Please complete this survey regarding safety information about this school. Thank you.

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* 1. Date

Date & Time

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* 2. In general, how safe do you feel at this school?

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* 3. Please indicate all areas where you feel less than "generally safe."

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* 4. Please indicate the time(s) of day when you feel less than generally safe in any of these areas.

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* 5. Please indicate how much of a problem you think each of the following has been during the most recent school year.

  Severe Serious Somewhat Serious Somewhat of a problem Hardly or not a problem
Theft of personal property
Theft of school property
Vandalism to school property
Bullying/intimidation/threats
Cyberbullying/social media
Fighting without weapons
Fighting with weapons
Drug use (including alcohol)
Drug/alcohol sales
Disrespect among students
Disrespect of adults by students
Students troubled while walking/biking to/from school
Students troubled while at bus stop/on bus to/from school
Student misbehavior at aferschool or school-related activities
Student misbehavior in school's immediate neighborhood
Uncontrolled/unmonitored access by visitors
Threats of school violence
Threats towards staff/assault of staff
Sexual harassment/assault

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* 6. What, from your perspective, is the single biggest crime/school security problem in this school?

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* 7. Does your school have the rules of behavior in the school handbook or school planner?

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* 8. Do you think that these rules are enforced consistently and that consequences are appropriate?

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* 9. Does the school have a way of recognizing and reinforcing positive behaviors (PBIS/BEST) among students?

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* 10. Who would you go to if you knew about a threat of violence at school? Check all that apply.

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* 11. When you have reported a problem to an adult at school, did they listen or take appropriate action?

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* 12. Does your school offer any of the following?  Please check all that apply.

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* 13. Do your teachers know how to maintain a positive learning environment in the classroom?

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* 14. What one thing would you do to improve safety and security at this school?

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* 15. Please indicate your current grade.

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