Flagstaff Academy - Middle School Climate Survey (May 2012)
This set of questions asks you to tell about your school and things that may or may not have happened at school. There are no right or wrong answers. Please answer the questions honestly and truthfully to show what you think about your school. Your responses DO make a difference in how policies and procedures are determined. Your responses also help us to determine how best to help you succeed. Your responses are completely anonymous, and we trust that you will take this survey seriously.
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Question 1: Has this happened to you during the past month? *
For the following, check only ONE response for each item.
Never
Less than 1 time per week
about 1 time per week
about 2-4 times per week
5 or more times per week
I was hit, pushed, or kicked by other students (not including sports where that might be OK)
Other students told stories about me that were not true
Other students did not let me join in what they were doing
Other students took things that belong to me
Other students threatened to hurt me or take things
Another student wrote mean things or threats to me on the internet or in a text message
Question 1a: What did you do? (check all that apply)
Answer this question ONLY if any of the above happened to you. If you answered "never" to ALL the statements in Question 1 above, you can skip this question.
Question 1b: Who was it done by? (check all that apply)
Answer this question ONLY if anything in Question 1 happened to you. If you answered "never" to all the statements in Question 1, you can skip this question.
Question 1c: Who did you tell? (check all that apply)
Answer this question ONLY if anything in Question 1 happened to you. If you answered "never" to all the statements in Question 1, you can skip this question.
Question 1d: Where did it happen? (check all that apply)
Answer this question ONLY if anything in Question 1 happened to you. If you answered "never" to all the statements in Question 1, you can skip this question.
Question 2: Have you SEEN this happen? *
For the following, check only ONE box for each item. Check the box ONLY if the item happened to someone else - NOT you.
Never
Less than 1 time per week
about 1 time per week
about 2-4 times per week
5 or more times per week
I saw someone get hit, pushed, or kicked by other students
I heard students say mean things, tease, or call someone names
I saw students not let someone join in what they were doing
I saw or heard that students took things that belong to someone else
I heard students threaten to hurt someone or take things
I saw mean things or threats that someone wrote to another student on the internet or in a text message
Question 2a: What did you do? (check all that apply)
Answer this question ONLY if you heard or saw anything in Question 2 happen. If you answered "never" to all the statements in Question 2, you can skip this question and go to Question 3.
Question 2b: Who did you tell? (check all that apply)
Answer this question ONLY if you heard or saw anything in Question 2 happen. If you answered "never" to all the statements in Question 2, you can skip this question and go to Question 3.
Question 2c: Where did it happen? (check all that apply)
Answer this question ONLY if you heard or saw anything in Question 2 happen. If you answered "never" to all the statements in Question 2, you can skip this question and go to Question 3.
Question 3: How safe do you feel at school? During the past MONTH, this is how safe I felt in each of these places. *
For the following, check only ONE box for each item.
Always very unsafe and scared
Often unsafe and scared
Generally pretty safe, but sometimes unsafe
Typically quite safe
Always very safe
In the classrooms
On the playground
In the hallways
In the lunchroom/commons
Going to or from school
In the bathrooms
At before or after-school activities
Question 4: What is your school like? *
For the following items, check only ONE box for each item that best describes how you experience your school.
Never or hardly ever true
Sometimes true
Often true
Almost always or always true
the other students help if they see someone being bullied or picked on
Students tell adults at school when other kids are being bullied or picked on
If someone is alone at lunch or recess, others will invite him or her to join in
Students at this school encourage other kids to do the best they can at their schoolwork
There are clear rules at our school
The teachers and staff help if they see someone being bullied or picked-on
Students who misbehave take up a lot of the teacher's time
Adults at this school care that the students do the best school work they can
My school tries to make everyone feel included
I usually play with someone at recess
When I'm upset, other students try to comfort me or cheer me up
I like going to school
I am afraid to go to school
Most people at this school are kind
Question 5: I usually go to and from school by... *
Check ONLY one
Question 7: I identify myself as... *
Which of the following best describes your identity?
Question 8: Your grade *
What grade are you currently in?
Question 9: Your gender identity *
What gender should be listed for you on your student record?
Question 10: Homework time *
How much time do you spend on your homework on a typical weeknight?
Question 11: Homework help *
How often do you need help from parents with your homework?
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