At-Risk Students andAcademic Underachievement

This survey is intended to examine at-risk students and the relationship between academic underachievement and the factors that may affect academic achievement of at-risk students. This survey will take you approximately 10-15 minutes to complete.

I Agree

Have
you ever participated in the free and reduced lunch program?

Yes

No

Do
your parents rent or own your home?

Yes

No

Do
you live in a single parent home?

Yes

No

Have you ever been suspended or expelled from school?

Yes

No

Have
you ever been arrested?

Yes

No

What is your current GPA?

Poor (0.0-1.99)

Average (2.00- 2.99)

Excellent (3.0-4.0)

What is your race?

What is your gender?

Male

Female

Carefully read the statements below. Respond with the answer that best corresponds with your high school experience for each factor. Please answer the following questions with: Strongly Disagree (SD), Disagree (D), Agree (A), or Strongly Agree (SA).

	Strongly disagree	Disagree	Agree	Strongly agree
1. I look forward to interacting with my teachers in class.

2. I receive feedback from my teachers regarding my progress in school

3. Teachers provide after school assistance to me.

4. My teachers create a classroom environment where I am comfortable asking questions.

5. It is important to most of my teachers that I do well in school.

6. I have a parent or caregiver encouraging me to do well in school.

7. One of my parents/caregivers has two jobs.

8. My parents/caregivers want me to go to college.

9. My parents/caregivers attend school activities.

10. My parent or caregiver has helped me with homework.

	Strongly disagree	Disagree	Agree	Strongly agree
11. I challenge myself in school.

12. I work hard to make good grades.

13. I am involved in a school sport or activity.

14. I want to attend college or vocational school.

15. I like school.

16. My friends skip school.

17. I have friends that participate in gang activities.

18. My friends participate in sports or school activities.

19. Some of my friends have dropped out of school.

20. My friends make good grades in school.

21. I have a part-time job to help support my household.

22. I had opportunities to take vacations.

23. I have access to a computer at home

24 One of my parents/caregivers has two jobs