* 1. What is your gender?

* 2. What grade are you in?

* 3. Generally, students in my school are kind, respectful and helpful to one another.

* 4. Do you have a clear understanding of the school rules stated in the Student Code of Conduct that are posted on the Kirtland  Website and shared with you in Google?

* 5. I know what behaviors are expected of me in the following areas (check all that apply):

* 6. I feel safe in these areas (check all that apply):

* 7. What behaviors are the biggest problems at school? (choose the top 3)

* 8. Do all teachers have the same behavior expectations for all the students?

* 9. Rank what instructional model and environment you learn the best in the classroom?

* 10. If I knew that another student was involved in something illegal or dangerous (to that person or to someone else), I would tell a peer, teacher, counselor or principal.

* 11. The adults at school are helpful to students.

* 12. The adults at school let students know when they are doing something right.

* 13. I have a trusting connection with at least one adult at KMS and could go to them for help if needed.

* 14. The "No Cell Phone" policy has made the learning environment in the classroom better with less distractions for myself.

* 15. With 1 being out of control and 10 being perfect, on a scale of 1-10, behavior in the hallway ranks:

  1 2 3 4 5 6 7 8 9 10
Rank

* 16. I understand the rules and expectations for REC/Lunch behavior

* 17. With 1 being out of control and 10 being perfect, on a scale of 1-10, behavior at REC/Lunch ranks:

  1 2 3 4 5 6 7 8 9 10
Rank

* 18. I understand the rules and expectations for appropriate behavior in the restrooms

* 19. I understand the rules and expectations for appropriate behavior when riding the bus (or walking) to and from school.

* 20. I look forward to coming to school.

* 21. I have a group of students in my school that I consistently hang out with during the school day.

* 22. I believe the academic work I do in this school is important to my education.

* 23. I am proud to be part of this school.

* 24. In the last year, were you threatened by a student (or students)?

* 25. In the last year, were you teased in a mean way by a student (or students)?

* 26. In the past year, I have received inappropriate picture texts on my device at school or school-related events

* 27. In the past year, I have been upset by mean and/or inappropriate things communicated to me via the following social media (check all that apply):

* 28. I am confident that I know what to do if I receive an inappropriate picture on my phone or other device. On a scale of 1-10 (1 = not confident at all to 10 = extremely confident), my confidence level is:

  1 2 3 4 5 6 7 8 9 10
Confidence

* 29. If I received an inappropriate picture or dangerous message from another student, I would (check all that apply):

* 30. I feel like I learn better with the current modified block schedule which extends my learning in the classroom.

* 31. Please feel free to write 2 details that could make KMS a better school which would make your experience enjoyable while learning>

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