Please select a response to each question.

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* 1. Please select your grade level.

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* 2. Please select your gender.

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* 3. I like to come to school each day.

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* 4. I feel the students in this school are friendly.

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* 5. I feel physically safe at school.

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* 6. I feel I know what to do in a fire drill.

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* 7. I feel I know what to do in a lockdown.

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* 8. I feel comfortable sharing my thoughts and ideas at this school.

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* 9. I feel I am treated respectfully by teachers.

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* 10. I feel I am treated respectfully by students.

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* 11. I feel I am treated respectfully by the principal/assistant principal

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* 12. I feel recognized at school for the things I do well.

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* 13. I feel I can get help from my guidance counselor.

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* 14. I feel I can go to my teachers for help with my schoolwork.

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* 15. I feel that other school staff members are helpful. (office, custodian, cafeteria, coaches, substitutes, etc.)

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* 16. I feel my trip to and from school is a positive experience.

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* 17. I feel my trip to and from school is a safe experience.

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* 18. I learn from my teacher.

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* 19. I feel I treat others fairly.

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* 20. I feel included at this school.

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* 21. I feel my opinion is valued during classroom discussions.

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