1. Default Section

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* 1. I am in:

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* 2. I am:
(fill in all that apply)

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* 3. I am:

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* 4. When I am at school:

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I feel safe
I have fun learning
I like school
I have choices in the way I learn
My teacher treats me with respect
My teacher cares about me
My principal cares about me
My teacher believes I can learn
The work I do in class makes me think
I get bullied by other students
I know what I need to learn
I am a good student
I behave well at school
Students at my school are friendly
I bully other students
I feel safe on the bus
I can be a better student
I have lots of friends
My family thinks I can do well in school
My family wants me to do well in school
My teacher and school help to keep me safe
I can get help with my problems

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* 5. What do you like about this school?

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* 6. What do you wish was different at this school?

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* 7. If you know any students who bully others in this school please write their names.

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* 8. If you know any students who are bullied at school please write their names.

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* 9. I get enough to eat at lunch

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* 10. There are places in my school where I can go to get help

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