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* 2. Are you a member of your school's PBIS Team?

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* 3. Does your school implement any of these initiatives (Check all that apply.)

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* 4. Our school began the year by teaching and modeling PBIS expectations for every location with all students in the school.

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* 5. This year our PBIS program:

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* 6. I feel that PBIS contributes positively to the culture of our school.

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* 7. How would you rate the level of staff buy-in (actual participation) for PBIS in your school? 

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* 8. How would you rate the administrative support for PBIS at your school?

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* 9. How would you rate the level of Central Office support for PBIS in your district? 

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* 10. Does your school implement any of these Tier 2/3 PBIS interventions? (Check all that apply.)

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* 11. Teachers at our school receive training and support for PBIS classroom management strategies i.e., peer to peer support, opportunities to respond, 4 to 1, effective classroom consequences.

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* 12. Does your school use any of these alternatives to suspension? (Check all that apply)

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* 13. How often does your PBIS team share data and provide feedback to staff about the program?

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* 14. Do you favor continuing the PBIS program at your school next year?

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* 15. Comments or suggestions for strengthening PBIS at your school?

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