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* 1. What grade are you currently in at this school? Mark one response

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* 2. My gender is:

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* 3. My teachers care about me.

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* 4. My teachers make me feel good about myself.

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* 5. Students respect one another.

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* 6. I feel like I belong.

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* 7. I am happy to be at this school.

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* 8. I feel safe at this school.

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* 9. My teachers praise me when I work hard.

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* 10. My teachers give me individual attention when I need it.

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* 11. Teachers provide me with time to work with others in small groups and pairs.

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* 12. The things I am learning are important to me.

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* 13. I feel bored in school.

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* 14. I can talk to a teacher or another adult about something that is bothering me.

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