SCHOOL CLIMATE SURVEY QUESTIONNAIRE

Thank you for participating in this survey about your school experiences. The survey contains
questions about you, your school and your experiences in school, including your experiences with
harassment and assault at school. We are conducting the survey so that we can assess the school
climate—how comfortable students of different backgrounds are in school, how common offensive
language is in the hallways, and how common other types of harassment are. The information from
the survey will help us make your school a safer place for all students.
This survey is intended to be CONFIDENTIAL. Since it is anonymous, we hope that you
will be comfortable being completely honest when answering these questions.

Section A: Demographic Profile

Direction: Supply needed information and check (/) the box that applies to you.

Name: ______________________________________ Age: _____

2. Sex: Male Female Grade Level: ____________

Section B1. This set of questions is about some characteristics of your school. Check (/) the
box that applies to you.
1. Do you feel safe at your school?
Yes
No, I feel unsafe because of…(check all that apply)
My sexual orientation
My gender
how I express your gender (how traditionally “masculine” or “feminine” you are in your
appearance or in how you act)
2. Does your school have a policy or a procedure for reporting incidents of harassment or assault in
school?
Yes No Don’t know
3. In the current school year, were you taught about lesbian, gay, bisexual, or transgender (LGBT)
people, history, or events in any of your classes?
Yes If yes, please check which classes (check as many as apply)
English Science MAPEH TLE
Math Filipino AP EsP
No
4. Overall, in those classes where LGBT topics were taught, do you think the representations of
LGBT people, history, or events were:
Very positive Somewhat positive Somewhat negative Very negative
5. In your health classes, was discussion about sexual orientation ever included, such as in discussions
of dating, sexuality/sex education, or family relationships?
Yes No Don’t Know Not Applicable
6. During the past month of school, on how many days did you not go to school because you felt you
would be unsafe at school or on your way to or from school?
0 day 1 day 2 or 3 days 4 or 5 days 6 or more days
3. Do you avoid these spaces at school because you feel uncomfortable or unsafe in the space? (Please
check all that apply to you.)
 Bathrooms  Hallways/stairways  School Grounds
 Canteen  Classroom  Covered Court
6. How many teachers or other school staff persons are supportive of LGBT students at your school?
None One Between 2 and 5 Between 6 and 10 More than 10
7. In general, how supportive do you think people in your school are of LGBT people?
Very Comfortable Somewhat Comfortable Somewhat Uncomfortable Very Uncomfortable
8. In general, how comfortable would you be talking to your teachers, one-on-one, about LGBT
issues?
Very Comfortable Somewhat Comfortable Somewhat Uncomfortable Very Uncomfortable
9. How comfortable are you in showing attraction towards the same sex?
Very Comfortable Somewhat Comfortable Somewhat Uncomfortable Very Uncomfortable
10. How comfortable are you in wearing clothes assigned to opposite sex?
Very Comfortable Somewhat Comfortable Somewhat Uncomfortable Very Uncomfortable
11. How many times have you raised LGBT issues in your classes?
 Never Once Between 2 and 5 More than 5 times
12. How comfortable would you be raising LGBT issues in your classes?
Very Comfortable Somewhat Comfortable Somewhat Uncomfortable Very Uncomfortable

Section B2: Please check (/) the column that best describes your experience at your school using the
following scales:
5 – ALWAYS 4- OFTEN 3- SOMETIMES 2- RARELY 1- NEVER
Situations might be experienced by LGBTQ students at school 5 4 3 2 1
1. How often do you hear the expression “That’s so gay,” or “You’re so
gay” or “so lesbian” in school?
2. How often do you hear these homophobic remarks from other
students?
3. How often do you hear these homophobic remarks from teachers or
school staff?
4. How often it bothered or distressed you when you hear words like
“gay” or “queer” used to describe something in a derogatory way, like
“That class was so gay”?
5. When you hear homophobic remarks, how often has a teacher or other
school staff person been present?
6. When homophobic remarks are made and a teacher or other school
staff person is present, how often does the teacher or staff person
intervene?
7. When you hear homophobic remarks, how often does another student
intervene?
8. How often have you heard comments about students not acting
“masculine” or “feminine” enough?
9. How often do you hear these remarks from other students?
10. How often do you hear these remarks from teachers or school staff?
11. How often have you been verbally harassed (name calling, threats, etc.)
at your school because of your sexual orientation?
12. How often have you been verbally harassed (name calling, threats, etc.)
at your school because of your gender expression?
13. How often have you been physically harassed (shoved, pushed, etc.) at
your school because of your sexual orientation?
14. How often have you been physically harassed (shoved, pushed, etc.) at
your school because of your gender expression?
15. How often have you been physically assaulted (punched, kicked,
injured with a weapon) at your school because of your sexual
orientation?
16. How often have you been physically assaulted (punched, kicked,
injured with a weapon) at your school because of your gender
expression?
17. How often have you been sexually harassed at your school, such as
sexual remarks made toward you or someone touching your body
inappropriately?
18. How often have you had mean rumors or lies spread about you in
school?
19. How often did you report when you were harassed or assaulted in
school to a teacher, the principal or other school staff person?