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We want to know what you think about your school.
Your answers are private. No one at school will see them.
Please do NOT write your name on this survey.
Circle only one answer. Please answer truthfully.
This survey is voluntary. You do not have to answer any question you do not want to answer, but we hope you will answer them all. Your feedback is important and will help to make your school a better place.

Thank you for taking this survey!
 
 
 
ABOUT MY SCHOOL
 
 
How much do you agree or disagree with each of the following statements? When you answer, think about the way your school is most of the time.
Strongly Agree Agree Agree some, Disagree some Disagree Strongly Disagree
1. Students in this school help each other, even if they are not friends.
2. At school, decisions are made based on what is best for students.
3. There is at least one adult at this school whom I feel comfortable talking to about things that are bothering me.
4. At school, there is a teacher or some other adult who will miss me when I’m absent.
5. There are lots of chances for students in my school to talk with teachers one-on-one.
6. I have given up on school.
7. At this school, students are encouraged to work to the best of their abilities.
8. If students like their school, they will do better in their classes.
9. Students here treat me with respect.
10. The principal and other leaders in this school make good decisions.
Strongly Agree Agree Agree some, Disagree some Disagree Strongly Disagree
11. I try hard to do well in school.
12. I want very much to get more education after high school.
13. In my school, students are given a chance to help make decisions.
14. I can name at least five adults who really care about me.
15. Other adults at school besides my teachers know my name.
16. Students are involved in helping to solve school problems.
17. When students see another student being picked on, they try to stop it.
18. Adults in my community encourage me to take school seriously.
19. This school is a welcoming place for families like mine.
20. Adults in my community know what goes on inside schools.
Strongly Agree Agree Agree some, Disagree some Disagree Strongly Disagree
21. Adults in my community support this school.
22. Lots of parents come to events at my school.
23. Most students in this school talk with their parents about what they are studying in class.
24. Most students in this school talk with their parents about their homework assignments.
25. This school does not involve parents in most school events or activities.
26. Students are recognized for their involvement in art, music, debate, sports, or other activities.
27. Teachers and other adults at this school believe that all students can do good work.
28. I feel safe at school.
29. Students at this school are often teased or picked on.
30. This school is being ruined by bullies.
Strongly Agree Agree Agree some, Disagree some Disagree Strongly Disagree
31. Teachers here are nice people.
32. This school is badly affected by crime and violence in the community.
33. My teachers treat me with respect.
34. When students break rules, they are treated fairly.
35. Gang members make this school dangerous.
36. My teachers are fair.
37. Crime and violence are major concerns at school.
38. Most students in this school like to put others down.
39. Our school rules are fair.
40. It pays to follow the rules at my school.
41. The principal asks students about their ideas.
 
 
 
ABOUT ME
 
 
Mark the answer that shows how true you think each of the following statements is. When you answer, think about the way you are most of the time.
Strongly Agree Agree Agree some, Disagree some Disagree Strongly Disagree
1. If someone asks me right now, I can describe how I am feeling.
2. I know what I do well and know what areas I need to work on.
3. I ask for help from my teachers or others when I need it.
4. I am always a good listener, no matter whom I am talking with.
5. I feel bad if my chores, homework, or other responsibilities are not done well or on time.
6. I control myself when I am frustrated, angry or disappointed.
7. I am honest, even when telling the truth might get me in trouble.
8. When I make a decision, I think about what might happen afterwards.
9. I set goals and then work to achieve them.
10. I care about other people’s feelings and points of view.
Strongly Agree Agree Agree some, Disagree some Disagree Strongly Disagree
11. It is important for me to help others in my school.
12. I am always willing to admit when I make a mistake.
13. I respect the ways in which people are different.
14. I can tell when someone is getting angry or upset before they say anything.
15. I know how to disagree without starting a fight or an argument.
16. I get along well with other students.
17. I work on having positive relationships with friends, family members, and others.
 
 
 
BACKGROUND INFORMATION
 
 
 
What grade are you in?
 
6
 
7
 
8
 
9
 
10
 
11
 
12
 
 
 
Gender
 
Male
 
Female
 
 
 
Which group describes you best? (You may mark more than one.)
 
Alaska Native/American Indian
 
Black/African American
 
Mexican/Hispanic/Latino
 
Asian/Pacific Islander
 
White--Not Hispanic
 
Other
 

 
 
 
Is there an adult who really knows what you do with your free time?
 
Yes
 
No
 
 
 
Do you have someone outside of school who can help you with homework?
 
Yes
 
No
 
 
 
What grades do you usually get?
 
Mostly A’s
 
Mostly B’s
 
Mostly C’s
 
Mostly D’s and F’s
 
 
 
During the past year, how many days did you miss school without permission?
 
Never
 
Less than once a month
 
Once a month or more