You are being asked to complete this survey as part of a project to help all members of the school community (students, parents and school staff) understand how everyone feels about your school.
-As you respond to each item, focus on your thoughts and feelings based on your own personal experiences as a student at your school.
-There are no right or wrong answers. We just want to know how you feel. Your responses will provide us with important information to help your school become even better.
-All your responses are completely anonymous, which means that no one will ever see how you filled out the survey.
-Survey results will be reported only for all students together or for groups of students, for example all ninth graders.
-This survey should take you approximately 20 minutes to complete.

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* 1. What grade are you in?

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* 2. Which school do you attend?

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* 3. What is your gender?

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* 4. What is your ethnicity?

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* 5. Do you feel accepted at school by:

  Yes No Does not apply to me
Administrators
Secretaries
Bus Drivers
Hall Monitors
Custodians
Counselors
Teachers

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* 6. If you answered ‘No’ to any part of the above question, please indicate why in the space provided below.

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* 7. Do you feel accepted by other students at school?

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* 8. Do you feel safe…

  Yes No Does not apply to me
in the school hallways?
in the school cafeteria?
in the school restrooms?
in your classrooms?
in the school parking lot?
in the stairwells?
at the bus stop?
on the bus?
in the locker room?

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* 9. If you answered ‘No’ to any part of the above question, please indicate why in the space provided below.

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* 10. Please indicate how strongly you agree or disagree with the statements written below.

  Strongly Agree Agree Neutral Disagree Strongly Disagree Does not apply to me
In my school, programs and services are available to help me succeed.
In my school, a high quality education is offered.
In my school, students are treated with respect by staff members.
In my school, teachers work together to improve student learning.
In my school, rules are applied equally to all students.
In my school, students treat adults with respect.
In my school, the teachers have high expectations for me.
In my school, the administrators have high expectations for me.
My school provides me with challenging curriculum and learning experiences.
My school offers my family ways to become involved in school activities and my learning.
There is at least one adult at my school who knows me well and has built a close relationship with me. They show an interest in my education and my future.
In my school, activities that interest me are offered.
In my school, I participate in activities that interest me.
In my school, I have access to counseling and other programs to help me.

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* 11. My teachers explain their expectations for learning so that I can be successful.

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* 12. My teachers explain their expectations for behavior.

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* 13. My teachers use tests to check my understanding of what was taught.

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* 14. My teachers use projects, presentations and/or portfolios to check my understanding of what was taught.

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* 15. In my school, the building and grounds are safe, clean, and provide a healthy place for learning.

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* 16. In my school, students respect the property of others.

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* 17. My school teaches me to give back to others through community service projects, volunteering and donation opportunities.

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* 18. Please select all of the extra-curricular activities in which you are involved at your school.

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* 19. What do you like best about your school?

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* 20. What is one suggestion you would like to offer to improve your school?

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* 21. I wish my school offered ______________.

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