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* 1. I attend the following school.

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* 2. Current Grade 

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* 3. I like my school

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* 4. I like my school building

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* 5. My school has enough space for teaching, studying and activities

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* 6. I have sufficient access to computers and technology at my school

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* 7. My school is kept clean and well maintained

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* 8. My school has adequate resources for learning (books, supplies, materials, etc)

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* 9. There are high expectations for learning at my school

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* 10. There are high expectations for teaching at my school

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* 11. How much do each of the classroom activities and approach to assignments interest or engage you

  Not at all Very little Some Very much
Teacher lecture/talk
Discussions and debates
Individual readings
Writing projects
Research projects (my choice to present the way I want)
Group projects
Presentations and speeches
Art, drama activities, and role plays
Projects and lessons involving technology presentations
Videos, Google searches, websites

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* 12. I feel like I belong at my school

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* 13. I have opportunities to express myself at school

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* 14. Students have many opportunities in my school to get involved in sports, clubs, and other school activities outside of class

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* 15. I am involved in an after or before school club or activity 

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* 16. I am involved in athletics at school

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* 17. If you do not participate in clubs, activities, or athletics after school, why not (check all that apply)

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* 18. Students at my school do their best, even when work is challenging

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* 19. Students at my school do all their homework

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* 20. Students at my school think it is OK to cheat

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* 21. Students at my school think it is OK to cheat if other students are cheating

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* 22. I have gone for extra help with my teachers outside of class time

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* 23. Students at my school treat each other with courtesy and respect

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* 24. Students at my school are well behaved

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* 25. Students at my school help each other when asked

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* 26. Students at my school respect differences in other students

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* 27. I would recommend this school to others

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* 28. My teachers make learning interesting

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* 29. My teachers encourage students to take risks and share their ideas about things we are learning in class

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* 30. My teachers help me improve my work if I do poorly on an assignment

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* 31. My teachers challenge me to do my personal best

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* 32. My teachers communicate important day-to-day information to me

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* 33. My teachers listen to me when I speak in class

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* 34. I can talk to my teachers about problems or concerns

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* 35. My teachers give me the opportunity to show what I have learned in many ways

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* 36. My teachers show me how to understand and learn from my mistake

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* 37. Teachers and other adults at this school listen to students' ideas about how to improve the school

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* 38. I have a close trusting relationship with at least one adult at my school to whom I can go with a problem or concern

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* 39. I have seen students being insulted, teased or made fun of or excluded by other students because of the following: (check all that apply)

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* 40. I have felt threatened or made to feel physically unsafe by an adult at my school

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* 41. I have seen students spread rumors or gossip through social media

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* 42. I have been the target of hurtful communication through social media

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* 43. I have used social media to hurt others

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* 44. I have been hurt or physically threatened by other students

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* 45. I have been insulted, teased, made fun of, or excluded by other students at my school

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* 46. When you were insulted, teased, made fun of, or excluded did you report it?

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* 47. I feel physically safe when in the following spaces at school

  Yes  No Doesn't apply to me
School in general
Media Center/Learning Commons
School bathrooms
Cafeteria
Hallways
Parking Lots
Buses
Walking to and from school
Athletic events and activities
Classrooms
Gym/locker rooms

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* 48. I have stayed home because I was uncomfortable or felt unsafe at school

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* 49. I know how to report anonymously using the TIPS line

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* 50. There are clear consequences for breaking the rules

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* 51. The school rules for behavior are consistently enforced

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* 52. I am concerned about alcohol and/or drug abuse at my school

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* 53. I worry about violence from some students in my school

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* 54. Adults at my school apply the same rules to all students equally

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* 55. I worry about outsiders committing violence inside my school

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* 56. I feel my school has procedures in place to keep me safe

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* 57. Has the Chromebook made learning easier for you? (7th, 9th-12th Grades)

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* 58. While at school I have been taught ways to manage stress (like mindfulness, breathing, yoga, or other stress reducer activities)

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