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* 1. What high school do you attend?

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* 2. How old are you?

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* 3. What is your gender?

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* 4. What grade are you in?

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* 5. During the past 12 months, how would you describe the grades you mostly received in school?

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

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* 7. I feel like I am a part of this school.

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* 8. The teachers at this school treat students fairly.

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* 9. I feel safe in my school.

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* 10. I am always trying to do better in my schoolwork.

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* 11. At my school, there is a teacher or some other adult who really cares about me.

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* 12. At my school, there is a teacher or some other adult who tells me when I do a good job.

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* 13. At my school, there is a teacher or some other adult who always wants me to do my best.

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* 14. At my school, there is a teacher or some other adult who listens to me when I have something to say.

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* 15. At my school, there is a teacher or some other adult who believes that I will be a success.

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* 16. At school, I do things that make a difference.

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* 17. How safe do you feel when you are at school?

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* 18. During the past year, how many times have you hit or pushed other kids at school when you were not playing around?

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* 19. Do other kids hit or push you at school when they are not just playing around?

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* 20. During the past 12 months, how many times did other students spread mean rumors or lies about you on the internet (i.e., Facebook, MySpace, email, instant message)?

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* 21. Do you think you are too skinny, about right, or overweight?

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* 22. Have other kids at school ever teased you about what your body looks like?

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* 23. How many days each week do you exercise, dance, or play sports?

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* 24. Yesterday, how much time did you spend watching TV or playing video games?

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* 25. Did you eat breakfast today?

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* 26. On average, how would you rate the lunch from the school cafeteria?

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* 27. How would you improve the school lunch meals?

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