INSTRUCTIONS

Please read each question and circle the number under the one answer that most
closely fits your opinion. We appreciate your taking the time to do the survey.

_____________________________________________

No

Sometimes

Yes

BEGIN YOUR SURVEY BELOW

My school is kept clean.

I like my school building.

I feel safe around the outside of my school.

I feel safe in the hallways and bathrooms of the school.

I feel safe in my classroom.

Students at my school help each other when needed.

Students at my school are well-behaved.

Most students in my school try to talk to other students if they are

having a problem with them.

i. Most students come to class prepared.

j. Most students in my school try to do their best.

K Most students in my school treat each other well.

1. Please circle No, Sometimes, or Yes for each statement

below. No

Yes

Sometimes

No

2. Please circle No, Sometimes, or Yes for each statement

below.

My teachers notice if I have trouble learning something.

I am bored in school.

My teachers listen to me.

My teachers would give me help if I needed it.

The homework I get from my teachers helps me learn.

My teachers give me work that is interesting.

Teachers and other adults here listen to students' ideas about the
school.

My family wants me to do well in school.

My parents ask if Ive gotten my homework done.

I want to explore and learn new things.

My teachers make learning interesting.

My teachers are proud when I do well.

Yes

No

statement below.

Sometimes

3. Please circle No, Sometimes, or Yes for each

My teachers want students to talk with other students about things

we are studying.

Students at this school are bullied.

Most students in my school get mad when they disagree with

people.

Adults who work in my school treat students with respect.

My teachers really care about me.

Students at this school are teased, picked on, made fun of, or
called names.

My teachers help me do better on my school work.

Most students in my school treat each other with respect.

My teachers treat some students better than others.

I feel like I am part of this school.

I actively participate in class.

I like school.

I wish I went to a different school.