based on sexual stereotyping or gender expression (e.g., not being “feminine” or “masculine” enough)?

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* 10. Have you ever received any type of training offered by your high school about:

  Yes No Don't Know
The definition of harassment?
The process for reporting a complaint of harassment at your high school?

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* 11. How much do you agree with the following statements?

  Strongly Disagree Disagree Agree Strongly Agree
If I were being harassed or bullied based on sexual stereotyping or gender expression (e.g., not being “feminine” or “masculine” enough), I would tell the Principal or Assistant Principal.
If I were being harassed or bullied based on sexual stereotyping or gender expression (e.g., not being “feminine” or “masculine” enough), I would tell a Teacher or other school staff (e.g., Counselor).
If another student were being harassed or bullied based on sexual stereotyping or gender expression (e.g., not being “feminine” or “masculine” enough), I would tell the Principal or Assistant Principal.
If another student were being harassed or bullied based on sexual stereotyping or gender expression (e.g., not being “feminine” or “masculine” enough), I would tell a Teacher or other school staff (e.g., Counselor).
If I tell someone at my high school (e.g., Teacher, Assistant Principal, or Principal) that someone is harassing or bullying me or another student based on sexual stereotyping or gender expression, the person will do something to help.
I know the process at my high school for reporting a complaint of harassment based on sexual stereotyping or gender expression (e.g., not being “feminine” or “masculine” enough).
If I felt I was getting harassed or bullied based on sexual stereotyping or gender expression (e.g., not being “feminine” or “masculine” enough), I would report a complaint with my high school.
If another student was being harassed or bullied based on sexual stereotyping or gender expression (e.g., not being “feminine” or “masculine” enough), I would encourage him/her/them to report a complaint with our high school.

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