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* 1. What school do you attend?

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* 2. What grade are you in?

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* 3. What is your gender?

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* 4. My school is clean.

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* 5. My school is safe and secure.

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* 6. Students take ownership in the physical appearance of my school.

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* 7. My school is welcoming to students and parents.

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* 8. My school encourages students to get involved in extracurricular activities.

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* 9. My school encourages all families to participate in school activities.

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* 10. My school reflects a true "sense" of community and belonging.

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* 11. My school respects and celebrates other's differences (i.e. gender, race, culture, etc.).

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* 12. Adults in my school treat students with respect.

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* 13. Adults in my school typically listen to and treat students fairly.

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* 14. After-school events are well attended by staff.

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* 15. Teachers are available for me to talk to before and after school.

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* 16. Teachers enjoy teaching in my school.

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* 17. Teachers redirect negative behaviors in a respectful manner without embarrassing and shaming students.

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* 18. My school provides guidance and counseling services that students need.

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* 19. I know my guidance counselor well and have a positive relationship with him/her.

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* 20. I know who to go to and how to get help for issues or concerns I may have.

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* 21. I feel connected to and trust at least one adult in this school.

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* 22. The principal has an overall good understanding of the student's needs.

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* 23. The principal communicates well and informs parents of new developments, ideas, and issues.

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* 24. The principal is highly visible to the student body.

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* 25. Students feel free to initiate communication with the building principal.

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* 26. School staff promotes a respectful and safe environment.

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* 27. Arguments among students are rare.

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* 28. Physical fights among students are rare.

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* 29. Threats by students against one another are rare.

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* 30. Students are not regularly picked on, called names, or teased by other students.

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* 31. Mean behaviors (bullying) are not issues in this school.

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* 32. Cyber-bullying and internet safety are not issues in our school.

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* 33. Students know what behaviors are expected of them.

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* 34. Students treat each other with respect in my school.

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* 35. Students treat adults in my school with respect.

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* 36. I feel safe in school.

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* 37. Students are heard and respected by the administrative team (principal or assistant principal).

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* 38. Students speak out about my school in proud, positive terms.

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* 39. Students feel they are listened to, represented, and that that they have a voice.

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