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* 1. What school does your child(ren) currently attend?  (select all that apply)

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* 2. What grade is your child(ren) currently in? (select all that apply)

How strongly do you agree or disagree with the following statements about this school?

Throughout the survey, "This school" means activities happening in school buildings, on school grounds, on school buses, and at places that hold school-sponsored events or activities. Unless otherwise specified, this refers to normal school hours or to times when school activities/events were in session.

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* 3. This school communicates how important it is to respect the practices of all cultures.

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* 4. I feel that I am involved in school-student activities.

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* 5. This school helps me figure out what social and emotional skills my child needs to develop. (e.g. self-control, problem solving, or getting along with others)

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* 6. At this school, my child feels he/she belongs.

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* 7. This school is a friendly place and I feel welcomed here.

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* 8. This school encourages me to be an active partner in educating my child.

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* 9. I feel comfortable talking to someone at this school about my child's behavior.

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* 10. Staff at this school care about what families think.

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* 11. My child is safe at this school.

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* 12. Physical fighting between students is a problem at this school.

This question is about bullying. Bullying happens when one or more students tease, threaten, spread rumors about, hit, shove or hurt another student. It is not bullying when students of about the same strength or power argue or fight or tease each other in a friendly way. Bullies are usually stronger, or have more friends or more money, or some other power over the student being bullied. Usually, bullying happens over and over, or the student being bullied thinks it might happen over and over.

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* 13. Bullying of students at school or school activities is a problem at this school.

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* 14. Bullying of students via electronic means or devices is a problem at this school (cyber-bullying).

Drugs means any substance, including those used to get “high” or increase performance in school or sports, other than alcohol or tobacco.  Examples include marijuana, illegal drugs, inhalants, synthetic drugs used to get high (K-2, bath salts, white lightning), or over-the-counter medicine. This does not include medications prescribed by doctor or nurse for the person, but includes prescription drugs that are NOT prescribed to the person by his/her doctor.

“Alcohol” means a full or part of a drink of alcohol. Examples include beer, wine, mixed drink, shot of liquor, or any combination of these alcoholic drinks. This does not include alcohol that you may drink for religious purposes.

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* 15. At this school, I feel that the following are a problem. (select all that apply)

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* 16. This school takes effective measures to ensure the safety of students.

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* 17. The school building is clean and well-maintained.

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* 18. Attending school every day is important for my child to do well in his/her classes.

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* 19. This school has high expectations for students.

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* 20. This school sees me as a partner in my child's education.

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* 21. My child's teachers make themselves available to me.

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* 22. This school provides high quality services to help students with social or emotional needs.

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* 23. If my child is struggling with school work, teachers provide the necessary academic support they need to succeed.

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* 24. This school has enough programs that develop students’ social and emotional skills. (e.g. self-control, problem solving, or getting along with others)

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* 25. When my child does something good at school, I usually hear about it from the school.

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* 26. This school communicates the following policies and procedures clearly to parents or guardians:

  Strongly agree Agree Disagree Strongly disagree
Grading policies and procedures
Attendance policies and procedures
Disciplinary policies and procedures 

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* 27. Please enter any additional comments below that would help your child's school climate:

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