Skip to content
ASD Annual Stakeholder Survey - Student (3-5)
*
1.
Select your school.
(Required.)
Brick Mill Elementary School
Bunker Hill Elementary School
Cedar Lane Elementary School
Crystal Run Elementary School
Lorewood Grove Elementary School
Old State Elementary School
Olive B. Loss Elementary School
Silver Lake Elementary School
Townsend Elementary School
*
2.
Select your grade level.
(Required.)
3rd
4th
5th
*
3.
In the past month, I have been learning mostly
(Required.)
In Person
Virtually
*
4.
Sense of Belonging
How much do you agree with the following statements:
(Required.)
Strongly Disagree
Disagree
Somewhat Agree
Agree
Strongly Agree
I feel like I am part of my school.
Strongly Disagree
Disagree
Somewhat Agree
Agree
Strongly Agree
I have friends at school who care about me.
Strongly Disagree
Disagree
Somewhat Agree
Agree
Strongly Agree
The adults at my school treat students with kindness and respect.
Strongly Disagree
Disagree
Somewhat Agree
Agree
Strongly Agree
There is an adult at my school I can talk with when I need to talk.
Strongly Disagree
Disagree
Somewhat Agree
Agree
Strongly Agree
Adults at this school care about me.
Strongly Disagree
Disagree
Somewhat Agree
Agree
Strongly Agree
School is important to me.
Strongly Disagree
Disagree
Somewhat Agree
Agree
Strongly Agree
*
5.
Rigor
How much do you agree with the following statements:
(Required.)
Strongly Disagree
Disagree
Somewhat Agree
Agree
Strongly Agree
My teachers talk to me about my progress.
Strongly Disagree
Disagree
Somewhat Agree
Agree
Strongly Agree
My teachers help me make real world connections to what I'm learning.
Strongly Disagree
Disagree
Somewhat Agree
Agree
Strongly Agree
My teachers have high expectations for me.
Strongly Disagree
Disagree
Somewhat Agree
Agree
Strongly Agree
My teachers take time to make sure I understand the material.
Strongly Disagree
Disagree
Somewhat Agree
Agree
Strongly Agree
My teachers encourage me to do my best.
Strongly Disagree
Disagree
Somewhat Agree
Agree
Strongly Agree
When I feel like giving up on a difficult task, my teachers encourage me to keep trying.
Strongly Disagree
Disagree
Somewhat Agree
Agree
Strongly Agree
*
6.
Classroom Discussion
How much do you agree with the following statements:
(Required.)
Strongly Disagree
Disagree
Somewhat Agree
Agree
Strongly Agree
I have many chances to share my ideas in class.
Strongly Disagree
Disagree
Somewhat Agree
Agree
Strongly Agree
I learn better in groups than I do by myself.
Strongly Disagree
Disagree
Somewhat Agree
Agree
Strongly Agree
Teachers encourage me to explain my answers in class.
Strongly Disagree
Disagree
Somewhat Agree
Agree
Strongly Agree
My teacher encourages me to listen and think about answers from other students.
Strongly Disagree
Disagree
Somewhat Agree
Agree
Strongly Agree
My teachers create chances for ALL of my classmates to participate in the lessons.
Strongly Disagree
Disagree
Somewhat Agree
Agree
Strongly Agree
I learn more when I can discuss the content with my classmates.
Strongly Disagree
Disagree
Somewhat Agree
Agree
Strongly Agree
I learn better when I can work alone.
Strongly Disagree
Disagree
Somewhat Agree
Agree
Strongly Agree
*
7.
Equity
How much do you agree with the following statements:
(Required.)
Strongly Disagree
Disagree
Somewhat Agree
Agree
Strongly Agree
At my school, everyone tries hard to make every student feel included.
Strongly Disagree
Disagree
Somewhat Agree
Agree
Strongly Agree
I care about other people's feelings.
Strongly Disagree
Disagree
Somewhat Agree
Agree
Strongly Agree
My school offers activities in areas that interest me.
Strongly Disagree
Disagree
Somewhat Agree
Agree
Strongly Agree
I show respect to others even when they disagree with me.
Strongly Disagree
Disagree
Somewhat Agree
Agree
Strongly Agree
I feel respected by other students in my school.
Strongly Disagree
Disagree
Somewhat Agree
Agree
Strongly Agree
I get along with students who are different than me.
Strongly Disagree
Disagree
Somewhat Agree
Agree
Strongly Agree
*
8.
Growth Mindset
Whether a person does well or poorly in school may depend on a lot of different things. You may feel that some of these things are easier for you to change than others. In school, how possible is it for you to change:
(Required.)
Not at all possible to change
A little possible to change
Somewhat possible to change
Quite possible to change
Completely possible to change
Being good at things
Not at all possible to change
A little possible to change
Somewhat possible to change
Quite possible to change
Completely possible to change
Liking the classes you are in
Not at all possible to change
A little possible to change
Somewhat possible to change
Quite possible to change
Completely possible to change
How well I do in school
Not at all possible to change
A little possible to change
Somewhat possible to change
Quite possible to change
Completely possible to change
Trying really hard
Not at all possible to change
A little possible to change
Somewhat possible to change
Quite possible to change
Completely possible to change
Following the school and class rules
Not at all possible to change
A little possible to change
Somewhat possible to change
Quite possible to change
Completely possible to change
How easily you give up if something is hard
Not at all possible to change
A little possible to change
Somewhat possible to change
Quite possible to change
Completely possible to change
*
9.
Courses
Please choose the subject that you think best fits the statements below:
(Required.)
ELA
Math
Science
Social Studies
My HARDEST class this year is
ELA
Math
Science
Social Studies
My EASIEST class this year is
ELA
Math
Science
Social Studies
The class that I am MOST interested in is
ELA
Math
Science
Social Studies
10.
(Optional) What is your race/ethnicity?
American Indian or Alaska Native
Asian
Black or African American
Hispanic or Latino of any race
Native Hawaiian or Other Pacific Islander
Two or more races
White
11.
(Optional) Do you speak a language other than English in your home?
Yes
No
12.
(Optional) If you answered "Yes" above, what language is used in your home?
Spanish
Chinese (including Mandarin, Cantonese, Hokkien and all other varieties)
Tagalog
Vietnamese
French and French Creole (including Cajun)
Arabic
Korean
Russian
German
Russian
Portuguese
Norwegian
Dutch
Polish
Indonesian
Persian
Gujarati
Telegu
Bengali
Tai-Kadai
Urdu
Punjabi
Serbo-Croatian
OTHER (not listed)
2 / 1
200%