This is your opinion, NOT a test. We want to know what you think of your SCHOOL. There are no right or wrong answers. This survey is confidential. Your individual responses will not be shared with anyone. Your participation is voluntary and important!

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* 1. What school are you attending?

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* 2. What grade are you in?

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* 3. How would you describe yourself? (check all that apply)

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* 4. Are you.....

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* 5. What is your first name?

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* 6. What is your last name?

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